Federal Legislation
What does ACA stand for?
Affordable Care Act.
What does LOS stand for?
Length of stay
Why is it important to record exactly what happened during a treatment session?
If it is not recorded, it did not exist and never happened.
What is EBP?
Evidence based practice
What does QI stand for?
Quality Improvement
What does the ACA do?
Has ten separate legislative titles that seek to improve the accessibility, fairness, quality, efficacy, accountability, and affordability of health insurance coverage in the United States.
In acute care, name one of OT's roles with intervention.
1. Stabilization of client's status
2. Engagement of the client in the therapeutic relationship and purposeful activities so the client can see that change is possible
3. Discharge planning
4. Family, caregiver, and consumer education
S - Specific
M - Measurable
A - Attainable
R - Relevant
T - Time-limited
What is PICO? What does it stand for?
A question format for research.
P - Population
I - Intervention
C -Comparison
O - Outcome
What is fiscal management?
Cost effective services and programs that meet the demand of a managed health-care system.
What does HIPAA stand for and what does it do?
Health Insurance Portability and Accountability Act.
Sets standards and safeguards to protect individuals rights in health care coverage and ensures privacy of health care records.
OT is moving from what service delivery model?
What does the acronym RUMBA stand for?
R - Realistic/relevant
U - Understandable
M - Measurable
B - Behavioral
A - Attainable/achievable
What is the difference between qualitative methodology and quantitative methodology?
Qualitative methodology studies people, individually or collectively, in their natural social and cultural context. Subjective approach to describe real-life experiences and give them meaning.
Quantitative methodology is studying two groups by a random selection and assignment of an experimental group that receives a treatment and a control group that receives no treatment.
Name a risk management method that OT's are responsible for?
1. Proper maintenance of equipment and a safe treatment environment
2. Staff education and training
3. Effective communication
What is the Act called that prohibits discrimination of those with a disability in the community?
Americans with Disabilities Act
List three different Models of Practice.
1. Medical Model
2. Educational Model
3. Community Model
4. Telehealth Model
What are 3 reasons for documenting?
1. Justifies necessity of skilled services to payers by providing rationale for service provision.
2. Provides a legal record of a clients condition, evaluation, reevaluation, intervention, and patients response to intervention.
3. Communication amongst health care professionals.
4. Serves as an information resource for client care.
5. Provides data for use in intervention, program evaluation, research, and education.
6. Electronic medical record.
List the steps in evidence-based practice.
1. A clinical problem is identified.
2. A systematic literature review is conducted
3. Research is summarized and critically analyzed
4. Research is applied to clinical practice
What is the purpose of a program evaluation?
Measures the effectiveness of a program, use the information obtained in the evaluation to improve services, and to assure quality. Meets the programs external accreditation standards and to identify program problems in order to resolve them.
This act with protect Lautner when she finally receives her OTR degree and looks for a job due to her age.
The Age Discrimination in Employment Act
In order for a child to be in an Early Intervention Program, what criteria must be met?
They must be deemed "at risk" and under the age of 3. "At risk" meaning: birth complications, suspected delays in development, failure to thrive, maternal substance abuse during pregnancy, birth to an adolescent/teen mother, and established disability/diagnosis.
Private reimbursers and state Medicaid programs follow what guidelines in order for documentation to get approved?
Medicare
Name 2 activities that count as professional development.
1. Facility based training
2. Active professional association membership and conference participation
3. Continuing eduction
4. Independent study
5. Professional presentations
6. Publications
7. Research
What are the 4 basic steps for program development?
1. Needs assessment
2. Program planning
3. Program implementation
4. Program evaluation