Running head: WESTFIELD LOW VISION CLINIC OF SCRANTON

Westfield Low Vision Clinic of Scranton Stephanie Lauko, Megan McCarthy, Lauren Patire, and Colleen Sullivan The University of Scranton

Westfield Low Vision Clinic of Scranton Program Plan

This paper is a plan for the implementation of Westfield Low Vision Clinic of Scranton. Included in this paper is the mission statement, goals, program evaluation, SWOT analysis, analysis of service delivery options, organization chart, marketing plan, formulation of management and staffing, and budgeting plan for the clinic. Mission Statement Westfield Low Vision Clinic of Scranton, outpatient services, is a specialized low-vision agency that will aim to serve citizens of Northeastern Pennsylvania, impacted by vision deficits. Westfield Low Vision Clinic of Scranton is committed to providing state of the art low vision occupational therapy services and access to advanced technology from experienced and nationally recognized therapists. We provide various programs that offer individualized services to meet the needs of each client along the spectrum of low vision deficits. Goals The goals for the clinic will run from the first quarter in January of 2013 to the last quarter of the second year, which goes until December of 2014. Each goals will be updated quarterly for the two year period. Pre-Opening Goals. Director will meet with potential investors to gain interest in opening the low vision clinics. The clinic will establish one commercial advertisement via local television stations that will run for the first and second quarter. The clinic will establish one billboard advertisement, which will be posted in 5 locations within a 30-mile radius from the clinic and will be maintained for one year. The clinic will establish one radio advertisement that will play on 5 local radio stations for the first and second quarter.

Westfield Low Vision Clinic of Scranton First Quarter Goals. The clinic will establish a staff of one full time therapist

(maximum 140 billing units per week) and one per diem therapist, as needed. When the per diem occupational therapist exceeds 100 billing units per week, they will be offered a full-time position, or another full-time therapist will be hired. Increase the clinics caseload by 10% each quarter, for the first year. Second Quarter Goals. It is projected by the second quarter that the clinic will have two full time occupational therapists, and another per diem occupational therapist. Increase the clinics caseload by 10% each quarter, for the first year. The clinic will establish one radio advertisement that will play on 5 local radio stations for the first and second quarter. Third Quarter Goals. Increase the clinics caseload by 10% each quarter, for the first year. The clinic will develop an additional commercial advertisement via local television stations that will run for the third and fourth quarter. The clinic will develop an addition radio advertisement via 5 local radio stations that will play for the third and fourth quarter. 12 months to 2 Year Goals. In two years, the clinic will employ three full time occupational therapists and one per-diem therapist. Increase the clinics caseload by 5% each quarter, for the second year. The clinic will update the one billboard advertisement and renew the billboard at the 5 posted locations within the 30-mile radius from the clinic and will be maintained for one additional year. The clinic will develop an additional commercial advertisement via local television stations that will run for the first and second quarter, and then updated for the third and fourth quarter. The clinic will develop an additional radio advertisement via 5 local radio stations that will play for the first and second quarter, and then be updated for the third and fourth quarter. Program Evaluation

Westfield Low Vision Clinic of Scranton

Program Evaluation will include employee satisfaction surveys (see Appendix A) and client satisfaction surveys (see Appendix B). The manager will distribute a yearly survey to the employees that will look at satisfaction of management, availability of treatment services and overall clarity and cleanliness of work environment. The client satisfaction survey will look at the satisfaction of the client throughout their therapeutic experience, which includes outcomes and therapeutic experience The supervision team will maintain inventory and effectiveness of equipment through regular maintenance. Each supervisor will be responsible for taking inventory of all equipment through the use of a tool and maintenance checklist. When, taking inventory, this individual will also be responsible for checking the status and efficiency of all equipment. One on one meetings and weekly team meetings will offer a structure for input on difficult cases and provide productive feedback within the interdisciplinary team. A one on one meeting with the therapist will take place quarterly, and weekly team meetings every Friday in order to note the weekly progress of both the clients and the facility as a whole. In order to measure client improvement during sessions, a midpoint evaluation will be preformed half way through the clients treatment. This will be utilized to measure and document the progress made by the client thus far and indicate further areas that need to be addressed during treatment. SWOT Analysis Table 1 SWOT Analysis
Strengths Referring doctors from associated hospital. Weakness Distance from associated hospital is >30 minutes commute Opportunities Associations with other organizations with ophthalmology departments to increase referrals Threats Association with only one hospital Ophthalmology Department

Westfield Low Vision Clinic of Scranton

Advanced equipment Lack of experience due to foundation of new clinic Collaboration with research and development with the Department of Occupational Therapy at the University of Scranton

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If the caseload does not increase, loss of revenue will impact shareholders.

