Chp 73 Flashcards
Health policy is made up of the y.
decisions, plans, and actions that are undertaken to achieve specific health care goals within a societ
Why is health policy important
many americans are unable to reach their full health potential.
political influence
a developmental process that begins with policy literacy, acumen, competence and finally, policy influence
Policy literacy is
the ability to identify and understand a pol- icy on the basis of policy information and knowledge
policy acumen,
is the ability to analyze policies.
occupational justice
which is a subset of social justice concerned with the forms of enabling, mediating, or advocating that are needed to create a doing environment that is both just and health promoting for all, recognizing the need to empower people regardless of their differences
Political Action Examples Influencing Occupational Therapy
Individuals with Disabili- ties Education Act of 1990 (IDEA
Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA
components of the Patient Protection
components of Affordable Care Act of 2010 (ACA P. L. 111–148), such as Medicaid expansion and the repeal of the Medicare Part B Therapy Cap
What is IDEA
IDEA provides access to a free appropriate public education to eligible children with disabilities and ensures special ed- ucation and related services to those children.
Why is IDEA important for OT
occupational therapy is recognized as a primary service, with schools being one of the largest employer of occupational therapy practitioners.
the ACA expanded Medicaid eligi- bility in 2010 to include 138% of the federal poverty level. What happened in 2012 and how does this affect OT?
2012 U.S. Supreme Court ruling, the expansion is optional for states. eligibility criteria varies from state to state.
Many clients, especially children, receive occupational therapy services through Medicaid, and expansion of eligibility increases the opportunity for clients to access occupational therapy services.
The MHPAEA is a
federal law that generally prevents group health plans and health insurance issuers that provide men- tal health or substance use disorder (MH/SUD) benefits from imposing less favorable benefit limitations on those benefits than on medical and surgical benefits
Medicare Part B Therapy act
If people exceed cap in medicaid they can no longer recieve services even if they need them. This was repealed in 2018
acote standards for graduates of acredited institutions?
graduates of accredited edu- cational programs “be prepared to advocate as a professional for the occupational therapy services offered and for the re- cipients of those services”
Social determinants of health (SDHs),
nonmedical circumstances related to how people live, grow, and work that affect health outcomes
Advocacy is an important tool that all practitioners can use to
promote clients’ well-being, advance the profession, and ensure that individuals who would benefit from occupa- tional therapy have access to services
Advocacy is the
act of speaking up or working on behalf of the interests of another person, group, or cause
stakeholders
individuals or groups with a vested interest in occupational therapy services
Advocacy activities can educate key stakeholders in
policy discussions on the distinct value that occupational therapy brings in meeting society’s needs
Key stakeholders may include
occupational therapy clients, employers, third-party payers, elected officials, and government policymakers.
the most powerful way to advocate for the profession is to
demonstrate occupational therapy’s distinct value by improv- ing the lives of those receiving our services
policy
principles or rules meant to guide decisions and achieve certain outcomes, including laws and regulations)
Daily practice level advocacy –
clinical, education, community based and research settings where practitioners put occupational therapy knowledge and skills to use on a daily basis. -serves the foundation for advocacy efforts at the professional and systems level.
Professional level advocacy –
the settings that OTs provide therapy to clients. Building strategic alliances with other professions, administrators, management, and outside coalitions within the space. Basically using OT skills on the other professionals to see the holistic view
Systems Level Advocacy -
happens where policy is introduced, debated and passed. This can be at local, state, or federal level.
government policymakers depend on
the expertise of occupational therapy practitioners and other health professionals to develop good policy.
Practitioners can also advocate at the systems level by
supporting the work of the profession’s lobbyists and by building positive working relationships with their elected representatives.
Political action committees
are groups formed by an industry or an issue-oriented organization to raise and contribute money to the campaigns of candidates likely to ad- vance the group’s interests.
What is our PAC
AOTPAC
The American Occupational Therapy Political Action Committee (AOTPAC) works to
advance the profession’s policy agenda and complement the work of its lobbyists by providing financial support to elected officials who support occupational therapy.
Where does a Bill go after it is introduced to Congress?
committee
What does the Mental Health Parity and Addiction Equity Act of 2008 force insurance companies to do?
If they offer Mental Health coverage, they do so at same level as medical and surgical benefits
who can introduce a bill
only members of congress
