Terms
Inpatient Rehabilitation
Long Term Care
Hospital
Voluntary Standards
100

the minimum level of performance determined to be acceptable

What are Standards

100

Medicare reimbursements for inpatient rehabilitation admissions are directly ties to a standardized assessment.

What is the Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI)

100
three parts, the MDS, RAPS, and RAP summary make up this multidisciplinary instrument

What is the Resident Assessment Instrument (RAI)

100

hospital standards are found in this manual

What is the State Operations Manual

100

Standards are the basis of an objective evaluation process that can help health care organizations measure, assess, and improve performance. The standards focus on important patient, individual, or resident care and organization functions that are essential to providing sage, high quality care.

The Joint Commission

200

laws that are enacted by any level of government, including city, county, state, and federal.

What are regulatory standards

200

Measures self-care, sphincter control, transfers, locomotion, communication, and social cognition.

What is the Functional Independence Measure (FIM)

200

 is defined as an institution (or a distinct part of an institution) which is primarily engaged in providing skilled nursing care and related services for residents who require medical or nursing care, or rehabilitation services for the rehabilitation of injured, disabled, or sick persons, and is not primarily for the care and treatment of mental diseases; has in effect a transfer agreement (meeting the requirements of §1861(1)) with one or more hospitals having agreements in effect under §1866; and meets the requirements for a SNF described in subsections (b), (c), and (d) of this section.

What is a skilled nursing facility (SNF)

200

the treatment the recreational therapist provides must  be clearly connected to 

what is functional activity after discharge

200

Evaluates assessment of patients, care of patients, education, continuum of care, improving organizational performance, leadership, management of the environment of care, management of human resources, patient rights, organizational ethics, management of information, and surveillance, prevention, and control of infection

What is Joint Commissions' primary functional areas of evaluation

300

These standards may be more stringent than the regulatory standards but they may never be less stringent.

What are site-specific standards

300
IRFs are to have no less than what percentage of their clients with a neurological diagnosis

What is 75%

300

Potential problems related to health care services or quality of life that are identified through the MDS

What are quality indicators

300
A hospital must provide the patient with a specific evaluation.

What is a discharge planning evaluation

300

Primary types of facilities accredited include acute, rehabilitation, long-term care, and assisted living facilities.

CARF Accreditation

400

The Social Security Act (the Act) permits certain small, rural hospitals to enter into a swing bed agreement, under which the hospital can use its beds, as needed, to provide either acute or skilled nursing facility (SNF) care.

What is a swing bed

400

designed to be discipline free and completed by professionals with the appropriate training

What is the IRP-PAI and the FIM

400

The SNF PPS establishes a Medicare-required PPS assessment schedule. Each required assessment supports reimbursement for a range of days of a Part A covered stay. The schedule includes assessments performed around

what are Days 5, 14, 30, 60, and 90 of the stay. 

400

The discharge planning evaluation must include an evaluation of the likelihood of a patient's what

capacity for self-care

400

expect the treatment team to define the appropriate scope of assessment for each client but assessment is to determine the current level of functioning, self-care, self-responsibility, independence, and quality of life for the areas assessed within the defined scope of the assessment.

CARF Accreditation

500

The text of the law provides the intent of the legislative branch and provides specific benchmarks or requirements. These federal laws are called

What is the Code of Federal Regulations (CFR)

500

The IRF-PAI has two critical guidelines

What are the 18 functional abilities must be made using the activity, and staff should take the lowest FIM score observed during the period of observation.

500

used for preliminary screening to identify potential resident problems, strengths, and preferences

What is the MDS

500

Residents admitted to swing beds in hospitals must be evaluated using

The MDS

500

The expectation that the outcome of services provided for resident activities will meet the assessed needs of the residents on an ongoing basis.

Joint Commission Accreditation

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