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BCPR > Module 1: Practice Framework and Service Delivery > Flashcards

Module 1: Practice Framework and Service Delivery Flashcards

1
Q

Name the types of strategic leadership theories.

A
  • Transformational theory
  • Situational theory

Both draw from the study of organizational behavior

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2
Q

Name the types of supervisory leadership theories.

A
  • Path-goal theory
  • Transactional theory

Both draw from expectancy motivation theory

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3
Q

Name the leadership theory: Leaders increase personal payoffs for subordinates for goal attainment and make the path to these payoffs easier to travel by reducing obstacles, thereby improving performance.

A

Path goal theory

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4
Q

Name the leadership theory: Leaders promise rewards and benefits to subordinates for meeting work goals, and leaders and subordinates agree through transactions on what will lead to reward and how to avoid punishment.

A

Transactional theory

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5
Q

Name the leadership theory: Leaders achieve change by expressing the value associated with outcomes and by articulating a vision of the future, resulting in commitment, effort, and improved performance on the part of the subordinates.

A

Transformational theory

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6
Q

Name the leadership theory: Leaders adopt leadership style that best fits the developmental level of their subordinates competence and commitment.

A

Situational theory of leadership

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7
Q

Name the leadership theory: Leaders should be attentive to the concerns of followers and empathize with and nurture them by first empowering them and helping them to develop their personal capacities.

A

Servant leadership theory

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8
Q

Name the contexts of the domain in the OTPF-4

A
  • Environmental factors
  • Personal factors
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9
Q

What are client factors?

A
  • Values, beliefs & spirituality
  • Body functions
  • Body structures
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10
Q

Name all the parts (5) of the domain in the OTPF-4

A
  • Occupations
  • Contexts
  • Performance patterns
  • Performance skills
  • Client factors
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11
Q

What are the performance skills (domain)?

A
  • Motor skills
  • Process skills
  • Societal interaction skills
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12
Q

What are occupations?

A
  • ADLs
  • IADLs
  • Health management
  • Rest & sleep
  • Education
  • Work
  • Play
  • Leisure
  • Social participation
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13
Q

Name the parts the OTPF-4 is divided into

A
  • Domain
  • Process
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14
Q

Name the parts of the process of the OTPF - 4

A
  • Evaluation
  • Intervention
  • Outcomes
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15
Q

Name the performance patterns?

A
  • Habits
  • Routines
  • Roles
  • Rituals
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16
Q

What section of the OTPF-4 outlines the professions purview and the areas in which its members have an established body of knowledge and expertise?

A

The domain

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17
Q

What is the term used to describe how OT practitioners have distinct knowledge, skills and qualities that contribute to the sucess of the OT process used in the OTPF-4?

A

Cornerstones

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18
Q

Define cornerstones

A

Something of great importance on which everything else depends

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19
Q

What part of the OTPF-4 describes the actions that practitioners take when providing services that are client centered and focus on engagement in occupations?

A

The process

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20
Q

What is the AOTPAC?

A
  • American OT Political Action Committee
  • Voluntary non-profit, nonpartisan, unincorporated committee of members of AOTA
  • Purpose: Further legislative aims of AOTA, by influencing the selection, nomination, and election of an individual to federal public office.
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21
Q

What is the overarching statement that describes the domain and process of OT to its fullest?

A

Achieving health, well-being and participation in life through engagement in occupation

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22
Q

What is the purpose of the OTPF-4?

A

Describes central concepts that ground OT practice and builds common understanding of the basic tenants and vision of the profession.

It does not serve as:
- Taxonomy
- Theory
- Model of OT

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23
Q

What 3 departments that work with AOTA, work in concert to advocate at the national and state levels?

A
  • Congressional affairs
  • Regulatory affairs
  • State affairs
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24
Q

Name this department: They advocate for fair coverage and payment policies for OT by Medicare and other public and private payers.

A

Regulatory affiars

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25
Q

Name this department: They monitor and provide analysis of proposed legislation and regulations affecting OT in the state. They also conduct outreach, provide assistance to state OT associates on key state issues such as professional regulation and scope of practice.

A

State affairs

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26
Q

Name this department: They focus on federal policy, including legislative process that benefits OT and our stakeholders.

A

Congressional affiars

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27
Q

Name the cornerstones of OT

A
  • Core values & beliefs rooted in occupation
  • Knowledge and expertise in the therapeutic use of occupation
  • Professional behaviors and dispositions
  • Therapeutic use of self
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28
Q

Name the 2 purposes of the AOTA code of ethics?

