Amen, Joe!

You asked: "How many of us in the US will welcome the
mandatory state or national association membership
along with a yearly 'recertification' process by the 
NBCOT, similar to the Canadian system?"

I would!  And, I absolutely agree with you that the
Canadians have it right.  In fact, you beat me to
stating that (I was going to post a message stating
this same thing).  Thanks for sharing this thought. 
How feasible do you think this would be to implement
in the U.S.?  I sure hope that many more of us,
including our leadership will get on board with this
notion.

Bill Maloney, OTR
[EMAIL PROTECTED]


--- [EMAIL PROTECTED] wrote:

> Send OTlist mailing list submissions to
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> 
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> visit
>       http://otnow.com/mailman/listinfo/otlist_otnow.com
> or, via email, send a message with subject or body
> 'help' to
>       [EMAIL PROTECTED]
> 
> You can reach the person managing the list at
>       [EMAIL PROTECTED]
> 
> When replying, please edit your Subject line so it
> is more specific
> than "Re: Contents of OTlist digest..."
> 
> 
> Today's Topics:
> 
>    1. Re: The Public Occupational Therapy Journal -
>       OccupationalTherapy and Evidence Based
> Practice (Joe Wells)
>    2. Re: OTlist Digest, Vol 15, Issue 8 (Joe Wells)
> 
> 
>
----------------------------------------------------------------------
> 
> Message: 1
> Date: Sun, 23 Apr 2006 17:19:26 -0400
> From: "Joe Wells" <[EMAIL PROTECTED]>
> Subject: Re: [OTlist] The Public Occupational
> Therapy Journal -
>       OccupationalTherapy and Evidence Based Practice
> To: <[email protected]>
> Message-ID:
> <[EMAIL PROTECTED]>
> Content-Type: text/plain; format=flowed;
> charset="iso-8859-1";
>       reply-type=original
> 
> Congratulations Urs! Sites like yours are much
> needed by the OT community. I 
> wish you and the other organizers the very best and
> congratulate you on a 
> work well done.
> 
> Joe Wells
> www.americare-health.com
> www.f-cot.org
> 
> 
> ----- Original Message ----- 
> From: "Urs Albisser" <[EMAIL PROTECTED]>
> To: <[EMAIL PROTECTED]>
> Sent: Sunday, April 23, 2006 8:38 AM
> Subject: [OTlist] The Public Occupational Therapy
> Journal - 
> OccupationalTherapy and Evidence Based Practice
> 
> 
> > Hi OT's,
> >
> > I am working in the neurological department of a
> rehabilitation clinic in
> > Switzerland. I have built a new international
> community website named 'The
> > Public Occupational Therapy Journal' the goal of
> which is to bring 
> > together
> > the knowledge of clinical expertise and evidence
> based practice in
> > occupational therapy. Well, now the site is ready
> for use and accessible 
> > on:
> >
> > www.ot.public-journal.com
> >
> > Because it's a new site there are only a few
> contributions added as yet, 
> > but
> > you can change all that if you take part actively!
> >
> > Discussion forums:
> > It would be great if you could take part in
> numerous discussions in the
> > 'Occupational Therapy Forum' and/or the forum
> concerning Evidence Based
> > Practice.
> >
> > Downloads:
> > As mentioned above, the aim of the site is to
> bring together knowledge
> > relating to occupational therapy -perhaps you have
> written professional
> > articles or have given a lecture relating to O.T.
> you would like to 
> > submit.
> > You can upload entire documents in the download
> section to provide them to
> > other OT's.
> > So do profit yourself with the knowledge from
> documents uploaded by other
> > OT's and they will certainly appreciate your
> articles, presentations or 
> > any
> > other specific professional documents too!
> > (Important: Please check the copyright of the
> documents before you upload
> > them. If necessary get the approval prior to
> publishing/copying etc - Only
> > the owner of the copyright decides on what happens
> with his or her
> > document).
> >
> > News:
> > Do you have some news relating to occupational
> therapy? Post them for free
> > to one of the following topics:
> > | Articles | Books | Downloads | Education |
> Events | Jobs | News | 
> > Projects
> > |
> >
> > Links:
> > Do you know interesting OT websites? If so, you
> can add them to our link
> > module. Or if you are an owner of a website
> yourself then it would be 
> > great
> > if you could in turn link back to us. Please help
> to make The Public
> > Occupational Therapy Journal known. Thank you very
> much!
> >
> >
> > If you would like to let me know what you think
> about the website, I'd be
> > very pleased to get your feedback.
