Sandhu Sharmila, Furniss Jeremy, Metzler Christina
Sharmila Sandhu, JD, is Counsel and Director of Regulatory Affairs, American Occupational Therapy Association, Bethesda, MD.
Jeremy Furniss, OTD, MS, OTR/L, BCG, is Director of Quality, American Occupational Therapy Association, Bethesda, MD;
Am J Occup Ther. 2018 Mar/Apr;72(2):7202090010p1-7202090010p6. doi: 10.5014/ajot.2018.722002.
As the health care system continues to evolve toward one based on quality not quantity, demonstrating the value of occupational therapy has never been more important. Providing high-quality services, achieving optimal outcomes, and identifying and promoting occupational therapy's distinct value are the responsibilities of all practitioners. In relation to the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of 2014, the Centers for Medicare and Medicaid Services (CMS) is implementing new functional items and related outcome performance measures across postacute care (PAC) settings. Practitioners can demonstrate the role and value of occupational therapy services through their participation in data collection and the interpretation of the resulting performance measures. In this column, we review the objectives of the IMPACT Act, introduce the new self-care and mobility items and outcome performance measures being implemented in PAC settings, and describe ways to use these new data to advocate for occupational therapy. We also discuss American Occupational Therapy Association initiatives to provide materials and guidance for occupational therapy practitioners to contribute to PAC data collection.
随着医疗保健系统不断朝着基于质量而非数量的方向发展，证明职业治疗的价值变得前所未有的重要。提供高质量服务、实现最佳效果以及识别和提升职业治疗的独特价值是所有从业者的职责。关于2014年的《医疗保险急性后护理转型改善（IMPACT）法案》，医疗保险和医疗补助服务中心（CMS）正在整个急性后护理（PAC）环境中实施新的功能项目及相关结果绩效指标。从业者可以通过参与数据收集以及对所得绩效指标的解读来展示职业治疗服务的作用和价值。在本专栏中，我们回顾了《IMPACT法案》的目标，介绍了在PAC环境中正在实施的新的自我护理和移动项目及结果绩效指标，并描述了利用这些新数据为职业治疗进行宣传的方法。我们还讨论了美国职业治疗协会的倡议，即为职业治疗从业者提供材料和指导，以助力PAC数据收集。
