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3) Health Care Delivery 1 Set 3 > 9) Extenders of Care > Flashcards

9) Extenders of Care Flashcards

1
Q

Co-management

A

PT and another HCP who also manages the pt work together to provide collaborative care

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2
Q

Consultation

A

Giving your professional opinion/advice by applying your scope’s specialized knowledge and skills to ID problems, recommend solutions, or produce a specific outcome

  • PT’s can give and ask for a consult
  • Like on Grey’s Anatomy
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3
Q

Explain Direction and Supervision

A

PT’s are accountable for services provided by recognized assistive personnel

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4
Q

What individual ultimately directs the POC?

A

The PT

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5
Q

Who retains responsibility for a pt t/o the episode of care?

A

The PT

  • There should never be a full hand-off of a pt
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6
Q

What are some changes to the new NJ practice act?

A
  • PTA’s can do home care
  • New grads can take the NPTE 120 days prior to graduation
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7
Q

Describe the education of PTA’s

A

Licensed HCP that graduated from a CAPTE-accredited 2-yr PTA program

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8
Q

Are PTA’s allowed to interpret results from assessments?

A

No

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9
Q

What things should be considered prior to giving a pt to a PTA?

A
  • Is the pt comfortable w/the PTA?
  • Pt complexity
  • Will the pt need on-going skilled assessment?
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10
Q

Direct Supervision (NJ Practice Act Definition)

A

The supervising PT has to be on-site and available to respond to any consequence that may occur during tx

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11
Q

What does the NJ Practice Act say about PTA supervision?

A
  • PT can’t supervise more PTA’s than the State Board feels adequate → Usually 2
    • Can petitions for an exception
  • PTA can work only under the direct supervision of a PT
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12
Q

According to the NJ Practice Act, what can the PTA do?

A
  • Initiate tx only when a PT tells them to and must be under their direct supervision
  • Collect data for pt exam
  • Documentation → PT still needs to cosign
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13
Q

According to the NJ Practice Act, what can’t PTA’s do?

A
  • Perform a PT exam/eval
  • Interpret exam findings
  • Make a dx or px
  • Devo/modify POC
  • Make any type of decision about pt’s care, including recommending AD’s or modification of pt’s physical environment
  • Joint mobes/manips
  • Sharp selective debridement
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14
Q

What happens in the event of an unanticipated absence of the supervising PT?

A

PTA may tx for 1 business day, as long as they already have an established POC and the PTA has worked w/that pt before

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15
Q

According to the NJ Practice Act, where does the PT have to be in order to give direct supervision?

A

In the same building or ones that touch/are connected and constantly available via electronic communication

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16
Q

According to the NJ Practice Act, how frequently do the PT and PTA need to review a POC together?

A
  • Before the 1st visit
  • Before implementing/revising a POC
  • At least every 30 days
  • If there’s a new supervising PT
17
Q

According to the NJ Practice Act, what tasks can an unlicensed person (aide, volunteer, etc) do?

A
  • Cleaning
  • Equipment maintenance
  • Physical plant
  • Business tasks
  • Pt transport
  • Assist w/dressing/undressing
  • Pt positioning
18
Q

According to the NJ Practice Act, what things can’t an unlicensed person do?

A

Basically anything that’s skilled

  • Advise, instruct, or teach the pt about their condition
  • Perform any testing or eval procedures
  • Make notes in the pt’s chart about clinical tx
  • Place electrodes
  • Administer PA’s
  • Instruct or perform therex
  • Provide therapeutic massage
19
Q

Do PTA’s have their own billing ID?

A

No → PTA services are billed under the supervising PT

20
Q

Does Medicare consider PTA’s to be qualified providers?

A

Yes, as long as they are following the rules

21
Q

Who sets the rules about PTAs and who should we follow?

A
  • Medicaid
  • Different plans
  • Different payers
  • The state

*Follow the one that’s most restrictive

22
Q

What does Medicare consider billing for unsupervised care?

A

Fraud

23
Q

Are PTA’s and COTA’s considered qualified professionals according to the Medicare Manual?

A

Yes

24
Q

What is the only setting that requires direct supervision? What do other settings require?

A
  • Private practice requires direct supervision
  • All other settings require general supervision
25
Q

Can services administered by a PTA be billed “incident to” a physician’s/NPP’s services and why?

A

No → They don’t meet the qualifications of a therapist

26
Q

According to Medicare, what is billing for services provided by an aide?

A

Fraud → Its not skilled care

27
Q

Why is bringing other recognized assistive personnel into exam & eval a good idea? Why is it a not so good idea?

A

Good

  • Will bring a wider pt pop into clinics
  • Promotes broader POC’s
  • Billing ($$$)
  • Save $ on salaries

Not-So-Good

  • Takes away our role as PT’s
  • Less need to hire PT’s
  • If we can use AT’s and EP’s, so can physicians and then there goes our value

3) Health Care Delivery 1 Set 3 (3 decks)

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