Standards and Ethics Flashcards
OT Process, Management, Evaluation and Intervention
the individuals ability to place the needs of others before their own
altruism
the desire to promote fairness in interactions with others
equality
core concept that states that the desires of the client must OT intervention
freedom
relating in a fair and impartial manner to individuals with whom they interact and respect and adhere to the applicable laws and standards regarding their area of practice
justice
treating each client respectfully and as an individual by enabling the client “to engage in occupations that are meaningful, regardless of level of disability”
dignity
In all situations, OT, OTAs, and OT students must provide accurate information both in oral and written form
truth
use of clinical and ethical reasoning skills, sound judgement, and reflection to make decisions within OTs area of practice
prudence
ethical principle that states that OT personnel shall demonstrate a concern for the well being and safety of the recipients of their services
beneficence
maintaining current knowledge by attending evidence-based educational sessions and using current and updated assessment tools are examples of what ethical principle
beneficence
ethical principle that states that OT personnel shall intentionally refrain from actions that cause harm
nonmaleficence
transferring a client from WC to bed using due care and not practicing OT under the influence are examples of what ethical principle
nonmaleficence
ethical principle that states that OT personnel shall respect the right of the individual to self-determination
autonomy/confidentiality
respecting the clients refusal to participate in OT and complying with HIPPA are examples of what ethical principle
autonomy/confidentiality
ethical principle that states that OT personnel shall provide services in a fair and equitable manner
social justice
promoting the health of members in a facility and treating clients fairly regardless of sex, age, or ethnicity are examples of what ethical principle
social justice
ethical principle that states that OT personnel shall comply with institutional, local, state, federal, and international law and AOTA documents applicable to the profession
procedural justice
learning about laws and regulations and following reimbursement guidelines are examples of what ethical principle
procedural justice
ethical principle that states that OT personnel shall provide comprehensive, accurate, and objective information when representing the profession
veracity
ensuring accurate and truthful documentation and avoiding plagiarism are examples of what ethical principle
veracity
ethical principle that states that OT personnel shall treat colleagues and other professionals with respect, fairness, discretion, and integrity
fidelity
who has jurisdiction over the code of ethics for people who were or are AOTA members when the incident occured
ethics commission
sanction imposed by the ethics commission through a private letter
reprimand
sanction imposed by the ethics commission via a public, formal, notice of disapproval of the behavior
censure
sanction imposed by the ethics commission where as failure to meet certain terms will subject an AOTA member to suspension or permanent revocation
probation of membership subject to terms
sanction imposed by the ethics commission where as membership is withheld for a predetermined time period
suspension
sanction imposed by the ethics commission where as membership is taken away
permanent revocation
ethical problem that occurs when it is difficult to follow through on a course of action that the person knows is right because he or she is tempted to go against it (continuing services for money when they are not medically necessary)
ethical temptation
ethical problem that occurs when it is difficult to follow through on what the person knows is the right course of action because of policies or procedures occurring at the organizational or facility level (providing night services even though the facility is not open)
ethical distress
ethical problem that occurs when it is difficult to identify what the best ethical course of action would be because of conflicts that occur when determining the resolution or two ways to solve a problem (family not wanting the client to know of terminal condition when client is asking whether it is)
ethical dilemma
what does the CARE acronym of documentation stand for
clarity
accuracy
relevance
expectations
what does the COAST method stand for in goal writing
client occupation assistance level specific conditions timeline
what does the SOAP method stand for in note writing
subjective
objective
assessment
plan
what does DAP stand for in note writing
description (subjective/objective)
assessment
plan
what does BIRP stand for in note writing
behavior
intervention
response
plan
what does PIRP stand for in note writing
purpose
intervention
response
plan
what does SIRP stand for in note writing
situation
intervention
response
plan
a multidisciplinary evaluation that is used to determine the specific level of care needed
minimum data set (MDS)
interdisciplinary evaluation used in inpatient rehabilitation settings; OT contribute by scoring the FIM
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI)
assessment that helps provide guidance for the services the client requires and helps determine the clients eligibility to receive home health; may be complete by OT
Outcome Assessment Information Set (OASIS)
whom does Medicare cover
adult 65 and older, people with disabilities younger than 65, and people with end-stage renal disease
considered the ‘hospital insurance’ aspect of Medicare, covers partial inpatient stays, short stays in a SNF, hospice, and some home health services
Medicare Part A
system of paying for medicare hospital services based on the range of services expected to be provided to each patient on the basis of established diagnosis related groups (DRGs)
prospective payment system (PPS)
_______ days of a SNF stay are covered by Medicare and are paid as part of the ___________
100
per diem PPS
establishes a patients need for services and the prospective per diem rate
resident assessment instrument (RAI) (includes the minimum data set)
what qualifies for hospice services under Medicare
terminal illness with prognosis fewer than 6 months
considered the supplementary medical insurance part of Medicare. covers some outpatient care (physicians visits/OT), some home health services, and some supplies and equipment; premium is paid monthly
Medicare Part B
Medicare part B covers ______ of the cost for outpatient therapy and the client pays any deductible not met and 20% of cost
80%
payment for outpatient service is based on the _________ and takes into account ________ used during service provision
Medicare Physician Fee Schedule
CPT codes
Medicare generally covers about _______ of the approved cost for DME
80%
