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146 Cards in this Set
- Front
- Back
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What is DORA? and what are they involved in?
|
department of regulatory agency
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What is the FSBPT? what does it regulate?
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federation of state boards of PT
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What is a 'sunrise' act?
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creates a practice act and done when a profession applies for licensure
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What is a 'sunset' review? how often is it done?
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every 10 years
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What types of disciplinary action are done by DORA (4)? describe each
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admonishment- public warning
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Are you as a PT accountable for knowledge of what is on the state practice act?
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yes!
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What is the job description for PT aide?
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can do routine designated tasks, PT must be present, may do routine documentation
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What are some techniques that you can do to CYOA re: inappropriate physical therapist behavior? (5)
|
appropriate draping
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What are some key components of the term of 'disability' according to ADA?
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physical or mental
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What is a covered entity?
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an employer, employment agency, labor organization, governmental agency that must comply with ADA
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What is 'reasonable accommodation'?
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reasonable modification to a job or work environment that will allow employee with disability to participate and perform ESSENTIAL JOB FUNCTIONS
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What is 'undue burden' in terms of ADA?
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an action necessary to provide a reasonable accomodation that would cause the employer or owner SIGNIFICANT difficulty or expense
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What are 2 components of 'essential functions' for ADA?
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1) critical to performing the job
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What type of injury/disability does the ADA NOT cover?
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short- term, temporary injuries
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What are some examples of employment discrimination under ADA? (5)
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--limiting an employee in a way that adversely affects that person's status/opportunities
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What should be the major component of a job description? what should it now be?
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describes WHAT needs to be done, not HOW it needs to be done
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What is title 1 of the ADA? is there a size exemption?
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Title 1- Employment
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What are the 3 stages of hiring? What happens at each stage in terms of ADA being concerned?
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1) Pre-offer- agility testing, must be given to all applicants
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Who's obligation is it to be forthright with a known 'disability'?
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Applicant
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What are 3 reasons that someone who qualifies for ADA can not be offered a job?
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'direct threat' - unsafe
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Are most workers comp injuries covered by ADA?
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no, usually not permanent life changing injuries.
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What are the vast majority of employment lawsuits related to?
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discharge, firing, accommodation, harassment
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What is title 2 of the ADA? is there a size exemption
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state and local government- prohibits discrimination with all activities and services of public entities that don't FUNDAMENTALLY alter the nature of the services
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What is title 3 of the ADA? what does it apply to?
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Public accommodation for the public
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What are the 3 things that must be provided under Title 3 of the ADA?
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Physical access- via readily achievable barrier removal
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What is the tax deduction allowed per year for a business to comply with title III of the ADA?
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$15,000
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When can a business claim exemption to Title III of ADA?
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if it fundamentally alters the business
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What occurs in a provider driven health care model? (4)
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overutilization
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What occurs in a payer-driven health care model ? (3)
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Cost mimimization
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What occurs in a consumer-driven health care model? (4)
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consumer sovereignity
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What are the general FIM guidelines for discharge from hospital and where someone should go?
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<65- SNF
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What does the PACE program stand for? how do you qualify?
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'program of all-inclusive care for the elderly'
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What is the major goal of the PACE program?
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To keep elderly living in the community for as long as possible, with emphasis on keeping them out of the hospital
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What things does the fair labor standard acts control?
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Exempt vs. non-exempt
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What is the different of exempt vs. non-exempt employees?
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exempt= salaried
|
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What does the family medical leave act regulate? is there a business size exemption?
|
businesses of 50+ employees
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What are some qualifying examples for what the family medical leave act? (4)
|
birth/care of a newborn
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How does one qualify for unemployment insurance?
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through no 'fault of their own' they lose job
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how is unemployment insurance funded?
|
government and payroll tax by employer
|
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What is 'at will' employment? give an example of a state that has this... is 'progressive discipline' necessary?
|
can hire/fire at will excluding exemptions for discrimination of protected populations. Colorado is an example
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What is meant by 'progressive discipline'
|
documented process that illustrates sound employment decisions
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What are some negatives (3) and positives (2) of being an independent contractor for a PT?
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Negatives- no PTO, no included insurance coverage/benefits, have to pay full amount of taxes (i.e. medicare tax)
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How long does an employee have to report their job-related injury?
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4 days
|
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What are the referral options like for workers comp?
|
limited. employee can choose from 1 of at least 2 contracted providers selected by employer
|
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What organization oversees most anti-discrimination laws?
|
Equal employment opportunity commission
|
|
|
What organization oversees most employment based regulations?
|
department of labor
|
|
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What does OSHA stand for and what does it do?
|
Occupational and safety health act
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What are the 4 accreditation organizations?
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CHAP, CARF, JCAHO, Medicare State surveys
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What is the CHAP accreditation? what setting does it oversee? is it voluntary
|
community health accreditation program
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What is the CARF accreditation? what setting does it oversee? is it voluntary?
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Commission on accreditation of rehab facilities
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What is JCAHO? what setting is it used in? Is it private? who authorizes it?
