AOTA’S CENTENNIAL VISION:WHAT IT IS, WHY IT’S RIGHT

Overview

What Is the Centennial Vision? Timeline and Background Centennial Vision Statement What AOTA Is Doing This Year What You Can Do

What Is the Centennial Vision? A road map for the future of the OT profession to commemorate AOTA’s 100th anniversary in 2017

It will specify concrete benchmarks that demonstrate our forward movement in realizing the vision

Centennial Vision Timeline

2004ScenariosDeveloped

2003Board Approves

Plan

AOTA SCENARIOSAOTA SCENARIOS

ScareCity

BoldNewFrontier

ShiningCity on theHill

Institute for Alternative Futures (IAF), Alexandria, VA

FamiliarTerritory

Centennial Vision Timeline

2004ScenariosDeveloped

2003Board Approves

Plan

2005Extensive

National Dialogue

Drivers of Change1. Aging and longevity2. Health care costs and reimbursement3. Prospective and preventive medicine4. Assistive technologies5. Lifestyle values and choices6. Stress and Depression7. Information access/learning8. Universal design for active living9. Increasing diversity10. Changing world of work

Practice Areas

Mental Health Productive Aging Children and Youth Health and Wellness Work and Industry Rehabilitation,

Disability, and Participation

Emerging Areas of Practice

1. Design & Accessibility Consulting and Home Modification

2. Driver Rehabilitation and Training3. Ergonomics Consulting4. Health & Wellness Consulting5. Low Vision Services6. Private Practice Community Health Services7. Psychosocial Needs of Children and Youth8. Technology & Assistive Device Development

and Consulting9. Ticket to Work Services10. Welfare to Work Services

from Vision to Action

Accomplishing Change

Centennial Vision Timeline

2005Extensive

National Dialogue

2003Board Approves

Plan

2004ScenariosDeveloped

2006Strategic Visioning

Retreat

Purpose of Retreat

To articulate a shared vision of the occupational therapy profession

To set strategic directions that will guide the work of the association and its members

To deepen our personal resolve to shape our common future

Centennial Vision Statement

By the year 2017……

We envision that occupational therapy is a

powerful, widely recognized,

science-driven, and

evidence-basedprofession with a

globally connected and diverse workforce meeting society’s

occupational needs.

Powerful

Leadership role in health care delivery system

Education as basis for power

Active in policymaking

Use of technology to provide services

Influence change to benefit society

Proliferation of private-pay practices

Widely Recognized

Clear, compelling public image

Consumer friendly language

Widespread understanding of OT

OT identity and scope protected by law

Value of occupation to health and wellness recognized by society

Increased OT consumer demand

Science-Driven

Greater research capacity and productivity to develop new and more effective methods in OT practice

Science-based knowledge blended with occupation-based practice in all settings

Premier universities seek occupational scientists to engage in research

Evidence-Based

All OT practice areas supported by evidence

OT efficacy data widely available

All payers cover OT because of efficacy, savings, benefits, etc.

Globally Connected and Diverse Workforce Global OT community

Increased involvement of members

AOTA = essential tool of the profession

OT roles include: practitioners, educators, researchers, scientists, & entrepreneurs

Members reflect society’s diversity

New alliances with other professionals

Occupational Needs Active participation in life contributes to health

because it “enables individuals to utilize their biological capacities and potential” (Wilcock, 1993)

Ability to “do” affected by:

Technology

Demographics

Health care

Unpredictable events

Catastrophic illness/disability

Wilcock, A. (1993). A theory of the human need for occupation. Journal of Occupational Science Australia, 1, 17–24.

Centennial Vision Timeline

2003Board Approves

Plan

2004ScenariosDeveloped

2005Extensive

National Dialogue

2006Strategic Visioning

Retreat

2006-2007Planning &

Communication

WE ARE HERE

2006-2017Strategic

Implementation

What AOTA Is Doing 2007-2009

1. Image-building campaign2. Advocacy to ensure funding3. Linkages between research,

education, and practice4. Research agenda5. Model curriculum6. Outcomes database

Image-Building Campaign

GOALS Brand the profession with a unifying and

widely appealing image to promote understanding of OT

Increase understanding of and use of OT

Promote events: OT Month = OT as a Career

Image-Building Campaign

2008 Presidential Address

Image-Building Campaign Next steps

Develop materials for the profession Develop materials for the public Advise on media activities

National and local media coverage: Backpack Awareness 2007

New York Times NY Daily News Washington Post CNN Channel One Real Simple Magazine

Wall Street Journal: Home modifications

Image-Building Campaign

PROGRESS 2008: US News & World Report: OT as One of Best

Careers in 2007, again in 2008 New York Times: OT and Head Injury Reuters International News Service: OT

and Wii USA Today: OT in Iraq, Afghanistan

Advocacy To Ensure FundingGOALS Expand public policy agenda to include:

– Mental health– Research promotion– Private payers– Veterans, Defense

Protect, expand state licensure laws and regulations

Protect, expand use of OT Enable members to advocate

Medicare coverage advocacy packet Private practice establishment packet

Advocacy To Ensure FundingPROGRESS Key legislative achievement: No

Medicare Cap Exception process to 6/08 “Alternative” discussions—protect OT!

