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Commonsense

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Commonsense

My thoughts on why occupational therapy is anything but ordinary
  • Please don't let us down . . .

    I work in a community health care management network. Some of what I do is care management. Most of what I do is occupational therapy. Our program partners with primary care practices to support health management-typically by following up with patients...
  • Who cares?

    My first semester as an OT student, I worked as a graduate assistant on a phone survey about the impact of the "new" hospital prospective payment system on occupational therapy. Everyone I spoke to was "doom and gloom" about the changes...
  • Yes, I'm running for the AOTA Board of Directors-because stakeholders matter!

    The AOTA election opens today and continues through February 26th. When I started this blog, I did it because I wanted to share my ideas and my dreams about occupational therapy. It was intended as a campaign tool. Ever since my candidacy was confirmed...
  • Proposed Medicare settlement regarding "improvement"

    I was at the National Association for Homecare & Hospice Annual Conference when the news broke about the proposed settlement which would eliminate the "improvement" standard for Medicare beneficiaries to qualify or continue to qualify for...
  • Teach a man to fish . . . or help him become a fisherman?

    I've been an OT for going on a quarter century. During that time, I have seen--and owned--many tee shirts that used the old "give a man a fish . . . teach a man to fish" saying to convey what occupational therapy is about. After many years...
  • I detest 3-in-1s!

    It seems like it's standard operating procedure: Order a 3-in-1 when a patient is discharged to home from acute, rehab or SNF. If it hasn't happened by then, the home health OT orders it. The rationale: "that's what Medicare pays for...
  • Honeysuckle is blooming and I'm thinking of fieldwork . . .and our future

    It's early May. I was walking the dog late last evening and the scent of honeysuckle was heavy in the air. I can't help it--the scent always reminds me of fieldwork. Back in the 80s, sitting by an open window eating breakfast before driving 60...
  • It's OT Month: Live Life to Its Fullest

    I've been an OT for 22 years. That means I have a lot of tshirts, mugs, post it pads and pins with various designs and logos for OT Month. About 10 years ago, AOTA switched from having a different slogan for OT month every year to a slogan I really...
  • In home health: A happy coincidence

    On April 1, 2001, a new requirement goes into effect for Medicare home health, specifically for therapy documentation. In a nutshell, therapy documentation must substantiate the need for therapy in functional terms. There must be a reassessment of the...