Module 2: Professional Responsibilities, service delivery

Question 1

What act/law describes the following:

Federal legislation aimed at coordinating efforts to prevent and address elder abuse.

Answer 1

Elder Justice Act (EJA)

Question 2

What act/law describes the following:

A program authorized by law in every state to receive and investigate reports of elder or vulnerable adult treatment and to intervene to protect the victims to the extent possible.

Answer 2

Adult protective services (APS)

Question 3

What act/law describes the following:

Prohibits discrimination of individuals with disabilities in public areas of life.

Answer 3

Americans with Disabilities Act (ADA)

Question 4

What act/law describes the following:

Were introduced in the 1907 nursing home reform law to promote and protect the rights of residents in nursing facilities

Answer 4

Residents Rights

Question 5

What did the outcome of the Jimmo Vs. Sebelius case do?

Answer 5

Clarified that Medicare coverage is determined by a clients need as opposed to their potential for improvement.

It clarified that coverage of skilled therapy services in the presence or absence of improvement, but rather on the need for skilled care.

Question 6

Who is the primary payer for geriatric OT services?

Answer 6

Medicare

Question 7

What is PDPM?

Answer 7

The Patient Driven Payment Model - A Medicare Reimbursement plan that classifies patients in SNFs into payment groups based on their unique characteristics, needs and goals.

Question 8

What did the PDPM (Patient Driven Payment Model) replace?

Answer 8

Resource Utilization Group (RUGs) - which classified patients into a therapy payment group based on the volume of therapy services provided.

Question 9

What is the PDGM model?

Answer 9

The patient driven groupings model for home health organizations.

Question 10

Will Medicare cover bathroom equipment (i.e. shower chair, tub shower)

Answer 10

No

Question 11

What are some other options for secure funding if medicare will not cover bathroom equipment?

Answer 11

• Internal funding
• External funding
• Civil money penalty

Question 12

The Age-friendly Health system invovles the 4 M’s. What are those?

Answer 12

• Matters
• Medication
• Mentation
• Mobility

Question 13

What are the 5 key steps of EBP?

Answer 13

1. Identify a need
2. Search for evidence
3. Appraise & synthesize evidence
4. Apply
5. Evaluate outcomes

Question 14

What 2 models of practice are often applied to the geriatric population?

Answer 14

• MOHO (Model of Human Occupation)
• Kawa model

Question 15

Describe the MOHO model of practice

Answer 15

Use components of volition, habituation and performance capacity to explain human behavior and engagement in occupations.
- This model also factors in physical and social environments and how they impact performance.

Question 16

Describe the Kawa model of practice

Answer 16

It is a culturally sensitive model of practices that uses a river metaphor to symbolize ones life.

• Water = lifes flow
• Banks and bottom = physical and social environmental factors
• rocks - lifes problems
• driftwood - positive or negative personal attributes and resources

Question 17

What is QAPI?

Answer 17

Quality assurance and performance improvement

Question 18

What are the 5 key elements of the QAPI?

Answer 18

1. Design and scope
2. Governance and leadership
3. Feedback, Data systems & Monitoring
4. Performance improvement projects (PIPs)
5. Systematic Analysis and systemic action`

Question 19

In QAPI, define quality assurance

Answer 19

The specification of standards for quality of services and outcomes, and a process throughout the organization for assuring that care is maintained at acceptable levels in relation to those standards.

Question 20

In QAPI define performance improvement

Answer 20

The continuous study and improvement of processes with the intent to better services, or outcomes, and prevent or decrease the likelihood of problems, by identifying areas of opportunity and testing new approaches to fix underlying causes of persistent/systemic problems or barriers to improvement.

Question 21

True or False:

The main purpose of QAPI is to improve the quality of life and overall quality of care for clients

Answer 21

True

Question 22

What are some additional things that the QAPI can do?

Answer 22

• Improvement of facility census, referrals and reputation
• Ensure reimbursement for services
• Promote the use of EBP and advancement of discipline specific knowledge
• Improved staff recruitment/retention and job satisfaction

Question 23

True or False:

QAPI can also decrease facility census and referrals

Answer 23

False - it improves them

Question 24

An OT suspects a geriatric client is facing emotional and financial abuse. Which resource or law would be most appropriate to report suspected abuse?

Answer 24

Elder Justice Act

Question 25

What is the elder justice act?

Answer 25

Federal law that addresses the abuse, neglect, and exploitation of older adults

• Implemented by President Obama in 2010

Question 26

What is a characteristic of a value0based payment system in OT

Answer 26

Payment is tied to client outcomes and improvements in their functional abilities.

Question 27

What payment system is described below:

Payment is tied to client outcomes and improvements in their functional abilites

Answer 27

Value-based payment systems