Preclass Learnings
Palliative care treats patients with serious illness who may be pursuing curative treatment. This type of care treats patients with terminal illness who have chosen to focus on comfort rather than curative treatment.
What is hospice?
In Pennsylvania, this numerical term refers to an involuntary emergency commitment.
What is a 302?
This starts at admission, requires multidisciplinary collaboration, and requires documentation within 24 hours of admission or the next business day.
What is discharge planning?
This patient type is used when patients require care in the hospital to determine if more intense care is needed and the patient must be issued a notification about this level of care.
What is observation?
Abuse of an adult with a disability (also known as a vulnerable person) is this type of report.
What is Mandatory?
Per diem, case rate, and DRG are examples of this.
What are reimbursement types?
One of these two criteria must be met in order for an involuntary commitment to be appropriate in Pennsylvania.
What is a danger to self or a danger to others?
This type of post-acute care requires the patient to have an order from a provider, a need for intermittent care, and a skilled need.
What is home care?
Same Day Surgery, Extended Recovery, and Outpatient in a Bed are all examples of this type of status.
What is outpatient?
Child abuse reports must always be documented here.
Child Abuse Reporting Form (CARF) in Cerner.
This assists healthcare organizations to identify the safest and most clinically appropriate level of care based on the patient’s severity of illness and intensity of service.
What is InterQual?
Behavioral health and substance use disorder treatment are almost always covered by this type of health insurance which means an authorization must be obtained.
What is managed care?
For insurance to pay for this type of facility, the patient must have a skilled need that is expected to be restorative, skilled services provided by licensed professionals, and the facility must provide 24/7 nursing and aide services.
What is a skilled nursing facility (SNF)?
This notification is required for Medicare patients within 48 hours of discharge from inpatient to a lower level of care.
What is the Important Message from Medicare (IMM)?
Anytime an abuse report is made, this should be completed.
What is a RiskMaster report?
Healthcare quality and access, education quality and access, social and community context, economic stability, and neighborhood and built environment are pieces of this.
What are social determinants of health?
This is defined as use which causes "clinically and functionally significant impairment".
What is substance use disorder?
This type of facility requires patients to be able to tolerate greater than three hours of therapy per day and often requires a qualifying diagnosis.
What is Acute Inpatient Rehab?
This form used in Pennsylvania identifies if a patient will be a negative screen, positive screen, or exceptional admission.
What is the PASRR (Pre-Admission Screening and Resident Review)?
This term refers to a medical determination about a patient's ability to make decisions for themselves.
What is capacity?
This is the three-digit number for the national Suicide & Crisis Lifeline.
What is 988?
This should be discussed with any patient who takes a high dosage of opiates or who has an opiate use disorder.
What is naloxone (Narcan)?
When arranging this outpatient treatment, knowing where the patient's nephrologist goes is essential.
What is dialysis?
The MA-51 can be signed by this profession.
Who is the Attending Physician?
Tiffany lacks capacity and is admitted to a PA hospital. She is married with three adult children, one of whom is from a prior relationship. These people are Tiffany's NOK.
Who is Tiffany's spouse and adult child from a prior relationship?