Certified occupational therapists Located in an area for a high potential of clients needing services Various insurance policies are accepted through the hospital

Lack of referral sources from other hospitals

Analysis of Service Delivery Options Westfield Low Vision Clinic of Scranton is a for-profit low vision clinic. The need for a low vision clinic in Northeastern Pennsylvania is vast. In Lackawanna County, there are 37,895 people who are 65 years and older (U.S. Department of Commerce, 2010). It is estimated that low vision problems affect 9.7% of the population of those 65 years and older (Van Oss, Rivers, Macri, Heighton & Reid, 2012). Based on these statistics for Lackawanna County alone, there are approximately 3,676 people living with low vision problems that affect everyday life. The rationale for starting a for-profit low vision clinic is in part due to the wide array of opportunities having a for-profit clinic would provide for the population of clients with low vision needing service. Based on calculations there is a need for the service. The partnership with the Ophthalmology Department at Westfield Hospital allows referrals from qualified physicians, as well as a reputable foundation for assurance of quality treatment. In addition, having stockholders allows Westfield Low Vision Clinic of Scranton to provide the best available technology to our clients because of the adequate amount of funding. The private funding for this facility would aid in reaching the yearly clinic goals. Adequate funding at this clinic provides the clinicians the ability to think on larger scales compared to other clinics that have financial

Westfield Low Vision Clinic of Scranton

limitations for the specific population of clients with low-vision. The clinic will have an ADL apartment, supermarket, laundry mat, and restaurant simulator included in the layout to provide greater service to the population of low vision clients (see Appendix C). Through the affiliation with Westfield Hospital, funding from investors, and overall need for a quality low-vision clinic in Northeastern Pennsylvania, this clinic will be able to adequately meet yearly goals for serving this population. Organizational Chart Figure 1 Organizational Chart

Yasin Khan CEO

Director of Occupational Medicine

Chief Operating Officer

Department of Rehab

Ophthalmology Department

Administration

Director of OT

Outpatient Low Vision Clinic

Outpatient OT Services

Occupational Therapists

Occupational Therapy Assistants

Marketing Plan

Westfield Low Vision Clinic of Scranton

In order to promote Westfield Low Vision Clinic of Scranton, a strategic marketing plan will be implemented. This plan has been stated below: Marketable Audience. In efforts to target multiple audiences, we have created many different advertisement pieces to distribute. The first population chosen to focus on are the clients affected by low vision. Other populations targeted are the family members that have loved ones with low vision deficits, and the healthcare physicians/employees working in nursing homes and assisted living settings. Targeting versatile members of the community will allow Westfield Low Vision Clinic of Scranton to be successfully advertised throughout the North Eastern area of Pennsylvania. Podcasts. The implementation of podcast advertisements will help to publicize our outpatient facility to all citizens residing within a 40-50 mile radius. A variety of topics will be discussed in the podcasts to promote our qualified services. Some examples of areas mentioned in the podcasts are Macular Degeneration, Glaucoma, family members, and low vision clients. Brochure. The brochure (see Appendix D) is dedicated to the family members and caregivers to those whom suffer from low vision deficits. The brochures will be offered in doctors offices, hospitals, and ophthalmology offices, and a mass mailing will be distributed to 30,000 homes within the local area. Flyers. The flyer (see Appendix E) printed will be utilized to attract clients with low vision to come to Westfield Low Vision Clinic of Scranton for their therapy services. The flyers will be displayed in doctors offices, hospitals, and ophthalmology offices. Analysis of Outside Forces Opening a low vision for-profit clinic in Lackawanna County has potential to grow and develop as a profitable business. Lackawanna County has a high number of potential clients

