The Importance of Timing

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Examples of the importance of timing are all around us. 

Consumers, health care providers and members of all political parties knew for years that the system of health care service delivery was broken.  The challenge had been an inability to come together and agree on a solution.  The 2009 health reform agenda advanced in large part because of timing.  Political analysts agree the timing had never been better to advance a health care reform initiative with a democratic White House, Senate and House of Representatives.

Several years ago, two therapists saw two distinct needs in practice: high numbers of job vacancies in rehabilitation and the desire of rehabilitation professionals to be able to have more flexibility and control of their schedules.  They took a risk and a rehabilitation contract company serving the local area was born.  The timing of the market and the workforce is why, today, they have more than tripled their contracts and staff of occupational therapy professionals, physical therapy professionals and speech language professionals.  Again, the timing was right.

 

The timing is right for us to demonstrate to the community at large the significance of occupational therapy in the United States health system.  How do we demonstrate this significance?

·         Cost effectiveness – At a time when federal and state budget deficits are out of control, everyone is looking for ways to save money.  Instinct tells people to make cuts but occupational therapy is a cost effective alternative.  We help people regain/gain the skills they need to live at their highest level of independence which often equates to less costs and higher quality of life.

·         Reducing Hospital Readmissions – The Affordable Care Act included provisions that will make changes to Medicare, one of which is to reduce hospital readmissions to avoid costly inpatient spending to the system.  Soon, hospitals will receive reduced Medicare payments for readmissions.  Occupational therapy professionals are frontline service providers that can save hospitals thousands of dollars each time we stop premature discharges.  People should not be discharged because it is Friday afternoon but because they are medically and physically ready to move on to another facility or to home.  We can show the value of occupational therapy by speaking up about why clients are not ready to discharge, our plan to get them ready, and present our position to doctors including the importance of readiness for discharge to avoid readmission penalties.

·         Prevention and Wellness – Occupational Therapy has been working to secure our place in the emerging area of wellness and prevention for over ten years.  The Affordable Care Act places emphasis on prevention and wellness.  The National Prevention Strategy published by the Office of the Surgeon General outline priorities that occupational therapy can align with.  These priorities combined with the knowledge and skill set of occupational therapy professionals makes the timing right for this area of practice to see significant growth over the next several years.

 

Now is the time that we as occupational therapy professionals and students need to be speaking up on these issues.  The Centennial Vision has strategically positioned us to take advantage of these opportunities ahead and capitalize on this moment in time to advance occupational therapy. 

  • I agree.  I think we need to start running research studies focusing on these things.  I think the first one will probably bring the biggest punch if we can prove that, since numbers can speak louder than words.