HIN 269 30 Flashcards
Home health care can be defined as a broad spectrum of health and social services offered in the home environment to recovering, disabled, or chronically ill persons. Participation in providing the needed maintenance care for the home care client is essential by which of the following?
Family caregivers
Nonprofit home health agencies can be reimbursed for home health services through Medicare, Medicaid, and private insurance companies. A major difference between an official agency and a voluntary or private agency is that official agencies receive additional
public funding
Home health agency types, whether official, private and voluntary, combination, hospital based, or proprietary, are similar in terms of which of the following?
Conditions of participation (COP) for Medicare and Medicaid
Nurses come to home health from a variety of educational and practice settings. Based on educational level, nurses are prepared to practice at various levels. To ensure the public of competence and quality in a highly competitive health care environment, it may become necessary for nurses to seek which of the following?
Certification
The home health nurse completes an initial assessment on a recently admitted home health client. The nurse should now analyze the assessment data and complete what step in the nursing process that is consistent with the standards of home health practice?
Diagnosis
Each client in the Medicare home care program must be under the care of a doctor (medicine, podiatry, or osteopathy). The home health nurse must involve the doctor in developing a plan of care. The role of the doctor in the home health interdisciplinary team is to do which of the following?
Certify/recertify the medical necessity and plan of care
A home health nurse is working with a client who requires a catheter insertion and wound care. The nurse is also helping the client and family to develop positive coping skills and identify resources that will help the client to attain a state of optimal functioning. It is important for the nurse to specifically document nursing services provided because of which of the following?
Reimbursement is dependent on the provision of skilled care
Since 2000, home health agencies have been paid by the federal government based on which type of reimbursement?
Prospective payment system
The model of care delivered in the home setting which focuses on symptom management at the end of life is known as
palliative care
A current challenge for home health care is the issue of family responsibility for the role of caregiver. Which of the following statements reflects underlying factors that contribute to this home health care challenge? (Select all that apply.)
- Able family members with multiple obligations
- Number of women working outside the home
- Social support systems for caregivers
