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OCTH 754 final
| Question | Answer |
|---|---|
| tool used to articulate that OT care is grounded in concept of meaningful occupations, looks at domain and context | OTPF |
| having to do with politics, country's system for governing members; ex. high-functioning disabilities not fitting definition, insurance policies | political |
| interaction between people, family, and social supports impacting family and community relationships; ex. language barriers, support system | social |
| factors that determine financial situation, status of trading goods and services; ex. insurance, vehicle access | economic |
| uncontrollable identifying info that influences diversity, background and similarities in specific areas, cultures; ex. culture's belief of healthcare | demographic |
| characteristics describing area, latitude and longitude, culture; ex. access within town | geographic |
| all people should have the opportunity to participate in everyday occupations regardless of who they are | occupational justice |
| policies and other things that restrict participation in everyday occupations of individuals and populations | occupational injustice |
| inclusion through occupational participation | occupational rights |
| social exclusion from participating in occupations | occupational alienation |
| exclusion from participation based on context | occupational deprivation |
| restricting population from participating in occupations when others have more opportunity | occupational imbalance |
| "we envision that OT is a powerful, widely-recognized, science-driven, evidence-based profession with a globally connected and diverse workforce meeting society's occupational needs" | centennial vision |
| what two things are consistent focuses of centennial vision | mental health and universal design |
| strategies: build capacity for profession's potential and mission; demonstrate value of OT; build inclusive membership community; linking education, research, and practice | centennial vision |
| "as an inclusive profession, OT maximizes health, well-being, and quality of life for all people, populations, and communities through effective solutions that facilitate participation in everyday living" | vision 2025 |
| strategic principle guiding AOTA: diversity, equity, and inclusion woven throughout AOTA; promotes these values in OT | transform |
| strategic principle guiding AOTA: policies, payors, and public-level efforts | advocate |
| strategic principle guiding AOTA: resource for knowledge, professional development, and leadership | build |
| occupational/job, education, and income achievements; can be for individuals or families; ex. access, quality of life, health quality | socioeconomic status |
| conditions in which people are born, grow up, live, work, and age; ex. economic stability, education access and quality, healthcare access and quality, built environment, social and community context | social determinants of health |
| group of individuals that share a common situation, social differences/implications between groups; ex. lower, working, middle, upper | class |
| when individual groups in society do not have equal access to opportunities and rewards, demographics; ex. gender, sexual orientation, ethnicity, age, disability, and wealth; this is unfair, unjust, avoidable, and unnecessary | social inequality |
| gap in access to healthcare, treatment provided, and health outcomes that are unfair and/or related to social inequalities or actions of health professionals; ex. refusing care for a specific demographic group | health disparity |
| dimension of access to services: amount/type of services based on population need; ex. lack of a children's hospital in an area, transportation, lack of access in rural areas | availability |
| dimension of access to services: location/supply related to population location and transportation; ex. transportation, lack of access in rural areas | accessibility |
| dimension of access to services: organization/appropriateness of services, population's ability to use services; ex. work hours, 24/7 ERs | accommodation |
| dimension of access to services: attitude between provider and population; ex. language, culture, religion, culture, SES | acceptatbility |
| dimension of access to services: price related to ability to pay; ex. insurance does not ensure access, authorization, out of network, preferred providers, specialized care | affordability |
| reformed US healthcare by expanding access to affordable and quality services, expanded coverage to include millions of Americans | Patient Protection and Affordable Care Act |
| expanded coverage of prev health services, expanded Medicaid & CHIP, linked payment to outcomes for Medicare, mental health & substance abuse services, rehab & preventative care, eliminating lifetime benefits, prohibiting denial or pre-existing conditions | Patient Protection and Affordable Care Act |
| created insurance marketplace and exchange where people could buy/shop for insurance rather than employer-provided | Patient Protection and Affordable Care Act |
| the Patient Protection and Affordable Care Act provides free ____ ____ such as wellness checks, screenings, and vaccines | preventative care |
| ended lifetime and yearly dollar limits | Patient Protection and Affordable Care Act |
| this population is more likely to delay or forego care due to costs, less likely to receive preventative care and services for major health conditions and chronic diseases, often face unaffordable medical bills when they do seek care | uninsured |
