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39 Cards in this Set
- Front
- Back
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Hemodialysis |
The patients blood circulates outside the body through an artificial kidney that removes metabolic wastes and helps to maintain homeostasis. It's usually administered by nurses and technicians in a dialysis facility, but it may also be self-administered by the patient at home. |
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Peritoneal Dialysis |
Uses the patients own abdominal cavity to filter out wastes. It's a portable process that can be self-administered by the patient at home or in a variety of locations. |
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CKD |
Chronic Kidney Disease |
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ESRD |
end-stage renal disease |
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What qualifies a patient to receive dialysis? |
It's usually a person with stage 5 chronic kidney disease who have not yet undergone a kidney transplant or who for some reason are not candidates for a transplant. |
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Primary payer for most patients on dialysis? |
Medicare |
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Time requirements for completion of the comprehensive assessment? |
W/n 30 calendar days or 13 outpatient hemodialysis sessions beginning with the first outpatient dialysis session. |
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CROWNweb |
CMS internet-based software application, the required method by which dialysis facilities submit data about patients and facility operations. |
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Importance of diet and medication regimen? |
Dietitians educate patients about the importance of following the prescribed diet and also monitor nutritional status. |
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At least 3 Levels of Correctional Facilities |
Prisons, jails, juvenile detention facilities, bureau of immigration and customs enforcement, correctional facilities operated by the army, and shelters or halfway houses. |
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Impact of telemedicine and telepsychiatry |
Telemedicine is widely used to provide specialist consultations and digital radiology services to inmates housed in rural to urban correctional and detention facilities. Tele psychiatry offer opportunities to bring mental health services to individuals who otherwise may have difficulty accessing services because of a remote or rural location or for some other reason. |
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Impact of HIM professionals in a correctional setting? |
Privacy - Limited access to records, Ensure compliant release forms Education - Ensure consistency by providing up to date education/policies/procedures, Ensure staff are educated on proper handling of health information Checks and Balances - Create logs and checklists to ensure proper check in and check out of medical record when transferring inmates for healthcare or facilities, Develop process for sharing health info and tracking tool to ensure good record keeping of who data is being shared with and why |
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Role of Sheriff and Department of Corrections? |
They administer most jails - Reporting to a sheriff is a county administrator or a board of county commissioners. |
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Primary payer of healthcare for inmates? |
- Federal government sources - Private sources - Payments from prisoners for care - Appropriations from state legislatures |
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AVMA |
American Veterinary Medical Association |
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Types of docs collected? |
Owner identification Animal identification Vaccination history of the patient Chief complaint Medical History Physical examination, including current weight Problem list Diagnostic reports |
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Role of the Vet and Vet Tech |
Vet - Provide not only diagnostic, therapeutic, and rehabilitative services for animals of various species and uses, but also are engaged in protecting human health through their roles in environmental protection, food safety, and public health. Vet Tech - Performs under the direction, supervision, and responsibility of the veterinarian and is not allowed to diagnose, prescribe, or perform surgery unless permitted by state regulations. |
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Animal mortality insurance |
The economic value of some animals and valuable breeding show animals necessitates that the owner or owners secure mortality insurance on the animal. |
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Zoonotic infections |
Infections that can be transmitted from animals to humans. |
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Roles of Animals by the Department of Defense |
Animals such as ( canine, equine, and marine mammals) are trained at great expense in search-and-rescue and drug or explosives detection, for instance, to serve and safeguard the public, which makes efficient, accurate doc of their health maintenance as essential as maintaining the health record of their handlers. |
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Coding systems used by dentists |
Current Procedural Terminology (CPT) Health Care Common Procedural Coding System (HCPCS) Current Dental Terminology (CDT) |
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Dental Specialities |
Dental Public Health*, Oral Pathology*, Orthodontics*, Pediatric Dentistry, Periodontics, Etc |
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Retention requirements of retired solo dental practitioners |
At retirement he/she must maintain the dental records as long as state statute dictates. A minimum of 7 to 10 years |
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Software used in dental setting |
Patient Registration, Appointment Scheduling, Insurance Billing and Claims Tracking, Patient Accounting Information |
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Raven |
" " Is a free software from CMS for long-term care facilities that offers users the ability to collect and transmit MDS assessment data in CMS-standard format, along with maintaining facility, resident, and employee info, enforcing data integrity via rigorous edit checks, and providing comprehensive on-line help. |
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IRVEN |
"Inpatient Rehabilitation Validation and Entry" A free software offered by CMS for facilities that wish to use it to submit the IRF-PAI data. |
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Case Mix Groups (CMGs) |
Rehabilitation impairment categories (RICs) Levels of functional and cognitive impairments Age Co-morbidities |
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CMG |
Data encoded and transmitted w/n 17 days of discharge. |
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MDS |
Is a core set of screening, clinical, and functional status elements that constitute a standardized means of assessing all residents in Medicare and/or Medicaid certified facilities. |
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RUGS |
"Resource Utilization Groups" Per diem payments for each admission are case mixed adjusted by resource utilization group based on MDS data. |
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Different types of setting for long-term care |
Freestanding Nursing Facility -nursing home -long-term facility -aka intermediate care facility" Freestanding Skilled Nursing Facility -Very "specific" types of care -nurses are more on "stand by" Acute Care Hospital -distint part of SNF -Skilled nursing unit or SNF |
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CARF |
"Commission for Accreditation of Rehabilitation Facilities" A voluntary accreditation agency that sets standards that promote "the delivery of quality services to people with disabilities". CARF standards include a section devoted to alcohol and other drug treatment programs. |
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Physiatrist |
A physical medicine and rehabilitation physician, is generally the head of the rehabilitation team. They have completed 4 years of approved residency training after medical school in physical medicine and rehabilitation. |
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Lengths of stay |
Long-term - Permanent Rehab - 2 to 4 weeks? |
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60% Rule |
Requires that at least 60% of the patients treated have at least one of 13 qualifying medical conditions. Ex. Stoke, spinal cord injuries, congenital deformity, amputation, major multiple trauma, hip fracture, brain injury, burns, etc. |
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Time frames for minimum data sets |
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"scales" |
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Impairment vs disability |
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