Examination, Evaluation, Diagnosis, Prognosis, Intervention, Outcome
What is the Patient/Client Management Model?
The "history-taking" portion of SOAP
What is Subjective?
3 parts of Examination
What are History, Systemic Review, Tests and Measures?
Acute, rehab hospital, extended care, SNF, assisted living, OP, home health
What are the 7 most common practice settings?
The ability to honor and respect beliefs, interpersonal styles, attitudes and behaviors of families and clients while eliminating cultural disparities
What is the definition of cultural competency?
If you treat your pt for 30 mins, how many units can you bill?
What are 2 units?
SOAP, Narrative, POMR, Functional Outcomes Report, Various electronic templates
What are different documentation formats?
Mobility, Changing + Maintaining Body Positions, Carrying + Moving + Handling Objects, Self-Care, Other PT/OT 1mary limitations, Other PT/OT subsequential functional limitations
What are the six G-Code sets of Medicare?
Pt stays in this setting for 1-6 weeks
What is rehab hospital?
"Treat everything the same," only meets needs of dominant group
What is cultural blindness?
What is L E A R N?
What is Learn, Elicit, Assess, Recommend, Negotiate?
Interpretation or clinical impression of S&O
What is Assessment?
A pt who is 50% impaired falls under this C-modifier code
(*Hint: H-N)
What is CK?
Criterium of this setting where pt must be able to ambulate independently
What is assisted living?
Consumer-centricity, access/equity, and advocacy
What are the APTA Guidelines that relate to cultural competency?
This is found online. It was made specifically for PTs and PTAs because of the rapid evolution of HC policies and because external stakeholders have access to other resources
What is Guide 3.0 AKA "Guide to PTP?"
List three guidelines that must be followed for documentation
1) Compliance 2) HIPAA 3) Secure 4) Documentation consistency with APTA Standards of Practice 5) Legible 6) Approved Abbreviations and Symbols 7) Ink 8) Mistakes must be crossed with a single line
Two components to the ICF model
What are 1) Functioning and Disability and 2) Contextual Factors?
The main difference between SNF and ECF
What is SNF pts are post-acute?
What is Personality, Internal, External, Organization?
Which diagnoses relate to diseases and injuries?
(*Bonus Question: Does this have to be the same for PT and medical diagnoses?)
What are ICD-10?
(*Answer: No!)
1) Interpret individual's response to tests and measures
2) Develop POC
What are the purposes of an initial eval?
List four reasons for the importance of documentation
1) Communication 2) Clinical Problem Solving 3) Reimbursement 4) "Reasonable and necessary" and "medically necessary" 5) Skilled Care 6) Admin Duties 7) Legal Record
Medicare A covers these practice settings
What are SNF and acute IP?
3 questions to avoid potential biases
1) How is the client like all other human beings?
2) " " like some human beings?
3) " " like no other human being?