| under what did states expand Medicaid coverage to low-income adults | Patient Protection and Affordable Care Act |
| provision of integrated, accessible healthcare services through sustained partnership with client in context of family and community, comprehensive care involving a team-based approach for addressing community needs | primary care |
| since Patient Protection and Affordable Care Act there is an increased emphasis on what three things | manage chronic diseases, improving population health, preventative services |
| quadruple aim-improving experience of care, improving population health, reducing cost of care, caring for physicians to help reduce burnout | primary care |
| occupational engagement impacts management of chronic conditions and improves health and wellness, maximizing strengths and addressing barriers, developing habits and routines to promote a healthy lifestyle | OT's role in primary care |
| codification of shared values of a society, serve to address ways issues/challenges are handled, divided into categories based on populations they serve and values they represent | public policies |
| in the US, which type of leadership has the Constitution as their source of power and has the roles of financing, regulation, organization, and delivery | government |
| in the US, which type of leadership has capitalistic markets as their source of power and has the roles of financing, organizing, and delivery | free enterprise |
| type of government: individualism, healthcare is an earned reward through employment, and private charities treat the poor | libertarian |
| type of government: society is the source of responsibility, healthcare is a prerequisite for work, and government programs treat the poor | egalitarian |
| type of government: society is the source of responsibility, healthcare is based on the greatest good for the greatest number, treatment of poor is part of public health initiatives | utilitarian |
| basic principle that deals with fairness and equitable entitlement in distribution of resources, goods, and services | justice |
| concerned with deciding who gets resrouces when they are limited | distributive justice |
| who is the biggest OT advocate | AOTA |
| ethics and motivation, knowledge of systems and processes, assertive communication | skills for advocacy |
| type of advocacy: helping a client who can not help themselves, empowering/providing resources to client, requires OTs and clients to have knowledge on reimbursement, most common type | client advocacy |
| type of advocacy: advocate for OT referrals when appropriate, appropriate and ethical behavior of peers | professional advocacy |
| type of advocacy: being informed on issues, lobbying, involvement in professional campaigns | legislative and regulatory advocacy |
| what is the largest type of insurance coverage in US | employer - based |
| protects individuals and organizations from financial loss; contract identifies covered services, patient costs, cost limits; contract between carrier and patient or carrier and provider | insurance |
| criteria set by carrier of who can join risk pool | eligibility |
| medical illnesses or injuries diagnosed by provider, often lists events that aren't too | covered events |
| benefits available based on type of covered event | covered services |
| rules that limit cost of services; ex. overall plan limit, out-of-pocket limit, deductible, co-payment, co-insurance | beneficiary cost limits |
| amount available over a lifetime of a covered member | overall plan limit |
| amount beneficiary is required to play during a plan year, limits on use of covered services; includes deductible, co-payment, and co-insurance | out - of - pocket limit |
| amount paid before reimbursement begins | deductible |
| percent of cost responsible for | co - insurance |
| amount paid each time service is received | co - payment |
| essential coverage limits providers must understand; reimbursement; ex. case rate, fee schedule, capitation | provider cost limits |
| procedure, inclusive payment, ex. per diem/visit | case rate |
| flat fee for a set period, ex. 1 month of care | capitation |
| list of procedure payments, services covered under scope of practice, negotiated between provider and carrier | fee schedule |
| type of reimbursement plan: work-related coverage or commercial, privately purchased coverage | private medical insurance |
| type of reimbursement plan: Medicare or Medicaid | public medical insurance |
| type of reimbursement plan: personal out-of-pocket payment, no coverage, pay for services rendered | self - pay |
| varying inpatient coverage, not all include outpatient coverage, high or low deductible plans, flexible spending accounts available, usually reimbursed fee for service, limits on services and $ amounts | private medial insurance |
| often requires pre-authorization before services, most require physician referral, coverage based on diagnosis and number of visits, restrictions may be yearly or per incident, restrictions out of network | private insurance OT coverage |
| coverage for those 65+, under 65 with certain disabilities, and people of any age with end-stage renal disease; must be under a physician's care; services must be reasonable and necessary; paid for by government, payroll taxes, and premiums | Medicare |
