OT and Value-Based Care

Earn 1 hour of continuing education by joining OT Potential after taking this course.

Scheduled to be released on Jan 2, 2024.

We’ve all known for a while that the current fee-for-service models that most occupational therapists operate under are bad for patients and bad for healthcare. 

Why? 

Because it incentives volume of services over quality of services. 

If you’re like me, you may feel like you’ve been waiting for years for value based care to really take hold in the United States. But, this new future has felt like a distant reality. 

Our guest today, Dana Prommel Strauss, PT, sees things from a different vantage point. As she’ll share in this episode, the future is actually here, it is just not evenly distributed. 

Value-based programs have been piloted and they are on the cusp of rapid expansion in the United States. In our episode today, Dana will walk us through the value-based models that are currently out there, what ones are coming, and what you as an OT professional can do to prepare for this much-needed new reality. 

Supporting Research and Journal Articles Explored

• Value-based outcome evaluation methods used by occupational therapists in primary care: A scoping review
• The use of PROMs and shared decision-making in medical encounters with patients: An opportunity to deliver value-based health care to patients
• Translating Knowledge to Optimize Value-Based Occupational Therapy: Strategies for Educators, Practitioners, and Researchers

Learning Objectives

• You will recognize emerging payment models for OT services.
• You will be able to identify concrete ways you can adjust your practice to prepare for value-based care payment models. 

Agenda

Intro (5 minutes)

Discussion on practical implications for OTs (55 minutes)

• Can you tell me the story of how you arrived at your current role at CVS? 
• What is wrong with the fee-for-service model? 
• Can you tell me the story of your first venture into value-based care and how that opened your eyes?
• What value based care models are out there right now in the United States that OTs can be scanning for? 
• How do we integrate ourselves into these models?
• What outcomes will it become important for us to measure in these models?
• What value-based care models do you see coming in the future?
• I read that it is the federal government’s goal to have all Medicare beneficiaries in a value-based arrangement by 2030—how sweeping is this change to value-based care going to be? 
• How do we keep up? And, what information do we need to arm ourselves with? 
•  What are your hopes and fears for value-based care? 

Target Audience/Educational Level

Our target audience is occupational therapy practitioners who are looking to learn about AI and Clinical Decision Support.  The educational level is introductory.

Financial and Non-financial Disclosures

It is the policy of OT Potential to disclose any financial and non-financial interest the provider or instructor may have in a product or service mentioned during an activity. This is to ensure that the audience is made aware of any bias of the speaker.

We here at OT Potential have no financial stake in this topic. 

Speakers

Dana Prommel Strauss, DPT

Dana took her clinical experience as a doctor of physical therapy and expertise in the health care continuum and transitioned her career to value based care and policy analysis and expertise. She believes the healthcare system can meet everyone’s needs better. Her passion is moving towards the optimal patient experience and outcomes wherever an individual is in the spectrum of wellness, illness or injury, chronic care, or serious illness. She is optimistic about payer/provider synergistic relationships making healthcare better for everyone along the care continuum and is confident that innovative re-imagining of the roles and responsibilities of sites of care, including the home, can lead to higher value and superior quality of care for all. She recognizes there is a common imperative of a culture shift to dismantle the barriers and unlock the possibilities that lead to true care transformation. She uses insights gleaned from close collaboration with data analytics to demonstrate opportunity to providers and sites of care delivery, moving the needle on change.

Dana is a subject matter expert in care transitions, care coordination, all sites of the acute and post-acute care continuum and their payment incentives and structures, case management, and alternative payment models. She has worked directly with hospitals and physician partners successfully implementing BPCI, CJR, BPCI-A, accountable care organizations, and other alternative payment models. She has strong experience in leadership, strategic partnerships, business development, rehabilitation, and mentoring clinicians and budding leaders. Her special interests are palliative care and home-based care, and how they can strengthen new care delivery models and the shift to value.

Sarah Lyon, OTR/L

Sarah’s passion is helping fellow OT practitioners translate evidence into daily practice. Sarah earned her BA in religion from St. Olaf College, then earned her master’s degree in occupational therapy from New York University in 2011.

Since then, she’s worked in numerous facilities, including a critical access hospital, an acute trauma hospital, and a state inpatient psychiatric hospital. Sarah is the founder/owner of OT Potential. Read more about OT Potential here.

This course was designed to meet your continuing education requirements

We designed the courses in the Club to meet the requirements for “online” and “independent/self-study” courses. To verify the requirements from your specific state (within the US), check out our post, OT Continuing Education Requirements. If you are outside of the United States and have questions, please contact us.

We are proud to be an AOTA Approved Provider and to meet the requirements for your NBCOT renewal.

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