Ch 9
What must hospitals comply with?
outpatients
do not stay overnight
LTCH
Long term acute care hospital
assisted living
a type of living arrangement in which personal services such as meals, housekeeping, transportation, and assistance with ADL’s are available as needed to people who still live on their own in a residential facility.
medicare hospices must
be certified to provide part A hospice services.
what are statutory laws
statutes that are created and approved by federal or state legislature and signed into law by the president or a state’s governor
CMS reimburses
on a fee-for-service payment system
most patients in LTCH
considered medically complex and require specialized care
nursing facilities
provides a wide range of services to include nursing care, 24-hour supervision, assistance with activities of daily living and rehabilitation services such as physical, occupational, and speech therapy
hospice
provides care to terminally ill individuals such as nursing care, medical social services, and home health aide.
what is administrative law
a set of regulations or rules established by a government administrative agency that explains how statutes are to be followed and enforced
community health centers
offer comprehensive, primary healthcare services (both therapeutic and preventative) to patients who otherwise would have limited access to healthcare
the reason for admission should be
clear and reflect why the patient is coming to the LTCH
in a long term care setting
the term patient is often replaced with resident, because the person receiving care is not only a recipient of nursing care but, in many cases, also is residing in the facility permanently.
OASIS
Outcome assessment information set
What is the HIPAA 3 part test?
Identifies the patient or provides reasonable basis to believe the person could be identified
Relates to the patient’s past, present, or future
Held or transmitted by covered entity or it’s BA in any form or medium including electronic, paper and oral form.
ambulatory care facilities
must obtain state licensure and renew that licensure.
orders may include
medications, PT, nutrition, do-not-resuscitate, labs, and other diagnostic testing
SCU
special care unit
OASIS data is collected by
CMS
PHI
Protected Health Information
TJC has the ability to
to grant deemed status
consultation reports
reports from specialist like cardiology, infectious disease, podiatrists, urologists
licensure survey
a survey conducted by the state agency to determine compliance of long-term care facilities with state licensure laws.
document required for home care
the comprehensive assessment