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Joint commission. Used in hospitals. Private organization authorized by medicare
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What do the 'medicare state surveys' do? who performs them, who pays for them?
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accreditation that looks at compliance with medicare health and safety standards. States perform, and medicare pays for it
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What does quality assurance/improvement look at? (6)
|
safe, effective, efficient, timely, patient-centered, equitable
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What are 3 ways to classify quality defects?
|
Underuse- Failure to employ as many scientifically sound practices
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|
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What did Steinberg (2003) argue are 4 ways to improve quality?
|
wide-spread reporting of results
|
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What is P4P and is the idea behind it?
|
pay for performance. Providers get reimbursed based on outcomes, unlike fee for service
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What are 4 measures of quality? what are some examples?
|
structural measures- indicates whether resources are available to provide appropriate care (i.e. EMR double checking)
|
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What is PQRS? what are 3 purposes of it?
|
physician quality reporting system (PQRS)
|
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What is a synonym for fiduciary?
|
trust
|
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What is anti-kickback laws?
|
Criminal penalties for entities that knowingly and willfully offer, pay, solicit, or receive bribes or kickbacks or other remuneration in order to induce business reimbursable by federal health care programs
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What are safe-harbors? what laws are they protected from?
|
Safe-harbors
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What is the crucial question to determine if the Stark laws apply to a given situation?
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Is there a financial relationship of any kind between the referring physician and the entity receiving the referral?
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What is the term for a type of PT practice that is exempted from the Stark Laws?
|
if it is an 'in-office ancillary'
|
|
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what is the punishment for violating Stark Laws?
|
fines and/or exclusion from participation in federal programs
|
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What is the role of the office of inspector general?
|
Part of the Health and Human Services (HHS) that combats fraud, abuse, and waste of all HHS (includes Medicare and Medicaid)
|
|
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What are 3 external factors that increase professional exposure to liability?
|
lawyers
|
|
|
What are 2 internal factors that increase professional exposure to liability?
|
Expanding scope of practice
|
|
|
What is malpractice?
|
allege physical/mental injury by a healthcare professional in which there is causation by the provider that directly resulted in a negative outcome. Either due to the provider's failure to act or act
|
|
|
What is meant by a 'duty to treat'?
|
Contractual relationship between provider and patient to treat with the ability of an 'average provider'
|
|
|
What are the 4 risk management options? describe each
|
avoid- not take risk
|
|
|
What is are 4 levels of quality improvement?
|
'ROPE'
|
|
|
What is DORA? and what are they involved in?
|
department of regulatory agency
|
|
|
What is the FSBPT? what does it regulate?
|
federation of state boards of PT
|
|
|
What is a 'sunrise' act?
|
creates a practice act and done when a profession applies for licensure
|
|
|
What is a 'sunset' review? how often is it done?
|
every 10 years
|
|
|
to determine if continued regulation is necessary for profession
|
|
|
|
What types of disciplinary action are done by DORA (4)? describe each
|
admonishment- public warning
|
|
|
Are you as a PT accountable for knowledge of what is on the state practice act?
|
yes!
|
|
|
What is the job description for PT aide?
|
can do routine designated tasks
|
|
|
What are some techniques that you can do to CYOA re: inappropriate physical therapist behavior? (5)
|
appropriate draping
|
|
|
What are some key components of the term of 'disability' according to ADA?
|
physical or mental
|
|
|
What is a covered entity?
|
an employer
|
|
|
What is 'reasonable accommodation'?
|
reasonable modification to a job or work environment that will allow employee with disability to participate and perform ESSENTIAL JOB FUNCTIONS
|
|
|
What is 'undue burden' in terms of ADA?
|
an action necessary to provide a reasonable accomodation that would cause the employer or owner SIGNIFICANT difficulty or expense
|
|
|
What are 2 components of 'essential functions' for ADA?
|
1) critical to performing the job
|
|
|
What type of injury/disability does the ADA NOT cover?
|
short- term
|
|
|
What are some examples of employment discrimination under ADA? (5)
|
--limiting an employee in a way that adversely affects that person's status/opportunities
|
|
|
What should be the major component of a job description? what should it now be?
|
describes WHAT needs to be done
|
|
|
What is title 1 of the ADA? is there a size exemption?
|
Title 1- Employment
|
|
|
What are the 3 stages of hiring? What happens at each stage in terms of ADA being concerned?
|
1) Pre-offer- agility testing
|
|
|
2) Post-offer- post-offer screening
|
must be done on all
|
|
|
Who's obligation is it to be forthright with a known 'disability'?
|
Applicant
|
|
|
What are 3 reasons that someone who qualifies for ADA can not be offered a job?
|
'direct threat' - unsafe
|
|
|
Are most workers comp injuries covered by ADA?
|
no
|
|
|
What are the vast majority of employment lawsuits related to?
|
discharge
|
|
|
What is title 2 of the ADA? is there a size exemption
|
state and local government- prohibits discrimination with all activities and services of public entities that don't FUNDAMENTALLY alter the nature of the services
|
|
|
What is title 3 of the ADA? what does it apply to?
|
Public accommodation for the public
|
|
|
What are the 3 things that must be provided under Title 3 of the ADA?
