L-TC Overview, C7; WB, P-LQ Flashcards
Week 1, 8/29-9/2
Nursing Homes are also called Nursing ________.
Facilities
NH/F are a type of ____-____ ______.
L-TC
L-TC Insurance is a ________ insurance policy.
private
An ___________ can buy L-TC Insurance.
individual
L-TC Insurance can help pay for _____-____ _____.
L-TC
_____-_____ _______ __________ is a private insurance policy that can be purchased by an individual to help pay for L-TC in the future, should it be needed.
L-TC Insurance
LTC Insurance is a _______ insurance policy that can be purchased by an _________ to help pay for _____-______ _____ in the future, should it be needed
private, individual, L-TC
L-TC Insurance
private insurance policy that can be purchased by individual to help pay for LTC in future
_______-_______ _____ Insurance would cover the cost of a permanent NH/F stay.
L-TC
NH/F provide Residents with always available ______ care & __________.
nursing, supervision
NH/F provide Residents with . . .
around-the-clock nursing care & supervision.
A ___________ is a person being cared for in a L-TCF
Resident
Resident
person being cared for in a L-TCF
CCRC stands for . . .
Continuing Care Retirement Communities.
Continuing Care Retirement Communities
provide many different levels of care & multiple services on same campus
CCRC provide different levels of ______ on the same __________.
care, campus
___________ ____ _______________ __________ provide different levels of care/services on same campus.
Continuing Care Retirement Communities
CCRC campuses provide care for _______ & __________ living.
independent, assisted
CCRC campuses provide ________ & _______ ______/________ care.
skilled, NH/F
The CCRC campus provides a continuum of care by including facilities for _________ living, _________ living, _______ care, & ________ Home care.
independent, assisted, skilled, Nursing
A Free-Standing Facility is independently _______ & __________.
owned, operated
A _____-________ Facility is independently owned & operated.
Free-Standing
A Resident who requires assistance with _________ care, _____, & ___________ would be in an A-LF
personal, meals, housekeeping
A Resident who requires assistance with personal care, meals, & housekeeping would be in an ________-________ _________.
A-LF
___-_______ Facility is owned by company/organization & operates as a business with intention to make money.
For-Profit
For-Profit Facility is owned by ___________/___________ & operates as a business with intention to make money.
company/organization
For-Profit Facility
owned by company/organization & operating as a business with intention to make money
Nonprofit (Not-For-Profit) Facility is owned/operated by ________ ________ (church, charitable group) with primary goal to provide service to fulfill need in community.
service organization
Nonprofit (Not-For-Profit) Facility
owned/operated by service organization (church, charitable group) with primary goal to provide service to fulfill need in community
Each facility in a chain of L-TC facilities follow the same _________ ________/__________.
corporate policies/procedures
Each facility in a _____ of L-TC facilities follow the same corporate policies/procedures.
chain
L-TC survey purpose is to ensure ______ regulations are met.
OBRA
L-TC survey purpose:
meet OBRA regulations
L-TC ______ purpose is to ensure OBRA regulations are met.
survey
CMMS is a __________ agency responsible for monitoring _____ ______/_______.
government, NH/F
CMMS ensures NH/F meet _____ (acronym) regulations & meet ___________ standards.
OBRA, government
_________ for _________/___________ __________ is a government agency responsible for monitoring Nursing Homes/Facilities to ensure they’re following OBRA regulations & meeting government’s standards.
Centers, Medicare/Medicaid Services
Centers for Medicare/Medicaid Services
government agency responsible for monitoring Nursing Homes/Facilities to ensure they’re following OBRA regulations & meeting government’s standards
CMMS ensures ______ _____/______ follow ____________ & __________.
NH/F, regulations, standards
CMMS is a government agency is responsible for ensuring . . .
. . . NH/F follow regulations & standards.
CMMS is a government agency is responsible for ensuring NH/F follow __________ & ___________.
regulations, standards
OBRA set standard for _________ & _________ of NAs who worked there.
training, evaluation
OBRA set standards for the physical environment in _______ ______/_______.
NH/F
CCAC stands for . . .
Continuing Care Accreditation Commission.
Continuing Care Accreditation Commission grants ____________ to CCRCs, as well as to some other types of organizations that provide ____-____ ____ services
accreditation, L-TC
Continuing Care Accreditation Commission sets standards for ______ ____ ___________.
health care organizations
Continuing Care Accreditation Commission (2)
- grants accreditation to CCRCs, as well as to some other types of organizations that provide L-TC services
- sets standards for health care organizations
such as adult day care centers
CCAC grants accreditation to . . .
