This paper describes the development of the PrEMO© (Promoting Environments that Measure Outcomes) program. PrEMO© is an innovative model promoting evidence-based practice (EBP) while developing capacity and quality of Level II fieldwork placements. The PrEMO© program is described from initiation to completion, including development of site-specific learning objectives, the twelve week schedule and the role of faculty mentorship. Occupational therapy (OT) students, and university OT program faculty including academic fieldwork coordinators, partner with fieldwork educators at the site to implement EBP using a data-driven decision making (DDDM) process to guide the development of evidence-based practices. PrEMO© appears to be a useful strategy for building Level II fieldwork capacity and enhancing student and fieldwork educators’ knowledge and skills about EBP and outcome measurement in routine OT practice.


Roseann C. Schaaf, PhD, OTR/L, FAOTA is a professor and the Chair of the Department of Occupational Therapy at Thomas Jefferson University. She is also a faculty member for the Farber Institute of Neurosciences.

Amy P. Carroll, OTD, OTR/L is an assistant professor in the Department of Occupational Therapy at Thomas Jefferson University. Amy is also the Promoting Environments that Measure Outcomes (PrEMO) Facilitator.

Susan E. Toth-Cohen, PhD, OTR/L, is Director, Post-professional Occupational Therapy Doctoral Program, and Professor, Department of Occupational Therapy, Jefferson College of Health Professions, Thomas Jefferson University, Philadelphia, PA, United States.

Janice P. Burke, PhD, OTR/L, FAOTA is founding Dean, JCHP and Professor, Department of OT at Jefferson where she was Chair of OT from 1998-2013. Burke currently serves as the Director of the AOTA Academic Leadership Institute (ALI).

Caryn Reichlin Johnson, MS, OTR/L, FAOTA, is Academic Fieldwork Coordinator and Associate Professor at Thomas Jefferson University, Department of Occupational Therapy.

E. Adel Herge, OTD, OTR/L, FAOTA is an associate professor in the Department of Occupational Therapy and the Director of the Combined BSMS OT Program at Thomas Jefferson University. She is also the Assistant Director for Simulation for Jefferson College of Health Professions.

Declaration of Interest

The authors report no declarations of interest.