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Policies Affecting Pediatrics

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Ashley Wagner

on 23 April 2017

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Transcript of Policies Affecting Pediatrics

Policies Affecting Pediatrics
Threshold Concepts
Understand the role of policy, regulation, and documentation as relates to licensure, liability, reimbursement, and client access of occupational therapy services (B.4.10, B.5.32, B.7.2, B.7.3,B.7.4, B.9.5, B.9.9, B.9.12)

By the End of Class Today: Students will be able to analyze the impact of relevant policy on pediatric practice and clients.

Policies That Impact OT with Kids
Education and Early Childhood Policy Timeline
Schools
Medical
Community
Individuals with Disabilities Education Act
Rehab Act - Sect. 504
No Child Left Behind
Medicaid
Health Insurance
Medicaid
Medicare
SCHIP
Affordable Care Act
Individuals with Disabilities Education Act
Rehab Act - Sect. 504
Insurance
School
and
Early Intervention
are the main areas of OT practice that differs significantly (policy-wise) from practice with adults, so that is where our review of the legislation will focus today.
1975 Education of the
Handicapped Act
FAPE
Free Appropriate Public Education
LRE
Least Restrictive Environment
Zero Rejection
Nondiscriminatory Evaluation
IEP
Individualized Education Plan
Procedural Due Process
Key Features
Added Program for Infants and Toddlers
Natural Environment for services
Extended services for 3-5 year olds
Key Features
1986 Education of the
Handicapped Act Amendments
1997 IDEA Amendments
Switched name to IDEA
Switched parts to A, B, and C
Strengthened Role of Parents on Team
Developed Special Education into Services Other Than Location
Defined LRE to services provided in general education environment when appropriate
Key Features
Aligned IDEA and NCLB
Requires all students with disabilities to be included in district-wide and state-wide assessments
RTI - Response to intervention
IEP transition process at age 16
Early Childhood Transition to Kindergarten established
Key Features
2004 IDEA Amendments
Goals -
Close Achievement Gap for
Low SES
Minority Races/Ethnicities
Disabilities
Limited English Proficiency
Improve
Accountability
Flexibility (in state spending of federal funds)
Research-Based Education
Parent options in Title I schools
Key Features
2001 No Child Left
Behind
Established Education as a Civil Right
Provided Federal grants for districts serving low-income students and students with disabilities (Title 1)
Gave federal funding to state agencies to improve quality of education
1965 Elementary and
Secondary Education Act
Key Features
Now known as:
Every Student Succeeds Act
People with disabilities could not be excluded from any programs receiving federal funding
Key Features
1973 Rehab Act
Section 504
Part A Outlines Basic Concepts of IDEA and Defines Terms
IDEA in Detail
Part B
Part C
Age 3-21
Parent or Teacher
IEP must be developed within 40 days
Emphasis on educational needs
Eligibility determined by state (school identification)
Age 0-3
Parent, Doctor, Other
IFSP must be developed within 45 days
Emphasis on enhancing family's ability to meet child's developmental needs
Eligible diagnosis or criteria (state determined)
Now Your Turn!
Create a concept map using inspiration, a similar app, or paper to show how the following concepts relate to one another, the pieces of legislation discussed in the presentation, and to OT practice with children.
How?
FAPE
LRE
Title 1
Section 504
IEP
IFSP
State-e testing
RTI
Transition
Go to the following websites (or the website appropriate for your state of interest) and answer the following questions about eligibility under IDEA.
What Else?
Go to the following link and choose one of the Supreme Court cases discussed, then find an article that discusses the personal impact of the case or a 'where are they now' story.
As a group, create a PEOP model to highlight the impact of the ruling on the student and discuss as a group how the ruling impacts OT services in schools.
Why Do We Care?
What If?
FERPA
The Family Educational Rights and Privacy Act was signed into law in 1974 - it's basically HIPAA for schools.
Shh!
#1 Jaydon
https://dese.mo.gov/sites/default/files/se-fs-eligibility-criteria.pdf
Missouri IDEA Part C Eligibility
https://dese.mo.gov/special-education/compliance/standards-indicators
Missouri IDEA Part B Eligibility
#2 Leon
Jaydon
Jaydon is an 8 month old child who was born at 40 weeks and had an APGAR score of 7 at 5 min. Since then, however, he has not developed typically. Last week, the doctor officially diagnosed Jaydon with hypotonia and failure to thrive. She referred Jaydon to Early Intervention. On the assessment, Jaydon was identified as having a developmental age equivalence of 5 months because he is not yet sitting and can only roll from prone to supine toward his right side. Can Jaydon qualify for services under IDEA?
Leon
Leon is a 3rd grader whose teacher is very worried about him. He performs well in many areas, but when it comes time for reading, Leon will not stay in his seat. He starts to wiggle back and forth, then he finds every excuse possible to leave his seat. Any sound, movement or visual clutter will cause him to lose focus. He has no formal diagnosis and an average IQ, but he's only reading at a Kindergarten level (more than 2 STD below his peers)!
His teacher wants to know how he can get OT - what do you tell her?
Discuss as a group, the following hypotheticals:
1. What if a child with spina bifida comes to your school and they use a wheelchair to get around, but perform average for all academic reasons. Would they ever get OT? How?
2. What if a student's aunt is the gym teacher at a school and wants to know how she can modify or adapt the gym class to accommodate her nephew. What should you tell her?
3. What if the government goes haywire and decides to completely erase 2 laws and all their effects from the timeline? (Your choice) What would OT for children look like in that world?
http://massadvocates.org/billsview/
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