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

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

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

3. 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

4. 2004 Scenarios Developed Centennial Vision Timeline 2003 Board Approves Plan

5. AOTA SCENARIOS ScareCity Shining City on the Hill Familiar Territory Bold New Frontier Institute for Alternative Futures (IAF), Alexandria, VA

6. 2005 Extensive National Dialogue 2004 Scenarios Developed Centennial Vision Timeline 2003 Board Approves Plan

7. Drivers of Change 1. Aging and longevity 2. Health care costs and reimbursement • Prospective and preventive medicine • Assistive technologies • Lifestyle values and choices • Stress and Depression • Information access/learning • Universal design for active living • Increasing diversity • Changing world of work

8. Practice Areas • Mental Health • Productive Aging • Children and Youth • Health and Wellness • Work and Industry • Rehabilitation, Disability, and Participation

9. Emerging Areas of Practice • Design & Accessibility Consulting and Home Modification • Driver Rehabilitation and Training • Ergonomics Consulting • Health & Wellness Consulting • Low Vision Services • Private Practice Community Health Services • Psychosocial Needs of Children and Youth • Technology & Assistive Device Development and Consulting • Ticket to Work Services • Welfare to Work Services

10. 2005 Extensive National Dialogue 2003 Board Approves Plan 2004 Scenarios Developed 2006 Strategic Visioning Retreat Centennial Vision Timeline from Vision to Action Accomplishing Change

11. 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

12. Centennial Vision Statement By the year 2017…… We envision that occupational therapy is a powerful, widely recognized, science-driven, and evidence-based profession with a globally connectedand diverse workforce meeting society’s occupational needs.

13. 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

14. 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

15. 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

16. Evidence-Based • All OT practice areas supported by evidence • OT efficacy data widely available • All payers cover OT because of efficacy, savings, benefits, etc.

17. 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

18. 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.

19. 2005 Extensive National Dialogue 2003 Board Approves Plan 2004 Scenarios Developed WE ARE HERE 2006-2017 Strategic Implementation 2006 Strategic Visioning Retreat Centennial Vision Timeline 2006-2007 Planning & Communication

20. What AOTA Is Doing 2007-2009 • Image-building campaign • Advocacy to ensure funding • Linkages between research, education, and practice • Research agenda • Model curriculum • Outcomes database

21. 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

22. Image-Building Campaign

24. 2008 Presidential Address

25. 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

26. 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

27. Advocacy To Ensure Funding GOALS • 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

28. Advocacy To Ensure Funding PROGRESS • 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

29. Advocacy To Ensure Funding PROGRESS (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

30. 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.

31. 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

32. 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.

33. 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

34. 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.

35. 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

36. 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.

37. 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.

38. 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.

39. 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

40. Research Agenda PROGRESS • 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

41. Research Agenda PROGRESS (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.

42. Model Curriculum GOALS • 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

43. Model Curriculum Ad Hocs 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)

44. 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.

45. 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

46. Outcomes Database GOALS • 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

47. 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.

48. 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

49. 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.

50. 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.