First:
   
  Gina Tate wrote: 

1. they dropped the ball when they let medicare exclude OT (the only   therapy  
and most functional in homes) as a qualifying skilled coverage for home  health
  This has been one of the most frustrating things for me as a home health OT 
in terms of gaining a little more professional clout in a nursing and PT 
dominated area of practice.  It has even affected my ability to advance to 
management level with a few agencies.  I would have to agree with Gina 
wholeheartedly that our national association should be in the forefront and 
front lines of any relevant legislative issues that directly impact our 
practice, and that with stronger lobbying efforts could advance our practice!  
As I stated in a previous post, a major reason I re-joined AOTA is so that I 
can complain.
   
  Second:
   
  Angela Jones shared a story of an OT who allegedly refused to address a 
patient's hemiplegia.  The patient was subsequently "treated" by an employee of 
unknown credentials at the YMCA (could have been a PT, or athletic trainer but 
doubtful at a YMCA) who was willing to address the patient's concerns.  Well, 
shame on us!  This is a very disturbing story on many levels.  Maybe I'm old 
school (i.e. NDT minded), but I personally can't imagine treating a CVA without 
addressing the affected side.  Since this story is somewhat out of context and 
I certainly don't have all the facts, I'll stop there.  But I think a little 
grassroots "policing" or mentoring could prevent this scenario from reproducing.
   
  Sorry I've been a little dormant for a few weeks, Ron.  Work has been taxing 
and not enough time to go around.  I'll try to stay better connected.
   
  Bill Maloney
   
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