Key regulatory achievements Removal of additional wheelchair

evaluation requirements New, correct qualifications in Medicare

Advocacy To Ensure FundingPROGRESS (continued): Expansion advocacy achievements

Mental health advocacy with organizations Relationship with mental health leader in Congress

Report language promoting OT NINDS NCMRR CDC

Veterans Outreach to DoD, Veterans Health Congressional awareness

Posttraumatic Stress Disorder (PTSD) Traumatic Brain Injury Dr. Carolyn Baum testified before the House Veterans’ Affairs

Subcommittee on Health about the role of OT in treating PTSD. VA Town Hall meetings

Advocacy To Ensure Funding

Progress (continued) OT testified before U.S. House Committee OT measures developed for Medicare

Physician Quality Reporting Initiative/PQRI

Funding for OT training program development in technology for elderly

AOTA membership reached 38,000 mark for the first time in 5 years.

Advocacy To Ensure Funding PROGRESS (continued):

Centers for Disease Control Joint work on falls prevention, TBI, and elderly Session at Conference 2008 Support for funding

Special/Regular Education Promoting role of OT—Early intervening Positive Behavioral Supports Ohio, Idaho Medicaid recognition Advocacy on promoting rehabilitation in Medicaid

Create Better Linkages Between Education, Research, and Practice Ad Hoc Committee

Charge: Advise AOTA on projects and activities that will build stronger linkages between research, education, and practice and make preliminary recommendations that will inform new and evolving AOTA initiatives, particularly in the areas of continuing education, evidence-based practice, Annual Conference, and publications.

Status: The final report was accepted by the BOD at their October 2007 meeting. Staff was charged to identify the feasibility of implementing the recommendations.

Linkages Between Research, Education, & Practice PROGRESS (continued):

Key Findings: Promoting practice scholarship with all members

of the profession is key to addressing the charge

Identified that scholarship and lifelong learning are not the exclusive domain of academics and researchers

For the profession to continue to thrive and meet the Centennial Vision, we must recognize scholarship as key role of the practice, education, and research communities

Key Recommendations & Status:

Promoting practice scholarship with all members of the profession is key to addressing the charge.

Status: This concept is being promoted as related projects are being developed.

Key Recommendations (con’t):

AOTA/AOTF sponsor a meeting of the editors of AJOT, OTJR, OT Practice, and other selected publications focused on OT issues to determine how they can work together to facilitate translation of research to practice using their publications.

Status: New AJOT editor appointed, meeting to follow

Key Recommendations (con’t):

Propose future AOTA Conference theme Finding Your Inner Scholar: Focus on Lifelong Learning. Conference design should target multiple venues for linkages and connections among educators, researchers, students, and practitioners.

Status: The theme being adopted for the 2009 Conference in Houston is “linking education, research, & practice” to meet the intent of this recommendation.

Linking Education, Research & Practice: Progress

More Progress: AOTA’s EBLR Initiative

Evidence Perks All Perks are designed to link EB-related resources

to practice and education. Evidence Bytes

Bytes published 2x/month in AOTA’s 1-Minute Update. Target 6 broad practice areas and provide links to EB (scientific) resources for all audiences.

EB reviews Findings are disseminated in multiple formats.

CATs and CAPs added to the Web site.

Linking Education, Research & Practice: Progress

SIS Q’s (EDSIS, GSIS, TSIS) Work is in progress to collaborate on articles

that provides EBP information in a user-friendly format with emphasis on translating EB published findings into practice

Most, if not all, SISs have committed to have a

research or evidence component linked with a practice topic for their SIS Workshop at the 2009 Annual Conference.

