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

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

What Is the Centennial Vision? A road map for the future of the OT What Is the Centennial Vision? A road map for the future of the OT profession to commemorate AOTA’s 100 th anniversary in 2017 n n It will specify concrete benchmarks that demonstrate our forward movement in realizing the vision

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

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

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

Drivers of Change 1. Aging and longevity 2. Health care costs and reimbursement 3. Drivers of Change 1. Aging and longevity 2. Health care costs and reimbursement 3. Prospective and preventive medicine 4. Assistive technologies 5. Lifestyle values and choices 6. Stress and Depression 7. Information access/learning 8. Universal design for active living 9. Increasing diversity 10. Changing world of work

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

Emerging Areas of Practice 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Emerging Areas of Practice 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 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

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

Purpose of Retreat n n n To articulate a shared vision of the occupational Purpose of Retreat n n n 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 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 connected and diverse workforce meeting society’s occupational needs.

Powerful n Leadership role in health care delivery system n Education as basis for Powerful n Leadership role in health care delivery system n Education as basis for power n Active in policymaking n Use of technology to provide services n Influence change to benefit society n Proliferation of private-pay practices

Widely Recognized n Clear, compelling public image n Consumer friendly language n Widespread understanding Widely Recognized n Clear, compelling public image n Consumer friendly language n Widespread understanding of OT n OT identity and scope protected by law n n Value of occupation to health and wellness recognized by society Increased OT consumer demand

Science-Driven n Greater research capacity and productivity to develop new and more effective methods Science-Driven n 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 n n n All OT practice areas supported by evidence OT efficacy data Evidence-Based n n n 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 n Global OT community n Increased involvement of members Globally Connected and Diverse Workforce n Global OT community n Increased involvement of members n AOTA = essential tool of the profession n OT roles include: practitioners, educators, researchers, scientists, & entrepreneurs n Members reflect society’s diversity n New alliances with other professionals

Occupational Needs n n Active participation in life contributes to health because it “enables Occupational Needs n n 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: n Technology n Demographics n Health care n Unpredictable events n 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 2004 Scenarios Developed 2005 Extensive National Dialogue 2006 -2007 Planning & Centennial Vision Timeline 2004 Scenarios Developed 2005 Extensive National Dialogue 2006 -2007 Planning & Communication 2006 Strategic Visioning Retreat 2003 Board Approves Plan WE ARE HERE 2006 -2017 Strategic Implementation

What AOTA Is Doing 2007 -2009 1. 2. 3. 4. 5. 6. Image-building campaign What AOTA Is Doing 2007 -2009 1. 2. 3. 4. 5. 6. Image-building campaign Advocacy to ensure funding Linkages between research, education, and practice Research agenda Model curriculum Outcomes database

Image-Building Campaign GOALS § Brand the profession with a unifying and widely appealing image 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 Image-Building Campaign

2008 Presidential Address 2008 Presidential Address

Image-Building Campaign § Next steps § § Develop materials for the profession Develop materials 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 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 Funding GOALS § Expand public policy agenda to include: – Mental 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

Advocacy To Ensure Funding PROGRESS § Key legislative achievement: No Medicare Cap § § 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

Advocacy To Ensure Funding PROGRESS (continued): § Expansion advocacy achievements § § § Report Advocacy To Ensure Funding PROGRESS (continued): § Expansion advocacy achievements § § § Report language promoting OT § § Mental health advocacy with organizations Relationship with mental health leader in Congress NINDS NCMRR CDC Veterans § § Outreach to Do. D, Veterans Health Congressional awareness n n n § 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 n Progress (continued) n n OT testified before U. S. Advocacy To Ensure Funding n Progress (continued) n n 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 n PROGRESS (continued): n Centers for Disease Control n n Advocacy To Ensure Funding n PROGRESS (continued): n Centers for Disease Control n n Joint work on falls prevention, TBI, and elderly Session at Conference 2008 Support for funding Special/Regular Education n n 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 n n Create Better Linkages Between Education, Research, and Practice Ad Hoc Committee n n 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 n PROGRESS (continued): n Key Findings: n n Linkages Between Research, Education, & Practice n PROGRESS (continued): n Key Findings: n n n 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: n n Promoting practice scholarship with all members of Key Recommendations & Status: n n 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): n n AOTA/AOTF sponsor a meeting of the editors of AJOT, Key Recommendations (con’t): n n 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): n Propose future AOTA Conference theme Finding Your Inner Scholar: Focus Key Recommendations (con’t): n 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. n 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: n AOTA’s EBLR Initiative n Evidence Linking Education, Research & Practice: Progress More Progress: n AOTA’s EBLR Initiative n Evidence Perks n n Evidence Bytes n n All Perks are designed to link EB-related resources to practice and education. Bytes published 2 x/month in AOTA’s 1 -Minute Update. Target 6 broad practice areas and provide links to EB (scientific) resources for all audiences. EB reviews n Findings are disseminated in multiple formats. CATs and CAPs added to the Web site.

