Understanding scores, template reports and eligibility recommendations

Understanding scores, template reports and eligibility recommendations

Understanding composite and domain scores

Read time: 1-2 minutes

Overview: You completed an evaluation and generated the report.  There are lots of scores as well as a composite score.  What does this mean?

You did a great evaluation and added the student's data.  You generated a report.  Let's look through a real report so you better understand what you are looking at. All of our scores are based on the scoring and interpretation bands below. 

This includes domains of evaluations as well.  Some of our evaluations and Mini Assessments are based on 100 points while others are out of 1000 points.  If you have a composite that is out of 1000 points, then you just move the decimal to the left .  So if the composite is 792 then its 79.2 and the scoring label would be "Proficient".   
But remember that Composite scores can water down needs.  Thats why in the eligibility section of the reports, that O.T. Wizard uses a special formula to not only consider composite scores, but also how many domains or subdomains were in the Emerging (59% or lower) descriptor.  O.T. Wizard also takes into account if there are safety and participation concerns.  Therefore, all evaluations are consistent in the way that it suggests eligibility.   Medical reports suggests eligibility in a way that is more consistent with Medicaid and Commercial healthcare policies while School/IEP reports are more consistent with IEP /DPI criteria.  The overall goal is to help you make more informed decisions and make teams give CONSISTENT recommendations based on data and logic. 

General Scoring Information , Composites, and Domain Scores

Because composites are an average, they can easily be watered down and not be the best way to determine eligibility or need.   That is why we have several sets of logic on the back end to help O.T. Wizard recommend OT eligibility to you.  Medical reports have a different set of eligibility guidelines than IEP reports.  Each respective report type follows the guidance from clinical coverage policies (insurance) or DPI (IEPs).  The purpose is to give you clear and consistent guidance for eligibility and even frequency. It is up to you to determine what to actually recommend.   


I have pulled two different reports for the same student, same evaluation.  

Below is the Medical OT Report Version and sections for intervention, functional impact, eligibility, ed justification, and service time.

Below is the Educational OT Report Version and sections for intervention, functional impact, eligibility, ed justification, and service time. The Ed version gives more details about how the recommendation was determined.  You can absolutely edit this out of the report!


The main perk of this eligibility system is compliance and consistency.  If you are on a OT team, then it helps keep eligibility decisions consistent between practitioners and allows for greater audit compliance.  


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