| part of Medicare: covers inpatient PPS acute hospital, critical access hospital, SNFs, home health, inpatient rehab facility, inpatient psychiatric hospital | part A |
| potential consequence of using a diagnostic-related group for payment | may encourage a focus on shortening stays |
| defined by needing a supportive device, special transport, and/or requires assistance from others to leave home; has inability to leave home without extensive effort; exception for medical appointments | homebound |
| part of Medicare: pay 20% after deductible is met; fee-for-service payment; covers hospital outpatient departments/clinics, SNFs, OT services in SNFs, home health, outpatient rehab, private practice | part B |
| requires evaluation, certified plan of care, treatment encounter notes, medical necessity, progress reports | documentation |
| part of Medicare: managed by external insurance payers, may require pre-authorization, functions more like private coverage, should follow Medicare rules and regulations, bundled and fee-for-service payment | part C |
| federally- and state-funded programs; eligibility: low-income elderly, kids, pregnant women, those with disabilities, parents with low income; reimbursement rates are low | Medicaid |
| what percent of people enrolled in Medicaid are children | 43% |
| type of pediatric funding: program that provides reasonable health coverage for kids (not families) in low-income families but earn too much for Medicaid, administered by states | CHIP |
| type of pediatric funding: coverage for screening and diagnostic services up to 21 years; covers medical visits, vision, hearing, and dental | early and periodic screening, diagnosis, and treatment |
| type of pediatric funding: Medicaid must pay for education-related services that are medically necessary; IDEA | schools / early intervention |
| provides a standard language when describing function and disability; framework rooted in person, their performance, and their performance context; health is defined as a good match between person's health status and context surrounding activities | International Classification of Function |
| focuses on changes in body structure and function, person's level of capacity, person's level of performance; used by WHO along with ICD-10 | International Classification of Function |
| problems in body system, physiological or psychological | impairment |
| execution of task or action | activity |
| involvement in a life situation | participation |
| difficulties with executing activities | activity limitation |
| problems experienced in a life situation | participation restriction |
| physical, social, and attitudinal environment in which people live and conduct their lives; can be barriers or facilitators to person's function | environmental factors |
| allows for a standardization for reporting across disciplines and countries; important for advocating for OT outside of US, understanding and applying EBP across countries, understanding rates of disability and limitations across the world, dev. practice | International Classification of Function |
| promotes OT internationally; promotes right to access of occupations and works against global conditions that threaten the right to occupation including poverty, disease, and social determination, displacement, natural and man-made disasters, and conflict | World Federation of OT |
| important work and resources on human rights and OT, environmental stability and OT, diversity and inclusion in OT, COVID and pandemic responses affecting OT | World Federation of OT |
| global healthcare payment model: social health insurance model; employers and employees contribute to sickness funds, private insurance covers everyone, government controls cost; France, Germany, Netherlands | Bismark model |
| global healthcare payment model: national health service; government is sole payer through central health service standard benefits for all, no out of pocket costs; Australia, Ireland, Italy | Beveridge model |
| global healthcare payment model: publicly run plan that everyone contributes to, private sector providers, no claim denials, medical necessity is defined nationally, government processes all claims; Canada and Taiwan | National Health Insurance model |
| global healthcare payment model: market-driven healthcare; wealthy can purchase commercial insurance, if no insurance or can't afford patients pay for procedures out of pocket, no cost controls in place; Chile, China, Nigeria | Out of Pocket model |
| how many tribes are there is SD | 9 |
| what percent of SD's population is AI/AN | 8.3 |
| how many federally-recognized tribes in US | 574 |
| person belonging to tribal nations of continental US and tribal nations of Alaska | American Indian / Alaska Native |
| all native people of US and its territories as well as people from Canadian First Nations and Indigenous communities in Mexico and Central and South America who are US residents | Native American |
| eligibility: set by each government, require lineal descendance from citizen, blood quantum requirement | tribal citizenship |
| each tribal nation determines their own criteria | sovereign nation |
| states with highest population of AI/AN | Alaska, Oklahoma, and New Mexico |
| where is IHS headquarters | Rockville, Maryland |
| mission: raise physical, mental, social, and spiritual health of AN/AIs to the highest level; vision: healthy communities and quality healthcare systems through strong partnerships and culturally-responsive practices | Indian Health Service |
