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28 Cards in this Set

  • Front
  • Back
Difference between secondary and tertiary care/
Secondary: specialist such as dermatologist, cardiologist

Tertiary: highly specialized, transplants and other major surgeries
What body sets standards related to safety?
Occupational safety and health administartion (ASHA), a division of the U.S. Department of Labor
Established and enforced by this admiistration
Who doese JCAHO accredit?
Hospitals
SNFs
Home health agencies
PPOs
Rehab facilities
HMOs
Behvioral health
Who does CARF (commission on accreditation fo Rehabilitation Facilities) accredit?
Free-standing rehab facilities
Rehabilitative programs of larger hosptial systems in the areas of behavioral health, employment, community support services, and medical rehab (SCI, chronic pain)
Who does teh AC-MRDD accredit?
Accreditation Council for Services for Mentally Retared and Other Developmentally Disabled Persons
Programs or agencies service persons with developmental disabilities
Who does the National League for Nursing/American Public Health Association (NLN/APHA) accredit
Home health and community nursing agencies offering nursing and other healthservices outside hospitals, extended-care facilities, and nursing homes
What type of reimbursement does medicare use for hospital vs. SNF. How many days does it pay SNF?
DRG vs. RUG
100 days in SNF
What does medicare part A cover? part b?
A: hospital, hospice, home health, SNF

B: outpatient, DME, etc. Monthly premiums
How are providers paid with HMOs and PPOs? What's the differnce?
Capitation: providers are paid a certain amount per case

In PPO, patietns are not locked into PPO, but it cost a lot less
Common reasons for payment denial
1. incomplete/insufficient documentation
2. medically unnecessary
3. incorrect coding
4. pay for performance
What can incident reports be used for?
Part of an internal quality improvement program
Can be ued as a component of individ employee performance
NEVER mention in pt chart
What is a sentinel event?
an unexpected occurrence involving death or serious physical or psychological injury
A root cause analyis is done to identify underlying problems
3 steps in health care marketing
1. Assess the true needs of pt/client (external factors)
2. Analyze strengths/weakneess of the organization (internal factors)
3. Performa needs assessment
4 steps for program development
1. Need asessment
2. Program planning
3. Program implementation
4. Program evaluation
What is IDEA?
Individuals with Disabilities Education Act (1975)
Children with disabilities receive appropriate, free public education
Established EIP including PT, OT, ST
Requires IEP
Code of ethics: 8 principles
1. PT shall respet inherent dignity and rights of pts
2. PT shall be trustworthy and compassionate
3. PT shall be accoutable
4. Demonstrate integrity
5. Fulfill legal and progessional obligations
6. Enhance expertiese through life-long learning
7. Promotoe behavior and business practice htat benefit pateints/clients and society
8. Participate in efforts to meet health needs
Different codes and shit that protect guide our practice.
1. Code of ethics (APTA)
2. Guie for proessional conduct (APTA)
3. STandards of practice for PT
What is the Standards of practice for PT?
Conditions that are essential for provision of high-quality professional service to society
Include legal/ethical, pt/client mngt,
inductive vs. deductive reasoner
Inductive (assimilator): observes similiarities and develops theoretical models to explain relationships

Deductive (converger): analyzes problems in depth
4 learning theories
1. Behavorist: operant conditioning, maybe used for TBI/stroke

2. Cognitive theory: repeated challenges to thinking

3. Humanist: teaching is through self-discovery and active learning

4. Adult learning (andragogy): self-directed and goal oriented. SEeks knowledge for own sake
6 levels of cognitive learning
1. Knowledge: recall
2. Comprehension: understanding
3. Application: use of abstractions
4. Analysis: breakdown into component
5. Synthesis: formulate a plan
6. Evaluation: make judments about matrial
5 steps of instructional process
1. Learner needs assessment
2. Analysis of data, formulation of objectives of instruction
3. Analysis of instruction/planning (what, how, where, when)
4. Implementation
5. Evaluation
6. Documentaiton
How often must a PT make a supervisory visit if not n site?
At least once a month or sooner if the patient's condition warrants greater frequency
3 things that are required for negligence to occur?
1. Duty: PT agrees to examine pt
2. Breach of duty: failure to do what you sposed to do
3. Injury: pt get boo-boo
how long do long-term care faciliites provide services to patients?
60 days or longer
3 educational domains
1. Cognitive: knowledge-based teaching
2. Psychomotor: motor skills
3. Affective: concerns attitudes and feelings
3 stages of motor control
1. Identiy the stimulus
2. Select a response to the stimulus
3. Carry out a motor program
Bandwith feedback
Feedback only given when outside a set range