Naoya Nick Ogura

CLINIC DIRECTOR & OCCUPATIONAL THERAPIST (June 2020 to present) Responsibilities include: - Conception, delivery, and execution of clinic strategy during the COVID-19 pandemic to ensure continued delivery of effective therapy while observing CDC guidelines for safety. - Development of streamlined systems on Google Sheets to improve patient follow-up, intra-therapist communication, and coordination of scheduling to ensure schedules. - Facilitating and planning for anti-racism discussions during our monthly anti-racism meetings, with a focus on equity within healthcare. - Interviewing, orientation, and training of occupational therapy department in lifestyle therapy interventions. OCCUPATIONAL THERAPIST (Aug 2019~July 2020) - Lead occupational therapist: Developed a neurological and lifestyle therapy OT program from the ground up as the only occupational therapist at the clinic. - Evaluation and treatment of conditions such as: Multiple sclerosis, fibromyalgia, CRPS, functional neurological disorders, chronic pain, Parkinson's disease, dystonia, and post-stroke. - Development of a 4-week Sleep Habits Course, delivered online. - Utilization of mindfulness and grounding techniques for stress, anxiety, dysautonomia, tremors, dizziness, functional neurological disorders, and dystonia. - Occupation-centered approach for people with cognitive changes, with a focus on engagement in meaningful routines while following safety guidelines.

SUMMARY: 4-months of temporary contract work at the largest integrative health clinic in Hawaii. Provided occupational therapy and health coaching services for physical and mental health diagnoses. Researched, designed, and implemented new health coaching intervention methods, and trained other occupational therapists in use of intervention modules. Accomplishments: - Health coaching: Provided one-on-one lifestyle therapy/health coaching; guided patients through stages of change with motivational interviewing. - Growth in referrals: Increased referrals to OT department by 52% by providing reliable, effective OT services (based on averages of first 2 weeks and last 2 weeks for which data is available). - Pain management: Delivered non-pharmaceutical pain management interventions, including restorative yoga, ergonomic evaluations, mindfulness, and home exercise programs. Assessed musculoskeletal functioning through range of motion, manual muscle testing, and palpation. - Collaborative care: Coordinated multidisciplinary care with PT, NP, PA, and MD to provide holistic care, and ensured referrals, authorizations, and referring ICD-10 diagnoses were in place. Program Development - Health Coaching Modules: Conducted scientific literature review and compiled online resources to develop, design, trial, and edit client education modules on stress management, sleep hygiene, healthy eating, exercise routines, time management, pain management, and ergonomics. - Supervision: Trained and supervised an occupational therapy assistant on education modules. EMR/EPIC Experience - Developed new Smart Phrase templates in EPIC to standardize quality of health coaching evaluation and treatment notes to ensure sound clinical reasoning and successful billing. Integrated language from CPT codes, ICD-10 codes, OT Practice Framework.

SUMMARY: Providing early intervention occupational therapy services for infants and toddlers aged 0 to 3-years-old in the home environment, with a focus on feeding and sensory strategies. - Evaluating clients’ developmental levels and assessing families’ needs and preferences, in order to build relevant, functional, and meaningful goals. - Empowering families to independently implement therapy strategies by providing education, building confidence, and facilitating integration of therapy strategies into their daily routines.

SUMMARY: Helped clients improve in sleep hygiene, eating routines, exercise routines, stress management, and time management through lifestyle therapy interventions. Produced clinically significant improvements as measured by RAND-36 and COPM. Treated stress, anxiety, ADHD, chronic pain, headaches, and diabetes. Experienced in managing group therapy programs, reviewing program outcomes, and research-based interventions. [List of Accomplishments] - Utilized motivational interviewing techniques to guide clients through stages of behavior change in order to improve self-management of chronic conditions, as measured by clinically significant changes on validated outcome measures. - Conditions treated include: depression, anxiety, stress, ADHD, diabetes, metabolic syndrome, multiple sclerosis, fibromyalgia, back pain, and chronic headaches. - Launched and facilitated the first cohorts of the National Diabetes Prevention Program; standardized administrative procedures, established outcome tracking, and led preparatory meetings with colleagues. - Trained clients in mindfulness including body scan, progressive muscle relaxation, visualization, imagery, and pain acceptance meditation. - Reduced impact of poor sleep on focus, energy, and hormone regulation by implementing cognitive behavioral therapy for insomnia, measured by improvements in RAND-SF 36 score for Energy/Fatigue. - Researched, developed, and delivered patient education materials on anxiety, time management, physical activity, and hypertension. - Conducted research on best practices in mobile health, and provided in-services on mobile health apps for diabetes to faculty members. - Assessed client-fit for telehealth services, and delivered sessions over video-calls when appropriate. - Reported on patient progress during interdisciplinary meetings to collaborate with physicians, physical therapists, and pain psychologists.

SUMMARY: Provided in-home, intensive neuro-rehabilitation therapy. Sessions were 2 hours long, allowing for activity-based interventions. Resigned to pursue doctorate in occupational therapy. - Evaluated patients, developed treatment plans, and delivered activity-based therapy treatment, including functional mobility in the home, playing the piano, cooking, and navigating in the mall. - Co-treated with a team of PT, SLP and social worker to deliver holistic care for patients.