| goals: ensure that comprehensive, culturally-appropriate personal and public health services are available and accessible; promote excellence and quality through innovation; strengthen program management and operations | Indian Health Service |
| head of this area is located in Aberdeen, SD; tribal involvement is a major objective of the program and several tribes have assumed management of their healthcare systems via contractual arrangements with IHS | Great Plains Area IHS |
| Department of Interior, DHHS, Administration for Children and Families, Department of Education, Department of Justice, Housing and Urban Development | federal agencies that provide funding for IHS |
| this population dies at higher rates than others from tuberculosis, diabetes, suicide (highest rate in youth among all groups in US), alcoholism, vehicle crashes, injuries | native Americans |
| history of genocide and boarding school experiences have led to what along with poor health outcomes | historical trauma |
| traumatic events before age 18; strong predictor of risk for numerous chronic and behavioral health outcomes; include poverty, racism, and substance abuse; can lead to depression, anxiety, and poor health outcomes | ACEs |
| describes what OTs do and why, tells or story to government entities or other payers and researchers, avoids denials | coding |
| descriptions of various procedures provided, supplies and DME are not included, 5-digit number codes describing medical services provided that show up on patient billing, required for reimbursement, service-based or time-based | current procedural terminology codes |
| type of CPT code: billed as 1 unit regardless of time it takes to complete; accounts for varying complexity of clients, not being charged or reimbursed more or less for time; ex. evaluation codes, PAMs | service - based codes |
| type of CPT code: per 15 minutes of therapeutic modality, Medicare 8-minute rule vs. AMA rule of 8s or Midpoint Rule, site of employment typically determines which method to follow | time - based codes |
| type of time-based coding: allows therapists to bill for a unit that lasts at least 8 minutes but not exactly 15 minutes, timed services only, created by CMS | Medicare 8 minute rule |
| type of CPT code: evaluation of significant changes in client's functional or medical status; revised plan of care to create new goals or update; update to initial OT profile reflects changes in conditions and goals | re - evaluation codes |
| 0 units = 1-7 minutes, 1 unit = 8-22 minutes, 2 units = 23-37 minutes, 3 units = 35-52 minutes, 4 units = 53-67 minutes | Medicare 8 minute rule |
| midpoint of substantial portion rule, 1 unit requires at least 8 minutes to bill for a service, may be used by private insurance payers, each service is reviewed and assigned units separately | AMA rule of 8s |
| if a client does 40 minutes total of therapy (33 of one code and 7 of the other) how would Medicare 8 minute rule bill that | 2 units of one code and 1 unit of the other |
| if a client does 40 minutes total of therapy (33 of one code and 7 of the other) how would AMA rule of 8s bill that | 2 units for the 33 minute one and 0 units for the 7 minute one |
| new codes allow for training when client can not actively engage in training activities or when caregiver is not ready to learn a new skill on the client, Med B reimburses for this, for informal and unpaid caregivers, must be documented as necessary | caregiver codes |
| standardized Medicare payment for lymphedema compression items; OTs need a certification to implement; coverage-Med B; items-standard and custom fit, bandaging, accessories, and aids | lymphedema treatment act |
| role is not always clear; continues to be a push for direct access to therapists; not only reduces costs but also improves overall health, quality of life, and daily participation of individuals and their caregivers | OT's role in primary care |
| healthcare if shifting to value-based vs. what | volume - based |
| these are changing our perspective on healthcare and future of how OTs will be utilized; looks at readmission rate; shift to prevent care; OT's role is educating, focus on overall health, OT is preventative, safety | accountable care organizations |
| involvement in well child exams, working with social worker for kids/behaviors, ER collaboration, ergonomics, mental health, working with people with disabilities, schools | OT in primary care |
| set charges on certain items, however at times you are working with a population that has limited resources | private billing |
| level of care: services delivered following a referral from a provider; ex. specialist physicians and therapies | acute secondary care |
| acute inpatient care: advanced medical services needed; OT interventions-ADLs, ROM, bracing, positioning | intensive care units |
| acute inpatient care: often entry into hospitalizations; next higher level from ICU; once medically stable able to transition to this form of care; OT interventions-ADLs, transfers, safety, IADLs, strengthening | acute care |
| once tolerance has been built this is an option; must tolerate at least 3 hours of therapy per day; OT interventions-ADLS, more advanced neuro techniques, IADLs, strengthening, community reintegration, plan for home | inpatient rehab |
| after staying in acute care for at least 3 nights; less intense; needs continuous therapy before leaving; focus is on home setting situation; needs to be evidence of improvement to remain at this level of care | skilled care / swing bed |
