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COTA Thoughts

Hooray for AOTA

Published August 15, 2014 9:13 AM by Tim Banish

I'm sure most of you know I'm not a big supporter of AOTA (American Occupational Therapy Association) ever since the changes back in 1998. And as much as I'm not a member, never signed up for any emails or communication from them, an email arrived yesterday that surprised me.

I think one of the biggest issues in Occupational Therapy currently is the productivity standards. Too many therapists are being coerced to work off the clock and jeopardize their ethical standards all for the sake of some company's profit margin. This is an issue I've blogged about numerous times, and during my years of working only saw the numbers go up. 70%, 80%, and now most places want 90%.

Of course what I see as the main problem is a management heavy chain of command. Many companies seem to have a manager, supervisor or other office person for every detail. One company I worked for had a national, regional, state, state district and facility manager. Each had their own staff of office people, and a nice salary. None of them ever saw a patient, some were not even therapists. If you count up all the salaries going to management and convert that into how many therapy minutes it takes to make that money you'll be shocked!

Anyway, my kudos to AOTA for announcing they will begin to look into productivity. Although they state it's a new issue to deal with in the workplace, as far as I remember productivity standards have impacted therapists for over fifteen years now. Anyway, check out their blog where you can join the conversation and leave your comments. Many interesting comments have been posted already.

My only thought is will this really lead to addressing the issue, or just be a place for therapists to vent?

 

Until next time, hope all your "Thoughts" are Good-

Tim


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3 comments

Hi Tim.    I am so happy to have stumbled onto your site after asking the 'puter "Why have COTA/L jobs become so few/far between in SC?"I was an LPN from 1966 till 1980 when I tried 2 yrs of pre-PA course at St Fancis College (now University) in Loretto, PA.  Pharmacology, Chemistry and I were not doing so well that I opted out of the next 2 yrs.    BIG MISTAKE as it turns out.  PAs are working, COTA/Ls not so much.  So, at age 50, in 1994,  I went back, all credits transferring, thanks be to God, for OTA course at Mt Aloysius College, Cresson, PA, one of the first OTA courses in the country.  Graduated Magna ***, has never mattered in a job interview, mind, but for the first semester, (when I did not know there was a Dean's List) it might have been Summa......my family was impressed anyway.  LOL  : )   Had 1 interview at Wheeling Hospital in WV,  and worked there 12 yrs.  After my divorce I traveled over PA, WV, OH and SC for nearly 10 yrs.  So.... long story short....jobs got fewer and further between.....best was Philly for 1yr 2mos.   I was there during Sandy when NOTHING was working except the Chinese-take-away.   My jobs here in Greenville have fallen waaaaay off, as FT/PT therapists are going bldg to bldg just to get 36hrs, if lucky.    PRN, which was all I could secure around here, is non-existant anymore.  I was working for Wal-Mart for a time.  Now working as Companion/caregiver at Right At Home Nursing Agency.  So, I got my questions answered by your Advance OTA  articles and in your archives.   PPS sure did us in at Wheeling during my job as in-pt rehab therapist.  I will be 72 this Jan 14, 2017 and NOT looking to quit anytime real soon.  I LOVE Geriatrics and have worked mostly SNFs as a COTA/L and as an LPN.  There are 2 OTA schools here in Greenville SC, Greenville Tech and Brown-Mackie College.  My course was 24 mos with 6mos internship at the end.  I only know 2 of the students here and both are working out of state .  SAD....SAD times for COTA/L s.  Just wanted to thank you for all you have done for the Profession and esp providing me with an answer to my question.  My license plate frame says it all.......PROUD TO BE A COTA      Incidentally. my LPN daughter has worked for many doctors and several surgeons over her career of 30 yrs.  She has taken a job, with MUCH training, for Blue Cross looking for Medicare/Medicaid fraud in pt charts.  (just not the SC ones.....HIPPA rules)  She has asked about several therapy violations since getting the job 3 mos ago.  It is a new position and hundreds are being trained.  She works out of her home with equipment supplied by BC/BS and HER time is carefully monitored.  It looks promising and may help to do away with the working off the clock and false extensions of therapy that I have encountered over the years.  Oh, I mentioned my course was 2 yrs 6mo.....(2) 13 week internships after graduation....the courses here, I understand are much shorter.  Can't see what they would cut.  Hoping to hear your "Thoughts" on my post.  (You DID say you wanted to heart from your audience.  Im just a newbie  lol)  Also, I meant to say I am not fond of AOTA either and don't belong.  For one thing the cost has bee prohibitive.  As for productivity.......it has become RIDICULOUS!!    Seeing pts 1:1 is a joke if anything at all holds up minutes.  OIY!

