1. WHAT MAKES IT WORK? MICHELE LUTHER-KRUG COTA/L,SCADCM,CDRS,ROH AOTA 2013 MICHELE.LUTHER- KRUG@PIEDMONT.ORG Teamwork/Collaboration

2. AOTA Standards of Practice for OT Plan of Care Treatment Evaluation

3. Levels of Practice and State Practice Guidelines o Repeated for each new competency o Not Static- Ongoing Process o www.aota.org/about/core/36194.aspx Competent Practitioner Entry LevelIntermediateAdvanced

4. Supervision Supervision is a process in which two or more people participate in a joint effort to:  Promote  Establish  Maintain  Elevate The supervisor is responsible for:  Setting  Encouraging  Evaluating Work performed by the supervisee

5. Quality Supervision o A mutual undertaking that: o Fosters growth and development o Ensures appropriate training and potential o Encourages creativity and innovation o Provides guidance, support, encouragement and respect o Promoting the goals of the individual and the facility

6. Service Competency Practice within your state’s guidelines: aota.org/Practitioners/Licensure/StateRegs.aspx 1. Direct –Supervisor: provides daily, direct contact 2. General- Scheduled: contact face – to – face, use alternate methods as needed 3. Indirect – Available: as needed and reviews service delivery, treatment plans and treatment outcomes

7. Stage One/Entry Level o OT and OTA collaborate in practice area o OT completes evaluation o OTA and OT collaborate on results o OTA completes treatment from plan of care with direct supervision o Notes reviewed and co-signed by OT

8. Stage Two/Intermediate o OTA contributes to evaluation o Assigned assessments from OT o OTA and OT co-treat for periodic re-assessments o OTA provides treatments and receives Indirect supervision from OT o Notes Co-signed

9. Stage Three/Advanced o OTA completes assigned assessments o (ADL, vision, perceptual) o OTA reviews results with OT to establish plan of care o OTA and OT co–treat or exchange treatments/Re- assessments o Notes Co-signed

10. Stage Four/Competent Practitioner OTA completes delegated assessments and treatments General Supervision provided by OT Collaborative team  Mutual respect and awareness

11. Stage Four Continued… Notes co-signed in accordance with state and insurance guidelines All reports reviewed by OT

12. Practice Examples Acute Care Out Patient Home Care Specialty Treatment Areas Driving; Schools ; Hands ; Lymph-edema; Vision; Home Modifications; Assistive Technology