Service Delivery in AT

what is the order of the service delivery process

referral and intake

initial eval

recommendations and report

implementation

follow-up

follow-along

what are examples of recommendations and report

device characteristics and features

options and rationale

-costs, vendors, trials

informed consent

what are ways we assist with device implementation

order and setup

delivery and fitting

adjustments

training

start with the activity that is most important to them

involve caregiver and client at all stages

*performance aid/handout/pictures

instructions

trials

what are aspects of usability of devices to keep in mind

learnability

efficiency

memorability

errors

satisfaction

ease of use

what are the reasons for device abandonment

usability -takes too long, too hard to set up, requires additional help, too heavy

aesthetics - don't like size, weight, color, style

durability - not sturdy enough, poor tech support

prognosis of the person - length of issue, cost of product worth the time

why do we need to follow up and follow along?

ADs are seldom used directly out of the box without needing adjustments

operator errors due to lack of device understanding

needs of patient may change

what do outcome evaluations help us with

provides team with an indication of the benefits of service

measure improved function and quality of life

often needed for $

which act:

prohibits discrimination of the basis of disability

ran by federal agencies

• public places (post office, courthouse, etc)

rehabilitation act of 1973

which act:

all children have right to "free and appropriate education"

least restrictive environment

created IEPs for birth to 3 yrs old

individuals with disabilities act (IDEA) 1975

which act:

civil rights law for people with disabilities

• breaks down into 5 titles

Americans with disabilities act of 1990

which part of ADA 1990:

-places with 15+ employees must have equal opportunity to ppl with disability

-must provide reasonable accommodation

title I employment

which part of ADA 1990:

ADA architectural standards

reasonable modifications

nondiscrimination requirements

Title III - public accommodations

which part of ADA 1990:

public transportation

paratransit - service for individuals unable to use regular transit system

title II

which act:

federal funding from US dept of ED to support state efforts to improve the provision of AT

1st legally defined AT devices

assistive technology act of 1988

what are examples of AT funding services

medicaid

medicare

private insurances

worker's comp

IDEA

VA

social security

is medicaid or medicare state administered?

medicaid

how does someone get help from medicaid

must be medically needy*

-letter of justification is needed

AT item must fit within required service category

what is medicaid DME definition

durable medical equipment (DME)

-can withstand repeated use

-used to serve a medical purpose

-not useful to a person in the absence of illness or injury

-is appropriate for use in the home

is medicare federally or state funded

federally

how do you get medicare

over 65 regardless of income

under 65 and disabled on SSDI

on dialysis

have ALS

what are DME assistive tech requirements

can withstand repeated use

serves medical purpose

not useful w/o illness or injury

appropriate for use in home

what are requirements for vocational rehab funding

must be disabled

device and training needed to prepare for and return to work

what are limitations with AT from educational systems

school owns the AT - device may have to stay at the school

can use at home if needed to ensure free and appropriate public education

what are other resources to get AT devices

St. Judes, lions club, rotary club

what is the #1 thing we need to talk about in our justification statements

IMPROVE SAFETY

What do we need to write in our justification statements

improve safety

improve independence with specific task

decrease need for caregiver assistance

decrease risk for complications