| requires collaboration; focus on what next placement will be; reimbursement/billing-day rate charge, services come out of this | acute care |
| level of care: highly-specialized care; patients are in a more critical condition; ex. cancer units, burn units, neurosurgery, transplant units, cardiac surgery | tertiary care |
| ex. of tertiary care: management of ADLs through adaptations; management techniques to support health and ability to participate in meaningful activities; ex. cognitive strategies, low-energy tasks focused on restoring participation | cancer / transplant units |
| ex. of tertiary care: wound care, splinting/bracing of upper extremity | burn units |
| ex. of tertiary care: depends on surgery, how are they going to do normal ADLs/IADLs, energy conservation; restrictions/limitations | cardiac / neurosurgery |
| after this people typically go to home health/hospice, nursing homes, assisted livings, outpatient therapies | post acute care |
| ex. of post acute care: clients must meet qualifying criteria, OT can not be admitting reason, patients must be homebound and can only leave for appointments or hair or church | home health / hospice |
| ex. of post acute care: value-based care vs. volume-based; if not skilled qualify for Med B, patient has a room rate to pay | nursing homes |
| type of nursing home: billed same as swing bed, new model does payment based on diagnosis and co-morbidities | skilled nursing facilities |
| ex. of post acute care: similar to nursing homes, can bill Med B | assisted living |
| ex. of post acute care: vision therapy, pediatrics, ADLs, adaptive equipment training, neuro, lymphedema, wheelchair positioning/fitting, hand therapy, driving rehab | outpatient therapy |
| benefits: no days are the same, seeing a patient through much of continuum of care, build strong relationships with clients; challenges: do everything, advocacy to providers, difficult to determine where to focus continuing education | rural healthcare |
| credentialing, referral process, scheduling, post-evaluation | outpatient pediatric evaluation process |
| evaluation level: occupational profile and brief history, 1-3 performance deficits, low complexity clinical decision-making, no comorbidities, no modification of tasks, limited treatment options, few concerns | low |
| evaluation level: expanded review of occupational profile and history, 3-5 performance deficits, moderate complexity clinical decision-making, may present with comorbidities, min to mod modification of tasks, several treatment options | moderate |
| evaluation level: extensive additional review of occupational performance and history, 5+ performance deficits, high complexity clinical decision-making, may present with comorbidities, significant task modifications, multiple treatment options | high |
| codes for diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external cause of injury or diseases; reimbursement for evaluation | ICD - 10 |
| describes medical, surgical, and diagnostic services; reimbursement for treatment sessions | CPT codes |
| program for those whose income is too high for CHIP and Medicaid but have significant health needs | medically needy program |
| services for kids 3-21; ensures child can access education environment; part B of IDEA; no cost to family or child, state pays; OT and PT are related services; Rehab Act of 1973, Section 504 | IEP |
| IDEA part C; infants and toddlers with disabilities, birth to 3; voluntary state program | individualized family service plan |
| how to qualify: request/consent to eval, duration is typically a year, frequency determined/approved by team, considered a contract and legally-binding, qualify based on skill deficits identified by standardized and/or skills-based assessments | OT services in schools |
| other roles: staff training, classroom meetings, assist teachers with lesson planning, recommendations to teachers, IEP meetings, IEP planning meetings, equipment modifications/support | OT in schools |
| review strengths, propose frequency for OT, highlights needs/goals in order to be most successful in education program | annual IEP |
| part of Medicare: covers medications, depends on plans, premium based on income | part D |
| system based on volume of therapy services, patient diagnosis, and co-morbidities for reimbursement; classifies into 5 categories | patient - driven patient model |
| designed to be collaboration score of usual performance between nursing and therapy within 3 days of admittance; typically done by OT/PT eval, gives a score to areas therapy assesses | section GG |
| entity or private company that has a contract with CMS to determine rates for therapy services via CPT codes | fiscal intermediary |
| Med B covers what percent of outpatient therapy services provided at clinics, residents in SNFs that are not under Med A, and private practitioners | 80% |
| indicates documentation exists to certify medical necessity of service | KX modifier |
| for services in excess of $3000 targeted medical review may occur | threshold |
| pros: large number of individuals in plan, can be more affordable, more comprehensive services, may not have out-of-pocket payments; cons: frequently use HMOs, may be limited in flexibility and coverage types, may not be able to cover family members | employer - based insurance |
| unique number that allows you to provide reimbursable OT services | National Provider Identifier |
