Brs Ota Board Exam 2015 -- Ch 4 -- Part 2 Of 2 -- Ch: Prof Standards & Respon, Sections:

Front 1

Legally mandated regulations that affect OT are set forth by who?

Back 1

Legally mandated regulations that affect OT are set forth by the Centers for Medicare and Medicaid Services, also called C.M.S. They are a division of the US department of Health and Human Services, also called HHS.

Front 2

What is a sniff, or maybe its pronounced snuff?

Back 2

A sniff is an S.N.F., which is a skilled nursing facility, a kind of long-term care facility.

Front 3

What sets legally mandated regulations for health care and what is their acronym?

Back 3

The Centers for Medicare and Medicaid Services, otherwise known as C.M.S., sets forth mandated health care regulations.

Front 4

C.M.S. is a department of what?

Back 4

C.M.S. is a division of H.H.S., the U.S. Department of Health and Human Services.

Front 5

What does Osha do?

Back 5

Osha, the Occupational Safety and Health Administration, ensures safety by.

1. Ensures safety by establishing and enforcing structural standards and building codes. and

2. Ensures safety by creating standards for handling dangerous substances and infectious materials.

Front 6

What are intermediaries as it relates to OT?

Back 6

Intermediaries are private insurers that contract with Medicare to handle the day to day operations of Medicare.

Front 7

How does one qualify for Medicare?

Back 7

The be eligible for Medicare, one must be 65 or older, have kidney disease, or have black lung, or other long-term disability determined by law.

Oh fuuck. . . yeah. . as an after thought, you can also be eligible if you've been on certain social security programs for 24 months.

Front 8

What does medicare not cover?

Back 8

Medicare does not cover:

1. chronic illness (other than renal and black lung).

2. long term supporting care, and.

3. does not cover all medical expenses incurred when ill.

Front 9

Tell me the very basics of what Medicare Parts A., B, C, and D. cover and who is covered by them.

Back 9

1. Part A. Covers basically everyone in Medicare for "big stuff", requiring a minimum of 5 days of service per week.

2. Part B. Is supplemental and typically covers 3 days per week or less outpatient and stuff like doctors, orthotics, prosthetics, etc. .

3. Part C. Medicare Advantage, a private insurer alternative to Parts A. & B.

4. Part D. Optional drug plan.

Front 10

What is Worker's Compensation designed to do?

Back 10

Worker's Compensation is designed to compensate employees who have job-related illness or injury.

Front 11

Who funds Worker's Compensation?

Back 11

Worker's Comp is funded by employers and the state.

Front 12

What is the primary focus in a Worker's Comp case?

Back 12

The primary focus in a Worker's Comp case is to return the person to gainful employment.

Front 13

Hey jerky jerk:

Documentation is supposed to provide a record of what three main things?

Back 13

The purpose of documentation is to provide:

1. A legal record of the client's condition, evaluation, and re-evaluation results.

2. The course of therapeutic intervention.

3. The response to interventions from referral to discharge.

Front 14

What is the value of an O.T. signing an O.T.A.s notes, even though it's not required by law?

Back 14

Cosignatures of an O.T.A. and an O.T. is viewed as tangible evidence that supervision has been provided.

Front 15

Goals should be written in what "format", and define any part that is necessary.

Back 15

Goals should be written in SMART format.

• Specific.
• Measurable.
• Achievable.
• Relevant. and
• Time-Related.

.. Relevant means relevant to roles, the client's environment, etc.

Front 16

In documentation, what kind of words should you avoid using?

Back 16

You should avoid using words that accidentally insinuate that the client hasn't made progress or won't make progress in the future. Words that don't reflect progress are like stable, plateau, little change, maintaining, etc. . Words that don't reflect potential for improvement include noncompliant, inability to follow directions, unmotivated, etc.

Front 17

Who uses Medicare documentation guidelines and why is it good to follow them?

Back 17

Many private insurers and state Medicaid programs follow Medicare documentation guidelines. It can be good to follow these guidelines because then your documentation will generally be acceptable to other insurers.

Front 18

The established Medicare guidelines for documentation may be on the board exam. Name some of Medicare's guidelines.

Back 18

Medicare documentation guidelines include:

1. Treatment must show a complexity and sophistication or the condition of the patient must require skills of a qualified practitioner.

2. The intervention must be skilled.

3. Services must be unique to OT.

4. Notes must show that patient is making significant functional improvement in a reasonable and generally predictable amount of time.

5. The service must be reasonable and necessary.

Front 19

Transitional planning and services for students with disabilities who have an IEP should begin by when, at the latest?

Back 19

Transitional planning should begin by age 14. Transitional services should begin by age 16.

Front 20

What is the goal of transitional planning for students with disabilities?

Back 20

The goal of transitional planning is for the child to become independent and employed.

Front 21

What did the Rehabilitation Act of 1973 do?

