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OTD8281-OT Business > Exam 3 (wk 9-12) > Flashcards

Exam 3 (wk 9-12) Flashcards

ch 60, 61, 62, 74, 51, 52, 58, 47, 55

1
Q

factors that impact fieldwork education- internal

A

client
department
staffing
organization/payers

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2
Q

factors that impact fieldwork education- external

A

academic institution
students
vision 2025

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3
Q

client (fieldwork)

A

accepting students can impact their health and safety
privacy is key

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4
Q

department (fieldwork)

A

physical space and resources must be considered
traditional or nontraditional?

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5
Q

staffing (fieldwork)

A

sufficient supervision for students
staff willingness to supervise

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6
Q

organization/payers (fieldwork)

A

how well a department can handle the stress of adding a student
increasing productivity may leave less time to supervise a student
services may not be reimbursed under a student

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7
Q

academic institution (fieldwork)

A

accreditation
aligning values

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8
Q

students (fieldwork)

A

meeting competencies
adequate knowledge

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9
Q

challenges managers face with fieldwork education students

A

avoiding staffing conflicts
balancing productivity with supervision

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10
Q

internal stakeholders of fieldwork

A

employer/organization
department
staff
care recipents

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11
Q

external stakeholders of fieldwork

A

third-party payers
academic institutions
students
profession

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12
Q

accreditation

A

process by which an institution or educational organization seeks to demonstrate that is complies with generally accepted standards

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13
Q

purpose of accreditation

A

to recognize health are organizations, educational institutions, and professional programs associated with those for a level of performance, integrity, and high quality

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14
Q

regulation

A

law or rule prescribed by authority to regulate conduct

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15
Q

the joint commission

A

non-profit organization that accredits and certifies healthcare organizations and programs in the United States and other countries

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16
Q

process of TJC accreditation

A

surveys

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17
Q

types of organizations that TJC accredits

A

hospitals and other healthcare organizations

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18
Q

survey

A

site visits

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19
Q

under what conditions is an organization found to be “compliant” with TJC standards?

A

when all or most of the applicable standards are met to this satisfaction of the site visitation team

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20
Q

how do organizations prepare for a survey?

A

Begin 16 months before a visit
review standards, scoring guidelines, and perspectives newsletter
examine current processes, policies, and procedures

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21
Q

National Patient Safety Goals (NPSGs)

A

highlight areas considered to problematic in healthvare and provide evidence and expert based solutions to typical problems

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22
Q

current NPSGs

A

surgical errors
drug side effects and medication compliance

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23
Q

CARF

A

Commission on Accreditation of Rehabilitation Facilities
non-profit organization that accredits health and human services providers

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24
Q

CARF process of accreditation

A
  1. orgnaization contacts CARF
  2. organization conducts self-eval
  3. organization implements CARF standards for 6 month
  4. requests application for survey
  5. CARF sends bill
  6. CARF selects survey team
  7. survey is conducted
  8. CARF evaluates findings
  9. accrediation awared
  10. improvement plan for ongoing support
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25
Q

types of organizations that CARF accredits

A

all rehabilitation facilities

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26
Q

CARF performance indicators

A

qualitative expressions used to point to program quality within the area of concern
ex: if the area of concern is the clients living situation then the ___ may be the degree to which the consumer experiences increased independence in their environment

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27
Q

strategic planning

A

process that leads organizations to clarify their mission and goals, set priorities, and make decisions

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28
Q

financial planning

A

examining an organization’s financial position and determining how best to achieve its objectives

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29
Q

financial plan

A

document that helps you achieve your financial goals by evaluating your current financial situation, setting goals, and creating a strategy to reach them

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30
Q

budget

A

An itemized summary of estimated or planned expenditures for a period of time along
with proposals for financing them

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31
Q

cost containment

A

Managers identify and reduce expenses to increase profit

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32
Q

proforma

A

a hypothetical balance sheet and income statement based on a set of assumptions….assists managers in determining the program’s staffing and supply needs.

