Ashley D. Halle, Tracy M. Mroz, Donald J. Fogelberg, Natalie E. Leland; Occupational Therapy and Primary Care: Updates and Trends. Am J Occup Ther 2018;72(3):7203090010p1-7203090010p6. doi: 10.5014/ajot.2018.723001.
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© 2019 American Occupational Therapy Association
As our health care system continues to change, so do the opportunities for occupational therapy. This article provides an update to a 2012 Health Policy Perspectives on this topic. We identify new initiatives and opportunities in primary care, explore common challenges to integrating occupational therapy in primary care environments, and highlight international works that can support our efforts. We conclude by discussing next steps for occupational therapy practitioners in order to continue to progress our efforts in primary care.
The CPC+ model is a 5-year, multipayer initiative to improve primary care that will target 20 U.S. geographic regions and 20,000 doctors and practitioners (CMS, 2018b).
ACOs are groups of doctors, hospitals, and other health care providers who come together voluntarily to give coordinated high-quality care to their Medicare patients (CMS, 2017b). The Next Generation ACO model provides greater opportunities for shared savings to create increased incentives for experienced ACOs (CMS, 2018c).
The FQHC is a reimbursement designation from CMS for safety net providers who provide comprehensive services to a medically underserved area or population and have ongoing quality assurance programs (CMS, 2017c).
The PCMH is a care delivery model focused on reducing costs by providing care that is comprehensive, patient and family centered, coordinated, accessible, and accountable (National Committee for Quality Assurance, 2015).
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