> >
> > Thank you in advance.
> >
> > Best regards,
> >
> > Urs Albisser
> >
> >
> > -- 
> > Unsubscribe?
> >  [EMAIL PROTECTED]
> >
> > Change options?
> >  www.otnow.com/mailman/options/otlist_otnow.com
> >
> > Archive?
> >  www.mail-archive.com/[email protected]
> >
> > Help?
> >  [EMAIL PROTECTED]
> >
> > 
> 
> 
> 
> 
> 
> ------------------------------
> 
> Message: 2
> Date: Sun, 23 Apr 2006 17:45:59 -0400
> From: "Joe Wells" <[EMAIL PROTECTED]>
> Subject: Re: [OTlist] OTlist Digest, Vol 15, Issue 8
> To: <[email protected]>
> Message-ID:
> <[EMAIL PROTECTED]>
> Content-Type: text/plain; format=flowed;
> charset="iso-8859-1";
>       reply-type=original
> 
> How many of us in the US will welcome the mandatory
> state or national 
> association membership along with an yearly
> 'recertification' process by the 
> NBCOT, similar to the Canadian system?
> Currently, the cost of AOTA membership is $225.00.
> With 35,000 members, AOTA 
> receives revenues in the amount of approximately $
> 7,875,000.00 through 
> membership dues. If all practicing OT and OTAs
> (~115,000) were manadated to 
> become members, the same amount of revenues could be
> generated by charging 
> less than $70.00 per individual. Again the costs
> such as maintaining an 
> online library etc. would drive down due to
> increased sharing.  I was told 
> that an institution that had approximately 200
> members were required to pay 
> $ 12,000.00 per year to access the OVID Gateway
> (Medline, ACP, Cochrane, 
> CINAHL, Medline, OVID all included). However,
> individual access costs around 
> $ 250.00 yearly. I am assuming that with mandatory
> membership we could bring 
> the governance process under one umbrella, better
> serve membership interests 
> and have a more unified existence at a much lower
> cost to the practitioners. 
> In my opinion the Canadians have it right again!
> Joe
> 
> 
> 
> 
> 
> 
> 
> 
> 
> ----- Original Message ----- 
> From: "Bill Maloney" <[EMAIL PROTECTED]>
> To: <[email protected]>
> Sent: Sunday, April 23, 2006 12:09 AM
> Subject: Re: [OTlist] OTlist Digest, Vol 15, Issue 8
> 
> 
> > Ok, I've been sitting on the sidelines for a bit,
> but
> > now must speak up.  Chuck, regarding a few of the
> > "eight elements viewed as relevant to a shared
> vision"
> > from the "Proposed Centennial Vision Statement"
> you
> > detailed in Vol 15, Issue 8:
> >
> > "3. Membership equals professional responsibility"
> >
> > How about we start by unifying our professional
> > competence governance (in reference to one of the
> "six
> > barriers" identified in the proposal "4.
> Inconsistent
> > competencies for education and practice")  I pay
> dues
> > to the AOTA, get access (albeit LIMITED - more
> about
> > this later) to the "members only" section of the
> > website.  Then, to legally use the designation of
> OTR,
> > which I initially earned after passing the
> > certification exam (issued originally by the AOTA
> > prior to its historic, and well-publicized battle
> with
> > what's now the separate entity known as the NBCOT)
> I
> > pay an extra $60.00 biennially.  Come on.
> > Professional responsibility indeed.  What about
> the
> > responsibility of the leadership to it's paying
> > members?
> >
> > Then, from the "six barriers identified" we have:
> > "3. Limited appeal of AOTA membership"
> >
> > Well, for starters refer to the above information.
> > Can you tell me why any responsible consumer would
> be
> > attracted to pay into such a chaotic and
> non-cohesive
> > organization?  We can't even agree amongst our own
> > colleagues as to how to credential and identify
> our
> > practitioners:  we have OTR, LOT, OT/L, OTA/L,
> COTA,
> > LOTA, LOTR.  Are you kidding me?  Professional
> > identity indeed!  Check out our colleagues on the
> > other side of the isle, and chances are you'll
> find
> > one designation: PT or SLP----period.
> >
> > It is a little surreal to read all of the
> > "cheerleading" and well-meaning pseudo-positive
> > statements from the leadership individuals posting
> to
> > this list.  I suggest we cease with all the
> political
> > rhetoric and posturing and start by unifying our
> > profession once again, present a TRUE united
> front,
> > then build a plan to be a relevant player in the
> > healthcare environment.  I mean seriously, did
> > everyone read the same posting from Chuck that I
> did?
