Hello Chuck:

Thanks for the link, I hope other OTlisters will read the letter.

It  sort  of  highlights  my  previous  message  about AOTA not making
anything public regarding the dissension between the professions!!

Ron

===============================================
Wednesday, April 19, 2006, [EMAIL PROTECTED] wrote:

> Ron,

> Check out this page on APTA's website:
> http://www.apta.org/AM/Template.cfm?Section=Search&template=/CM/HTMLDisplay.cfm&ContentID=8895

> Click on the link "letter."   

> Chuck

>>>> [EMAIL PROTECTED] 04/19/06 10:03 PM >>>
> Hello  Chuck,  thanks  for  writing.  There are so many things in your
> message that it's difficult to respond to them all. So, I guess that I
> will just pick a couple topics.

> For  one, I don't blame AOTA for everything wrong with our profession.
> I  don't  really blame them for anything, I just don't agree with some
> of  what  does and doesn't go one. Obviously, I know NOTHING about the
> inner  workings of AOTA, all I know is what I read, either as official
> documentation  or  through non-official channels. I base my opinion of
> AOTA  on  these  sources.  I  have  no doubt that AOTA is full of hard
> working people, and I am not knocking anyone for doing their job. But,
> I  do  have  a difference of opinion about some things and I certainly
> feel that voicing that opinion is appropriate.

> Your  below  message  reiterates that OT is ideally suited to meet the
> needs  of people of all ages, however, I again take great exception to
> this statement. Many factors stand in the way of OT being able to meet
> peoples needs. Off the top of my head, here are a couple:

> 1. Lack of unity within our profession
> 2. Lack of name recognition among payers and referral sources
> 3. Lack of consistency in service delivery
> 4. Lack of consistency between philosophical base and service delivery
> environment

> Chuck,  I  don't  think that AOTA is to blame for these problems. I do
> think,  however,  that  when  AOTA  leaders  continually  focus on the
> positive  aspects  of our profession to the exclusion of the negative,
> then  they  are painting a false picture and doing a disservice to our
> profession.

> For  example,  a  while  back,  APTA was pushing hard to gain Medicare
> direct access. In the process, AOTA took a stand basically saying that
> if PT gets direct access, then so should OT and SLP. APTA took this as
> AOTA was not supporting them. The APTA president really came down hard
> on  AOTA  saying  that  they were reevaluating their relationship with
> AOTA.  Now,  AOTA was great about disseminating information about what
> how  they  had  gone  to  bat  for  our profession but they never once
> publicly  mentioned the dissension between APTA and AOTA. I think this
> is  wrong  and that AOTA should have let us know the entire story, but
> they  didn't.  PT's  knew  about  it because it was on their web page.
> Thus,  PT's  in the work force knew. I'm sure there were many OT's who
> were caught off guard by the situation, whereas had AOTA told us about
> it  and posted some information, then OT's could have probably taken a
> more informed stand.

> Thanks,

> Ron

> ==========================================
> Monday, April 17, 2006, 11:13:56 AM, you wrote:

>> Ron,

>> I hope that you will reconsider renewing your membership in AOTA and
> your state association.

>> For $80/year, I think the Florida Occupational Therapy Association
> does quite a bit for your dues.
>> http://www.flota.org/member.html 
>> As you probably know, your dues go to support a lobbyist and an
>> association management company in Tallahassee.  
>> This year FOTA created a political action committee to strengthen its
> influence.
>> http://www.flota.org/FOCUS/FOCUS%20March-April%202006.pdf
>> Three years ago AOTA worked with FOTA to defeat a proposal that
>> would have tripled licensure fees.

>> Certainly AOTA and the profession faces many challanges.   I think
>> it's easy to blame AOTA for everything that isn't going right in the
>> profession.  But is AOTA a building in Bethesda, Maryland or is AOTA
>> its individual members?  There are 115,000 occupational therapists
>> and occupational therapy assistants in the US.   AOTA has about
>> 35,000 members (including students).  The more members we have, the
>> more that we can do to move the profession forward.   

>> I terms of your quote from a leader in the profession, I think you
>> are refering to the AJOT article  From the Desk of the Executive
>> Director: Charting a Path for the Future which was published in AJOT
>> March/April 2005 Volume 59 / Number 2.  I will paste more from that
>> article to provide readers with some additional context.  

