Transcript tota.org

SPRING 2015:
REPRESENTATIVE ASSEMBLY
UPDATE
TOTA DISTRICT MEETINGS
MARCH, 2015
Objectives
After this session participants
will be able to:
• Discuss motions for the
Spring 2015 meeting, April 15
& 16 in Nashville
• Locate & review materials for
the Representative Assembly
• Discuss past motions and
activity of the RA
• Describe how to write a
motion for consideration by
the RA
• Review the benefits and
opportunities of AOTA
Leadership in TOTA & AOTA
There is a long history of active AOTA leaders from Texas:
Robert K. Bing - President of AOTA
Charles Christiansen - Vice President of AOTA
Esther Bell - Secretary of AOTA & Commission on Practice chair
Reggie Campbell - Speaker of the RA of AOTA and on Executive Board
Diane Puccetti - Vice Speaker of the RA & served on Executive Board
Georgiann Laseter - AOTA State Association Presidents & Executive Board
Cindy Jones - Chair AOTA State Association Presidents & Executive Board
Pat Ramm - Chair of Standards Review Committee of AOTA
Hope Keeney- Chair of Nominating Committee AOTA
Beatrice Abreu – Board of Directors AOTA
Kitty Reed - Chair of Ethics Commission of AOTA
Shirley Wells - Chair of Standards and Ethics Commission of AOTA
Francie Baxter – Speaker of the RA of AOTA
Brent Braveman – Secretary of AOTA
Leadership Opportunities:
AOTA & TOTA
Makeup of the RA
Commission on
Education (COE)
Commission on
Practice (COP)
Ethics Commission (EC)
Commission on
Continued
Competence &
Professional
Development (CCCPD)
AOTA Membership
• Total voting membership as pf December
2014 was 51,532.
• Texas has 2462 members which represents
4.78% of the membership.
To Review RA items
• RA items are
under the
• About AOTA
• Volunteer
Leadership
• Representative
Assembly
Spring 2015 Meeting
• Motion 1: Occupational Therapy License Portability
and Compact(s)
• Motion 2: Request of Military Representative position
to be added to the Representative Assembly (RA)
• Motion 3: Delineate the role in case management for
OT in primary care and mental health
• Motion 4: Formal statement on provision of Assistive
Technology and Complex Rehabilitation Technology
Occupational Therapy License
Portability
• I move that the Representative Assembly Leadership
Committee establish an ad hoc group to investigate
the merits of establishing a professional license
portability and\or compact(s) in Occupational Therapy
(OT). The membership of the ad hoc will include
representatives from OT and OTA and will consult with
the Association’s State Affairs Group as the liaison to
state regulatory boards on professional trends and
issues. The ad hoc will complete its investigation and
make a recommendation to the RA at the Fall 2015
meeting.
• Fiscal:$3309
Motion 1: Rationale
• Therapists who work and/or maintain licenses in several
states must deal with the challenges of compliance across
differences in practice acts and licensing regulations
• The limited resources of some state boards can delay or
extend time periods for processing of license applications,
• Advances in technology and emerging telehealth regulations
help to promote health care reform goals, but also give rise
to issues with licensure
• License portability and compacts are time-relevant issues
whose value has been recognized by other health care
disciplines
• Promotes the Strategic Plan by “building the profession’s
capacity to fulfill its potential and mission”
Military Representative position to the
Representative Assembly (RA)
• I charge the Speaker of the RA to develop a
Military Representative position as a
permanent position in the Assembly to be
effective by the fall of 2015 online RA
meeting.
Role of OT in case management for
primary care and mental health
• I charge the Speaker to appoint an ad hoc committee
beginning the summer of 2015 to delineate the role in
case management for occupational therapy in primary
care and mental health.
– Identify what is currently practice related to OT’s as case
managers, identify the gaps in OT practice in case
management.
– Identify the specific steps or strategies needed to position
occupational therapy practitioners in case management.