> > Is it me, or is it fraught with useless committee
> > lingo?  No offense intended to anyone, but can we
> > please see some real results before imploring
> > practitioners to  "be responsible" by joining?
> >
> > And finally, my last rant:
> > Under the "Four strategic directions emerged after
> a
> > careful analysis of barriers and opportunities"
> > section:
> > "1. Building the capacity to fulfill the
> profession's
> > potential and mission."
> >
> > One of the bullet points is "* Increasing research
> > capacity and productivity"
> >
> > When I log in as a member on the AOTA website, and
> > attempt to access the "OT Search" feature, I find
> that
> > I must pay an additional $75/year (since I am a
> > member, but would pay $200.00/year if I weren't)
> to
> > fully use the research capabilities on the site. 
> So,
> > if I choose to use the designation of OTR, (for
> which
> > I felt I initially "earned" the right to use) I
> pay
> > $60.00 biennially to another entity to do so.  If
> I
> > elect to be an AOTA member, I pay $225.00
> annually.
> > If I want to access research capabilities in the
> > comfort of my own home on the website for which I
> > purchased a membership I pay an additional $75.00.
> > Anyone?
> >
> > Perhaps I should consider involvement in our
> > profession on a leadership level.  It's not been
> an
> > interest of mine for quite some time, but when I
> look
> > from the sidelines at the state of our profession,
> and
> > wonder almost daily if I will continue to be proud
> of
> > my profession for the remainder of my career, it
> > almost feels inevitable.
> >
> >
> >
> > --- [EMAIL PROTECTED] wrote:
> >
> >> Send OTlist mailing list submissions to
> >> [email protected]
> >>
> >> To subscribe or unsubscribe via the World Wide
> Web,
> >> visit
> >>
> http://otnow.com/mailman/listinfo/otlist_otnow.com
> >> or, via email, send a message with subject or
> body
> >> 'help' to
> >> [EMAIL PROTECTED]
> >>
> >> You can reach the person managing the list at
> >> [EMAIL PROTECTED]
> >>
> >> When replying, please edit your Subject line so
> it
> >> is more specific
> >> than "Re: Contents of OTlist digest..."
> >>
> >>
> >> Today's Topics:
> >>
> >>    1. Re: questions (Ron Carson)
> >>    2. Re: questions (Charles Willmarth)
> >>    3. Re: questions (Joe Wells)
> >>    4. Re: questions (Ron Carson)
> >>
> >>
> >>
> >
>
----------------------------------------------------------------------
> >>
> >> Message: 1
> >> Date: Wed, 19 Apr 2006 22:40:47 -0400
> >> From: Ron Carson <[EMAIL PROTECTED]>
> >> Subject: Re: [OTlist] questions
> >> To: Joe Wells <[email protected]>
> >> Message-ID: <[EMAIL PROTECTED]>
> >> Content-Type: text/plain; charset=us-ascii
> >>
> >> Joe, this is toooooo good!!!
> >>
> >> What is the battle?
> >>
> >> ===============================================
> >> Monday, April 17, 2006,
> >> [EMAIL PROTECTED] wrote:
> >>
> >> > Choose  your  battle,  select  your  general,
> >> gather your logistics,
> >> > declare war and.....fight! If you lose, at
> least
> >> you lose trying.
> >>
> >>
> >>
> >>
> >> ------------------------------
> >>
> >> Message: 2
> >> Date: Wed, 19 Apr 2006 23:25:48 -0400
> >> From: "Charles Willmarth" <[EMAIL PROTECTED]>
> >> Subject: Re: [OTlist] questions
> >> To: <[email protected]>
> >> Message-ID: <[EMAIL PROTECTED]>
> >> Content-Type: text/plain; charset=US-ASCII
> >>
> >> 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
> >>
> >>
> >> > -- 
> >> > Unsubscribe?
> >> >   [EMAIL PROTECTED]
> >>
> >> > Change options?
> >> >  
> www.otnow.com/mailman/options/otlist_otnow.com
> >>
> >> > Archive?
> >> >   www.mail-archive.com/[email protected]
> >>
> >> > Help?
> >> >   [EMAIL PROTECTED]
> >>
> >>
> >>
> >>
> >> -- 
> >> Unsubscribe?
> >>   [EMAIL PROTECTED]
> >>
> >> Change options?