>> http://www.aota.org/ajot/getpdf.asp?doc=5921.pdf   In   viewing  the
>> prospects  that  lie ahead for occupational therapy, I am optimistic
>> and  enthused  about the opportunities the future holds. There is no
>> question  that  we  face  a  difficult  environment.  Changes in the
>> organization  and  delivery  of  health care services and reforms in
>> reimbursement  systems  driven by federal and state budget pressures
>> have  profoundly  affected occupational therapy practice. All health
>> care  professionals  are  increasingly being required to demonstrate
>> the  effectiveness  and  appropriateness of their services. Resource
>> constraints  have  fostered challenges to the traditional domains of
>> many  professions.  Nonetheless,  as a profession that offers unique
>> services  that are ideally suited to meet the health, participation,
>> and  quality  of  life  needs  of  people  of all ages, occupational
>> therapy  is  well-positioned  to  succeed  and  flourish in the 21st
>> century.  The  philosophy  and  conceptual  models  of  occupational
>> therapy  and  the  needs of society are intersecting to create great
>> opportunities  for  the future. The full realization of occupational
>> therapy's  potential  however  will  depend on vision, strategy, and
>> unity of effort within the professional community.

>> AOTA's Representative Assembly will consider a Proposed Centennial
>> Vision Statement at its 2006 meeting in Charlotte, North Carolina. 
>> Detailed background information is available on AOTA's website
>> including information about how the proposed statement came about.  
>> I will paste an excerpt below.   Elements to a shared vision were
>> identified, as were barriers.   Strategic directions emerged from
> additional discussions.

>> http://www.aota.org/members/area6/2006-ra/ce_VP2.pdf 
>> http://www.aota.org/members/area6/2006-ra/ce_centennial.pdf 

>> Here is the proposed statement:
>> "We envision that occupational therapy is a powerful, widely
>> recognized, science-driven, and evidence-based
>> profession with a globally connected and diverse workforce meeting
> society's occupational needs."

>> Here is the excerpt:

>> "During this process the participants considered member and
>> nonmember feedback, and generated shared vision
>> elements, identified important underlying barriers, and defined
>> four strategic directions to support the proposed
>> shared centennial vision.

>> The eight elements viewed as relevant to a shared vision included:
>> 1. Expanded collaboration for success
>> 2. Power to influence
>> 3. Membership equals professional responsibility
>> 4. Well-prepared, diverse workforce
>> 5. Clear, compelling public image
>> 6. Customers who demand occupational therapy
>> 7. Evidence-based decision making
>> 8. Science-fostered innovation in occupational therapy practice

>> Six barriers were identified:
>> 1. Rigid adherence to the status quo
>> 2. Misalignment between the current OT priorities and the external
> environment
>> 3. Limited appeal of AOTA membership
>> 4. Inconsistent competencies for education and practice
>> 5. Overemphasis on a "helping culture" in the OT workforce
>> 6. Unclear professional language and terminology

>> Four strategic directions emerged after a careful analysis of barriers
> and opportunities:

>> 1. Building the capacity to fulfill the profession's potential and
> mission.
>> This includes:
>> * Ensuring an adequate and diverse workforce for multiple roles
>> * Preparing OTs and OTAs for the 21st Century.
>> * Increasing research capacity and productivity
>> * Strengthening our capacity to influence and lead

>> 2. Demonstrating and articulating our value to individuals,
> organizations, and
>> communities.
>> This includes:
>> * Meeting societal needs for health and well-being
>> * People understanding who we are and what we do
>> 3. Building an inclusive community of members
>> 4. Linking education, research, and practice

>> Chuck Willmarth
>> Director, State Affairs
>> AOTA

>>>>> [EMAIL PROTECTED] 4/16/2006 4:08 PM >>>
>> For  one,  I  have  not considered my State association membership to
> be
>> worth  the  money.  Even  though I recently joined, I am not sure that
> I
>> will renew.

>> Regarding  AOTA,  I  am not pleased with the way our leaders present
> our
>> profession.  I  sometimes  feel  that some AOTA leaders have a
> PollyAnna
>> perspective.

>> For example, a while back one of our leaders stated:

>>         "In the United States, occupational therapy is ideally suited
> to
>>         meet the health needs of people of all ages."

>> Personally,  I  think  the  above  quote is far off-base and should
> read
>> something like:

>>         "In  the  United States, OT is missing the mark on being able
> to
>>         best meet the needs of patients who most need our services."

>> This is just one example of why I am questioning my financial support
> of
>> AOTA. Granted, AOTA has personally helped me but I am unsure of the
> cost
>> benefit of continued support.

>> Ron


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