adaptive equipment such as reachers, dressing sticks, bathtub seats, and grab bars are covered/not covered by Medicare
not covered
Medicare advantage plan offered by a private company that contracts with Medicare
Medicare Part C
added prescription drug coverage to some Medicare plans
Medicare Part D
insurance program that involves a partnership with the state and federal government; general eligibility requirement is income under a certain level and disabilities; covers early and periodic screening, diagnosis, and treatment for people younger than 21
Medicaid
health coverage for children and families with incomes too high to qualify for Medicaid, but who can’t afford private coverage
Children’s Health Insurance Program (CHIP)
IDEA services that covers children and young adults with disabilities ages 3-21
IDEA Part B
IDEA services that covers infants and toddlers ages 0-2
IDEA Part C
allows related services (such as OT) to be billed to Medicaid though the school system under certain conditions
Medicare Catastrophic Coverage Act
program to identify improper payments made on claims of health care services provided to Medicare beneficiaries
Medicare Recovery Audit Program
making a false statement or representation of material facts to obtain some benefit or payment for which no entitlement would otherwise exist (billing for services not provided)
fraud
describes practices that either directly or indirectly result in unnecessary costs to the Medicare program (billing for services that were not medically necessary)
abuse
service delivery system where clients can be readmitted for necessary procedures, and the hospital is able to keep clients in its market by placing them in affiliated systems
hospital with vertical organizations
service delivery system where larger hospital systems take over smaller hospitals or facilities to create a large health care delivery system
health network
most common form of managed care where control is maintained over services by requiring enrollees to see doctors within the network and obtain referrals prior to seeking specialty/ancillary care; primary care physicians assume some financial risk for the care provided to its enrolled members
health maintenance organization (HMO)
integrated delivery system where the people who belong to it are able to go directly to a specialist without going through the primary care physician; greater choice; as choice increases, percentage of payment decreases
preferred provider organization (PPO)
health care plan that is similar to HMO’s but sometimes allows people to refer themselves to physicians who do not belong to the network
point-of-service plan
an analysis of systems or organizations that change based upon chaos, complexity, and dynamic systems
dynamic systems theory
style of leadership characterized by motivating others to reach their highest potential and providing inspiration to others to work effectively together to meet goals of the organization or groups
Transformational Leadership
leadership style in which leaders clarify role and task requirements and provide followers with positive and negative rewards contingent on successful performance
Transactional Leadership
the study of non verbal communication
paralinguistic
relates to body language
kinesics
the study of space, including the use of personal space during communication
proxemics
standards for continuing competence (5)
- knowledge
- critical reasoning
- interpersonal skills
- performance skills
- ethical practice
practitioners must acrue _______ hours of professional development units every _____ years to maintain NBCOT certification
36 hours
3 years
accrediting body whose purpose is to continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value
Joint Commission
independent, non profit organization focused on advancing the quality of services you use to meet your needs for the best possible outcomes
CARF Internation
the process of ensuring that an organizations current purpose, aspirations, goals, activities, and strategies connect to plans and support its mision
strategic planning
an organizations core, underlying purpose, or basis for its existence, focus, and actions
mission
the ideal state or ultimate level of achievement to which an organization aspires
vision
a process that identifies and analyzes the organizations strengths and weaknesses and describes the opportunities and threats that may have an impact on its ability to grow and prosper
SWOT analysis
the monetary flow of the organization (money that comes into the organization and that is used by the organization for expenses)
cash flow
a specific way to allocate where the organizations money is spend, how much money is allotted for various expenses, and the money that comes into the organization
budget
the costs assosciatd with opening a business
startup costs
the ongoing costs of operating the business (utilities, rent, equipment)
operational costs
analyzing the market to see whether the product or services you would like to sell are desirable
market analysis
management process that evaluates the arrangement of people, equipment, and procedures in a series of tasks intended to repeatedly produce a desired end result
continuous quality improvement
indicates how well an assessment produces consistent scores over time and across raters
reliability
indicates the degree to which an assessment measures what it states it measures
validity
what does the continuous quality improvement approach: FOCUS-PDCA stand for
find the process that needs improvement organize people who understand clarify the issues understand inconsistency select a solution plan for improvement do the improvement check if improvement was effective act to ensure maintenance
what are the 4 standards of practice
I: professional standing and responsibility
II: screening, evaluation, re-evaluation
III: intervention
IV: outcomes
method of supervision that is face to face and includes observation, modeling, co-treatment, discussion, teaching, and instruction
direct supervision
method of supervision that occurs by phone or written or type communication and receiving feedback from others
indirect supervision
what precautions should be followed for all evaluations
standard and transmission based
how well an assessment appears to address the stated purpose
face validity
extent to which the items on a test are fairly representative of the entire domain the test seeks to measure.
content validity
measures how well a new test compares to an well-established test; or 2 instruments administered at the same time
concurrent validity
the degree to which an instrument can predict performance on future criterion
predictive validity
the extent to which different raters will achieve the same results on a test
interrater reliability
the extent to which the same results will be obtained on an assessment that is administered by the same person twice
test-retest reliability
degree to which items agree/relate
correlation