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25 Cards in this Set

  • Front
  • Back
What are the three skilled services in home health care?
* Nursing
* Physical Therapy
* Speech Therapy
What does a home health aide do in home health care?
render personal care, bathing; helping to ambulate
What is skilled nursing in Home Health Care?
Wound care, IV or IM medications, IV treatment
What is a Enterostomal services in Home health care?
a nurse that deals with wounds, or stomas for the patient
What is continuing care?
Provides care to the disabled, terminally ill, and functionally dependent
*Institutional settings
*Communities
*Home
What is respite care?
short term relief care to give the person time off to help relieve stress and reduce the risk of abuse (adult day care)
What is Hospice care?
End of life care; focuses on symptom management and patient comfort (available 24/7)
* Can occur in patients' homes or in health care facilities
When was DSHS established?
1980; administered by CMS
What is Prospective Payment System?
hospital fees are determined before service, which is a fixed fee, helps decrease health care cost; established in 1983.
How is a person able to get hospice care?
Must have a terminal illness by diagnosis with less than 6 month to live; patient and physician must sign.
How many days of Hospice care does Medicare pay?
230 days
What is Diagnosis-related groups?
Hospitals were paid fees based on diagnosis, (amount of money and days expected to be in hospital) caused hospitals to discharge patients early to be able to make more money; created 1983.

* if patient gets better fast hospital gets more money
* if patient gets sicker at the hospital; losses money
What does it mean by professional standards views?
Quantity and quality of hospital care
What is Capitation?
designed to control cost; providers get paid a certain amount based on deductibles
What are Homemaker Services in Home Health Care?
a person who does the house cleaning, cooking, cleaning, picking up medication for a person in their home
What is Medicare?
Federally sponsored healthcare for 65 and older, regardless on health status or people under 65 that have permanent kidney damage or qualify for Social Security Disability Benefits.
How many days does Medicare cover?
stay in hospital then covers 100 days in long term care
What does Medicare Part A cover?
Covers inpatient hospital care
What does Medicare Part B cover?
covers physician services, outpatient care and diagnostic tests
What does Medicare Part C cover?
Medicare Advantage Plan offered by private insurance companies
What does Medicare Part D cover?
provides prescription drug coverage
What are four alternatives that an uninsured patient can used to pay for health care?
* Medicaid (if they qualify)
* Private pay (if they can afford it)
* Charity care (if they can find it)
* Face medical bankruptcy
In what year was Medicare added to the Social Security Act?
1965
What are the three ways to look at change?
Victim, Survivor, Navigator
Personal Plan for Change for LPN
* Be self directed, motivated and a problem solver
* Identify what needs to be done and do it
* Respond flexibly to changes that are presented
* Identify tasks and protocols that could be done more efficiently
*Be a role model for LPNs.