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33
Q

accounts payable

A

money you owe, funds going out, expenses: bills, loans

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34
Q

accounts recieveable

A

money coming in, income

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35
Q

cash flow

A

the movement of income and
expenses over a given time frame
Sustain the “life” of an organization

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36
Q

capital expenditures

A

an expenditure made for an asset with a
the useful life of more than 1 year increases
the value of or extends the asset’s useful life

generally costs more than $2500

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37
Q

fixed expenses

A

costs that remain relatively constant from month to
month
costs that do not change with volume
May vary slightly but is predictable
examples: Rent, taxes, insurance rates

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38
Q

variable expenses

A

costs that change relative to volume of business
vary directly with output (i.e., productivity)
when output increases, variable costs increase
(e.g., raw materials, electricity)
must be monitored closely as they can affect cash
flow
examples: clinical and office supplies

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39
Q

fiscal year

A

Government runs July 1st – June 30th

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40
Q

revenue

A

total amount of income generated by the sale of goods and services related to the primary operations of the business

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41
Q

total costs

A

sum of all costs involved in producing a product or service, including both fixed and variable costs

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42
Q

profit

A

total income-total costs

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43
Q

capital equipment

A

a tangible, non-expendable asset that has a useful life of more than one year and a cost of at least $5,000

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44
Q

income statements

A

reports reveune, expenses, and net income over a period of time

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45
Q

quota

A

proportional part or share, quantity

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46
Q

FTEs

A

number of employees on a full-time schedule + number of employees on a part-time schedule converted to a full-time basis
(2080 hours)

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47
Q

breakeven point

A

that point in time when
revenue = total expenses. After this point, the
company starts to profit

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48
Q

revenue projections

A

estimate of income based on projected sales

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49
Q

start-up costs

A

the one-time costs associated with opening your doors for business

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50
Q

operating costs

A

the costs of running your business
ex: Rent, salaries, utilities

51
Q

SoCF

A

statement of cash flow
integrates income statement and balance sheet
removes accounting terminology

what cash did we receive?
where did the cash go?
did the organization have indebtness?
how much cash remains at the end of the period?

52
Q

financial statements

A
  1. Income statement
  2. Balance sheet
  3. Statement of cash flow (SoCF)
    * Net income
53
Q

investment income

A

money received in interest payments, dividends, capital gains realized with the sale of stock or other assets, and any profit made through another investment type

54
Q

credit source

A

places a business can draw onto to provide it with chas

55
Q

potential sources of financial resources to cover start-up costs

A

line of credit, factoring companies

56
Q

positive cash flow

A

more money coming in than going out

57
Q

negative cash flow

A

more money going out than coming in

58
Q

direct costs of budgeting

A

all allowed cost lines such as personnel, equipment, training

59
Q

indirect costs of budgeting

A

“the cost of doing business”
space, utilities, insurance, administrative

60
Q

where do laws come from?

A

federal, state, or local government
precedents established by previous court cases (common law)
inspired by research results

61
Q

regulations

A

rules that implement laws
ex: consensus statements, practice guidelines, state regulations

62
Q

legislative bodies

A

group of people who are responsible for creating, amending, or repealing laws

63
Q

case law

A

the law as established by the outcome of former cases

64
Q

consensus statements

A

comprehensive analysis and agreed-upon outcome from a group of experts on a scientific or medical issue

65
Q

why do OTs need to be familiar with basic legal issues

A

so they know what impacts their practice

66
Q

policies

A

whatever governments choose to do or not to do
ex: public policies may regulate behavior, organize government agencies, or require licenses or fees

67
Q

informed consent

A

rational and informed decision about undertaking a particular treatment or undergoing a particular surgical procedure based on knowledge of the significant potential risks involved in the proposed treatment or surgery

68
Q

informed consent should include

A

o Diagnosis of condition
o Name and purpose of treatment
o Benefits, risks, and alternative procedures
o Benefits and risks of each alternative”

69
Q

criminal law

A

deals with behavior that is or can be construed as an offense against the public, society, or the state – even if the immediate victim is an individual. Examples are murder, assault, theft, and drunken driving