Westfield Low Vision Clinic of Scranton

needing low vision services. In Lackawanna County, there are approximately 3,676 people living with low vision problems that affect everyday life. Forming a low vision clinic in this area would prove to have various strengths. In being associated with Westfield Hospital in Allentown, Pennsylvania this clinic will have referrals from the Ophthalmology Department at this hospital. The clinic will also accept various insurance policies that the hospital accepts, to ensure that these clients can be treated. In addition, the area of Northeastern Pennsylvania has a variety of certified occupational therapists that are capable of creating interventions for clients with low vision. These occupational therapists will have the best possible equipment to treat this population. The clinic offers a variety of LCD CCTVs, HD portable magnifiers, and necessary adapted equipment. However, there are still inherent weaknesses in the formation of a low vision clinic in this area of Northeastern Pennsylvania. The distance from the clinic to the hospital has a commute that is longer than 30 minutes, which could be costly in funding transportation to clients. Also, in forming a clinic, there is a lack of experience in establishing a low vision program. An association with only one hospital will also prove to be a weakness because there is a lack of referral sources from other hospitals. If the referrals from the hospital do not increase the caseload, the clinic risks losing revenue and interest from shareholders. However, the weaknesses in the clinic can also become opportunities for growth. The clinic hopes to establish associations with other organizations and hospitals with ophthalmology departments to increase referrals. In addition, this clinic hopes to collaborate in research and development with the Department of Occupational Therapy at the University of Scranton to make strides to improve treatment for low vision deficits. Formulation and Management of Staffing

Westfield Low Vision Clinic of Scranton This section will discuss the employment of an occupational therapist, certified occupational therapist assistant, receptionist, and maintenance and cleaning staff.

Occupational Therapist (OT). The occupational therapist will be a practitioner who graduated from an ACOTE accredited University, completed all required coursework and fieldworks, and is NBCOT certified, registered, and licensed in the state of Pennsylvania. The clinic will establish a staff of one full time therapist (maximum 140 billing units per week) and one per diem therapist, as needed. When the per diem occupational therapist exceeds 100 billing units per week, they will be offered a full-time position, or another full-time therapist will be hired. It is projected by the second year that the clinic will have two full time occupational therapists, and another per diem occupational therapist. In two years, it is projected that the clinic will employ three full time occupational therapists and one per-diem therapist. Certified Occupational Therapy Assistant (COTA). The certified occupational therapist (COTA) will be a certified occupational therapy assistant and licensed in the state of Pennsylvania. The COTA will graduate from an ACOTE accredited COTA program as well as complete all coursework and fieldwork. As of now, in the clinics two year projected plan does not justify a need for having a COTA at this time. After two year the clinic will be reassess the demand for a COTA and can be added as needed. Receptionist. The clinic will employ one receptionist. The receptionist will have various duties in the clinic such as: organizing appointments for clients, organizing therapists case load, communicating with staff and clients, billing clients, filing, and managing the phone lines. In addition, the receptionist will be responsible for contacting insurance companies for billing.

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Maintenance and Cleaning Service. In order to maintain cleanliness in the clinic, the clinic will employ a local cleaning service, Scranton Cleaning & Maid Service. The responsibility of the cleaning service is to clean and disinfect surface areas, clean the floors, take out the trash, and maintain the overall appearance and cleanliness of the clinic. The clinic will hire the cleaning service three times a week for the purposes of maintaining an appropriate and cleanly the space for therapy. Occupational Therapist Job Description. Westfield Low Vision Clinic in Scranton is a specialty outpatient clinic that serves those living with low vision with occupational therapy services. The clinic is seeking employment of a full-time occupational therapist, which is dedicated to providing excellence in client care. The clinic provides state of the art technology and interventions to those living with vision deficits in Northeastern Pennsylvania. The occupational therapist will have the opportunities to work with dedicated clinicians to provide the best possible care to clients. Being an occupational therapist at Westfield Low Vision Clinic in Scranton, will offer the therapist with various opportunities to succeed in the ultimate goal of the clinic, which is to provide individualized services to those with low vision deficits in the area. There are various requirements in attaining a job with this clinic. Therapists must have a Bachelors or Masters from an accredited program, in addition to current state licensure in Pennsylvania in order to apply for the position. The occupational therapist will administer evaluations to clients to assess the impact of low vision deficits on functional independence. The therapist will also be required to communicate effectively with the clients during intervention to maintain, modify, promote, or restore functioning while preventing further disability in intervention. The therapist will educate the client in home modification techniques through the

