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Format | NBCOT Course Contents | NBCOT Course Outline | NBCOT test
Syllabus | NBCOT test
EVALUATION AND ASSESSMENT 25%
Acquire information regarding factors that influence
occupational performance on an ongoing basis throughout
the occupational therapy process.
- Impact of typical development and aging on occupational performance, health, and wellness across the life span
- Expected patterns, progressions, and prognoses associated with conditions that limit occupational performance
- Impact of body functions, body structures, and values, beliefs, and spirituality on occupational performance
- Resources for acquiring information about the clients current condition and occupational performance
- Administration, purpose, indications, advantages, and limitations of standardized and non-standardized screening and assessment tools
- Internal and external factors influencing a clients meaningful engagement in occupation related to typical habits, roles, routines, and rituals, and the level and type of assistance required
- Therapeutic application of theoretical approaches, models of practice, and frames of reference that guide intervention in a variety of practice contexts and environments
- Task analysis in relation to a clients performance skills, the occupational profile, practice setting, stage of occupational therapy process, areas of occupation, and activity demands
ANALYSIS AND INTERPRETATION 23%
Formulate conclusions regarding client needs and priorities to develop and monitor an intervention plan throughout the occupational therapy process.
- Interpretation and analysis of quantitative assessments designed to measure specific client factors and performance skills
- Integration of qualitative data collected from interviews, observation, and assessment of the social and physical environments, valued activities, necessary occupations, and priorities
- Integration of screening and assessment results with the client occupational profile, client condition, expected outcomes, and level of service delivery to guide critical decision-making for determining eligibility for services, prioritizing needs, and identifying a targeted intervention plan
- Characteristics and functions of interprofessional teams for coordinating client care and providing efficient and effective programs and services consistent with specific core competencies, expertise, unique contributions, team roles, and context of the organization
- Management of collaborative client-centered intervention plans, Individualized Education Program plans, and transition plans based on client skills, abilities, and expected outcomes in relation to available resources, level of service delivery, and frequency and duration of intervention
- Prioritization of intervention goals and activities based on client needs, wants, developmental skills, abilities, progress, and expected outcomes in relation to level of service delivery as well as frequency and duration of intervention
- Strategies used for assessing and addressing health literacy to enhance non-verbal and verbal interactions with a client and relevant others in order to promote positive health behaviors, enable informed decisions, maximize safety of care delivery, and promote carry-over of the intervention to support positive intervention outcomes
- Factors used for determining and managing the context and type of individual and group activities for effectively supporting intervention goals and objectives
Methods for monitoring the effectiveness of individual and group intervention in order to make decisions about continuation of the intervention or modifications to the intervention approach, context, or goals
- Clinical decision-making for adapting or modifying the intervention plan and prioritizing goals in response to physiological changes, behavioral reaction, emotion regulation, and developmental needs of the client
INTERVENTION MANAGEMENT 37%
Select interventions for managing a client-centered
plan throughout the occupational therapy process.
Methods and techniques for selecting and preparing the environment
to support optimal engagement in the intervention and promote goal
- Indications, contraindications, and precautions associated with wound
management, considering the characteristics of a wound, the stage
of wound healing, and the influence of the wound on engagement
in occupation as guided by evidence, best practice standards, scope
of practice, and state licensure practice acts in order to support
- Indications, contraindications, precautions, and appropriate clinical
application of superficial thermal agents as guided by evidence, best
practice standards, scope of practice, and state licensure practice acts
- Indications, contraindications, precautions, and appropriate clinical
application of deep thermal, mechanical, and electrotherapeutic physical
agent modalities as guided by evidence, best practice standards, scope
of practice, and state licensure practice acts
- Interventions for supporting leisure and play-based exploration and
participation consistent with client interests, needs, goals, and context
- Methods for grading an activity, task, or technique based on level of
development, client status, response to intervention, and client needs
- Methods for facilitating individual and group participation in shared
tasks or activities consistent with the type, function, format, context,
goals, and stage of the group
- Interventions to support optimal sensory arousal, and visual motor,
cognitive, or perceptual processing for supporting engagement
in meaningful occupations consistent with developmental level,
neuromotor status, mental health, cognitive level, psychosocial skills
and abilities, task characteristics, context, and environmental demands
