Critical pathways: occupational therapists' role in development and utilization

Managed care is mandating that healthcare facilities implement cost containment measures. Critical pathways are one popular tool used to meet this demand. The purpose of this study was to explore current involvement of occupational therapists (OTRs) in the use and creation of critical pathways. Results of a national survey showed 70.5% of the respondents reported they are not currently using critical pathways. A majority of OTRs are not and have not taken an active role in critical pathway development. Furthermore, the majority indicated having no knowledge of future critical pathway implementation in their facilities. Information gathered from those OTRs reporting critical path use included most common diagnoses using the paths and percentages of OTRs utilizing critical paths in specific occupational therapy areas. The conclusions drawn by the researchers indicated the need for OTRs to become more involved in the development and utilization of this multi-disciplinary approach to treatment. For OTRs to maintain and enhance their positions within the allied health profession, proactive involvement with these managed care driven quality assurance methods is essential.