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Practice Analysis of ABC Certified Assistants in the Disciplines of Orthotics and Prosthetics

January 2012

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Results Relating to Domains of Practice

This section presents the results of the ratings related to the five domains that describe practice. Respondents rated each of the domains on two ratings scales:

  • Percentage of Time: Overall, what percentage of your work time did you spend performing tasks related to each domain during the past year?
  • Criticality: How critical is this domain to optimizing outcomes for patients and/or caregivers? 1=Not critical, 2=Minimally critical, 3=Moderately critical, 4=Highly critical

Respondents spent the greatest amount of time performing tasks in the Implementation of the Treatment Plan domain (33%), followed by time spent in the Assessment domain (21%). Followup of the Treatment Plan took about 19% of time, and the remaining two domains occupied between 10% and 15% of time. Differences in the percentage of time spent in the domains were found between those answering from each perspective, with orthotic respondents spending more time in Assessment and Practice Management and prosthetic respondents spending more time in Implementation.

The mean Criticality ratings were highest for Implementation of the Treatment Plan domain, indicating this domain is close to highly critical to optimizing care for patients and/or caregivers. All other domains received mean Criticality ratings ranging from 3.2 to 3.6, indicating that respondents felt the tasks in these domains were moderately to highly critical. Accordingly, all five domains appropriately focus on activities that are critical to optimizing outcomes for patients and/or caregivers. 

Table 15

Percentage of Time and Criticality in Each Domain
 % of TimeCriticality
 OPOP
Domain 1–Assessment    
Participate in a comprehensive assessment of the patient to obtain an understanding of the orthotic/ prosthetic treatment plan.23.0%18.5%3.73.5
Domain 2–Implementation of the Treatment Plan    
Perform procedures necessary to provide the appropriate orthotic/prosthetic services, including fabrication.30.2%36.8%3.73.7
Domain 3–Follow-up of the Treatment Plan    
Provide continuing patient care to ensure successful outcomes related to the established treatment plan. 18.5%19.9%3.63.7
Domain 4–Practice Management    
Comply with policies and procedures regarding human resources, the physical environment, business and financial practices and organizational management.16.9%12.3%3.33.4
Domain 5–Promotion of Competency and Enhancement of Professional Practice    
Comply with policies and procedures regarding the physical environment, business and financial practices, organizational management and human resources.10.0%10.7%3.23.3
     
Other1.4%1.8%  

Numeric values of criticality scale: 1=Not critical, 2=Minimally critical, 3=Moderately critical, 4=Highly critical