Research Agenda

GOALS Collaborate with AOTF and global partners Examine priorities of key federal funding

agencies such as NIH & NIDRR Leadership development initiative

– Cultivate academic leaders in research

Research AgendaPROGRESS AOTA Director of Research position created

Susan Lin, ScD, OTR/L assumed new role August ’08

Research Advisory Panel (RAP) approved by AOTA and AOTF

Joan Rogers, Chairperson 10 advisors appointed by AOTA and AOTF Presidents RAP focus:

Align AOTA / AOTF research priorities with federal agencies’ priorities

Develop database of current occupational therapy research

Research AgendaPROGRESS (continued):

Conference 3rd Annual Conference Institute ( 2008):

“Building an academic career with a research training award”

4th Annual Conference Institute ( 2009): “Meet the Grant Makers”

Leadership “Mentoring Circles” leadership institute was made

available to Program Directors in January 2008.

Model CurriculumGOALS Key initiative: To raise the bar of excellence among our educational programs Establish consistency in OT education and training Adequately prepare occupational therapy practitioners for the 21st Century Infuse curriculum with new content related to the Vision

PROGRESS Two ad hoc groups formed to develop:

OT model curriculum OTA model curriculum

Process: Completed review of the literature Defined the “model curriculum” Identified the stakeholders and their needs Identified key “threads” and “content” needed

to ensure that academic programs address the needs of graduates for the 21st century

Developed an online forum to allow dialogue with key stakeholders for further input

Met with key stakeholder groups (e.g., Program Directors; SIS Leadership)

Model Curriculum Ad Hocs

Develop Model Curriculum The Committees are currently working on the

final draft versions of the Model Curriculums which will guide the user through the steps in developing and/or revising a “Model OT/OTA Curriculum”. 

Each model curriculum will include exemplars. Feedback will be solicited from all interested

stakeholders via e-mails and forums. Feedback will be incorporated into the final product.

Target date of completion for the October 2009 Program Directors’ meeting.

Follow-Up to Model Curriculums

“Blueprint for the Future of Education” Charged with identifying the

curriculum content and expected student learning outcomes for occupational therapy and occupational therapy assistant programs in order to meet society’s needs in the 21st century

Outcomes DatabaseGOALS Develop universal computerized outcomes database

Identify the OT outcomes that support our practice Ensure payment coverage

PROGRESS (2007) Phase I Ad Hoc Committee gave final report to the BOD:

Jane Case Smith, Chairperson Ad Hoc Key Recommendations:

Constructs: Areas of Occupation (Occupational Therapy Practice Framework, AOTA 2002)

Partner with existing database management company

Develop Outcomes Database

AOTA is ready to endorse AM-PAC as the outcome measure for the profession’s national outcome database.

AM-PAC was the outcome measure identified by the Phase I Ad Hoc that most clearly parallels the constructs within the Occupational Therapy Practice Framework.

Develop Outcomes Database

AOTA is ready to promote use of AM-PAC tool by occupational therapists

Request OT users of AM-PAC tool to report data to the AOTA Outcomes Database

Develop Outcomes Database

AOTA is ready to negotiate agreement with CREcare regarding access to and use of data.

In addition to AM-PAC scores at intake and discharge, determine the other mandatory fields for AOTA Outcomes Database.

Develop Outcomes Database

AOTA is ready to form ad hoc committee to begin the development of documentation templates this fall in preparation for collaboration with an electronic documentation company.

What You Can Do Encourage others to join AOTA and your state

occupational therapy association to stay informed and claim their stake in the profession’s future

Become an advocate for the profession by volunteering with policy-making groups

Apply evidence-based practice in your work Network with other OTs and professionals to advocate for

clients Spread the word of the Centennial Vision to stakeholders Create an alignment between the Centennial Vision and

what you do Let AOTA know what you are doing to support the

Centennial Vision

Sources for Images Slide 3: http://www.cbpp.uaa.alaska.edu/afef/

Slide 5: 1.) http://www.bicyclefrenzy.com/category/bicycle-commuting/ 2.) Bubriski, K. (Photographer). (2001). Prayer Station, [Online Image].

Retrieved from http://www.loc.gov/exhibits/911/911-docphotos.html 3.) Christiansen, C. (Photographer). (2004). Retrieved from

http://www.aota.org/News/Centennial/Background/36564.aspx, Slide 54 4.)

http://picasaweb.google.com/m.tacker.org/ChicagoCitySegwayTour/photo#4965639216103686162

Slide 8: http://seniors.gov.sg/Grandparenting/Dos+and+Donts.htm

Sources for Images Slide 9:

1.) http://bemytutor.co.uk/ 2.) http://www.charterwood.co.uk/about_us.php?me=17

Slide 10: http://www.navigatorassociates.com/

Slide 13: http://cehd.gmu.edu/graduation/

Slide 16: http://www.purdue.edu/hr/WorkLife/resourceCenter.htm

Slide 17: www.wfot.org

Slide 18: http://www.dailymail.co.uk/pages/live/articles/news/news.html?in_article_id=405602&in_page_id=1770