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in-clinic apartment and easy street settings. Therefore, the occupational therapist must display competence in understanding the wide array of low vision deficits a client faces. The benefits of attaining this job position include: a medical, dental, and vision insurance program, a 401(k) retirement program, stipends for Continuing Education, competitive salary, and paid leave for holidays. For more information, contact Hiring@westfieldlowvision.com. The advertisement for the occupational therapist and certified occupational therapist assistant is attached in Appendix F. Certified Occupational Therapist Assistant Job Description. Westfield Low Vision Clinic in Scranton is a specialty outpatient clinic that serves those living with low vision with occupational therapy services. The clinic is seeking employment of a full-time certified occupational therapy assistant (COTA), which is dedicated to providing excellence in client care. The clinic provides state of the art technology and interventions to those living with vision deficits in Northeastern Pennsylvania. COTA will have the opportunities to work with dedicated clinicians to provide the best possible care to clients. Being a COTA at Westfield Low Vision Clinic in Scranton, will offer the therapist with various opportunities to succeed in the ultimate goal of the clinic, which is to provide individualized services to those with low vision deficits in the area. There are various requirements in attaining a job with this clinic. COTAs must have a degree from an accredited occupational therapy assistant program, in addition to current state licensure in Pennsylvania in order to apply for the position. The COTA will contribute to screening and evaluations of clients, under the supervision of the clinics occupational therapist to assess the impact of low vision deficits on functional independence. The COTA will execute the specific and delegated tasks in which the occupational therapist deems him or her competent.

Westfield Low Vision Clinic of Scranton

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These tasks include: selected assessments, written notes on observations and evaluations, and other specific tasks in the clinic. The COTA will work alongside the occupational therapist to address home modification techniques through the in-clinic apartment setting. The COTA must display competence in understanding the wide array of low vision deficits a client faces. The advertisement for the occupational therapist and certified occupational therapist assistant is attached in Appendix F. Performance Evaluation To insure performance of our therapist is exceptional each therapist will be evaluated quarterly to ensure that our clients are receiving the best possible treatment in the performance evaluation (see Appendix G). The therapist will be evaluated on three different divisions, consisting of education/professional growth and ethics, identification, evaluation and planning of a therapy session and service delivery of a therapy session. Each section will assess the therapist skills, clinical reasoning and continuing education to make sure therapist are performing the best treatment in the field today. Evaluating therapist on education/professional growth and ethics ensures that the therapist keep up with continuing education classes, allowing them to get involved with fieldwork supervision of occupational therapy students and becoming a mentor or support system between themselves and the other occupational therapists in the clinic. Therapists are also responsible for keeping up with the most current evidence based research to supply clients with the supportive evidence on the treatment they are receiving. Lastly therapists will be evaluated on their knowledge of occupational therapy professional Code of Ethics and our specific clinics rules and regulations.

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An occupational therapists ability to identify positive and negative prognosis of the clients functional abilities, evaluate the clients limitations, and planning an appropriate treatment session for the client will all be assessed. It is critical that the occupational therapist displays his or her critical thinking skills and is able to pick out strengths and weaknesses of the client when performing functional activities. Evaluating the limitation through suitable standardized assessments will be observed to make sure the occupational therapist can properly use and determine limitations of the client based on the outcomes of the assessments. Lastly, ensuring that the occupational therapist can plan a treatment session, through the use of assessments, observational skills and the occupational profile will provide the best treatment for the clients. Service delivery skills of the occupational therapist are assessed to ensure the occupational therapist is able to take their prior knowledge and clinical skills to treat a client. Communication between a clients interdisciplinary team and the caregivers is very important for treatment sessions to run as efficiently as possible. Analysis of the collaboration between the occupational therapist and other professions will be done to make sure treatment of the client is working towards achieving the goals and outcomes for client. The occupational therapist will be graded on their ability to carrying out a treatment session based upon goals for clients and to be able to show that they are able to adapt and modify treatments depending on the clients needs. Also, they will need to show that they are able to make an executive decision on whether the client should continue or discontinue occupational therapy sessions based on their performance. Lastly, after the occupational therapists have proven that they are reliable to conduct a therapy session safely, occupational therapist must be able to document the session to prove that the

Westfield Low Vision Clinic of Scranton

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session occurred. Occupational therapist will be evaluated on whether they are able to document the session correctly. Budgeting In order to successfully run the Westfield Low Vision Clinic of Scranton, structured budget will be implemented to reach the necessary profiting goals to meet the clinics business quota. The revenue for the first year will approximately be $504,800, which is purely based on the evaluation and treatment profits that the occupational therapist and Per Diem accomplish within a year. The set rate per unit is $200 for evaluations and $50 per unit for treatment sessions, each evaluation unit is one hour and each treatment unit is 15 minutes. The clinic will strive to increase their units by 10% each quarter, within the first year, to increase clientele. With the increase in units, the goal is to hire another full time therapist by the start of year two. After reaching our total revenue, the cost of equipment and operation expenses will be deducted from clinics revenue (See appendix H). Also, 30% of our revenue, before deducting operating cost, will be deducted from the total revenue to go back to Westfield Hospital and then from there will be distributed among investors. Once all additional expenses are taken out, there is an estimated net profit for the first year of $119,776.32 that will be put toward health benefits, additional equipment, continuing education and anything else Westfield Low Vision of Scranton will need to advance the overall therapeutic treatment for our clients. The second year the will be structured in the same way as the first year. The revenue for the second year will approximately be $792,600 based on two full time occupational therapists and one Per Diem therapist. In addition, the clinic will add a biller so that the responsibility of the billing will not be solely on the clinics secretary. The full time therapist that will be starting their second year will receive a $5,000 increase in salary. Each quarter the clinic will strive to