CCRCs (& some LTC Facilities?)
In L-TC Facilities, NAs ensure facility meets/exceeds survey requirements by . . .
. . . following facility policy.
NH/F provide Residents with around-the-clock _______ ____ & __________.
nursing care, supervision
________ ______/______ provide Residents with around-the-clock nursing care & supervision.
NH/F
Nursing Homes/Facilities
provide Residents with around-the-clock nursing care & supervision
A-LF stands for . . .
Assisted-Living Facilty/ies.
A-LF are regulated by the _______.
state
NH/F stands for . . .
Nursing Home(s)/Facility(ies)
NH/F must comply with _____ & ______ laws.
state, federal
To maintain _______, LTC Facilities must undergo an inspection.
Licensure
Licensure
state/condition of having license granted by official/legal authority to perform medical acts/procedures not permitted by persons without license
To maintain _________, L-TCF must undergo an Inspection.
Licensure
To maintain Licensure, L-TCF must undergo an ___________.
Inspection
NH/F that want to participate in _______/_______ programs must be certified.
Medicare/Medicaid
NH/F that want to participate in Medicare/Medicaid programs must be __________.
certified
Local _________ are responsible for ensuring facility complies with regulations the local ____________ establishes for L-TC Facilities.
agencies, government
________ _________ are responsible for ensuring facility complies with regulations the local government establishes for L-TC Facilities.
Local agencies
Local agencies are responsible for ensuring facility complies with regulations the _______ ________ establishes for L-TC Facilities.
local government
Skilled Health Care Services are provided by . . .
. . . Nurses or other licensed HCP.
Under ________, Benefit Period begins when person is hospitalized.
Medicare
Under Medicare, Benefit Period begins when . . .
. . . person is hospitalized.
Benefit Periods are under ____________.
Medicare
Under Medicare, _______ _______ ends when person hasn’t received any Skilled Health Care Services (either in the hospital or NH/F) for 60 days.
Benefit Period
Under Medicare, Benefit Period ends when . . .
. . . person hasn’t received any Skilled Health Care Services (either in the hospital or NH/F) for 60 days
Benefit of LTC insurance:
can help pay for L-TC services
which help protect person’s savings/assets
___________ doesn’t pay for all costs associated with NH/F care.
Medicare
Medicare ______ pays for all costs associated with NH/F care.
doesn’t
Medicare _______ cover any portion of A-L care.
doesn’t
The financial burden transfers to the NH/F & to the state that distributes _________ payments.
Medicaid
The ________ burden transfers to the NH/F & to the state that distributes Medicaid payments.
financial
For facilities, Medicaid causes a financial strain because . . .
. . . Medicaid payments havn’t been able to keep up with the rising costs of care.
For states, Medicaid causes a financial strain because . . .
. . . the state must accommodate Medicaid costs within its budget.
This’s becoming hard to do because Medicaid costs are consuming a greater percentage of state budgets every year.
In ____, FDR signed the Social Security Act into law.
1935
In 1935, FDR signed the _________ ________ _____ into law.
Social Security Act
From the mid-1800s up until the Social Security Act was passed in 1935, many people with chronic illness or disability lived in ___________.
Poorhouses
The ______ ______ Act legislation provides a monthly pension for older adults who are retired.
Social Security
Poorhouse’s 2 other names:
Almshouses, Poor Farms
A cheaper alternative to NH/F back in the 1990s was _______-________ ________.
In the late 1990s, less costly alternatives to the traditional NH/F began to emerge.
A-LF
A Nonprofit L-TC Facility primarily operates to . . .
. . . meet community’s need.
A __________ Facility’s primary goal is to provide a service to fulfill community’s need.
Nonprofit
In 1987, OBRA improved the quality of life for nursing home residents by ensuring that they received a certain ________ of care that took into account Residents’ _______, __________, ________, & ______ needs.
standard, physical, emotional, spiritual, social
In ______, OBRA improved the quality of life for nursing home residents by ensuring that they received a certain standard of care that took into account residents’ physical, emotional, spiritual, & social needs.
1987
In 1987, OBRA improved the quality of life for nursing home residents by . . .
. . . ensuring that they received a certain standard of care that took into account residents’ physical, emotional, spiritual, & social needs.
L-TC insurance may have limited _______.
benefits
L-TC insurance may have ________ benefits.
limited
