Supervision

Question 1

Cooperative process

Answer 1

2 or more people participate in a joint effort to establish, maintain, and/or elevate a level of competence and performance

Question 2

Supervision’s frequency, method, and content varies depending on:

Answer 2

• complexity of client’s needs
• # and diversity of clients
• OTR/L and COTA skills
• practice setting and it’s requirements
• other regulatory requirements

Question 3

Close supervision

Answer 3

Daily, direct contact

Question 4

Routine supervision

Answer 4

Daily contact at least every 2 weeks with interim supervision as needed

Question 5

General supervision

Answer 5

Daily contact at least every month with interim supervision as needed

Question 6

Minimal supervision

Answer 6

On an as needed basis

Question 7

Continuous supervision

Answer 7

Direct, on-site supervision at all times

Question 8

Directing method of supervision

Answer 8

High direction, low support

(Tell you what to do) ex. Boss

Question 9

Coaching method of supervision

Answer 9

High direction, high support

Your going to do this…Good job, now do this…

Question 10

Supporting method of supervision

Answer 10

Low direction, high support

I did this…Good! How was it?

Question 11

Delegating method of supervision

Answer 11

Low direction, low support

Question 12

Supervision

Answer 12

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)

Question 13

Documentation may include:

Answer 13

• 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

Question 14

Occupational Therapy Assistant Supervision Regulations:

Answer 14

No relevant regulations

Question 15

Medicare Part A- Hospital and Inpatient Rehab

Answer 15

Setting determines for itself the appropriate manner of supervision of therapy students consistent with state and local laws and practice standard

Question 16

Medicare Part A-SNF

Answer 16

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.

Question 17

Medicare Part A-Hospice

Answer 17

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

Question 18

Medicare Part A-Home Health

Answer 18

“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

Question 19

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

Answer 19

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