Westfield Low Vision Clinic of Scranton

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increase their units by 5% within year two to increase case load. 30% of the total year revenue will be taken out and given back to the investors. The operation cost will still be subtracted from the total revenue to find out the net profit of the second year. The net profit of $226,100 will be split among the business and shareholders for benefits, continuing education and retirement plan. Conclusion With the implementation and creation of our program, Westfield Low Vision Clinic of Scranton, outpatient services, will provide North Eastern Pennsylvania with a specialized lowvision agency that will serve individuals whom are impacted by vision deficits. We are committed to providing state of the art services, which offer personalized treatment to meet the needs of each client. Our Team stands committed to offering various programs to promote, restore, and maintain the needs and quality of life for each client along the spectrum of low vision deficits.

Westfield Low Vision Clinic of Scranton Appendix A

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Westfield Low Vision Clinic Employee Satisfaction Survey

Directions: Please circle one answer

1. Overall, how do you rate the meaningfulness of your work?

Very Poor Poor Meaningful Very Meaningful

2. Can you describe how often are you stressed in a typical workweek?
Not Often Slightly Often Often Very Often

3. How satisfied with management are you?

Slightly dissatisfied Moderately dissatisfied Moderately satisfied Extremely dissatisfied Slightly satisfied Neither satisfied nor dissatisfied

4. How realistic are the expectations of your manager?

Not at all realistic Very realistic Slightly realistic Extremely realistic Moderately realistic

5. How often do the directions given from your supervisor contribute to your professional growth as an occupational therapist?
Not at all often Very often Slightly often Extremely often Moderately often

6. How would you rate the level of supervision of the manager to your work?
Too Little The Right Amount Slightly Too Much Much Too Much

Westfield Low Vision Clinic of Scranton

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7. How is the clarity of the direction from the supervisor?

Very Unclear Unclear Clear Very Clear

8. Overall, how satisfied are you with your job?

Extremely dissatisfied Moderately dissatisfied Slightly satisfied Slightly dissatisfied Moderately satisfied Neither satisfied nor dissatisfied Extremely satisfied

9. How would you rate your satisfaction with the cleanliness of the clinic?
Extremely dissatisfied Moderately dissatisfied Slightly satisfied Slightly dissatisfied Moderately satisfied Neither satisfied nor dissatisfied Extremely satisfied

10. Do you find that your coworkers and your supervisors value your opinions?
Disagree Slightly Disagree Slightly Agree Agree

11. How would you rate your satisfaction with the amount of materials you have to properly perform your work?
Extremely dissatisfied Moderately dissatisfied Slightly satisfied Slightly dissatisfied Moderately satisfied Neither satisfied nor dissatisfied Extremely satisfied

12. In the next 6 months, how likely are you to look for another job elsewhere?

Westfield Low Vision Clinic of Scranton Very Unlikely Slightly Unlikely Not Likely Slightly Likely

18 Very Likely

13. How would you rate your satisfaction with the employee benefits including the insurance programs, retirement programs, salary, and stipends for continuing education?
Extremely dissatisfied Moderately dissatisfied Slightly satisfied Slightly dissatisfied Moderately satisfied Neither satisfied nor dissatisfied Extremely satisfied

14. Are there any further comments or suggestions that can contribute to the growth of the clinic?
____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

Westfield Low Vision Clinic of Scranton Appendix B

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Client Satisfaction Survey Therapist Name: __________________________ 1. Overall, do you feel that your therapy sessions were beneficial? A.YES B. NO 2. Have you seen improvement in your independence and have accomplished the goal you and the therapist made? A. YES B. NO 3. Do you feel that your therapist was well knowledgeable and informative during sessions? A. YES B. NO 4. Did you feel that your therapist was profession during your time together? A. YES B. NO 5. Did you feel that your therapist was able to answer any question that you had? A. YES B. NO

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6. Do you feel that the clinic was clean and organize? A.YES B. NO