| reflects ongoing efforts by OT boards and advocacy groups across all 50 states; allows OTs to be licensed in all states within it; 2025 expected to start issuing privileges; OTs have to apply to be included | OT compact |
| able to work outside insurance scope of care, allows for flexibility with referrals, clients can begin/access services rapidly, allows for a more tailored approach | benefits of cash - based services |
| cash-based service: typical eval/assessment paired with a post-eval meeting; meetings involve entire team and provide analysis of occupational breakdown, assessment results, collaboration on goals, detailed plan moving forward | evaluation bundle |
| cash-based service: parents are directly involved in sessions with emphasis on working with child on goals and parents observing and engaging | parent - child sessions |
| cash-based service: not typical, for clients that do not want parent present, parents must still be in the home, must be paired with parent collaboration sessions, often used in trauma-based or teenage cases | child - only sessions |
| cash-based service: therapist and parent only; discusses ongoing area of struggles, specific work for parent, guidance for parents; recommended for all clients at least 1x/month | parent collaboration sessions |
| cash-based service: working with multiple people in family on relationship skills | sibling and/or family sessions |
| cash-based service: opportunity for all to meet to get on the same page and share info/goals, best for carry over of each provider's goals into one another's sessions | care / team meetings |
| this type of service is a good option for clients that struggled in traditional settings, struggle with transport and scheduling, want to work on skillset for family/parent relationships, need help getting team on same page, needs 1 on 1 support | waiver - based |
| type of practice: advocates for best practice; involves caregivers & team; teaching, support, training, counseling; recognizes that best fit looks diff for diff people; supports clients with a variety of needs; more non-traditional ways to practice | mobile practices |
| what is the fastest growing cohort of veterans | women |
| core value of VA: act with high moral principle, adhere to highest professional standards, maintain trust and confidence of those I serve | integrity |
| core value of VA: work diligently to serve veterans and other beneficiaries, be driven by an earnest belief in VA's mission, fulfill my individual responsibilities and organizational responsibilities | commitment |
| core value of VA: be truly veteran-centric by identifying, fully considering, and appropriately advancing interests of veterans and other beneficiaries | advocacy |
| core value of VA: treat all those I serve and with whom I work with dignity and respect, show it to earn it | respect |
| core value of VA: strive for highest quality and continuous improvement; be thoughtful and decisive in leadership, accountable for my actions, willing to admit mistakes, and rigorous in correcting them | excellence |
| Veterans Health Administration and National Cemetery Administration | veterans administrations |
| eligibility for VA services: served in active military for 24 continuous months or full period for which they were called to active duty; exceptions could be discharged for disability, hardship, or early out | veteran status |
| eligibility for VA services: received a discharge under conditions other than dishonorable | character of discharge |
| eligibility for VA services: veterans who are determined by VA to be disabled due to an injury/illness which was incurred or aggravated during active military service | service connected |
| eligibility for VA services: disabilities VA presumes to be caused by military service due to exposure | presumptive conditions |
| eligibility for VA services: veterans must have served honorably with at least 1 during a wartime period | VA pension benefits |
| VA priority group: 50% or more service connected, unemployable due to service conditions, Medal of Honor | group 1 |
| VA priority group: 30-40% service connected | group 2 |
| VA priority group: former prisoner of war, purple heart recipient, line of duty disability, 10-20% service connected, vocational rehab | group 3 |
| VA priority group: aid and attendance or household benefits from VA, VA determines veteran to be catastrophically disabled | group 4 |
| VA priority group: non-service connected or non-compensable service connected disability rated by VA as 0% and below income limit, VA pension, Medicaid eligible | group 5 |
| VA priority group: compensable 0%; radiation, Project 112/SHAD, in Country Vietnam, Persian Gulf, Camp Lejune, Combat Theater; eligible for 5 years | group 6 |
| VA priority group: gross household income below VA GMT limit | group 7 |
| VA priority group: gross household income above VA GMT limit | group 8 |
| America's largest integrated healthcare system, serves 9 million enrolled veterans each year, largest single employer of OTs | VHA |
| aging in place/home safety, amputation, assistive tech, geriatrics, hand therapy, mental health, cancer rehab, driver's rehab, home-based primary care, homelessness, pain rehab, seating and mobility, SCI/TBI, brain injury, vision loss/low vision | OT services within VHA |
| ADL assessment and training, DMEs and adaptive equipment covered, DME assessment for ADLs free for all enrolled veterans, home safety eval and training covered | VHA coverage of OT |