|
Physical access- via readily achievable barrier removal
|
|
|
What is the tax deduction allowed per year for a business to comply with title III of the ADA?
|
$15
|
|
|
When can a business claim exemption to Title III of ADA?
|
if it fundamentally alters the business
|
|
|
What occurs in a provider driven health care model? (4)
|
overutilization
|
|
|
What occurs in a payer-driven health care model ? (3)
|
Cost mimimization
|
|
|
What occurs in a consumer-driven health care model? (4)
|
consumer sovereignity
|
|
|
What are the general FIM guidelines for discharge from hospital and where someone should go?
|
<65- SNF
|
|
|
What does the PACE program stand for? how do you qualify?
|
'program of all-inclusive care for the elderly'
|
|
|
What is the major goal of the PACE program?
|
To keep elderly living in the community for as long as possible
|
|
|
What things does the fair labor standard acts control?
|
Exempt vs. non-exempt
|
|
|
What is the different of exempt vs. non-exempt employees?
|
exempt= salaried
|
|
|
What does the family medical leave act regulate? is there a business size exemption?
|
businesses of 50+ employees
|
|
|
What are some qualifying examples for what the family medical leave act? (4)
|
birth/care of a newborn
|
|
|
How does one qualify for unemployment insurance?
|
through no 'fault of their own' they lose job
|
|
|
how is unemployment insurance funded?
|
government and payroll tax by employer
|
|
|
What is 'at will' employment? give an example of a state that has this... is 'progressive discipline' necessary?
|
can hire/fire at will excluding exemptions for discrimination of protected populations. Colorado is an example
|
|
|
What is meant by 'progressive discipline'
|
documented process that illustrates sound employment decisions
|
|
|
What are some negatives (3) and positives (2) of being an independent contractor for a PT?
|
Negatives- no PTO
|
|
|
Positives- Set your own schedule
|
higher pay
|
|
|
How long does an employee have to report their job-related injury?
|
4 days
|
|
|
What are the referral options like for workers comp?
|
limited. employee can choose from 1 of at least 2 contracted providers selected by employer
|
|
|
What organization oversees most anti-discrimination laws?
|
Equal employment opportunity commission
|
|
|
What organization oversees most employment based regulations?
|
department of labor
|
|
|
What does OSHA stand for and what does it do?
|
Occupational and safety health act
|
|
|
What are the 4 accreditation organizations?
|
CHAP
|
|
|
What is the CHAP accreditation? what setting does it oversee? is it voluntary
|
community health accreditation program
|
|
|
What is the CARF accreditation? what setting does it oversee? is it voluntary?
|
Commission on accreditation of rehab facilities
|
|
|
for medical rehab programs in hospital
|
OP
|
|
|
What is JCAHO? what setting is it used in? Is it private? who authorizes it?
|
Joint commission. Used in hospitals. Private organization authorized by medicare
|
|
|
What do the 'medicare state surveys' do? who performs them
|
who pays for them?
|
|
|
What does quality assurance/improvement look at? (6)
|
safe
|
|
|
What are 3 ways to classify quality defects?
|
Underuse- Failure to employ as many scientifically sound practices
|
|
|
What did Steinberg (2003) argue are 4 ways to improve quality?
|
wide-spread reporting of results
|
|
|
What is P4P and is the idea behind it?
|
pay for performance. Providers get reimbursed based on outcomes
|
|
|
What are 4 measures of quality? what are some examples?
|
structural measures- indicates whether resources are available to provide appropriate care (i.e. EMR double checking)
|
|
|
What is PQRS? what are 3 purposes of it?
|
physician quality reporting system (PQRS)
|
|
|
What is a synonym for fiduciary?
|
trust
|
|
|
What is anti-kickback laws?
|
Criminal penalties for entities that knowingly and willfully offer
|
|
|
What are safe-harbors? what laws are they protected from?
|
Safe-harbors
|
|
|
What is the crucial question to determine if the Stark laws apply to a given situation?
|
Is there a financial relationship of any kind between the referring physician and the entity receiving the referral?
|
|
|
What is the term for a type of PT practice that is exempted from the Stark Laws?
|
if it is an 'in-office ancillary'
|
|
|
what is the punishment for violating Stark Laws?
|
fines and/or exclusion from participation in federal programs
|
|
|
What is the role of the office of inspector general?
|
Part of the Health and Human Services (HHS) that combats fraud
|
|
|
What are 3 external factors that increase professional exposure to liability?
|
lawyers
|
|
|
What are 2 internal factors that increase professional exposure to liability?
|
Expanding scope of practice
|
|
|
What is malpractice?
|
allege physical/mental injury by a healthcare professional in which there is causation by the provider that directly resulted in a negative outcome. Either due to the provider's failure to act or act
|
|
|
What is meant by a 'duty to treat'?
|
Contractual relationship between provider and patient to treat with the ability of an 'average provider'
|
|
|
What are the 4 risk management options? describe each
|
avoid- not take risk
|
|
|
What is are 4 levels of quality improvement?
|
'ROPE'
|
