Shared Flashcard Set

Details

Discharge Planning
Physical Therapist Assistant CardioPulm
12
Health Care
Undergraduate 2
08/18/2017

Additional Health Care Flashcards

 


 

Cards

Term
Describe complex environment for patient management (4 areas)
Definition

Professional Development

Continual dynamic assessment

communication to gain information, collection and analysis of medical information,application of special physical therapy knowledge,communication to provide information

Decision making for patient management

Term
A ______ _____ _______ (PPS) is a method of reimbursement in which medicare payment is made based on a predetermined, fixed amount.
Definition
Prospective Payment System
Term
The Patient Protection and Affordable Care Act established a public insurance option that ________(5 items).
Definition

1. Pays providers rates negotiated by Health and Human Services (HHS)

2. Expands medicaid

3. Creates national exchange. People can shop around for health insurance.

4. Subsidies to low income people for health insurance

5. Requires citizens to have insurance

Term
Developed by CMS to prevent fraud, waste, and abuse in Medicare
Definition
Recovery Audit Contractor (RAC)
Term
How are Recovery Audit Contractors paid?
Definition
Contingency fee basis on overpayments and underpayments they find.
Term
This program is aimed at adjusting hospital payments for those institutions with higher than expected readmissions
Definition
Hospital Readmissions Reduction Program and the ACA
Term
The Hospital Readmissions Reduction Program fines hospitals for readmission of patients with _____, _____,_____,_______ , ______and _____, within 30 days. (Raised from 1% to 3%)
Definition

1. MI

2. CHF

3. pneumonia

4. Chronic lung disease

5. Hip replacement

6. Knee replacement 

Term

Prediction model for readmission

H

O

S

P

IT

A

L

Definition

Hemoglobin at discharge (<12g/dL)=1 point

Oncology Service = 2 points

Sodium level at discharge (<135mEq/L) =1 point

Procedure during hospital stay =1 point

IT Index type of admission, non elective= 1 point

A Number of Admissions during past year =.5 - 1 point

Length of stay≥ 5 days = 2 points

Term
The main reason pt's aren't successful when discharged to home.
Definition
Toileting. Supervising person unable to help with toileting or emptying of BSC.
Term
POC needs to be updated by MD every _____days or when POC expires, and MD needs to see pt. after ____days.
Definition

90

60

Term
PT and SP have a combined cap of
Definition
$1980
Term
No further physical therapy indicated if (5 items)
Definition

1. Pt is at or close to baseline

2. They are safe to return to prior living situation

3. Have met all goals

4.no progress has been made

5. PT needs to be consulted

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