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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 Journal of Occupational Therapy : Official Publication of the American Occupational Therapy Association
|March 28, 2019
PubMed
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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.

Related Experiment Videos

  • 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.