Week 11 - HOAC II

Question 1

Identify the 6 elements of the Patient/Client Management Model.

Answer 1

• Examination
• Evaluation
• Diagnosis
• Prognosis
• Interventions
• Outcomes

Question 2

What is done in examination?

Answer 2

Examine the patient and collect raw data through the history, systems review, and tests and measures

Question 3

What is done in evaluation?

Answer 3

Evaluating the data and identifying the problems

Question 4

What is done in diagnosis?

Answer 4

Identify the diagnosis and prognosis

Question 5

What is done in prognosis?

Answer 5

Determine the POC

Question 6

What is done in intervention?

Answer 6

Implement the POC

Question 7

What is done in outcomes?

Answer 7

Reexamination of patient and evaluate treatment outcomes

Question 8

The HOAC II involves the ________ in decision making and provides the payer with a better justification. The problem is almost always a ____________.

Answer 8

• patient

- functional deficit

Question 9

What are the 2 types of patient problems?

Answer 9

• Existing- those that exist when patient is being seen

- Anticipated- those that may occur in the future and require prevention

Question 10

These are further subdivided into _________ identified and ___________ identified.

Answer 10

• patient

- non-patient

Question 11

What are the 13 parts of the HOAC II?

Answer 11

• Initial data collection
• Generate Patient Identified Problems (PIP) list
• Exam strategy
• Conduct exam and analyze data
• Add non-patient identified problems to list (NPIP)
• Justification for hypothesis
• Hypothesis about cause
• Refine Problem List
• Goals
• Establish testing criteria
• Establish predictive criteria
• Reassessment plan
• Plan and implement intervention

Question 12

For the hypotheses, the physical therapist must determine ________ and the ________ of the effects.

Answer 12

• what might be the cause of the problem

- magnitude

Question 13

Therapists must discuss all anticipated _______ in documentation and provide arguments and evidence as to why they believe a problem would occur without intervention. Doing this diminishes the likelihood of _____________

Answer 13

• problems
• unnecessary interventions, interventions continuing longer than necessary
• not addressing an anticipated problem

Question 14

Goals are almost exclusively expressed in terms of _____________.

Answer 14

functional activities

Question 15

Can goals include pain?

Answer 15

Yes, but shouldn’t be the only goal because it is subjective.

Question 16

Planning and implementation of the intervention is broken into ______ and ________

Answer 16

• strategy

- tactics

Question 17

What are the 3 specific elements of intervention (tactics)?

Answer 17

• frequency
• duration
• intensity

Question 18

Bottom Line:
-HOAC II is a clinical decision making model that generates a ________ and facilitates the use of science and evidence in practice to confirm or refute ______.

Answer 18

• hypotheses

- hypothesis