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Call to Action: Share Your Feedback with CMS

Call to Action: Share Your Feedback with CMS

OT practitioners, it’s not too late to make your voices heard by CMS!
 
As you may already be aware, the Centers for Medicare & Medicaid Services (CMS) is seeking feedback on its Medicare Physician Fee Schedule (MPFS) Proposed Rule for Calendar Year 2023. AOTA is in the process of finalizing a comment letter that will be submitted on behalf of organizational members, highlighting key areas of concern noted in the proposed rule and advocating for better access and reimbursement for occupational therapy services under Medicare Part B.
 
In this rule, CMS proposes a 4.4% decrease to the conversion factor and confirms continuation of the 15% payment cut for services delivered in whole or in part by an OTA. CMS proposes additional codes that may be delivered via telehealth after the COVID-19 public health emergency ends, but occupational therapy practitioners will only be able to access those codes for 151 days beyond the PHE since we are not considered permanent telehealth providers.
 
AOTA has been continually advocating on these issues and AOTA’s voice is strong, but we are stronger when the voices of our members are raised in support of the needed changes to keep our profession alive. 
 
We encourage members to share your personal story with CMS on how these cuts and policies are impacting your practice. This doesn’t have to be a formal comment letter—it can be a few sentences, a case example, or a paragraph on the struggles you face every day in delivering quality occupational therapy services. 
 
CMS needs to hear from you that continued cuts and lack of access to telehealth services after the public health emergency will have a direct impact on Medicare beneficiary access to timely, medically necessary occupational therapy services. 
 
Comments are due to CMS by September 6, 2022 at 11:59pm. We hope you’ll take a few moments to share your real-world experience with CMS.
 
Your advocacy efforts will make a difference!!!
Thank you for your membership!
FOTA
 

Wake up to the occupation of sleep: Its importance in the older adult

Wake up to the occupation of sleep: Its importance in the older adult

by: Anette Bullard, MEd, COTA/L and Anjali Parti, OTD, OTR/L 

WAKE UP TO THE OCCUPATION OF SLEEPEveryone has experienced having to power through the day after a night of not sleeping well with every aspect of the day feeling more challenging due to your lack of sleep. The National Institute of Health (2017) identifies sleep as one of the most important occupations for maintaining all aspects of health. In fact, the Centers for Disease Control and Prevention (2018) has recognized sleep deprivation as a public health problem with broad, negative effects on safe occupational performance. For the older adults the challenges brought on by age compounded with a lack of sleep can further decrease successful occupational performance. Many age-related changes tend to disturb patterns of sleep and the myth that older adults need less sleep is actually incorrect (Suni, 2022b). The older adult is confronted with additional sleep obstacles such as, chronic conditions, medications, diminished physical activity, and decreased cognitive exercise, all of which have all been associated with decreases in sleep satisfaction. The resulting downward spiral of poor sleep results in less successful occupational engagement. The Occupational Therapy Practice Framework includes ‘rest and sleep’ as an area of occupation and defining occupational therapy practitioners as qualified professionals to assist clients with the occupation of rest and sleep (American Occupational Therapy Association, 2020). This brief article seeks to assist practitioners with identifying resources and awareness for more consistently addressing the occupation of sleep in the older adults. 

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The pelvic floor: The muscle group we all should know more about

The pelvic floor: The muscle group we all should know more about

by: Sujata Martins, MS, OTR/L, CD

Out of sight, out of mind is a common saying for most and unfortunately tends to be applied to the pelvic floor. By learning to take care of our pelvic floor, most of us can avoid embarrassing accidents, as well as spending money on incontinence products, medications, and even surgery. It is also extremely valuable for pregnant women in order to prepare for delivery and postpartum healing, and plays an important role in intimacy. 

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Integrating research into fieldwork experiences: Benefits for practitioners, students, and faculty

Integrating research into fieldwork experiences: Benefits for practitioners, students, and faculty

by: Annemarie Connor, PhD, OTR/L, Sarah Fabrizi PhD, OTR/L, and Adrienne Yaryan, OT-S, and Kevin Ortiz, OT-S

As new occupational therapy programs continue to develop, it has become more difficult to find fieldwork (FW) sites for students since practitioners are less willing to supervise students due to the lack of resources, limited time, and questions of student preparedness (Varland et al., 2017). Unfortunately, this predicament is now exacerbated in the era of COVID-19. Emerging practice fieldwork sites, largely focused on prevention and health promotion in community-based practice, have been one mechanism for creating meaningful and productive fieldwork sites during this increasingly challenging landscape (Clarke et al., 2015; Dancza et al., 2013). 