030205 Compensatory and remedial strategies for managing cognitive
and perceptual deficits or intellectual disabilities
- Adaptive and preventive strategies for optimal engagement in
occupation consistent with developmental level, neuromotor status,
- Intervention strategies and techniques used to facilitate oral motor
skills for drinking, eating, and swallowing consistent with developmental
level, client condition, caregiver interaction, and mealtime environment
- Prevocational, vocational, and transitional services, options,
and resources for supporting strengths, interests, employment, and
lifestyle goals of the adolescent, middle-aged, and older adult client
- Methods for grading various types of therapeutic exercise and
conditioning programs consistent with indications and precautions
for strengthening muscles, increasing endurance, improving range
of motion and coordination, and increasing joint flexibility in relation
to task demands
- Methods and strategies used to develop, implement, and manage
sensory and motor reeducation, pain management, desensitization,
edema reduction, and scar management programs
- Techniques and activities for promoting or improving postural stability,
facilitating dynamic balance, and teaching proper body mechanics
and efficient breathing patterns during functional tasks to support
engagement in occupation
- Types and functions of immobilization, mobilization, restriction,
and non-articular orthoses for managing specific conditions
- Influence of anatomical, physiological, biomechanical, and healing
principles on orthotic selection, design, fabrication, and modification
- Methods and techniques for training in the safe and effective use
of orthotic and prosthetic devices consistent with prioritized needs,
goals, and task demands in order to optimize or enhance function
- Factors related to measuring, selecting, monitoring fit of, and
recommending modifications to seating systems, positioning devices,
and mobility aids
- Characteristics and features of high- and low-tech assistive technology
for supporting engagement in meaningful occupation
- Mobility options, vehicle adaptations, and alternative devices
for supporting participation in community mobility
- Training methods and other factors influencing successful use and
maintenance of commonly used assistive technology options, adaptive
devices, and durable medical equipment
- Principles of ergonomics and universal design for identifying,
recommending, and implementing reasonable accommodations and
features in the workplace, home, and public spaces in order to optimize
accessibility and usability
- Processes and procedures for identifying, recommending, and
implementing modifications in the workplace, home, and public spaces,
considering the interaction among client factors, contexts, roles, task
demands, and resources
DOMAIN COMPETENCY AND PRACTICE MANAGEMENT 15%
Manage professional activities of self and relevant others
as guided by evidence, regulatory compliance, and standards
of practice to promote quality care.
- Methods for defining a clinical question and performing a critical
appraisal to support evidence-based practice
- Methods for applying continuous quality improvement processes
and procedures to occupational therapy service delivery
- Methods for evaluating, monitoring, and documenting service
competency and professional development needs of self and assigned
personnel based on scope of practice and certification standards for
- Methods for developing, analyzing, and applying evidence that supports
occupation-based programming to advance positive health outcomes
for individuals, groups, and specific populations
- Application of ethical decision-making and professional behaviors
guided by the NBCOT standards of practice and Code of Conduct
- Precautions or contraindications associated with a client condition
or stage of recovery
- Infection control procedures and universal precautions for reducing
transmission of contaminants
- Basic first aid in response to minor injuries and adverse reactions
- Safety procedures to implement during interventions
- Preventive measures for minimizing risk in the intervention environment
- Methods for identifying, locating, and integrating federal regulations,
facility policies, and accreditation guidelines related to service delivery
across occupational therapy practice settings
- Influence of reimbursement policies and guidelines on occupational
therapy service delivery
- Accountability processes and procedures using relevant practice
terminology, abbreviations, information technology, and reporting
mechanisms for justifying, tracking, and monitoring sentinel events
and outcomes related to occupational therapy service delivery
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When Marc Eisen got down to write a canopy story about Epic techniques Corp., he knew working with the famously insular tech enterprise would be a challenge. however he did get a number of questions answered.
September 17, 2020 6:31 PM
Posted: September 17, 2020 6:31 PM
Illustration via Tommy Washbush
As outlined in my October situation cowl story, “The future of Madison’s Epiconomy,” Epic techniques Corp. is famously insular and used to surroundings the terms of its engagement with reporters. I’ve periodically written about Epic given that 2002 and in the past interviewed top executives. but not this time.
I requested an interview in mid-can also and turned into informed in early June it will be “easiest” for me to submit written questions. You’ll locate these questions and verbatim solutions below. After the furor erupted over Epic’s plans to re-open the campus amidst the pandemic, I submitted extra questions. You’ll discover them at the end of this story. Epic selected to reply just one.