– Identify strategies to raise awareness in the medical
community and public concerning the role of occupational
therapists in case management.
– Possibly recommend a position paper in case management
Fiscal:$1225
Rationale Motion 3
• The practice of occupational therapists (OTs) allows for the role of case
managers, however, the profession recognizes the need for OTs to better
define their role in the new model of care which is primary care and in
mental health
• With the Affordable Care Act will come significant changes to the
manner in which health care will be transformed and delivered in the
United States
• The patient-centered medical home (PCMH) is a significant component
of the ACO and ongoing management of all patient needs. These needs
include patient compliance with care: receive preventive screenings,
enhanced access for acute illness, evidence-based management of
chronic illness, care coordination and integration of behavioral health
needs.
• Case management is a collaborative process of assessment, planning,
facilitation, evaluation and advocacy for options and services that meet
an individual, family and caregiver’s comprehensive health needs
• Occupational therapy has a unique perspective involving a holistic view
of a person.
• Occupational therapist (OT) need to better define their role in these new
models of interdisciplinary care
Formal statement on AT and Complex
Rehabilitation Technology
We move the following Main Motion be adopted into AOTA policy:
• Occupational therapists are key members in the AT and CRT
interprofessional service delivery team. Occupational therapists
are leading professionals in assessing and implementing the use of
advanced rehabilitation technologies to enable, preserve and
optimize mobility, accessibility and function …
• Whereas, Occupational therapist-recommended AT/CRT devices
are critical to patients/clients with disabilities to address and
prevent body structure and functional limitations to maintain or
increase their activity and participation in society;
• Resolved, The American Occupational Therapy Association
supports access to and funding of AT appropriately suited to the
patient’s/client’s needs including but not limited to CRT for people
with disabilities; and,
• Resolved, Licensed occupational therapists should be recognized
and appropriately paid for providing clinical services related to
AT/CRT.
Rationale Motion 4
•
Occupational therapists are leading professionals in assessing and implementing
the use of these advanced rehabilitation technologies to enable, preserve and
optimize mobility, accessibility and function in the area of mobility related
activities of daily living while exercising vigilance in the prevention of secondary
disabilities.
•
Occupational therapy practitioners bring a distinct skillset to AT/CRT, addressing
needs through a holistic and client-centered approach and providing
environmental interventions that facilitate client safety, independence, and
participation in daily life occupations within an environment.
•
People with disabilities commonly require assistive technology (AT) as the highly
customizable tool or device to compensate for their their medical and functional
limitations.
•
Complex rehabilitation technology (CRT) is a subset of AT including but not
limited to individually configured manual wheelchairs, power wheelchair
systems, adaptive seating systems, alternative positioning systems, and other
mobility devices.
Rationale continued
• Occupational therapist recommended CRT devices are critical to
patients/clients with disabilities to address and prevent body structure
and functional limitations to maintain or increase participation in society.
• Our profession should demonstrate a continued commitment to AT and
CRT with a patient/client centered focus within a societal context
• Patient/clients living with long term disabilities often are dependent on
complex rehabilitation technology to meet their seating and wheeled
mobility needs to achieve independence and functioning
• While technology has evolved, a disparity remains for patient/clients in
need of this technology due to a number of barriers that limit access.
• There also exists opportunity to further differentiate the role of the OT
and rehab technology professional (RTP) in the CRT service delivery
process to further codify the different roles.
Other Action Items
• Commission on Education (COE)
– Move to approve the revised position paper
titled “The Value of Occupational Therapy
Assistant Education to the Profession”.
– Move to approve the new position paper titled
“The Importance of Interprofessional Education
in Occupational Therapy Curricula”.
Ethics Commission
• Move that the revised Occupational Therapy Code of
Ethics (2015) [Code] be approved
– The term “Social Justice” was removed. Although, based
on survey results, most members support the use of this
term and the concepts within the principle, the
Commission made a significant effort to consider the
concerns raised by a few. As a result, a Justice section
which is closely linked to the four-principle approach
dominating clinical ethics was utilized.
