Tracking Rehabilitative Advancement through Accountable Care (TRAAC)

For children who:

• were recently diagnosed with a condition or disorder.
• are making steady progress towards short- and long-term functional goals.
• need occasional changes to their plan of care.
• need education/training and whose families follow the given home program.

Frequency scheduled as needed (1 session every 2-6 months) with re-evaluations as recommended. For children who:

• are slowly gaining functional skills.
• require family education/training with infrequent updates, and family follows the given home program.
• are receiving community services and require occasional consultation with a therapist to ensure continued progress in the therapy goals or to address concerns.
• have specific new challenges identified by the child or family.
• have a new need for or will require updating of specific adaptive equipment (e.g., wheelchairs, standers, gait trainers).

• Completed every 6 months.
• Information gathered during evaluation/re-evaluation is used to create a plan of care according to the TRAAC model, and to make treatment decisions, recommendations, and plans for discharge.

Skilled Therapy on Hold Criteria:

Treatment may be placed on hold due to:

• medical reasons.
• family choosing to stop receiving therapy due to inability to pay for services, after being offered available hospital financial assistance programs and after being referred to community resources.
• after referral to another discipline, before starting or continuing skilled OT/PT/SLP/ABA.

Discharge Criteria:

Therapy services will end when:

• the therapy needs and goals of the child have been met.
• the condition, injury or disorder is resolved.
• the child can use compensatory strategies by himself.
• Evidence-Based Practices no longer result in measurable progress.
• child’s functional skills are decreasing and cannot be improved by skilled therapy.
• parents do not participate in therapy.
• parents are unable to follow the Attendance Contract.
• family chooses to stop therapy or moves away.
• child is referred to another provider or community resource.
• family chooses to stop therapy due to inability to pay for services.

Trial Therapy

Therapy may be given on a trial basis for a short period of time when:

• a new program/treatment approach is started (e.g., Augmentative and Alternative Communication (AAC), Feeding and Swallowing Therapy).
• child is not meeting measurable goals or improving test results in a period of 12 weeks.
• child has a long history of therapy services as reported by parent or medical records.
• prognosis or rehabilitation potential is fair or guarded.
• child is preparing to transition to therapy services in academic or natural environment, and/or alternative therapies.
• child is preparing to transition to community based or extracurricular activities.
• a home program is being used to maintain general skills within natural environment.