7. Did you feel that was the receptionist was helpful, organize and welcoming? A. YES B. NO 8. Would you recommend Westfield Low Vision Clinic of Scranton to friends or other family members? A. YES B. NO 9. Would you return to Westfield Low Vision Clinic of Scranton if you needed further services? A. YES B. NO 10. Any further comments or suggestion? ______________________________________________ ______________________________________________ ______________________________________________ ______________________________________________
Appendix C

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Westfield Low Vision Clinic of Scranton Appendix D

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Westfield Low Vision Clinic of Scranton Appendix E

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WESTFIELD LOW VISION CLINIC

AN OCCUPATIONAL THERAPY CLINIC
Providing help to those living with: Macular Degeneration Diabetic Neuropathy Glaucoma Other low vision deficits
240 Penn Ave, Scranton PA 18510

(570) EYE - 4EYE

(570) 393 - 4393

Westfield Low Vision Clinic of Scranton Appendix F

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2 1

OT/COTA JOBS

CERTIFIED OCCUPATIONAL THERAPY ASSISTANT POSITION

Westfield Low Vision Clinic Scranton, PA

FULL-TIME OCCUPATIONAL THERAPIST POSITION

OT Job Descr i pt ion

Westfield Low Vision Clinic in Scranton is a specialty clinic that provides quality outpatient occupational therapy services to those living with low vision deficits. The clinic is seeking to hire a full-time occupational therapist certified and licensed in the state of Pennsylvania to join our team of therapists! The occupational therapist will administer evaluations to clients to assess the impact of low vision deficits on functional independence. The therapist will also be required to communicate effectively with the clients during intervention to maintain, modify, promote, or restore functioning while preventing further disability in intervention. The therapist will educate the client in home modification techniques through the in-clinic apartment setting. Therefore, the occupational therapist must display competence in understanding the wide array of low vision deficits a client faces.

COTA Job Descr i p t i on

COTAs must have a degree from an accredited occupational therapy assistant program, in addition to current state licensure in Pennsylvania in order to apply. The COTA will contribute to screening and evaluations of clients, under the supervision of the clinics occupational therapist to assess the impact of low vision deficits on functional independence. The COTA will execute the specific and delegated tasks in which the occupational therapist deems him or her competent. These tasks include: selected assessments, written notes on observations and evaluations, and other specific tasks in the clinic. The COTA will work alongside the occupational therapist to address home modification techniques through the in-clinic apartment setting. The COTA must display competence in understanding the wide array of low vision deficits a client faces.

Medical, dental, and vision insurance program A 401(k) retirement program Stipends for Continuing Education Competitive salary Paid leave for holidays

Benefits:

Contact Hiring@westfieldlowvision.com

Westfield Low Vision Clinic of Scranton Appendix G Education/Professional Growth and Ethics Continuing Education Fieldwork Supervision/ Mentoring of OT Evidence Based Research Code of Ethics Identification, Evaluation and Planning Identification of the clients functional limitations Evaluate with standardized assessments, observation skills and occupational profile Planning an appropriate treatment session Service Delivery Communicates efficiently with other professionals Communicates efficiently with family and/or caregivers Carrying on a therapy session based on the clients goals Able to adapt and modify treatment Determine whether client should continue or discontinue therapy sessions Complete a session safely Able to document the session correctly Complete

25

Incomplete

Mastered

Satisfactory

Needs Improvement

Mastered

Satisfactory

Needs Improvement

Westfield Low Vision Clinic of Scranton Appendix H

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Budget January 2013 to December 2014

Quarter 1: January to March 2013 Revenue: CPT: Avg Fee: Per quarter
60u $12,000

Quarter 2: April to June 2013 Per quarter

66u $13,200

Quarter 3: July to September 2013 Per quarter

73u $14,600

Quarter 4: October to December 2013 Per quarter

84u $16,000

Quarter 1: January to March 2014 Per quarter

88u $17,600

Quarter 2: April to June 2014 Per quarter

92u $18,400

Quarter 3: July to September 2014 Per quarter

97u $19,400

Quarter 4: October to December 2014 Per quarter

102u $20,400

OT Eval 97003 $200/eval Self-Care Mgt 97535 $50/unit *Unit= 15 minutes: OT Therapist 1: OT Therapist 2: Per Diem OT: Extra Week Treatment:

