laws and regulations Flashcards
Direct intervention
- enhance occupational performance in ADL’s, education, play, and pre-vocational occupations.
- Increase engagement and participation
- provide just right challenge
- habilitation vs rehabilitation
Evaluation (occupational profile, analysis of occupational performance, gathering of information, observation), Goals (LTGs to STGs), Intervention (Collaboration and Direct intervention- evidence based interventions)
Adaptation and Modification
find easier way so we can focus on more important things to client.
- Adapt tasks, foster adaptation of the child to meet challenges
- Environmental modification- how does environment support or inhibit success with tasks.
Early Intervention
Occupational therapists is a primary provider.
- works with children and families ages birth to 3 years old.
- Naturalistic setting- either the child’s home or in the child’s daycare.
Educational/school-based services
- Funded by government
- Services children 3-21 years with educational needs.
- Designed to be provided in the least restrictive environment (want to be as independent as possible)
- OT is a related service provider (teacher is the primary provider)
- Intervention must be educationally relevant
- Intervention may be direct, Consultative, and monitoring.
- the word “medical” is not involved with this setting., own educational diagnosis and set of requirements
Medical setting
-Inpatient, Rehabilitation, Day-patient, outpatient (specific areas: NICU, Feeding Units, Neuro Units)
-Residential day treatment centers
-OT is primary service provider
OT intervention focused on habilitation or rehabilitation (establish restore, modify/adapt, advocate, educate)
Community setting
- May be working on larger population level
- Coordinating services for children or family
- Advocacy and education (helping make resources available to those who need it).
Rehabilitation
Services are provided to persons experiencing deficits in key areas of physical and other types of function or limitations in participation in daily life activities.
- Interventions are designed to enable the achievement and maintenance of optimal physical, sensory, intellectual, psychological, and social functional levels.
- Rehabilitation services provide tools and techniques needed to attain desired levels of independence and self- determination.
- Car accident and lost abilities and skills
Habilitation
- Health care services designed to assist people in acquiring, improving, minimizing the deterioration of, compensating for an impairment of, or maintaining (partially or fully) skills, function, or performance for participation in occupation and daily life activities.
- Working on acquiring skills that the population may not have developed yet- early onset acquired injuries before 1 to 3 years of age.
what influences medically based practice
- Health care laws
- Health care costs
- Insurance/ 3rd party reimbursement
- Accrediting agencies- oversee if a sight can perform the duties that they say they can.
Americans with Disabilities Act (ADA)
1990
ADA- Prohibits the discrimination of individuals with disabilities and establishes standards for employment and access to public venues and agencies. Allows for people to have reasonable accommodations made in the work or educational environments.
Combatting Autism Act/ Autism Cares Act
-first act to be diagnosis specific. Set aside money , designed to foster collaborative relationships/partnerships with the NIH and the CDC to promote better health, education, and resources to children with Autism. Funding to help research the cause of autism and funding for resources.
Affordable Health Care Act- Obamacare
-also known as Obamacare- cannot be denied healthcare coverage because of pre-existing conditions- children can be covered under Parents insurance until age 26. Expanded a somewhat mandatory requirement for business to cover birth control for employees in their benefits.
Revisions to affordable healthcare Act under Trump Administration.
-still covered up to age of 26- removed a lot of the federal mandates to now allowing states to take over the mandating and management of affordable health care act- can optout of the Medicaid expansion, can alter essential health care benefit requirements, can offer alternative healthcare plans (small business- don’t offer as much as a larger expansive plan). Now has HAS- flexible spending accounts- can increase the amount you put in them without a tax penalty. Certain states can prevent funding for preventative health, can repeal funding for planned parenthood, can not disables, allow states to prevent not elderly, and not pregnant can show employment to be eligible to Medicaid.
Medicaid
- Government assistance program for: Children, pregnant women, elderly, and individuals with disabilities, or families who fall below the national poverty level based on annual income.
- There are federal mandates of necessary coverage, but each state controls optional eligibility. (routine check ups, routine vision, doctor appointments, inpatient and outpatient care).
Children’s Health Insurance Program (CHIP)
If family makes too much to qualify for Medicaid this is the bridge program to get them the services they need. Only for the children in the families.
- Referred to as KANCare in Kansas and MO health New for kids in Missouri.
- Covers: routine check ups, immunizations, doctor visits, prescriptions, dental and vision care, Inpatient and Outpatient hospital care, Labs and X-ray services, and Emergency services.
