Week 2 extra questions Flashcards

1
Q

What is continuum of care?

A

Continuum of care is the provision of care from when the pt enters the health care system until care for that pt is no longer needed. - How the pt moves through the health care system.

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2
Q

What is Emergency Care?

A

Emergency care us the diagnosis and treatment of pts requiring immediate attention.

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3
Q

What is unscheduled urgent care?

A

Unscheduled urgent care is acute care problems or acute exacerbation of chronic problems.

Example: Chronic LBP -> severe back pain -> unscheduled urgent care

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4
Q

What is safety net care?

A

Safety net care is for the vulnerable populations: barriers from accessing care.

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5
Q

Can the PT be the primary or secondary contact practitioner in an acute care setting?

A

A PT can be BOTH a primary or secondary contact practitioner in an acute care setting.

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6
Q

What are the benefits of having a PT in an ED?

A

The benefits of having a PT in an ED are:
a. decrease wait times in ED
b. decrease hospital cost for management
c. shortening waiting time for referral to outpatient care.
d. decrease in incidence of advance imaging, sx, and opioids in pts.

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7
Q

What are other names for PCU.

A

Other names of PCU are:
a. step-down unit
b. intermediate care unit
c. transitional care unit
d. telementary unit.

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8
Q

What is the purpose of LTACH?

A

The purpose of LTACH is to provide intensive extended inter=professional medical and rehabilitative care for medically complex pts recovering from severe acute illness or injury.

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9
Q

What is the purpose of IRF?

A

The purpose of IRF is to work to improve functional ability and to facilitate pt’s capacity for being reunited with the community.

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10
Q

Can an IRF be a free-standing hospital or rehab unit in an acute care hospital?

A

An IRF can be BITH a free-standing rehabilitation hospital AND a rehab unit in an acute care facility.

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11
Q

What is another name for IRF? Does Medicare refer to IRF as this?

A

Another name for IRF is acute rehabilitation hospital. NO! Medicare does not refer IRF as acute care hospital.

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12
Q

Why do IRFs require an intensive and coordinated interprofessional approach to the delivery of rehab care?

A

IRFs require an intensive & coordinated interprofessional approach because it is important to foster frequent, structures, and documented communication among disciplines to establish, prioritize, and achieve treatment goals.

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13
Q

In an IRF, what are the team member objectives?

A

In an IRF, the team conference objectives should focus on:
a. assess pt’s progress toward rehab goals
b. problem solve issues that could impede progress
c. reassess validity of rehab goals
d. monitor plan & revise POC

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14
Q

List PT intervention focus in LTACH and IRF.

A
  • restore function
  • self-care
  • home management
  • return to work
  • return to community activities
  • return to leisure activities
  • improve mobility
  • minimize impairment
  • increase independence -
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15
Q

When does a spell of illness start and end? How long is a spell of illness?

A

A single spell of illness begins when the pt is admitted to a hospital or another inpatient facility. It ends when the pt has gone days without being readmitted to another hospital or facility. A spell of illness is 100 days.

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16
Q

Pt is seen for sx and is in acute care for 3 days. Goes to SNF for 20 days and is discharged home. After 62 days pt has a stroke. Will Medicare cover another discharge to a SNF?

A

Yes. Medicare will cover another discharge to a SNF. After 60 consecutive days without readmission, the spell resets.

17
Q

What is practical matter criteria?

A

Practical matter criteria is the skilled services that can ONLY be provided in an inpatient basis. These services are CAN’T be provided in an outpatient setting.

18
Q

Does maintenance therapy count as a rehab service under Medicare Part A in a SNF?

A

Yes, maintenance therapy can count as rehab therapy under Medicare Part A in SNF.

As long as there is documented evidence that without skilled intervention, the pt’s condition will deteriorate or safety would decline.

19
Q

How long does each treatment session in a SNF have to be for it to count as a day under Medicare Part A Criteria?

A

Each treatment session in a SNF has to at least be 15 minutes for it to count under Medicare Part A criteria.