1,680u 720u 140u

$72,000 $36,000 $7,000

1,680u 816u 140u

$72,000 $40,800 $7,000

1,680u 1056u 140u

$72,000 $52,800 $7,000

1,680u $72,000 1200u 140u $60,000 $7,000

1,680u $72,000 1,680u $72,000 720u $36,000 140u $7,000

1,680u $72,000 1,680u $72,000 816u $40,800 140u $7,000

1,680u 1,680u 1056u 140u

$72,000 $72,000 $52,800 $7,000

1,680u 1,680u 1,200u 140u

$72,000 $72,000 $60,000 $7,000

Total Revenue: Revenue for year: Operating Expenses: Clinic Secretary: $30,000/year ($32,000 year 2) Biller for year 2 $30,000/year Rent for Clinic Space: $14,400/year Office Supplies: $6,000/year Marketing Expenses: $40,000/year Phone, Cable, & Internet: $2400/year Utilities: $4,800/year Occupational Therapist 1: $75,000/yr ($80,000 year 2) Occupational Therapist 2: $75,000/yr Per Diem OT: $37,920/yr Maintenance: $2,000/year Investors (30%) of Profit Cost of Equipment Purchase with Investors: Evaluation Tools: Treatment Tools & Equipment: Capital Budget: *see Appendix Equipment Total: Total Operating Expense:

$115,000

$119,800

$131,000

$139,000 $504,800 $7,500

$186,400

$191,800

$203,800

$211,000 $792,600 $8,000 $7,500 $3,600 $1,500 $10,000 $600 $1,200 $20,000 $18,750 $12,000 $500 $229,380

$7,500

$7,500

$7,500

$8,000 $7,500 $3,600 $1,500 $10,000 $600 $1,200 $20,000 $18,750 $7,200 $500

$8,000 $7,500 $3,600 $1,500 $10,000 $600 $1,200 $20,000 $18,750 $8,160 $500

$8,000 $7,500 $3,600 $1,500 $10,000 $600 $1,200 $20,000 $18,750 $10,560 $500

$3,600 $1,500 $10,000 $600 $1,200 $18,750

$3,600 $1,500 $10,000 $600 $1,200 $18,750

$3,600 $1,500 $10,000 $600 $1,200 $18,750

$3,600 $1,500 $10,000 $600 $1,200 $18,750

$7,200 $500

$8,160 $500

$10,560 $500

$12,000 $500 $143,040 $2,308 $27,155.67 $24,000

Cost of Equipment for Year 2: $2,000 will be set aside to purchase evaluations each quarter in the second quarter

$50,850+ $35,760+ $7365.92= $93,975.92 $21,024.08

$51,810 + $35,760+ $7365.92= $94,935.92 $24,864.08

$29,463.67 $29,463.67/4=7365.92 $54,210+ $55,650+ $35760+ $35,760+ $7365.92= $7365.92= $97,335.92 $98,775.92 $33,664.08 $40,224.08 Total Year 1: $119,776.32

$80,100+ $57,345+ $2000= $139,445 $46,955

$81,060+ $57,345+ $2000= $140,405 $51,395

$83,460+ $57,345+ $2000= $142,805 $60,995

$84,900+ $57,345+ $2000= $144,245 $66,755 Total Year 2: $226,100

Net Profit:
Total Revenue Total Operating Expenses Money to be split among business and shareholders for benefits, continuing education, retirement plans

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Equipment and Assessment List Purpose: ADLs: Showering and bathing: Personal Hygiene and Grooming Name of Product Fog Free Shower Mirror with 5X Magnifier, 6 in. Zadro 7X Magnifying Gooseneck Vanity Mirror Catalog: www.shoplowvision.com Price: $10.95

www.shoplowvision.com

$24.99

Nail Clippers with 5X Magnifier Tweezers with 5X Magnifier Safety in ADLs Striped Warning Tape - Yellow and Black Stripe Wide Label Maker Touch Memo Digital Voice Labeler ADLs Rainbow Color Reader: Talking Color Dressing: Identifier IADLs: Phoenix MyWeigh Personal Talking Health Scale, White Management and Maintenance XL Bubble-Lok 7-day Pill Organizer (White) BD Magni-Guide Magnifier And Needle Guide Oregon Scientific Wrist Mounted Talking Blood Pressure Monitor Magnifying Pill Cutter Talking Rx Large Print Bold Line Check Register Booklet Money Wallet Organizer Big Number Talking Desktop Calculator IADLs: Home Management Talking Thermometer Indoor/Outdoor

www.shoplowvision.com www.shoplowvision.com www.maxiaids.com LS&S Catalog#LM300 www.shoplowvision.com www.maxiaids.com www.shoplowvision.com

