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37 Cards in this Set
- Front
- Back
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What characterizing practice setting refers to system's organization & management?
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Administration of setting
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What characterizing practice setting refers to the type of service and length of time the patient receives services?
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Levels of care
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What characterizing practice setting is organized around the continuum of care?
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Levels of care
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What characterizing practice setting relates to the types of condition that the setting serves?
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Areas of practice
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Administration of setting involves what three types of agencies?
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1. Public agencies- federal, state, or county government operated (VA, Indian Heath Service (IHS), sate mental hospitals or facilities for persons with DD schools)
2. Prive not-for-profit agencies- hospitals, Easter Seal Society 3.Private for-profit agencies- large for-profit agencies (hospitals, nursing homes) |
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What are some examples of levels of care?
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acute care
subacute care in-patient rehabilitation long term care outpatient care home health |
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All of the following are true for acute care except:
A) gradual and long-term needs B) typically hoospital setting C) stabilizing medical condition is priority D) Include ICUs E) Wide range of diagnoses F) Reimbursed by PPS, DRGs; a predetermined, fixed fee |
A) gradual and long-term needs
Correct answer: sudden and short-term needs |
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What is the average length of stay for acute care?
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3-5 days
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What level of care is less intensive compared to acute care?
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Subacute care
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All of the following are true for subacute care except:
A) typically located in a hospital B) simple medical situations requiring shorter period of rehabilitation C) length of stay usually from 1-4 weeks (perons with stroke, hip fractures, cancer, cardiac condition) D) reimbursed by a PPS using RUGs |
B) simple medical situations requiring shorter period of rehabilitation
Correct answer: complex medical situations requiring longer period of rehabilitation |
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What level of care has a highly structured schedule and patients receive 3+ hours of therapy daily usually divided into 2 sessions?
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In-patient rehabilitation
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What is the average length of stay for in-patient rehabilitation?
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2 weeks
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In-patient rehabilitation units must comply with what rule?
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the 75% rule
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Who reimburses in-patient rehabilitation?
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PPS using case mix groups (CMGs)
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How is long term care reminbursed?
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varies based on setting
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True or false:
Long term care includes skilled nursing facilities (SNFs), institutions, home, community-based program, long term acute care (LTAC), etc. |
True
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All of the following for long term care are true except:
A) patients are medically stable B) have a chronic condition C) have a condition requiring extended time to treat D) all of the above E) none of the above |
E) none of the above
All are true |
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Describe a client at the level of care: outpatient care.
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clients with disabling conditions
may focus on medical issures have been discharged from a hospital setting still in need of therapy services treatment frequency varies from 5 days per week to once every other week can be general, specilized, pediatric reminbursed on a Medicare Physician Fee Schedule |
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Home health patients must be __________ to qualify.
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"homebound"
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Where does therapy take place for home health?
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client's home environment (house, assisted living facility, hospice care)
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Who does home health get reminbursed by?
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PPS via a home health resource group (HHRG)
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What are the three areas of practice?
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1) biological (medical)
2) psychological 3) sociological (social) |
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What is the focus for biological/medical area?
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disease, trauma, disorders, loss of ROM or sensation, pain, damage to body systems
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Biological/medical area's team consists of who?
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PT, SLP, physician, nurse, social wokers (SW)/ case manager (CM), pastoral care, certified therapeutic recreation specialist (CTRS)
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What are the types of settings for biological/medical area?
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hospital, clinics, work site (industry), home health, SNFs
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What is the focus for sociological/social area?
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intellectual disabilities, developmental delay, functional limitation
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Sociological/social area's team consists of who?
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SW/CM, speical education teacher, SLPs, CTRSs
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What are the types of settings for sociological/social are?
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early intervention (0-3), schools (public or privarte, mainstream or specialized), day treatment, workshops, special camps, ARC
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What is the focus for psychological area?
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emotional, psychiatric, addiction, problems that affect thinking, memory, attention, emotional control, judgment, and self-concept
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Psychological area's team consists of who?
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psychiatrisits, psychologists, CTRSs
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What are the types of settings for psychological area?
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state institutions, community mental health centers
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What are two other settings?
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Nontraditional and private practice
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How is private practice defined?
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self-defined
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What are the AOTA's defined practice areas?
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1) children and youth
2) health and wellness 3) mental health 4) prductive aging 5) rehabilitation, disability and participation 6) work and industry |
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Who owns the settings in which OT practitioners work?
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2010 private, for-profit agencies 38.1%
2006 29.6% 2006 private not-for-profit agencies 29.6% |
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What are the two top age groups for clients treated by OT practitioners?
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2010 adults age 65 or older 35.9%
2006 chidren 3-21 35.1% |
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Give some examples of AOTA's emerging practice areas.
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needs for children and youth
assistive technology driving assessment and training programs community health and wellness ergonomics consulting educational trends towards EBP |
