Professional Standards and Responsibilities (Ch4) Flashcards
the midpoint of all scores
median
Medicare plan that pays for inpatient hospital, SNF, home health, rehab facilities, and hospice care
Part A
a parametric test used to compare two or more treatment groups or conditions at a selected probability level
analysis of variance
a determination of variability of scores (difference) from the mean
standard deviation
Sampling method: individuals are selected from a population’s identified subgroups based on some pre-determined characteristic that correlates with the study
stratified
Medicare plan that covers 3 days per week outpatient services
Part B
Sampling method: individuals are selected from a population list by taking individuals at specified intervals
systematic
Treat clients, colleagues, and other professionals with respect, fairness, discretion, and integrity
fidelity
Medicare plan that pays for hospital outpatient physician and other professional services including OT services provided by independent practitioners
Part B
Sampling method: study participants provide names of other people who can meet study criteria
network/snowball
a parametric test of significance used to compare two group means and identify a difference at a selected probability level
T-test
descriptive categories established by CMS that determine the level of payment at a per case rate
diagnostic related groups (DRGs)
a nonparametric test of significance used to compare data in the form of frequency counts occurring in 2 or more mutually exclusive categories (subjects rate treatment preferences)
Chi-square test
a parametric test used to compare two or more treatment groups or conditions while also controlling for the effects of intervening variables
analysis of covariance
failure to do what other reasonable practitioners would have done under similar circumstances
negligence
Sampling method: individuals are selected who meet population criteria based upon availability to the researcher
convenience
the nationwide payment schedule that determines the Medicare payment for each inpatient stay of a Medicare beneficiary based on DRGs
prospective payment system
Intentionally refrain from actions that cause harm
nonmaleficence
the arithmetic average of all scores
mean
the degree to which a study’s conclusions are based on the data
confirmability
the most frequently occurring score
mode
Sampling method: individuals are selected through the use of a table of random numbers
random
the inclusion of the full range of data, including outlier or atypical findings
dependability
Demonstrate a concern for the safety and well-being of the recipients of services
beneficence
the average cost of specific health care procedures in a geographic area. this is the maximum amount the insurer will pay for a service
usual and customary rate (UCR)
the researchers level of confidence that her findings truthfully reflect the reality of a study’s participants and the study’s context
credibility
Respect the right of the individual to self-determination, privacy, confidentiality, and consent
autonomy
Sampling method: individuals are selected purposefully and deliberately (all consumers of a program for a QI study)
purposive
the null hypothesis is rejected by the researcher when it is true
Type I error
a negotiated, per day free for service. typically used for inpatient hospital stays and SNFs
perdiem
the null hypothesis is not rejected by the researcher when it is false
Type II error
Medicare plan that requires services for a minimum of 5 days per week
Part A
public bodies created by state legislatures to assure the health and safety of its citizens
state regulatory boards
Provide comprehensive, accurate, and objective information when representing the profession
veracity
Promote fairness and objectivity in the provision of services
justice
the medicaid form a PCP must complete to document the need for requested medically necessary covered services with a supporting rationale
treatment authorization request (TAR)