70
Q

civil law

A

deals with behavior that constitutes an injury to an individual or other private party, such as a corporation. Examples are defamation (including libel and slander), breach of contract, negligence resulting in injury or death, and property damage

71
Q

sources of laws and regualtions

A

legislative bodies and policy
regulations
local laws

72
Q

sources of OT policy

A

consensus statements
practice guidelines
state regulations

73
Q

malpractice

A

improper or unethical conduct or
unreasonable lack of skills by a holder of a professional or official position, often applied to
physicians, dentists, lawyers, and public officers to denote negligent or unskillful performance
of duties when professional skills are obligatory

74
Q

medical malpractice

A

occurs when a hospital, doctor or other health care professional, through a negligent act or omission, causes an injury to a patient. The negligence might be the result of errors in diagnosis, treatment, aftercare or health management

75
Q

vicarious liability

A

employer or therapist held liable due to the actions of others (subordinates)
“Respondeat superior”

76
Q

negligent supervisor

A

Supervisor held liable for their own actions when hiring incompetent employees, improper training, failure to properly supervise employees

77
Q

privacy

A

the right of patients to be left alone….free from intrusion….to choose whether or not
to share one’s self

78
Q

confidentiality

A

not disclosing client information to others

79
Q

tort law

A

covers an intentional or negligent harm or wrong against another that results in damages for which 1 party may be liable. Torts may form the basis for malpractice

80
Q

negligence

A

the failure to exercise the standard of care that a reasonable, prudent person would exercise in a similar situation
carelessness

81
Q

factors that cannot be considered when hiring

A

Age (if over 40), gender, religion, nationality, military status, union membership, disability

82
Q

under what circumstance can you ask “forbidden” hiring questions?

A

when it is directly job related

83
Q

OT and ADA in the work environment

A

managers and FWE may have employees/clients/students with disabilities

may be called upon to determine “reasonable accommodations.”

clinicians may perform job analysis to determine “reasonable accommodations.”

84
Q

copywriting

A

practice of writing persuasive text to encourage people to take a specific action, such as buying a product or service

85
Q

fair use

A

the doctrine that brief excerpts of copyright material may, under certain circumstances, be quoted verbatim for purposes such as criticism, news reporting, teaching, and research, without the need for permission from or payment to the copyright holder

86
Q

assault

A

when a person apprehends a threat taht another will engage in an offensive touch or immediate harm

87
Q

battery

A

intentional causation of harmful or offensive contact with another person without that person’s consent

88
Q

false imprisonment

A

when someone violates anothers basic personal right to freedom from wrongful confinement

89
Q

4 elements of negligence

A
  1. Duty to act in a particular way
  2. Breach of that duty
  3. Actual harm or damage
  4. “Casual connection or proximate cause between the breach of the duty and the actual harm”
90
Q

false claims act

A

imposes liability on anyone who knowingly submits a false claim to the federal government

enables the federal government to recover money paid due to false or fraudulent claims

encourages people who discover false claims to report it by giving an incentive, such as a
share of the money recovered

91
Q

relator

A

people who discover a false claim but are not an employee at the time of filing the case

92
Q

whistleblower

A

people who discover false claims and report it

93
Q

protected health information

A

name
address
dates (DOB, admission)
phone number
fax number
email address
social security number
medical record number
health plan beneficiary number
account number
certification numbers
vehicle numbers
device identifiers and serial numbers
web Universal Resource Locators (URLs)
internet Protocol (IP) address numbers
biometric identifiers, including finger and voice prints
full face photographic images and any comparable images
any other unique identifying number, characteristic, or code

94
Q

reimbursement

A

financial remuneration for services provided

95
Q

reimbursement payment process

A

provision of services
documentation
coding
billing of claims
reimbursements

96
Q

direct access laws

A

permit the provision of OT services without a physician or other qualifies providers prescription or referral

