Terms
the minimum level of performance determined to be acceptable
What are Standards
Medicare reimbursements for inpatient rehabilitation admissions are directly ties to a standardized assessment.
What is the Inpatient Rehabilitation Facility - Patient Assessment Instrument (IRF-PAI)
What is the Resident Assessment Instrument (RAI)
hospital standards are found in this manual
What is the State Operations Manual
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
laws that are enacted by any level of government, including city, county, state, and federal.
What are regulatory standards
Measures self-care, sphincter control, transfers, locomotion, communication, and social cognition.
What is the Functional Independence Measure (FIM)
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)
the treatment the recreational therapist provides must be clearly connected to
what is functional activity after discharge
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
These standards may be more stringent than the regulatory standards but they may never be less stringent.
What are site-specific standards
What is 75%
Potential problems related to health care services or quality of life that are identified through the MDS
What are quality indicators
What is a discharge planning evaluation
Primary types of facilities accredited include acute, rehabilitation, long-term care, and assisted living facilities.
CARF Accreditation
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
designed to be discipline free and completed by professionals with the appropriate training
What is the IRP-PAI and the FIM
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.
The discharge planning evaluation must include an evaluation of the likelihood of a patient's what
capacity for self-care
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
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)
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.
used for preliminary screening to identify potential resident problems, strengths, and preferences
What is the MDS
Residents admitted to swing beds in hospitals must be evaluated using
The MDS
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