A
  1. It provides aspirational core values that guide OT personnel toward ethical courses of action in professional and volunteer roles.
  2. It delineates ethical principles and enforceable standards of conduct that apply to AOTA members.
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29
Q

What are the primary roles of the ethics commission?

A
  • Education
  • Enforcement
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30
Q

Name the types of outcome measures (5)

A
  • Structural
  • Process
  • Outcome
  • Patient experience measures
  • Composite
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31
Q

Name the benefits of measuring outcomes (4)

A
  • Learning
  • Improved performance
  • Demonstration of superior outcomes
  • Preparation for value based payment
32
Q

Define outcomes

A

The end result of the OT process, they describe what clients can achieve through OT intervention.
- Some outcomes are measurable
- Others are experienced by clients

33
Q

Define skilled level of care

A
  • Medical record must support that the expertise of a clinician was necessary
  • Must clearly indicate that the clinicians unique perspective was needed (i.e what training or education did the therapist provide)
  • How did the patient benefit from the specialized knowledge.
34
Q

What is diversity?

A

Broadly defined as the unique attributes, values and beliefs that make up an individual.

35
Q

Describe medical necessity documentation

A
  • Services must be specific and effective for the condition of the patient
  • Amount, frequency and duration must be reasonable for the patient and condition
  • Services must be necessary for treatment of condition
  • Documentation must describe condition before, during and after therapy
  • Documentation must show the patient benefited and progress was sustainable and of practical value.
36
Q

What term was widely accepted in OT to describe the ability to understand and effectively interact with people of all cultures?

A

Cultural competence

37
Q

What terms have replaced cultural competence?

A
  • Cultural relevance
  • Cultural sensitivity

Both come from cultural humility

38
Q

Define therapeutic use of self

A

Planned use of his/her personality, insights, perceptions and judgement as part of the therapeutic process.

39
Q

What is the ethics commission?

A
  • 1 of the bodies of the (RA) representative assembly
  • It is responsible for developing the ethics standards for the profession which apply to OT personnel at all levels and in all professional and societal roles.
40
Q

Transformational theory and the situational theory are apart of what overall theory?

A

Strategic leadership theory

41
Q

Path-goal theory & Transactional theory are a part of what overall leadership theory?

A

Supervisory leadership theory

42
Q

What word is defined as: Something of great importance on which everything else depends

A

Cornerstones

43
Q

Name the committee described below:
- Voluntary non-profit, nonpartisan, unincorporated committee of members of AOTA
- Purpose: Further legislative aims of AOTA, by influencing the selection, nomination, and election of an individual to federal public office.

A

What is the American OT Political Action Committee (AOTPAC)?

44
Q

What document describes central concepts that ground OT practice and builds common understanding of the basic tenants and vision of the profession.

It does not serve as:
- Taxonomy
- Theory
- Model of OT

A

OTPF-4

45
Q

What does this describe: Planned use of his/her personality, insights, perceptions and judgement as part of the therapeutic process.

A

What is therapeutic use of self?

46
Q

What type of outcome measure is described below:

Targets quality measurement via providers capacity, systems and processes

A

Structural

47
Q

What type of outcome measure is described below:

Targets how providers specifically maintain or improve health outcomes

A

Process

48
Q

What type of outcome measure is described below:

Focuses on the impact services have on patients health status

A

Outcomes

49
Q

What type of outcome measure is described below:

Records patients perceptive on the care they received

A

Patient experience measures

50
Q

What type of outcome measure is described below:

Combines several metrics for a comprehensive examination of overall care

A

Composite

51
Q

What are 3 challenges in measuring outcomes?

A
  1. Difficult to develop meaningful and sensitive measures.
  2. Physicians have become the primary drivers of instrument development.
  3. Instruments have been duplicated and are sometimes redundant.
52
Q

Describe the category of outcomes described below:

Act of doing and accomplishing a selected action, activity or occupation that results from the dynamic transaction among the client, the context and the activity.

A

Occupational performance

53
Q

Describe the category of outcomes described below:

Increased occupational performance through adaptation when a performance limitation is present.

A

Improvement

54
Q

Describe the category of outcomes described below:

Development of performance skills and performance patterns that augment existing performance of life occupations when a performance limitation is not present.

A

Enhancement

55
Q

Describe the category of outcomes described below:

Education or health promotion efforts designed to identify, reduce, or stop the onset and reduce the incidence of unhealth conditions, risk factors, diseases, or injuries.

