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Managing Healthcare Provider Org. > Long Term Care > Flashcards

Long Term Care Flashcards

1
Q

Where does the majority of LTC take place?

A

Home

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2
Q

What is the OAA and what do they do?

A

Older American Act

  • Passed in 1965
  • Postpone or avoid institutionalization for the elderly
  • Meals on Wheels is one of the biggest parts the OAA
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3
Q

Define LTC

A

Long Term Care
A licensed facility which provides general nursing care to those who are chronically ill or unable to take care of Activities of Daily Living

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4
Q

What are ADL

A 
Activities of Daily Living
Activities you do to someone:
1. Getting Dressed
2. Going to the Bathroom
3. Taking a Bath
4. Eating
5. Transportation Assistance
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5
Q

IADL

A

Instrumental Activities of Daily Living

Activities you do for someone (balancing their checkbook or cleaning their house)

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6
Q

Levels of Institutionalized LTC

A
  1. Home Care
  2. Assisted Living
  3. Nursing Home
  4. Skilled Nursing Facility
    These can also have behavioral units
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7
Q

SNF

A

Skilled Nursing Facility (Rest Home)

It is a place of residence for people who require constant nursing care and have significant deficiencies with ADL

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8
Q

ALC

A

Assisted Living Facility
A housing alternative for elderly who may need help with ADL, but do not require the intensive care provided by nursing homes

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9
Q

SNU

A

Skilled Nursing Unit

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10
Q

EEOC

A

Equal Employment Opportunity Committee

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11
Q

Home Care Payers

A
  1. Private Individual
  2. Family
  3. CMS
  4. Commercial Insurance
  5. Veterans
  6. County Gov.
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12
Q

Adult Day Care Payers

A
  1. Private Individual
  2. Medicaid
  3. Veterans
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13
Q

Assisted Living Payers

A
  1. Medicaid
  2. Commercial Insurance
  3. LTC Plan
  4. HUD
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14
Q

Skilled Nursing Payers

A
  1. Private Individual
  2. Family
  3. CMS
  4. LTC Health Plan
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15
Q

Hospice Payers

A
  1. Families
  2. LTC Health Plan
  3. Veterans
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16
Q

Case Management Payers

A
  1. Commercial Insurance
  2. OAA
  3. Title XX
  4. County Gov.
17
Q

Chronic Diseases

A 
Arthritis 
Diabetes
High Blood Pressure
Dementia 
Alzheimers
18
Q

Behavioral Unit

A

Closed areas to prevent patients from leaving or going into certain places

19
Q

Respite Care

A

Care is provided for not only the person that needs it but the care giver

20
Q

Hospice and Palliative Care

A

You can get hospice when a physician declares that you have 6 months or less to live
Palliative: Give care and comfort when close to death

21
Q

Post Acute or Rehab Facilities

A

Can be transferred there 3-5 days after being in acute care to recover from a procedure or illness that occurred in acute care facility

22
Q

Types of Therapy

A

Physical Therapy
1. Focuses on mobility and range of motion
Respiratory Therapy
1. Ventilator care (Mostly happens in the acute care setting)
2. Incentive spirometry: A respiratory therapists that comes and helps you to get breathing again after having surgery on your sternum
Occupational Therapy
1. Focused on fine motor movement
2. Getting you back to where you can function on a daily basis
3. The broadest in what it covers
Speech Therapy

23
Q

Post Acute or Rehab Payers

A
  1. Out of Pocket
  2. CMS
  3. Commercial Insurance
24
Q

Geriatric

A

Giving care to an elderly person

25
Q

HEW

A

Health Education Welfare

26
Q

OBRA

A

The Omnibus Reconciliation Act

- Requires nursing home facilities to meet certain standards to qualify for CMS reimbursement

27
Q

Six Different Classifications of Capital Projects

A
  1. Mandatory replacement
  2. Expansion of existing services
  3. New services
  4. Discretionary replacement
  5. Other
  6. Environmental Projects
28
Q

Operational Challenges of LTC

A
  1. Human Resources
  2. Financing
  3. Providing Health Insurance Benefits to Employees
29
Q

Nursing Home Definition

A

A place for the care of the aged and infirm where no care of outpatients or surgery is undertaken

Managing Healthcare Provider Org. (4 decks)

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