$5.95 $4.15 $9.95 $119.95 $178.95 $99.95 $48.95

www.shoplowvision.com www.shoplowvision.com www.shoplowvision.com LS&S Catalog#67168 www.maxiaids.com www.shoplowvision.com

$1.95 $9.25 $59.95 $5.95 $10.95 $5.95

IADLs: Financial Management

LS&S www.shoplowvision.com www.shoplowvision.com

$24.95 $12.95 $13.95

Vox-Tape Talking Tape Measure: 16 Ft. IADL: Cooking and Meal Preparation Black and White Two-Sided High Contrast Cutting Board

www.maxiaids.com www.shoplowvision.com

$159.00 $12.95

Culinary Finger Protector

www.shoplowvision.com

$5.95

Westfield Low Vision Clinic of Scranton

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Equipment and Assessment List Assessment Measures: Visual Acuity Distance Name of Assessment used at Patients Home Name of Assessment Price used at the Clinic ETDRS Chart $1,310 Will Illuminator Cabinet, 5 Leg Caster Base, and 2 charts $183 Website www.precisionvision.com

Feinbloom Distance Test Chart with Occluder

Visual Acuity Near Visual Field Peripheral Visual Field Central Contrast Sensitivity Occupations

Minnesota LowVision Reading Test Confrontation Field Testing Amsler Grid

Minnesota LowVision Reading Test Confrontation Field Testing Amsler Grid

$145 Free Free

http://www.richmo ndproducts.com/sho p/index.php?route= product/product&pr oduct_id=1052 www.precisionvision.com

Mars Letter Contrast Sensitivity Skilled Observation Low Vision Rehabilitation Evaluation form Veterans Affairs LowVision Visual Functioning Questionnaire

Mars Letter Contrast Sensitivity Skilled Observation Low Vision Rehabilitation Evaluation form Veterans Affairs Low-Vision Visual Functioning Questionnaire

$395

http://www.myvisio ntest.com/img/Ams lerGrid.pdf http://www.marsper ceptrix.com/marsletter-cs-test

Free

Free

http://slackbooks.co m/otvisionforms/oc cupational.pdf

Free

Eye Dominance

The Hole-in-Card Test The Hole-in-Card Test

Free

http://slackbooks.co m/otvisionforms/qu estionnaire.pdf http://www.usaeyes .org/lasik/library/D ominant-EyeTest.pdf

Writing Reading

Skilled Observation Pepper VSRT

Skilled Observation Pepper VSRT

Free $275 www.lowvisionsim ulators.com

Total Price = $2,308

Westfield Low Vision Clinic of Scranton

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Capital Budget Purpose: Magnification Devices: Name of Product Optelec Compact 5 HD The Lynx Portable Magnifier by Clarity Merlin LCD CCTV with 19" Screen, Horizon - 19" LCD widescreen CCTV General: 4 Desks 3 Televisions 2 Sofas 13 Chairs 2 Toilets Catalog: www.shoplowvision.com www.clarityusa.com www.visualtechconnection.com www.visualtechconnection.com www.loews.com www.bestbuy.com www.ikea.com www.amazon.com www.homedepot.com Price: $895.00 $2,695.00 $2,795.00 $4,295.00

Refrigerator Stove Desktop Computers 4 Total: $23,064.37

Sauder Harbor View Antiqued White Writing Desk Samsung - 40" Class - LED - 1080p 120Hz - Smart - HDTV KARLSTAD Sofa, tufted, Grann black Coaster Vinyl Accent Chair KOHLER Rialto 1-Piece 1.6 GPF Round Front Toilet with French Curve Toilet Seat in White GE 18.1 cu. ft. Top Freezer Refrigerator in White GE 30 in. Freestanding Electric Range in White Dell Inspiron One 23" All-in-One Desktop

$1,187.48 $2,249.97 $1798 $2234.96 $916

www.homedepot.com www.homedepot.com www.dell.com

$599 $599 $2799.96

Westfield Low Vision Clinic of Scranton References

30

Braveman, B. (2006). Leading & managing occupational therapy services . Philadelphia: F.A. Davis Company U.S. Department of Commerce (2010). 2010 Census Interactive Population Search. Retrieved from http://2010.census.gov/2010census/popmap/ipmtext.php?fl=42:42069 Van Oss, T., Rivers, M., Macri, C., Heighton, B., & Reid, B. (2012). Bathroom safety. OT Practice , 17(16), 14-19. Retrieved from http://www.aota.org/Pubs/OTP/2012-Issues/OTP-091012.aspx