After the cover story became written and in galley kind anticipating printing, Epic did offer to prepare an interview. This was liked however their closing date had passed.
(A version of the following questions have been submitted June four, 2020 and answered on July 2, 2020.)
What are some of the largest challenges and opportunities dealing with Epic?Our optimal challenge and opportunity will proceed to be helping health care organizations around the globe be triumphant with their patient care missions, help their workforce and function sustainably. right through the pandemic, we’ve helped their purchasers handle many challenges like opening field hospitals, including beds to latest facilities, expanding testing and tracking COVID-19 records.
Please clarify where Epic sees itself entering into the next 5 to 20 years with reference to market innovation.a few things we’ll be working to extend in the future include:
Epic fitness analysis community, a journal designed for rapid sharing of competencies to support clear up clinical problems. experiences published on EHRN are in response to digital health record facts — spanning millions of sufferers — to accelerate analysis. contemporary reports have examined delays in hobbies cancer screenings all over the pandemic and associations between pre-existing situations and COVID-19 severity.
“howdy Epic,” a voice assistant that lets clinicians ask the equipment questions like, “What become the patient’s remaining cholesterol influence?” and educate it to order medicines and operate different tasks. sooner or later, clinicians should be capable of complete their notes and other documentation for some visits most effective by means of talking – without the usage of the mouse or keyboard.
artificial Intelligence helps clinicians make feel of thousands of pieces of affected person statistics generated each minute coming from machines that video display heart cost, blood power, temperature and extra. There’s too a great deal facts for the human mind to process, but algorithms can take all of that complexity and turn it into understandable, actionable information.
Payer Platform automates information sharing and collaboration between payers and health care corporations. for instance, when a doctor orders a manner, the patient’s assurance company will be in a position to approve it electronically, cutting back administrative work and helping patients get the care they need sooner. They see alternatives to continue to enhance sharing throughout all parties to power more desirable effects at a decrease cost.
What does Epic accept as true with its most pleasing successes?We’re proud to assist health care providers shop lives and preserve their patients suit. As their purchasers share their effects, they flow alongside what they’ve discovered to other customers in order that more patients can advantage.
what is Epic’s response to the can also four, 2020, article in the New Yorker that criticizes electronic fitness records? general practitioner “burnout” is a large subject in health care. quite a few studies blame the additional hours that doctors put into EHR list-preserving as a big reason behind their burnout.The article highlights the elements that add to medical doctors’ work. health care groups use EHRs to assemble guidance they are required to post to agencies like regulators and insurers, and this commonly consequences in physicians being requested to doc advice no longer at once related to patient care. Their developers work always to automate these projects and make the gadget easy to make use of.
experiences from KLAS, an unbiased analysis company that interviews heaps of clinicians, have proven that the three most vital issues for physicians to be a hit with Epic are 1) personalizing the system via its many configuration settings so that it really works because the health care provider would like it to, 2) good training, and 3) an agile fitness device that always improves workflows, activates new features and makes decisions right away.
what's the popularity of the believe and scientific groundwork that [Epic founder Judith] Faulkner introduced in 2015 because the inheritor of her inventory? Has the Epic Heritage foundation been created?A believe has been established to support Epic’s lengthy-time period aim to continue to be private and employee-owned. A basis has been dependent for charitable giving.
What’s the total dimension of the campus?The campus is greater than 1,000 acres complete, with about 225 acres developed thus far.
how many constructing phases have there been? what number of square toes built and acres developed?There were seven constructing phases. This includes 5 workplace campuses, the researching core for consumer training, and the Deep space auditorium. together, they cowl more than 8 million square feet. Geothermal heating and cooling, underground parking and sustainable building materials aid us in the reduction of environmental have an effect on.
Which architect(s) do you're employed with?The architect is Cunningham neighborhood from Minneapolis.
Are Epic staffers eligible to buy stock at a undeniable aspect? If yes, do they have to promote the shares after they leave?Our stock program acknowledges the dedication and dedication of their staff by way of giving people that had been at Epic for at the least two years the possibility to become house owners. When personnel go away, Epic should purchase lower back inventory.