Back 21

The Rehabilitation Act of 1973 prohibits discrimination on the basis of disability in any program or activity that receives federal assistance.

Front 22

What was accomplished by the Fair Housing Act?

Back 22

The Fair Housing Act prohibits discrimination on the basis of disability, religion, sex, color, race, national origin, and familial status. Also, regarding tenants with disabilities, housing could be modified by them and new construction of multifamily homes must be built to meet accessibility standards.

Front 23

What is the A. D. A. and what did it accomplish?

Back 23

The A. D. A. is the Americans with Disabilities Act. The A. D. A. prohibits discrimination against qualified persons with disabilities in employment, transportation, accommodations, telecommunications, and public services.

Front 24

According to the A. D. A., what are the criteria for classifying an individual as disabled?

Back 24

The A. D. A. says that the criteria for classifying an individual as disabled are as follows:

1. Physical or mental impairment substantially limits 1 or more major life activity.

2. Person has a record of such an impairment.

3. Person is regarded as having such an impairment.

Front 25

Multiple acts of legislation have provided the foundation for current early intervention and education services. Describe the general approach that has resulted.

Back 25

These acts mandate for free and appropriate education for all children regardless of ability or disability, (aged 3-21) in the least restrictive environment.

Front 26

Regarding schooling, what is mainstreaming and why was it put in place... what does it ensure?

Back 26

Mainstreaming is the integration of a child with disabilities into classrooms. It was the means to ensure education is provided in the least restrictive environment.

Front 27

What is the purpose of the I.D.E.A. legislation?

Back 27

The purpose of the I.D.E.A. is to prepare children with disabilities for further education, employment, and independent living.

Front 28

The I.D.E.A. expanded what is addressed with students with disabilities. In addition to academic performance, what did the I.D.E.A. directly address and how did this affect the I.E.P. ?

Back 28

The I.D.E.A directly addressed the student's functional performance. The I.D.E.A. expanded the I.E.P.s annual goals to include functional goals, in addition to academic goals.

Front 29

What is the No Child Left Behind Act?

Back 29

The No Child Left Behind Act is a general education law which emphasizes standards-based education.

Front 30

Yo, punk daddy mutha fahka, tell me bouts duh Omnibus Budget Reconciliation Act of 1990.

Back 30

The Omnibus Budget Reconciliation Act, or OBRA, applies to all nursing homes that receive federal money for Medicare or Medicaid patients. It emphasized:

1. Resident rights, autonomy, & self determination;

2. Enhancing quality of life within nursing homes.

3. Reducing use of restraints.

Front 31

What are the primary differences between the educational model and the medical model of service delivery?

Back 31

The educational model deals with issues that interfere with a students education. An I.E.P. is created by a team. The focus of the team is on an outcome that enables the child to access his education, but is not concerned with the child's performance outside of school.

The Medical Model focuses on the impairment, regardless of severity, to ensure the child can perform A.D.L.s

Front 32

What are the criteria for admission to an SNF (or skilled nursing facility) or an E.C.F. (or extended care facility)?

Back 32

Admission is for a medical or psychiatric diagnosis that is chronic and requires skilled care, but the individual's illness is stable with no acute symptoms.

Front 33

What are the 5 developmental areas that an O. T. can assess and work on for early intervention?

Back 33

The 5 developmental areas are cognitive, physical, communication, social-emotional, and adaptive.

1. Cognitive.

2. Physical.

3. Communication.

4. Socio-emotional.

5. Adaptive.

Front 34

In a school setting, how often is a review of services and progress made towards a child's I. E. P. done?

Back 34

A review of the I. E. P. is conducted annually.

Front 35

What are the components of Client Factors?

Back 35

Client factors are made up of the client's:

1. Values, beliefs and spirituality.

2. Body functions. and

3. Body structures.

Front 36

In a school setting, what does an O. Ts intervention mainly focus on?

Back 36

In a school setting, an O.T.s intervention focuses on two main things:

1. the student's functional performance. and

2. his or her academic performance

Front 37

In a school setting, what is the purpose of the O. T. intervention?

Back 37

The purpose of an O. T. intervention in a school setting is to "treat client factors & performance skill deficits" to improve the child's ability to "participate in & perform" EDUCATION-RELATED ACTIVITIES WITHIN A SCHOOL SETTING. (the educational model of treatment.) (This doesn't include the student's transition plan, which would call for training for adult independence.)

Front 38

What is an R. T. I.?

Back 38

An R. T. I. is school based and stands for Response To Intervention. An R. T. I. addresses academic difficulties and behavioral problems early in a child's education. An R. T. I. is easier to set in place than and comes before an I. E. P.

Front 39

What are the acceptance criteria for hospice?

Back 39

The acceptance criteria for hospice is having a terminal illness with a life expectancy less than 6 months.