Post Acute Care (Chapter 11) Flashcards
In 1999, This change in legislation determined that individuals with disabilities have the right to integrated, community-based services reinforcing the need for alternatives to institution-based care for long term needs.
The Olmstead decision
There are multiple forms of care on the post-acute care continuum. What form of care describes the following: a mixed of nonprofessional and professional services and residential care. OT can be seen on many levels of this care.
Formal Care
The following illustrates this form of Post-Acute care: Diane is a 49 y/o F and only child who cares for her mother, Trisha. Trisha has COPD, CHF and is in end stage renal failure. Diane stope by daily to set up her mothers medications and delivers meals, as well as helps her mother go into the chair car for dialysis on M/W/F.
Informal Care
The following illustrates this form of Post-Acute care: Abraham is a 99 y/o Holocaust survivor with a diagnosis of AIDS. Recently, Abraham became incredibly ill and has been given a prognosis of weeks to months. Abraham is currently in the hospital, receiving OT services, but when Abraham discharges, he will be transitioning to this service, which focuses on palliative care and rarely provides therapy services.
Non-residential formal care: Hospice
The following illustrates this form of Post-Acute care: Maria is an 87 y/o with no formal diagnosis, but her thinking and memory have been declining over the last year. Maria’s son, Miguel, has been trying to assist as best as he can. About a year ago, Miguel would come once a week for tending to the yard work, groceries, and taking out the trash. During the last three months, Miguel has had to stop by more frequently as his mother’s safety and initiation skills have been declining. Miguel knows that his mother needs more help but his mother becomes very upset when he attempts to discuss a new living situation. Miguel has found a good compromise, which would provide a respite stay during work hours (M-F, 9am-3pm) but still allow Maria to live at home.
Non-residential formal care: Adult Day Services
The following illustrates this form of Post-Acute care: Caroline recently celebrated her 90th birthday. She has been having a harder time remember to take her medications and is too tired to cook 3 meals a day. Caroline decides to move to this level of care where her meals are provided and someone can setup her medications for her.
1/1
Residential formal care: Assisted Living Facility (ALF)
The Improving Medicare Post-Acute Transformation Act of 2014 (IMPACT) focuses on the development and implementation of post-acute quality measures with a specific timetable for each of the 4 post-acute settings. The following are included in these settings EXCEPT:
Adult Day Services (ADS)
The Improving Medicare Post-Acute Transformation Act of 2014 (IMPACT) requires as collection and reporting of data using 3 different methods. The following describes this method: The IMPACT ACT requires all four post-acute settings to report 5 sets of quality data (ex. physical and cog function, skin integrity, incidence of major falls, discharge planning, etc.). This act also allows CMS to require post acute providers to report additional quality-related data items that it deems appropriate.
Quality Measures
The Improving Medicare Post-Acute Transformation Act of 2014 (IMPACT) requires as collection and reporting of data using 3 different methods. The following describes this method: 36. The Improving Medicare Post-Acute Transformation Act of 2014 (IMPACT) requires as collection and reporting of data using 3 different methods. The following describes this method: This method includes information on diagnosis and comorbidities, impairments, functional status, cognitive function, and services and treatment required. This method of reporting allows for different measures to be used in different settings. Examples of measures include the MDS, OASIS, Patient Assessment Instrument, and the CARE tool.
0/1
Patient assessment data
What as the main take away from the IMPACT ACT article?
Therapy needs to measure their productivity in terms of value, not minutes.