> >>   www.otnow.com/mailman/options/otlist_otnow.com
> >>
> >> Archive?
> >>   www.mail-archive.com/[email protected]
> >>
> >> Help?
> >>   [EMAIL PROTECTED]
> >>
> >>
> >>
> >>
> >>
> >> ------------------------------
> >>
> >> Message: 3
> >> Date: Thu, 20 Apr 2006 00:36:33 -0400
> >> From: "Joe Wells" <[EMAIL PROTECTED]>
> >> Subject: Re: [OTlist] questions
> >> To: <[email protected]>
> >> Message-ID:
> >> <[EMAIL PROTECTED]>
> >> Content-Type: text/plain; format=flowed;
> >> charset="iso-8859-1";
> >> reply-type=original
> >>
> >> Ron:
> >>
> >> You been a busy man!
> >>
> >> Well, as I said- you will have to choose your own
> >> battle. It could be-
> >> 1. Brand- recognition/ true autonomous
> >> "professional" status equal to
> >> others, second to none
> >> 2. Direct access under Medicare/ Medicaid
> >> 3. Home health qualifying service under Medicare
> >> 4. Justifying the "occupation" in occupational
> >> therapy (if you truly believe
> >> that "occupation-based" therapy is the answer)
> >> 5. Making occupational therapy scientific/
> >> evidence-based
> >> 6. Make OT the preferred hab & rehab services
> >> provider under the medical
> >> model or otherwise
> >> 7. Have the OT logo on the 'backpack' or, may be
> >> even the 'walker basket'
> >> 8. Establish OT as a holistic health service
> serving
> >> all age groups
> >> 9. Or, even re-name the profession- I personally
> >> feel had we gone with
> >> Ergo-therapy, it would have saved a lot of
> confusion
> >> today
> >>
> >> So, Ron, as your fellow soldier, I truly hope you
> >> will not quit the
> >> battlefield even though you can not see
> eye-to-eye
> >> with some of the
> >> commanders, and though the army may seem to be on
> >> the losing end and we are
> >> currently under heavy fire. So, which battle did
> you
> >> choose? We have to win
> >> the war.
> >>
> >> Joe Wells, OTR/L
> >> www.americare-health.com
> >> www.f-cot.org
> >>
> >>
> >>
> >> ----- Original Message ----- 
> >> From: "Ron Carson" <[EMAIL PROTECTED]>
> >> To: "Joe Wells" <[email protected]>
> >> Sent: Wednesday, April 19, 2006 10:40 PM
> >> Subject: Re: [OTlist] questions
> >>
> >>
> >> > Joe, this is toooooo good!!!
> >> >
> >> > What is the battle?
> >> >
> >> > ===============================================
> >> > Monday, April 17, 2006,
> >> [EMAIL PROTECTED] wrote:
> >> >
> >> >> Choose  your  battle,  select  your  general,
> >> gather your logistics,
> >> >> declare war and.....fight! If you lose, at
> least
> >> you lose trying.
> >> >
> >> >
> >> > -- 
> >> > Unsubscribe?
> >> >  [EMAIL PROTECTED]
> >> >
> >> > Change options?
> >> >  www.otnow.com/mailman/options/otlist_otnow.com
> >> >
> >> > Archive?
> >> >  www.mail-archive.com/[email protected]
> >> >
> >> > Help?
> >> >  [EMAIL PROTECTED]
> >> >
> >> >
> >>
> >>
> >>
> >>
> >>
> >> ------------------------------
> >>
> >> Message: 4
> >> Date: Thu, 20 Apr 2006 07:19:24 -0400
> >> From: Ron Carson <[EMAIL PROTECTED]>
> >> Subject: Re: [OTlist] questions
> >> To: Charles Willmarth <[email protected]>
> >> Message-ID: <[EMAIL PROTECTED]>
> >> Content-Type: text/plain; charset=us-ascii
> >>
> >> 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
> >>
> >>
> >> >> -- 
> >> >> Unsubscribe?
> >> >>   [EMAIL PROTECTED]
> >>
> >> >> Change options?
> >> >>  
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> >>
> >> >> Archive?
> >> >>   www.mail-archive.com/[email protected]
> >>
> >> >> Help?
> >> >>   [EMAIL PROTECTED]
> >>
> >>
> >>
> >>
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> >>
> >>
> >>
> >>
> >>
> >>
> >>
> >> ------------------------------
> >>
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> >>
> >> End of OTlist Digest, Vol 15, Issue 8
> >> *************************************
> >>
> >
> >
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