Final

Question 1

Mission

Answer 1

An organization’s core underlying purpose, or basis for its existence, focus, and actions

Question 2

Environmental Assessment

Answer 2

Provides an assessment of quantitative data as well as impressions and observations for a better understanding of the context for strategic discussions. It also takes into account qualitative data such as employee opinions and satisfaction surveys

Question 3

Marketing

Answer 3

The process of planning and executing the conception, pricing, promotion, and distribution of ideas, goods, and services to create exchanges that satisfy individual and organizational objectives

Question 4

Vision

Answer 4

Provides a description of the aspirations of the ideal state desired for the organization

Question 5

Organizational culture

Answer 5

Shared way of doing things based on values and beliefs

Question 6

Evidence-based practice

Answer 6

Based on integrating critically appraised research results with the practitioner’s clinical expertise, and the client’s preferences, beliefs, and values

Question 7

SWOT

Answer 7

Strengths, Weaknesses, Opportunities, Threats

Question 8

Goals

Answer 8

• Once focus is determined potential goals and objectives are formulated
• Selection of 5 or fewer goals is ideal to improve focus
• Don’t want to have too many goals for an organization because then they’re harder to meet
• Ongoing review and periodic assessment of a plans success are necessary
• Important to have measurable and clearly understood outcome measures

Question 9

Beneficence

Answer 9

Treating all client’s equally w/ no discrimination, reasonable services, advocating for your clients, discharging a client for personality, culture, lifestyle choices, etc.

Question 10

Nonmaleficence

Answer 10

Maintaining therapeutic relationships that are free from exploitation, avoiding harm, don’t allow personal problems to affect judgement, disregarding safety precautions set for a client, dating someone you’re treating or their family member is unethical, substance use at work is unethical (treating under the influence)

Question 11

Autonomy

Answer 11

Client-centered practice, the client is giving up input and helping set the goals/contribute to intervention plan, must obtain consent, protect private information, allowed to refuse research participation

Question 12

Justice

Answer 12

Understanding and following institutional rules, association guidelines or related laws, remaining aware of changes in these areas and notifying employers, employees, and peers of such as needed, neglecting to understand and abide by facility procedures (if something goes wrong it’s your responsibility), recording and reporting all practice-related activities in a timely manner

Question 13

Veracity

Answer 13

Accurately representing one’s professional credentials, qualifications, education, experience and competencies; disclosing potential conflicts of interest with those whom they engage in professional, contractual or other working relationships, refraining from communication that contains false, inaccurate, inflated, fraudulent or deceptive claims; disclosing errors that could impact client’s safety

Question 14

Levels of supervision

Answer 14

Direct, close, routine, general (definitions will vary state to state, but the general concepts are in these index cards)

Question 15

Direct supervision

Answer 15

Line of sight, generally required for students but varies from setting to setting.
- Mary said: but it depends on setting - phys dys is line of sight, but once we graduate - we don’t need any supervision (*Mary told me students often get this wrong, and Brenee posted up on the 1st page that this is an exam question). Mary also said “think of this exam concept of supervision as COTA supervision and our own”

Question 16

Close supervision

Answer 16

In the same location

Question 17

Routine supervision

Answer 17

Could stop by 1x/week

Question 18

General

Answer 18

Example: just conversation if working with a COTA.

Question 19

The Patient Protections and Affordable Care Act

Answer 19

• The law provides numerous rights and protections that make health coverage more fair and easy to understand, along with subsidies (through “premium tax credits” and “cost-sharing reductions”) to make it more affordable.
• The law also expands the Medicaid program to cover more people with low incomes.
• Identified key improvements be made in preventative care, coordinated care, diversity and cultural competency
  Increased the number of health care providers for underserved communities
• Ended insurance discrimination and ensures affordable insurance coverage
• AOTA lobbied in Congress to include occupational therapy in newly designed health care plans
• *Preexisting Condition Insurance Plan (PCIP)

Part of PPACA plan that provides access to health care to individuals who were previously denied by private insurance companies due to a previous health condition

Question 20

Omnibus Budget Reconciliation Act

Answer 20

• A federal law that may allow you to temporarily keep health coverage after your employment ends, you lose coverage as a dependent of the covered employee, or another qualifying event.
• If you elect COBRA (Consolidated Omnibus Budget Reconciliation Act) coverage, you pay 100% of the premiums, including the share the employer used to pay, plus a small administrative fee.
• This act classifies occupational therapy as a qualifying service under the home health benefit and also identifies comprehensive outpatient rehabilitation facilities as providers under Medicare Part B.

Question 21

Americans with Disabilities Act

Answer 21

• This was a landmark law in changing the way in which society viewed people with disabilities
• The 1st comprehensive civil rights law for individuals with disabilities
• This act has affected OT and its clients by requiring attention to accessibility of facilities and programs, by promoting accommodations to enable employment, and by increasing supports for independent living

Question 22

Health Insurance Portability and Accountability Act (1996)

Answer 22

Protects health insurance coverage for workers and their families when they change or lose their jobs
Required the establishment of national standards for electronic health care transactions and national identifiers for health providers, insurance plans, and employers
Better known piece of HIPAA: addresses security and privacy of health data