Reforming the Future of Health Care

1. Reforming the Future of Health Care Iowa Occupational Therapy Association Update Peggy Parker, MHA, OTR/L

2. IOTA INITIATIVES: 2010 • Membership Retention, Growth & Participation • Advocacy • Enhancement of payment

3. Membership • Retention • Growth • Participation

4. Issues with Membership • Means to communicate – Website, blogging, Facebook, Podcast • Social Usefulness • Limited volunteer pool • Larger cities more involved

5. Advocacy • Licensure Protection • Schools • Public Education

6. Definition of O.T. *OCCUPATION is used to capture the breath and meaning of “everyday activity” Occupational Therapy promotes a person’s ability to independently participate in activities that bring meaning and purpose to their life.

7. Licensure Protection • Therapeutic Recreation • Orthotists • Other threats unknown

8. Increase Schoolswithin the next 5 years • Addition of another 1-2 OTA Programs in Iowa. • Pursue the development of an OT Master/Doctorate program at another university in Iowa

9. Public Education • President of IOTA gives speeches & guest appearances • Participate in Community Events • School Career Days • Summer Camps for Potential medical Professionals • Local Habitat for Humanity Weekend Projects • April is National OT Month

10. Payment for Service • Insurance Companies • Medicare/Medicaid • Health Care Reform Universal Health Care • World Healthcare Organization

11. MEDICARE AND MEDICAID • Therapy Cap • Stand Alone in Home Care • Services for pediatrics with • State budget cuts • INSURANCE COMPANIES • Wellmark’s approval of more than “Arm” therapy • Mental Health OT recognition • HEALTH CARE REFORM • Will it be set similar to • Medicare? • Will hospitals have • advantages over small • private clinics? • WORLD HEALTH ORGANIZATION • ICD-10 with lack of • Functional Treatment Diagnosis • ICF definitions focus on • health versus disease.

12. Barriers to providing service • Numbers of Therapists • Younger Therapists & Students • Change in Consumers

13. Therapists • National versus Iowa Statistics

14. Interesting Influences • Iowa Population • Downward trend at beginning of 2000, with gradual increases by 2005 • Median Age of Occupational Therapists • 2000 versus 2005 • OT mean age went from 36 to 39 • OTA mean age went from 33 to 40 • The age group of therapists shift from higher % in the 30-39 age group to 40-49 age group (for both) • The 20-29 Age group increased by 1% for OTs, but • DECREASED 3% for OTAs • Gender of Therapists • 90% of OTs are woman • 88% of OTAs are woman

15. Young Therapists/Students • Desire a larger city after graduation • Have pre-decided on practice area, post-graduation • Lack comprehensive communication skills • Continuous Partial Inattentiveness • Basic non-verbal/reflective skills

16. Change in Consumers • Technology • Treating Conditions • Aging in Place

17. CONSUMERS Technology Information availability (Web) Tele-health Orthotic & Prosthetic devices

18. Conditions • TTT (Teen Texting Tendonitis) • Autistic versus the Hydrocephalic • Mild Head Injuries • Dementia

19. Aging in Place • Living at home versus Senior Housing Communities “Aging in place” is in reference to living where you have lived for many years, or to living in a non-healthcare environment, and using products, services and conveniences to enable you to not have to move as circumstances change.

20. Conclusion Iowa Occupational Therapy Association in the next 5 - 10 years will continue to support basic association values of: • Enhance membership needs and levels of participation. • Advocate for the profession. • Support the growth of the profession for the consumers we serve.