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Amy Jo Lamb, OTD, OTRL, FAOTA, is Assistant Professor, EasternMichigan University, Ypsilanti, and Vice President, American Occupational Therapy Association. With the passage of the Patient Protection and Affordable Care Act (ACA) on March 23, 2010, preventing chronic disease and improving the health of the public became a centerpiece of health reform. Upheld largely by the Supreme Court on June 28, 2012, legislation and funding to ensure focused attention on prevention initiatives remain intact. The reelection of President Obama, the originator and prime supporter of the ACA, further solidified momentum for implementation of health care reform. Poised to expand health coverage and health services for all Americans, the ACA proposes changing a health care delivery system that limits access to care, compromises provision of quality services, increases costs as a result of system inefficiencies, and lacks attention to basic prevention and wellness supports. The ACA is built on many concepts, including the Triple Aim (Berwick, Nolan, & Whittington, 2008) to control costs, improve quality, and increase efficiency. The Triple Aim originated from the Institute for Healthcare Improvement and has influenced new regulations, programs, and efforts to reform the U.S. health care system. The Triple Aim is largely anchored in wellness and prevention as a foundation for improving our ailing system and the overall health of Americans. As described by Kingdon (2002), the policy “window of opportunity” has been opened by the elements of three merging streams—the recognition of a problem (i.e., the need to dramatically reform our health care system), political events, and the presence of policy proposals. We are looking squarely at a time when all the right elements are converging to make prevention and wellness a prime area for action. Occupational therapy professionals can play a key role in improving the health of a population through prevention and wellness by reaching out to communities and organizations and by working with clients in managing chronic conditions. Unfortunately, occupational therapy professionals are seldom recognized as prevention players, past or present. To better establish our role inprevention and seize this opportunity, we must consider these questions: Is occupational therapy prepared for or positioned to be present in the prevention arena? How can we position ourselves for success to engage with other professional partners in prevention? Collectively, are we ready to extend our reach into the prevention and wellness arena during this distinct window of opportunity created by health care reform?

Occupational Therapy in Prevention and Wellness: Retaining Relevance in a New Health Care World