Emilie , Geriatrics - COTA/L, none currently January 9, 2017 9:55 AM
Greenville SC

OH OH I see I put my last name in the body of my letter can it be removed prior to publishing please?

Emilie Glanding January 7, 2017 9:53 PM

Hi Tim.    I am so happy to have stumbled onto your site after asking the 'puter "Why have COTA/L jobs become so few/far between in SC?"I was an LPN from 1966 till 1980 when I tried 2 yrs of pre-PA course at St Fancis College (now University) in Loretto, PA.  Pharmacology, Chemistry and I were not doing so well that I opted out of the next 2 yrs.    BIG MISTAKE as it turns out.  PAs are working, COTA/Ls not so much.  So, at age 50, in 1994,  I went back, all credits transferring, thanks be to God, for OTA course at Mt Aloysius College, Cresson, PA, one of the first OTA courses in the country.  Graduated Magna ***, has never mattered in a job interview, mind, but for the first semester, (when I did not know there was a Dean's List) it might have been Summa......my family was impressed anyway.  LOL  : )   Had 1 interview at Wheeling Hospital in WV,  and worked there 12 yrs.  After my divorce I traveled over PA, WV, OH and SC for nearly 10 yrs.  So.... long story short....jobs got fewer and further between.....best was Philly for 1yr 2mos.   I was there during Sandy when NOTHING was working except the Chinese-take-away.   My jobs here in Greenville have fallen waaaaay off, as FT/PT therapists are going bldg to bldg just to get 36hrs, if lucky.    PRN, which was all I could secure around here, is non-existant anymore.  I was working for Wal-Mart for a time.  Now working as Companion/caregiver at Right At Home Nursing Agency.  So, I got my questions answered by your Advance OTA  articles and in your archives.   PPS sure did us in at Wheeling during my job as in-pt rehab therapist.  I will be 72 this Jan 14, 2017 and NOT looking to quit anytime real soon.  I LOVE Geriatrics and have worked mostly SNFs as a COTA/L and as an LPN.  There are 2 OTA schools here in Greenville SC, Greenville Tech and Brown-Mackie College.  My course was 24 mos with 6mos internship at the end.  I only know 2 of the students here and both are working out of state .  SAD....SAD times for COTA/L s.  Just wanted to thank you for all you have done for the Profession and esp providing me with an answer to my question.  Emilie Glanding      My license plate frame says it all.......PROUD TO BE A COTA      Incidentally. my LPN daughter has worked for many doctors and several surgeons over her career of 30 yrs.  She has taken a job, with MUCH training, for Blue Cross looking for Medicare/Medicaid fraud in pt charts.  (just not the SC ones.....HIPPA rules)  She has asked about several therapy violations since getting the job 3 mos ago.  It is a new position and hundreds are being trained.  She works out of her home with equipment supplied by BC/BS and HER time is carefully monitored.  It looks promising and may help to do away with the working off the clock and false extensions of therapy that I have encountered over the years.  Oh, I mentioned my course was 2 yrs 6mo.....(2) 13 week internships after graduation....the courses here, I understand are much shorter.  Can't see what they would cut.  Hoping to hear your "Thoughts" on my post.  (You DID say you wanted to heart from your audience.  Im just a newbie  lol)  Also, I meant to say I am not fond of AOTA either and don't belong.  For one thing the cost has bee prohibitive.  As for productivity.......it has become RIDICULOUS!!    Seeing pts 1:1 is a joke if anything at all holds up minutes.  OIY!

Emilie, Geriatrics - COTA/L, none currently January 7, 2017 9:51 PM
Greenville SC

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