FA
OASIS...What's the Score?
Speech Therapy
Performance Improvement
ACHC
100
With multiple therapy disciplines active with a patient, what is the window that a FA can be completed for the 13th visit?
Between visits 10-13 (what is it for the 19th)
100
The patient demonstrates that they can put on their shirt timely, and without LOB, however it is donned backwards and belongs to their spouse. What is their UB dressing score?
2
100
A runny nose, temperature spikes, and refusal to eat are all possible signs of what?
Aspiration
100
How can you change this to show skilled intervention? "Pt did HEP times 10 reps"
Multiple Correct
100
Name 3 items of clothing/accessories that are not in compliance with the Amedisys dress code policy.
I have no doubt this group may get creative. Please note no short shorts, open back shoes, and graphic tees. One item you ALWAYS want to wear is your Amedisys name badge.
200
True or False? When a pt is put "on hold" for a discipline the counting of days and visits affecting the FA stops?
FALSE- Please discharge as this can greatly effect other disciplines remaining active as well as any follow-up visits performed
200
A patient who lives alone reports they always walk around the home without help. You note they do not use an AD, however very unsafely reach for furniture and walls for support. Their Tinetti is a 12/28 and the FRA is 43. What's their ambulation score?
3
200
Name one type of aphasia.
Expressive, Receptive, or Global
200
When do PT/PTA conference sheets get used and what is the process to get them filed in the chart?
Used at initial eval, and with supervisory visits. Sheet needs to be signed by PT and PTA and turned into BOS to be put in file. Document in your notes what is discussed, and with other disciplines/family/doctors
200
A surveyor approaches you and questions you on a policy that you are clueless on. How do you answer the question?
Along the lines of "I am not sure, but I know where to find the policy or can ask a supervisor." And now let us review where to locate updated policies and procedures
300
If all therapy disciplines are active, who is qualified/appropriate to complete the 13th and 19th visits?
ST, OT, PT. The only discipline we have not OK to perform the 13th and 19th visits are PTAs.
300
Due to a patient's dementia, he uses his urinal to hold his denture supplies. His bathroom is on the 2nd floor, and he requires MIN A to go up and down. What is his toilet transfer score?
4
300
What percentage of homebound patients have some form of dysphagia? -28% -58% -78% -100%
58%
300
In the following, which abbreviations are not on the approved abbreviations list? "EC/WS and PLB pacing techs within 3 weeks in order to complete ADL/IADL tasks" Is this an acceptable goal and why?
EC (is eyes closed, not energy conservation) WS (not on approved list) techs (not on approved list- "tech" is on approved list) Not an acceptable goal as it in not measurable (GH= Growth Hormone)
300
Name 3 required pieces of informaton that the patient must receive from Amedisys, ideally at the SOC.
Medicare/insurance coverage and Eligibility HIPPA- notice of privacy acts advanced directives/DNR/POA patient rights & responsibilities agency rights and responsibilities
400
If I am the only discipline active with a pt and have a frequency of 2w5 effective on Aug 1st, when is an FA due?
Before August 30th- needs to be completed to meet 30 day FA requirement
400
A patient safely brushes their teeth, combs their hair, and shaves sitting at the bathroom sink, however consistently misses the L side due to neglect requiring verbal cues to notice. What is the grooming score?
2
400
LSVT LOUD helps what patient population and how?
Parkinsons Patients
400
Where do the DVA, DHP, HOR roll, and oculomotor testing need to be documented?
At evaluation and discharge...we will take them ANYWHERE on those forms.
400
True or False: The only complaints that should be filed in the agency complaint log are those issued by people outside the Amedisys company. (patients, families, MD offices, etc) and not those of Amedisys employees.
False
500
When a patient gets hospitalized after the completion of 6 therapy visits (which occured at a frequency of 3w2), and remains in the hospital for a total of 2 days, what is the number of the first visit when they return home from the hospital?
7. The pt did not miss a FA, so the count resumes as before. Had the pt missed a 13, 19, or 30 day FA while in the hospital the count for tracking the next FA would need to repeat at 6 as that first visit would be non-billable.
500
A pt can safely put on pants, shoes, and socks sitting EOB, however requires assistance to put on their physician ordered TED hose. What is their score for LB dressing?
3
500
Name one executive function.
Common Sense, Inductive Reasoning, Deductive Reasoning, Cause and Effect, Divergent Thinking, Sequencing. (Why is it important?)
500
What components need to be addressed in the therapist FA note?
Initial Status Current Status Skilled Intervention on that visit Progress Toward Individual Goals (Not "progressing toward goals") Reason to continue skilled intervention either way
500
Name an adverse event that needs to be documented on an incident report.
Primarily falls and wounds gone bad. UTIs should be reported Falls with injury and deteriorating wounds are considered "Tier 1" and surveyors are likely to pick one of these patients to ride along with and audit.