A program is a plan, schedule or procedure to be followed to a specified end. A program provides structure but doesn’t teach and educator how to respond to different student errors and tailor each lesson based on student performance and individual learning needs.
An approach is the means adapted to tackling an issue. Orton-Gillingham is an instructional approach. It is most properly understood and practiced as an approach, not a method, program, system, or technique. In the hands of a well-trained and experienced instructor, it is a powerful tool of exceptional breadth, depth, and flexibility.