•
Commission on Continuing Competence
and Professional Development (CCCPD)
• Move to approve the revisions to the
document: AOTA Standards for Continuing
Competence
• Move to approve the revisions to the
document: AOTA Guidelines for Re-Entry Into
the Field of Occupational Therapy
Prior RA Meetings & Actions
November 2014
March 2014
June 2014 (special session)
Fall RA Activity: (On-line)
November 10th-24th, 2014
• (Passed) RA Coordinating Committee (RACC)
standard operating procedures: including
“attachment A” which outlines the types and
processes of document development.
– Guidelines
– Position Papers
– Statements
– Standards
Other SOP and Documents
Commission on Continuing Competency and
Professional Development (CCCCPD)
• SOP (Passed)
The Philosophy of Occupational Therapy Education
• (Passed) with one word change from “institutions”
to “groups”
Commission on Practice
Documents
• Complex Environmental
Modifications (Passed)
• Seating and Wheeled
Mobility (Defeated)
Summer Special Meeting June 2014
The RA recently held a special online meeting from June 13-25,
2014.
The primary purpose was to hold an election for two RA leadership
positions: Agenda Chair and Recorder. Ingrid M. Provident, EdD,
OTR/L was elected Agenda Chair and Emily Pugh, MA, OTR/L, LHRM
won the election for Recorder.
They will be members of the RA Leadership Committee (RALC) and
started a 3 year term on July 1st. In addition, the COE Standard
Operating Procedures with attachments outlining responsibilities of
the Academic Leadership Councils for OT and OTA Programs
respectively were passed with a substitute motion to reinstate the
voting rights of the student representative on COE.
Spring 2014 Meeting
Approved the document The Role of Occupational Therapy in Primary Care
Adopted a position in support of programmatic accreditation of professional
degree programs in OT and recommended that ACOTE consider developing
accreditation standards for post-professional OTD programs
Approved the following SOPs/JDs:
• Representative JD
• OTA Representative JD
• Agenda Committee SOP
• Credentials Review & Accountability Committee SOP
• RA Leadership Committee SOP
• Commission on Practice SOP
• Commission on Continuing Competency and Professional Development SOP
• Board & Specialty Certification SOP
Other Topics:
OTA Education
Recommendation 1:
Following a thorough review of the issues and stakeholder feedback,
the Committee is recommending that the entry-level degree
requirement for the occupational therapy assistant remain the
associate’s degree at this time. The Committee recognized that there
are a number of factors and key data supporting a move to the
bachelor’s degree including expanded breadth of OTA practice,
increased content requirements, and emerging practice models.
However, the Committee noted that there was not sufficient
evidence that the institutions sponsoring the existing OTA programs
would be able to successfully make the transition at this time and if
the key stakeholders (e.g., students, higher education providers,
clinical providers, etc.) can afford the associated increased costs.
OTA Education: Recommendations
• Recommendation 2: The Committee is recommending
that there be only one entry-level degree as a prerequisite for the single national certification exam for the
occupational therapy assistant.
• Recommendation 3: The Committee is recommending
that the Association develop and implement a plan in the
next 2 years that articulates clearly defined strategies to
ensure that the profession is prepared to succeed if the
profession should choose to move to a bachelor’s
requirement for the entry-level degree for the
occupational therapy assistant. This plan should at a
minimum address the following:
Defeated Spring 2014
Charge the President to request that OT and OTA Program Directors
appoint or elect a representative to serve on the RA as a member
with voice and vote
Charge the CCCPD to develop a student version of the Professional
Development Tool and to seek the collaboration of ASD in the
development of the student version o the tool.
Charge the Speaker to have the RALC appoint an ad hoc committee
within the RA to review and develop leadership initiatives that will
foster leadership skills within the RA and facilitate succession plans
for growing leadership for future leaders across the profession.