97
Q

ICD-10 codes

A

WHO
identify specific condirsions for clients being served

98
Q

CPT codes

A

AMA
current procedural terminology
standardized system for coding medical procedures and service

99
Q

HCPCS

A

CMS
healthcare common procedure coding set

100
Q

CMS G codes

A

used on claim forms to identify type of provider

101
Q

L codes

A

specific types of orthotics provided to beneficiares by DME companies

102
Q

fee-for-service payment method

A

fee paid for each service provided

103
Q

prospective payment system

A

A pre-determined amount was reimbursed to the hospital based on diagnostic related groups

104
Q

PDPM

A

patient-driven payment model

105
Q

PDPM and OT

A

recognizes clinically relevant factors like quality outcomes rather than codes for diagnoses and patient characteristics for reimbursement

106
Q

balance sheet

A

reflects overall position of an organization at a specific date and summarizes their financial history

107
Q

OT core values

A

Altruism, Equality, Freedom, Justice, Dignity, Truth, and Prudence

108
Q

altruism

A

demonstration of unselfish concern for the welfare of others. Occupational therapy personnel reflect this concept in actions and attitudes of commitment, caring, dedication, responsiveness, and understanding

109
Q

equality

A

indicates that all persons have fundamental human rights and the right to the same opportunities. Occupational therapy personnel demonstrate this value by maintaining an attitude of fairness and impartiality and treating all persons in a way that is free of bias

110
Q

freedom

A

indicates valuing each person’s right to exercise autonomy and demonstrate independence, initiative, and self-direction

111
Q

justice

A

occupational therapy personnel provide occupational therapy services for all persons in need of these services and maintain a goal-directed and objective relationship with recipients of service

pursuit of a state in which diverse communities are inclusive and are organized and structured so that all members can function, flourish, and live a satisfactory life regardless of age, gender identity, sexual orientation, race, religion, origin, socioeconomic status, degree of ability, or any other status or attributes

112
Q

dignity

A

the importance of valuing, promoting, and preserving the inherent worth and uniqueness of each person. This value includes respecting the person’s social and cultural heritage and life experiences.

113
Q

truth

A

occupational therapy personnel in all situations should be faithful to facts and reality

114
Q

prudence

A

ability to govern and discipline oneself through the use of reason.

value judiciousness, discretion, vigilance, moderation, care, and circumspection in the management of one’s own affairs and to temper extremes, make judgments, and respond on the basis of intelligent reflection and rational thought

115
Q

OT principles

A

Beneficence
Nonmaleficence
Autonomy
Justice
Veracity
Fidelity

116
Q

Beneficence

A

Occupational therapy personnel shall demonstrate a concern for the well-being and safety of persons
ex: protecting and defending the rights of others

117
Q

Nonmaleficence

A

Occupational therapy personnel shall refrain from actions that cause harm.
an obligation not to impose risks of harm even if the potential risk is without malicious or harmful intent
ex: an occupational therapy intervention might require the service recipient to invest a great deal of time and perhaps even discomfort; however, the time and discomfort are justified by potential long-term, evidence-based benefits of the treatment

118
Q

autonomy

A

Occupational therapy personnel shall respect the right of the person to self-determination, privacy, confidentiality, and consent.

119
Q

justice (principle)

A

Occupational therapy personnel shall promote equity, inclusion, and objectivity in the provision of occupational therapy services.

120
Q

veracity

A

Occupational therapy personnel shall provide comprehensive, accurate, and objective information when representing the profession.

121
Q

fidelity

A

Occupational therapy personnel shall treat clients (persons, groups, or populations), colleagues, and other professionals with respect, fairness, discretion, and integrity.

122
Q

domain of OT

A

includes the everyday life occupations that people find meaningful and purposeful
enable clients to participate in their everyday life
occupations in their desired roles, contexts, and life
situations
(occupations, contexts, performance patterns, skills, client factors)

123
Q

process of OT

A

delivery of services and includes evaluating, intervening, and targeting of outcomes
evaluations, interventions, outcomes

OTD8281-OT Business (2 decks)

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