A

Prevention

56
Q

Describe the category of outcomes described below:

Dynamic appraisal of the clients life satisfaction, hope, self concept, health and functioning and socioeconomic factors.

A

Quality of life

57
Q

Describe the category of outcomes described below:

Engagement in desired occupations in ways that are personally satisfying and congruent with expectations within the culture.

A

Participation

58
Q

Describe the category of outcomes described below:

Ability to effectively meet the demands of the roles in which one engages.

A

Role competence

59
Q

Describe the category of outcomes described below:

Contentment with ones health, self esteem, sense of belonging, security and opportunities for self determination, meaning, roles, and helping others

A

Well being

60
Q

Describe the category of outcomes described below:

Access to and participation in the full range of meaningful and enriching occupations afforded to others, including opportunities for social inclusion and resources to participate in occupations to satisfy personal, health and societal needs.

A

Occupational justice

61
Q

How many changes are noted/updated between OTPF 3 and 4?

A

12

62
Q

Read facts below about changes from OTPF 3 to 4

A
  • The focus on group and populations clients in increased
  • Cornerstones of OT practiced are identified and described as foundational the success of OT practitioners
  • Occupational science is more explicitly described and defined
  • The term “occupation” and “activity” are more clearly defined
  • For occupations, the definition of sexual activity as an ADL is revised, health management is added as a general occupational category and intimate partner is added in the social participation category.
  • The contexts and environments aspect of the occupational therapy domain is changed to context on the basis of the WHO
  • For the client factors category of body functions, gender identify is now included under “experience of self and time”. The definition of psychosocial is expanded to match the ICF description and interception is added under sensory functions.
  • For types of intervention, preparatory methods and tasks has been changed to interventions to support occupations.
  • For outcomes, transitions and discontinuation are discussed as conclusions to OT services and patient reported outcomes are addressed.
  • 5 new tables added
63
Q

What is a good pneumonic to remember OT code of ethics principles?

A

Beneficent Narwhals Are Just Very Friendly (BNAJVF)

B- Beneficence
N - Non maleficence
A - autonomy
J - Justice
V - Veracity
F- Fidelity

64
Q

Define interprofessional education

A

Occasions when students from two or more professions learn about, from and with each other to improve collaboration and the quality of care.

Further expanded to say “…when students from two or….to enable effective collaboration and improve health outcomes”.

65
Q

What is described below:

Occasions when students from two or more professions learn about, from and with each other to improve collaboration and the quality of care.

Further expanded to say “…when students from two or….to enable effective collaboration and improve health outcomes”.

A

Interprofessional education

66
Q

True or false for the following regarding the OTPF4:

The focus on group and population is decreased to just population overall.

A

False

The focus on group and population clients in increased, and examples are provided for both.

67
Q

True or false for the following regarding the OTPF4:

Cornerstones of OT practice are identified and described as foundational to the success of OT practitioners.

A

True

68
Q

True or false for the following regarding the OTPF4:

Occupational science is transitioned to the term evidenced based and is more of a focus for OT.

A

False

Occupational science is more explicitly described and defined.

69
Q

True or false for the following regarding the OTPF4:

The terms occupation and activity are more clearly defined.

A

True

70
Q

True or false for the following regarding the OTPF4:

For occupations, the definition of sexual activity as an ADL is revised, health management is added as a general occupation category and intimate partner is added in the social participation category.

A

True

71
Q

True or false for the following regarding the OTPF4:

The contexts and environments aspect of the OT domain is changed to environments on the basis of the WHO in an effort to adopt standard, well accepted definitions.

A

False

It is changed to contexts

72
Q

True or false for the following regarding the OTPF4:

Gender identity is now included under personality, the definition of psychosocial is expanded to match the ICF description and interoception is added under sensory functions.

A

False

Gender identity is now included under “experience of self and time”

The rest of the statement is true

73
Q

True or false for the following regarding the OTPF4:

For types of interventions, preparatory methods and tasks has been changed to interventions to support occupations.

A

True

74
Q

True or false for the following regarding the OTPF4:

For outcomes, transitions and discontinuation are discussed as conclusions to OT services and patient reported outcomes are addressed.

A

True

75
Q

Describe the parts of the OT process.

A
  • OSIO (Otter school in Ohio)
  • Occupational profile
  • Synthesis of the evaluation process
  • Intervention plan
  • Outcomes
76
Q

What was the OT practice frame work originally designed to do?

A

Articulate OTs distinct perspective and contribution to promoting the health and participation of persons, groups and populations through engagement of occupation.

BCPR (19 decks)

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