Other Issues & Discussion
Writing a Motion
• Generally, RA motions are due by the end of
December before the face-to-face meeting
I. INTRODUCTORY INFORMATION
A. DATE
B. TITLE OF MOTION
C. ORIGINATOR(S)
• Include the name of the individuals(s) or group(s) submitting the
motion and the address, telephone number, fax number, and e-mail
address of either the individual originator or one member of the
group.
II. Body of motion
• A motion should state clearly who is being
charged to do what by when.
• It may or may not include qualifications of how
and where.
• The RA can charge only the RA Officials, the RA
Leadership Team, bodies of the RA, AOTA
Officers, and Board of Directors.
• The RA cannot directly charge the executive
director, Association staff members, or
organizational advisors of the Board of Directors
III. Rational
• Using a maximum of six bullets, briefly state the reason(s) for the
motion and add accurate information that directly supports the
motion.
• Within one bullet, identify how you believe the motion addresses
the Association’s strategic priorities and the Centennial Vision.
• Information on the Strategic Plan and Centennial Vision can be
found on the AOTA Web site at these links:
– www.aota.org/governance/bod and
– www.aota.org/news/centennial.
• Please limit the Rationale to 250 words.
– A sample motion is posted on the AOTA Web site at
– www.aota.org/governance/ra/sample.
• IV. Fiscal Implications
– To be completed by AOTA
AOTA advocacy
influences
Congress
Leadership examples
• Joint document related to caseload to workload for school
based practice developed by AOTA, ASHA, and APTA
• National Association of Home Builders (NAHB) Certified
Aging in Place (CAP) advisory board
• Expand Home Fit Programs with AARP
• Seats on all five Joint Commission Professional and Technical
Advisory Committees
• Older Driver initiatives and Car Fit
• Advisory Committee of the Rehabilitation Research and
Training Center (RRTC)
• Patient Centered Outcomes Research Institute
• American College of Occupational and Environmental
Medicine's
The 9 certification areas are as follows:
Specialty Certification (OT & OTA)
Driving and Community Mobility
Environmental Modification
Feeding, Eating, and Swallowing
Low Vision
School Systems
Board Certification (OT)
Gerontology
Mental Health
Pediatrics
Physical Rehabilitation
Benefits of AOTA Membership
• AOTA is the only national association
exclusively interested in occupational therapy
• AOTA offers continuing education to
members at a 30% discount
• AOTA has 11 Special Interest Sections
devoted to sharing practice innovations
Centennial Vision
Mission Statement
The American Occupational Therapy Association advances the
quality, availability, use, and support of occupational therapy
through standard-setting, advocacy, education, and research on
behalf of its members and the public
Vision Statement
AOTA advances occupational therapy as the preeminent
profession in promoting the health, productivity, and quality of
life of individuals and society through the therapeutic
application of occupation
Centennial Vision
We envision that occupational therapy is a powerful, widely
recognized, science-driven, and evidence-based profession with
a globally connected and diverse workforce meeting society's
occupational needs
Comments & Questions?
Timothy A Reistetter OTR, PhD
Texas RA representative
[email protected]
409-772-9441
Other Texas Motions
• Motion 1 TITLE OF MOTION Postpone any further action on the 2014
AOTA Board of Directors Position Statement on Entry-Level Degree for
the Occupational Therapist, until the Representative Assembly can clarify
lines of authority in initiating, amending, or rescinding Association
professional standards and policy.
• Motion 2 TITLE OF MOTION Development and publication of educational
materials to increase stakeholders/members understanding of the
alignment of Association Bylaws, Policy, and Procedures and how these
documents serve to guide and direct Association governance and
decision making process related to professional policy and standards.
• Motion 3 TITLE OF MOTION: Development and Adherence to “Rules of
the Day Policy and Procedures” to govern & monitor posting on AOTA OT
Connections Discussion Board issues related to Association Bylaws,
Policy, Representative Assembly, AOTA Director and/or Other Official
Association Business