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Telehealth value and future considerations in pediatric occupational therapy practice to support innovation and healthcare equity

Telehealth value and future considerations in pediatric occupational therapy practice to support innovation and healthcare equity

by: Elizabeth Morejon, OTD, OTR/L, CSIPT,  and Evelyn Terrell, OTD, MS/HAS, OT/L

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Occupational therapy leadership perspectives used to facilitate faculty retention

 

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Medicare OTA payment differential

The Medicare OTA payment differential went into effect on January 1, 2022 and many occupational therapy practitioners still have questions regarding what the policy means for OTAs. 
 
Additionally, AOTA has resources that are immediately available. Please feel free to share this recording of the Special OTA Confab: Legislative and Regulatory Changes with your membership. The recording provides both the legislative background of the policy and a detailed discussion of when the modifier should be applied. An article and video can also be found on the AOTA website on how to apply the modifier and an easy to read handout is linked here.

Virtual Reality in Occupational Therapy

Virtual Reality in Occupational Therapy

By Jonathan E. Urrely, OT-S and Carlos Martoral

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ASSESSING STUDENTS’ CLINICAL REASONING ON FIELDWORK

ASSESSING STUDENTS’ CLINICAL REASONING ON FIELDWORK

By Maria A. Colmer, OTD, OTR/L, Associate Professor, Academic Fieldwork Coordinator, Florida Gulf Coast University, OT Program, FLOTEC

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FOTA21 Conference: Student Poster Submissions

FOTA21 Conference: Student Poster Submissions

Here are some tips to follow when completing your student poster submission:

  1. First and foremost, make sure you submit your poster under student and not professional. This will help to decrease any added stress closer to conference when you realize you may have been placed in the wrong group. The conference committee goes off what you submit and will place your poster in the group accordingly.

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Two new assessments of sensory integration and processing skills: The SOSI-M and the COP-R

By: Gustavo Reinoso, Ph.D., OTR/L Dominique Kiefer-Blanche, OTD, OTR/L Erna I. Blanche, Ph.D., OTR/L, FAOTA 

As our understanding of sensory integration and the processing construct evolves, so should our measures and assessments. Occupational therapists working with children who present deficits in sensory integration and processing use an array of measures in clinical practice, such as standardized testing, proxy questionnaires, family interviews, biographical accounts, and self-report measures. The information provided by these measures assist practitioners in composing a clinical profile, formulate hypotheses, and develop a plan of care relevant to these children’s lives and their families. The results from these measures are often combined with the use of clinical observations. The primary purpose of clinical observations is to allow the therapist to use clinical judgment to analyze a child’s performance in relationship to sensory processing as informed by evolving theory and research (Blanche & Reinoso, 2008).

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INTEGRATING HEALTH LITERACY IN EXPERIENTIAL LEARNING

INTEGRATING HEALTH LITERACY IN EXPERIENTIAL LEARNING


Shirish Lala, EdD(c), MHS, OTR/L Academic Fieldwork Coordinator Daytona State College

The pursuit of acquiring literacy is intentional, purposeful, and deictic, and subject to change based on the contextual demands (Leu, Kinzer, Coiro, Castek, & Henry, 2013). Literacy can be loosely defined as a construct that provides an individual with the ability to read, write, and integrate information across a broad range of platforms in order to identify, recognize, and implement knowledge for the purpose of personal,social, or financial gain. The U.S. Department of Health and Human Services describes health literacy (HL) as “the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (National Network of Libraries of Medicine [NNLM], 2011). However, according to the Centers for Disease Control, low HL is a serious public health issue affecting nine out of every ten adults (Centers for Disease Control [CDC], 2018a). At least 50% of the adults without high school education are at risk for experiencing severe health crises including medication errors, increased hospital visits, higher mortality, and greater health expenditure as compared to those with adequate HL levels (Brach et al., 2012).


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FOTA HILL DAY 21' UPDATE

The Florida Occupational Therapy Association (FOTA) is proud to continue its service to members and consumers of OT during the 2021 Florida Legislative Session.  Thus far we have spoken to at least eight different legislators directly involved in the examination and vetting of our proposed updates to the Occupational Therapy Scope of Practice (Scope). Your FOTA representatives have also met with other relevant stakeholders such as The Florida Board of OT and the Florida Department of Health to solicit feedback and support of these essential updates to our Scope.

