This course introduces the student to the health care delivery system from an administrative and management perspective. This course utilizes the basic skills of administration (planning, organizing, directing, coordinating, and controlling) in the development of a model of practice for occupational therapy services. These services will be developed for an agency or institution that does not currently offer OT services, or for an agency or institution whose services need to be expanded.
Relationship to curriculum design
This course is run in seminar fashion and students will be discovering, applying, reflecting and integrating information/experiences related to the concepts of the administrative/management functions in the practice of occupational therapy. Guest presenters, readings, and class discussions will provide students the opportunity to expand their knowledge base of class concepts (discover). Assignments related to the readings, and self-assessments of performance in written and oral assignments will promote the reflection process. In-class experiential opportunities and written/oral assignments will allow students the opportunity to apply the concepts learned. The final program proposal paper will require that students Apply and integrate concepts learned in order to produce a high-quality written and oral program proposal. Curriculum competencies that will be emphasized in evaluation of student performance include: communication (he competent occupational therapy graduate demonstrates effective verbal, nonverbal, and written communication skills in a wide range of practice related activities including client care, client education, consultation, marketing, and collaboration with interdisciplinary team members and supervisors), and management (the competent occupational therapy graduate is able to apply the principles of management and systems in the provision of occupational therapy services to individuals, groups and organizations).
At an introductory level, student will be able to demonstrate the following:
- Explain the various mechanisms of service provision in the United States and impact of context, regulatory agencies and health care policy upon the delivery of occupational therapy (B.5.7.; B.5.22; B.6.2; B.6.3.; B.7.1.; B.7.2.; & B.7.3.)
- Explain the role and responsibilities of the occupational therapist in the following positions: staff, staff OT supervisor of OTS and COTAs, supervisor, manager, and independent contractor, and as related to compliance with state and federal code of ethics, certification, and licensure (B.7.4.; B.7.9.; B.7.10.; B.9.5.; B.9.8.; B.9.9.; & B.9.11).
- Plan, develop, organize, and market the delivery of services to include the determination of programmatic needs, service delivery options, and formulation and management of staffing for effective service provision (B.7.7.).
- Design ongoing processes for quality improvement (e.g., outcome studies analysis) and develop program changes as needed to ensure quality of services and to direct administrative changes (B.7.8.).
- Describe various reimbursement systems (e.g., federal, state, third-party, private-payer), appeals mechanisms, and documentation requirements that affect the practice of occupational therapy (B.7.5.).
- Describe the mechanisms, systems, and techniques needed to properly maintain, organize, and prioritize workloads and intervention settings including inventories (B.7.6.)
- Promote occupational therapy by educating other professionals, service providers, consumers, third-party payers, regulatory bodies, and the public (B.9.3.).
B.9.11. Explain the variety of informal and formal ethical dispute–resolution systems that have jurisdiction over occupational therapy practice.
B.2.3. Articulate to consumers, potential employers, colleagues, third-party payers, regulatory boards, policymakers, other audiences, and the general public both the unique nature of occupation as viewed by the profession of occupational therapy and the value of occupation to support participation in context(s) for the client.
B.6.3. Describe the current social, economic, political, geographic, and demographic factors to promote policy development and the provision of occupational therapy services.
B.7.1. Explain how the various practice settings (e.g., medical institutions, community practice, school systems) affect the delivery of occupational therapy services.
B.7.2. Describe and discuss the impact of contextual factors on the management and delivery of occupational therapy services.
B.7.3. Describe the systems and structures that create federal and state legislation and regulation and their implications and effects on practice.
B.7.4. Demonstrate knowledge of applicable national requirements for credentialing and requirements for licensure, certification, or registration under state laws.
B.7.5. Demonstrate knowledge of various reimbursement systems (e.g., federal, state, third-party, private-payer), appeals mechanisms, and documentation requirements that affect the practice of occupational therapy.
B.7.6. Describe the mechanisms, systems, and techniques needed to properly maintain, organize, and prioritize workloads and intervention settings including inventories.
B.7.7. Demonstrate the ability to plan, develop, organize, and market the delivery of services to include the determination of programmatic needs, service delivery options, and formulation and management of staffing for effective service provision.
B.7.9. Develop strategies for effective, competency-based legal and ethical supervision of occupational therapy and non–occupational therapy personnel.
B.7.10. Describe the ongoing professional responsibility for providing fieldwork education and the criteria for becoming a fieldwork educator.
B.9.3. Promote occupational therapy by educating other professionals, service providers, consumers, third-party payers, regulatory bodies, and the public.
B.9.5. Discuss professional responsibilities related to liability issues under current models of service provision.
B.9.8. Explain and justify the importance of supervisory roles, responsibilities, and collaborative professional relationships between the occupational therapist and the occupational therapy assistant.
B.9.9. Describe and discuss professional responsibilities and issues when providing service on a contractual basis.
B.9.10. Explain strategies for analyzing issues and making decisions to resolve personal and organizational ethical conflicts.