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AOTA's Top 5 Choosing Wisely® Recommendations
Glen Gillen1, Elizabeth G Hunter2, Deborah Lieberman3
1Glen Gillen, EdD, OTR, FAOTA, is Vice Chair and Director of Programs in Occupational Therapy, Department of Rehabilitation and Regenerative Medicine, Columbia University Irving Medical Center, New York; Assistant Dean, Vagelos College of Physicians and Surgeons, Columbia University, New York; and Project Champion, Choosing Wisely® initiative, AOTA, Bethesda, MD.
The American Occupational Therapy Association (AOTA) joined Choosing Wisely to reduce healthcare waste. AOTA developed a list of "Five Things Patients and Providers Should Question" to promote evidence-based, necessary occupational therapy services.
Area of Science:
- Health Economics
- Occupational Therapy Practice
Background:
- US healthcare spending is unsustainable, reaching $3.2 trillion in 2015.
- Wasteful spending must be eliminated without compromising care quality.
- Choosing Wisely® aims to improve patient-provider conversations for appropriate care.
Purpose of the Study:
- To outline the American Occupational Therapy Association's (AOTA) participation in the Choosing Wisely initiative.
- To develop and publish a list of "Five Things Patients and Providers Should Question" for occupational therapy.
- To foster dialogue on evidence-based, necessary, and safe occupational therapy services.
Main Methods:
- The American Occupational Therapy Association (AOTA) committed to Choosing Wisely in 2016.
- A three-phase process involving AOTA members, the Board, and staff was implemented.
- A list of "Five Things Patients and Providers Should Question" was developed and published.
Main Results:
- The American Occupational Therapy Association (AOTA) successfully developed and published its Choosing Wisely list.
- The initiative encourages critical evaluation of occupational therapy services.
- Focus is placed on ensuring services are evidence-based, necessary, and safe.
Conclusions:
- AOTA's participation in Choosing Wisely promotes quality and efficiency in occupational therapy.
- The "Five Things" list serves as a tool for dialogue and practice improvement.
- The initiative aims to reduce wasteful spending and enhance patient care.