Supervision Flashcards
Cooperative process
2 or more people participate in a joint effort to establish, maintain, and/or elevate a level of competence and performance
Supervision’s frequency, method, and content varies depending on:
- complexity of client’s needs
- # and diversity of clients
- OTR/L and COTA skills
- practice setting and it’s requirements
- other regulatory requirements
Close supervision
Daily, direct contact
Routine supervision
Daily contact at least every 2 weeks with interim supervision as needed
General supervision
Daily contact at least every month with interim supervision as needed
Minimal supervision
On an as needed basis
Continuous supervision
Direct, on-site supervision at all times
Directing method of supervision
High direction, low support
(Tell you what to do) ex. Boss
Coaching method of supervision
High direction, high support
Your going to do this…Good job, now do this…
Supporting method of supervision
Low direction, high support
I did this…Good! How was it?
Delegating method of supervision
Low direction, low support
Supervision
Occupational therapist and Occupational Therapy Assistant must abide by agency and state requirements regarding the documentation of a supervision plan and supervision contacts
(Need to keep a log)
Documentation may include:
- frequency of supervisory support
- method(s) or type(s) of supervision
- content areas addressed
- evidence to support areas and levels of competency
- names and credentials of the persons participating in the supervisory process
Occupational Therapy Assistant Supervision Regulations:
No relevant regulations
Medicare Part A- Hospital and Inpatient Rehab
Setting determines for itself the appropriate manner of supervision of therapy students consistent with state and local laws and practice standard
Medicare Part A-SNF
Supervisor determines the need for line-of-sight supervision. Supervisor is only required to review and sign documentation. Student’s time is not separately reimbursable.
Medicare Part A-Hospice
CMS has not issued specific rules
AOTA recommends: setting determines for itself the appropriate manner of supervision of students, consistent with state and local laws and practice standards
Medicare Part A-Home Health
“Qualified personnel” (not students)
AOTA recommends: setting will determine for itself the appropriate manner of supervision of students consistent with state and local laws and practice standards
Medicare Part B- Private Practice, Hospital Outpatient, SNF, CORF, ORF, Rehab agency, other Part B providers including home health agencies when providing Part B services
Student can participate in delivery of services when qualified practitioner is directing the service, making the skilled judgement, responsible for the assessment and Tx in the same room as the student, and not simultaneously treating another patient. Supervisor is solely responsible and must sign all documentation
