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201 exam 1
Governing regulations in physical therapy
| Question | Answer |
|---|---|
| what type of insure does the federal government provide? | Medicare: fee for service or managed care |
| what is Medicare transitioning to? | ICF (international classification of functioning, disability and health) |
| MIP | merit-based incentive program |
| supervision laws for Medicare in private practice | PT must have direct supervision over PTA (supervising private practice therapist must be present in the office suite at the time the service is performed.) |
| supervision laws for Medicare in inpatient/ hospital setting | general supervision (PT doesn't have to be present during the service) |
| what type of insurance does the state government provide? | Medicaid and workers comp/ L&I |
| Medicare vs Medicaid | Medicare: 65 and older, federal gov Medicaid: any age range with limited income, state gov |
| what color of ink does the APTA want documentation in | black |
| who needs to consent to tx according to APTA? | Consent for treatment from competent adult Signature of patient/guardian – consent for treatment |
| who needs to sign documentation according to APTA | PT and PTA |
| how should you make corrections to documentation according to APTA? | single strike, date/initial (no whiteout) |
| what information needs to be provided to pt/family according to APTA | Description of the treatment Risk and Benefit of treatment Alternative treatments |
| JCAHO | Joint Commission Accreditation, Heath Care, Organizations SNF and home health accreditation, takes 3-6 months to accredit |
| CARF | Commission of Accreditation of Rehab Facilities |
| what does JCAHO focus on? | Patient safety - patient ID, fall risk, administration of meds, Sentinel events Facility safety – RACE (RESCUE, ALARM, CONFINE, EXTINGUISH/EVACUATE) cardiac, etc. communication Recognition and response to change in pt condition Pain management |
| what facilities are accredited by CARF? | St. Luke’s Rehab Institute, North Idaho Advanced Care Hospital |
| what does CARF focus on? | Safety Coordination of Care Teamwork |
| what areas do JCAHO and CARF measure a facilities performance in? | Patient assessment Patient treatment/care Governance, leadership Medical staff Nursing Human resources Performance improvement Program evaluation |
| why is JCAHO/CARF accreditation important? | Protects the Patient Tied to Medicare Rules of Participation Tied to reimbursement Tied to Marketing Tied to industry ratings and comparisons |
| how can you promote safety in the hospital? | Use of gait belt Locking of equipment Maintenance of equipment Use of name tags How to report an incident Infection Control MSDS ( material safety data sheet |
| manners during a JCAHO or CARF survery | When speaking, always refer to the survey as the “Joint Commission” Do not slouch, chew gum or use inappropriate language Do not mention past surveys or the former management of the department. |
Created by:
bdavis53102
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