Does the business in shape group of workers donations, fund their donations, or simply serve as a conduit for employee gifting?We supply again to the group through volunteering, business-huge drives and annual donations to tons of of nonprofits. They focal point on supporting schooling courses for underserved populations and classes that deliver
scientific tips for low income, underinsured or at-chance populations. For their annual giving program, they present a protracted listing of charities ranging from food pantries here in Dane County to overseas catastrophe reduction organizations. every workforce member gets to vote on how Epic allocates donations.
Epic is commonly accused of not sharing facts with different programs. Critics argue that patients should still be in charge of their own statistics in an analogous way that individuals can direct their financial info to be shared with third parties. They additionally say that opening the EHR statistics movement will drastically facilitate new apps in order to parse the statistics and liberate new existence-saving cures. That Epic selfishly seems to consider that the facts is Epic’s. What say you?Epic’s software enables cozy statistics sharing with different methods using countrywide interoperability specifications. Their customers alternate over 5 million affected person charts each day and essentially 2 billion per 12 months. more than 40% of those exchanges are with businesses the use of different systems.
We help connections with apps via standards called smart on FHIR, and they put up the necessities that they use online.
patients can decide to share information from their Epic scientific data via MyChart with any care provider on this planet that has web access.
App Orchard is disliked with the aid of some app developers who say Epic’s charges and salary-sharing cut are each too excessive and undeserved. they say Epic provides no genuine
support to them in making revenue to fitness methods, so why should Epic be taking a reduce of salary?App Orchard provides a variety of resources and assist for app developers. Epic staff support them design their applications to integrate with their application. They deliver
documentation, tutorials and classroom training in addition to check statistics, simulators and different equipment to aid them construct and test their items.
To help app developers learn greater about connecting with Epic, they deliver webinars and discussion forums, and they host an annual developers’ conference.
purchasers are free to opt for apps that most advantageous meet their needs. When a customer chooses an app from the App Orchard library, Epic helps both the consumer and the developer throughout the installation technique.
Does Epic think that its EHRs have produced the economic mark downs that were firstly predicted when the feds begun subsidizing the conversion from paper facts?Our utility helps their valued clientele’ financial health in many methods. as an example, Bellin health in green Bay makes use of Epic to manipulate its value-based care model, which makes a speciality of well being and managing continual circumstances. This helps their patients reside suit and saved $1.4 million in one year.
Duke school health equipment in North Carolina reduced the time sufferers spend in the medical institution to treat advanced situations, saving $20 million over 5 years.
Moody’s economic facts indicates that organizations that swap to Epic Strengthen
their operating margins after installing their application.
as an example, businesses that switched from one enormous EHR provider
had a regular boost of 18% three years after setting up Epic which better to forty one% 5 years after installing Epic. businesses that switched from another colossal EHR provider
had a typical raise of 38% three years after installing Epic which better to a hundred% 5 years after installation Epic.
(The questions under have been submitted on Aug. 28, 2020.)
Epic caught flack for its preliminary return-to-campus plan. What did the general public and staff now not bear in mind in regards to the urgency?We had been assembly invariably with Public health Madison and Dane County throughout the summer season, sharing in detail their reopening plan. They repeatedly pointed out that they had on no account been in violation of any a part of the health order. definitely, they advised us they supposed to return seek advice from their campus in person because the plan advanced. The letter they got from PHMDC on Aug. 7, one company day earlier than their phased plan became scheduled to start, became abrupt, unexpected and not representative of what they regarded to be an open and collaborative method. (Answered Sept. 8, 2020.)
beneath power from its group of workers and public health officers, Epic has when you consider that revamped and slowed (and/or adjusted) its return to campus. to quote a truism from veteran jazz artist Ben Sidran: “life’s a lesson.” What lessons has Epic realized from this episode?(no longer answered.)
other most important IT agencies with awesome campuses like Epic’s have embraced far off working as a safer yet productive option to perform business. Why did Epic believe this alternative strategy changed into under desirable for its work?(now not answered.)
as a result of the COVID-19 emergency, many hospitals and fitness centers are reporting huge-time income declines and are chopping fees via delaying digital fitness list tasks. Has this trend affected Epic’s earnings flow? might Epic must inn to layoffs as a result?(not answered.)
Epic announced an important interior consolidation lately. Are different main alterations at Epic in the works?(no longer answered.)
COPYRIGHT 2020 by using MADISON magazine. ALL RIGHTS RESERVED. THIS material may now not BE posted, BROADCAST, REWRITTEN OR REDISTRIBUTED.
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