29. Chronic Care Flashcards
1
Q
provides funds for social service needs for those age 60 and older
A
Older Americans Act of 1965
2
Q
provides protection against age discrimination
A
Americans with Disabilities Act of 1990
3
Q
provides job protection and continuous health benefits - 12 weeks unpaid leave
A
Family Medical Leave Act of 1993
4
Q
What is provided by the Patient Self-Determination Act of 1991
A
- advanced medical directives
- living will
- durable POA
- DNR order
5
Q
What can you do with chronic disease in older adults?
A
health promotion activities and education
6
Q
Essential elements of high-quality chronic disease care (Wagner’s Chronic Care Model)
A
- community
- health system
- self-management support
- delivery system design
- decision support
- clinical information systems
7
Q
Medicare program for reimbursement of physicians for monitoring chronic care
A
Chronic Care Management
8
Q
guidelines for Chronic Care Management
A
- pt needs to have 2 or more chronic conditions
- pays for non-face-to-face engagements
- monthly summary report
- patient has serious health risk for death
- 24/7 access
9
Q
Care settings for older adults
A
- pt-centered medical home (make sure pt has all supplies where they need it)
- senior citizen centers (place to get a meal and socialize)
- adult day care
- home health and hospice
- assisted living
- long term care and rehab