Now it’s your turn!

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FOCUS Quarterly Deadline Approaching

FOCUS quarterly
FOCUS QUARTERLY NEWSLETTER DEADLINE IS MARCH 15

FOTA Boosts Quarterly Publication 

In a persistent move towards meeting the needs of its membership and readers, FOCUS, the official publication of the Florida Occupational Therapy Association (FOTA) has been renamed The FOCUS Quarterly.  The Author’s Guidelines have been adapted to include formal review of submitted materials, and inclusion of a variety of opportunities for the novice and seasoned writers in the community of occupational therapy and collaborating partners.  

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Human Trafficking CE Requirement

Hello,

Just a reminder that there is now a requirement for a Human Trafficking CE

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Manualization of Occupational Therapy Interventions: A Crucial but Overlooked Step in Building Evidence

Manualization of Occupational Therapy Interventions: A Crucial but Overlooked Step in Building Evidence

Manualization of an intervention is an essential component in the implementation of research studies. When collaborating on research teams, manualization gives a template to check for fidelity and thus determine if the intervention is carried out in the way in which it was intended by the program developers. Murphy and Gutman (2012) have outlined essential elements in intervention fidelity that are often absent from study descriptions. For example, within the intervention manual researchers should describe the intervention design to include the number, length, and frequency of intervention sessions. The researchers should explain both the theoretical framework and any clinical guidelines that provided the foundation for the intervention. The manual must also define the “active ingredients” or elements of the intervention proven to be responsible for changes in specific outcomes, often quite complex in intervention research. Careful consideration must be given to the training of individuals who will be implementing the study’s procedures. Implementation training is not only outlined in the manual, but the manual content can also be used for training purposes. Written/electronic intervention manuals can be an important tool to assist in fidelity as they provide a means to articulate the distinct differences of the intervention and ensure outcomes are replicated.

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FOTA... Who We Are

FOTA...

Who We Are

The Florida Occupational Therapy Association (FOTA) is an all volunteer organization with the exception of one paid employee. That one employee, which many of you who have contacted the organization already know, is named Janine. She is fantastic at what she does for the organization, handling many of the day to day tasks that administratively need to be addressed. FOTA proudly represents the interest of over 16,000+ occupational therapy practitioners (occupational therapists, occupational therapy assistants, and students). Currently, membership in our organization is approximately 1,000 total members, with half of those members being students (our future practitioners). Of the 500 approximate practitioners, we have 50 or so practitioners who are tasked with running the organization and the scope of its reach. So, you might ask, why all the honesty? Because FOTA believes in transparency and we feel it is important you know who we are and what we do. We also need to be honest in expressing how necessary you are to that definition, as we are all simultaneously co-evolving.

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Trauma and Trauma Informed (TI) Approaches to Care:Applications to Occupational Therapy Practice

Trauma and Trauma Informed (TI) Approaches to Care:Applications to Occupational Therapy Practice

by Mirtha Montejo Whaley, PhD, MPH, OTR/L

Trauma is widespread and has profound effects that can lead to emotional and physical distress throughout the lifespan. Statistics from the Center for Disease Control and Prevention (CDC) on abuse and violence in the United States indicate the following:

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The Role of Occupational Therapy: Providing Care in a Pandemic

From AOTA

The Role of Occupational Therapy: Providing Care in a Pandemic

This is an unprecedented time in health care that is evolving every day. Due to the outbreak of COVID-19, many organizations and occupational therapy practitioners are struggling with the question, “what is the appropriate role of occupational therapy during a pandemic?” Guidance from federal agencies is continually shared as the status of the pandemic within the United States is evolving on a daily basis. AOTA urges occupational therapy practitioners to continue to check guidance from the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS) for the most up-to-date information. More

COVID-19 Update and Resources


 COVID-19 Update and Resources


March 22, 2020 

FOTA recognizes the impact of Covid-19 (coronavirus) on individuals, families, the nation, and our world as we all adapt to these uncertain times. OT Practitioners across the state of Florida have all been challenged to remain healthy and ensure safe practices to prevent further community spread. As many of you have worked in various sectors or continue to be on the front lines, the influx of executive orders at the local, state, and national level can cause confusion as to what steps to take next. Of the utmost importance is to ensure your safety and that of your family, while following orders to reduce and prevent community spread.


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