Linking Education, Research & Practice: Progress n SIS Q’s (EDSIS, GSIS, TSIS) n n Linking Education, Research & Practice: Progress n SIS Q’s (EDSIS, GSIS, TSIS) n n 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 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 Agenda PROGRESS § AOTA Director of Research position created § § Susan Lin, Research Agenda PROGRESS § AOTA Director of Research position created § § Susan Lin, Sc. D, 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 Agenda PROGRESS (continued): n Conference n n n 3 rd Annual Conference Institute Research Agenda PROGRESS (continued): n Conference n n n 3 rd Annual Conference Institute ( 2008): “Building an academic career with a research training award” 4 th Annual Conference Institute ( 2009): “Meet the Grant Makers” Leadership n “Mentoring Circles” leadership institute was made available to Program Directors in January 2008.

Model Curriculum GOALS § § Key initiative: To raise the bar of excellence among 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 21 st Century Infuse curriculum with new content related to the Vision PROGRESS § Two ad hoc groups formed to develop: § OT model curriculum § OTA model curriculum

Model Curriculum Ad Hocs Process: n n n Completed review of the literature Defined Model Curriculum Ad Hocs Process: n n n 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 21 st 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)

Develop Model Curriculum n The Committees are currently working on the final draft versions Develop Model Curriculum n 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”. n n 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 n “Blueprint for the Future of Education” n Charged with Follow-Up to Model Curriculums n “Blueprint for the Future of Education” n 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 21 st century

Outcomes Database GOALS § Develop universal computerized outcomes database § Identify the OT outcomes 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

Develop Outcomes Database n AOTA is ready to endorse AM-PAC as the outcome measure Develop Outcomes Database n AOTA is ready to endorse AM-PAC as the outcome measure for the profession’s national outcome database. n 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 n AOTA is ready to promote use of AM-PAC tool by Develop Outcomes Database n AOTA is ready to promote use of AM-PAC tool by occupational therapists n Request OT users of AM-PAC tool to report data to the AOTA Outcomes Database

Develop Outcomes Database n AOTA is ready to negotiate agreement with CREcare regarding access Develop Outcomes Database n AOTA is ready to negotiate agreement with CREcare regarding access to and use of data. n 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 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 n n n n Encourage others to join AOTA and What You Can Do n n n n 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 n Slide 3: http: //www. cbpp. uaa. alaska. edu/afef/ n Slide Sources for Images n Slide 3: http: //www. cbpp. uaa. alaska. edu/afef/ n Slide 5: n n n 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 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/Chicago. City. Segway. Tour /photo#4965639216103686162 Slide 8: http: //seniors. gov. sg/Grandparenting/Dos+and+Donts. htm

Sources for Images n Slide 9: n 1. ) http: //bemytutor. co. uk/ n Sources for Images n Slide 9: n 1. ) http: //bemytutor. co. uk/ n 2. ) http: //www. charterwood. co. uk/about_us. php? me=17 n Slide 10: http: //www. navigatorassociates. com/ n Slide 13: http: //cehd. gmu. edu/graduation/ n Slide 16: http: //www. purdue. edu/hr/Work. Life/resource. Center. htm n Slide 17: www. wfot. org n Slide 18: http: //www. dailymail. co. uk/pages/live/articles/news. html? in_article _id=405602&in_page_id=1770