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HSA 455 (LTC) Exam 2 Ch 9-13,16
Terms in this set (46)
long term care today is a competition-driven system
Which of the following is not a reason for joining an integrated health system?
Which of the following is not a reason why long-term care is so heavily regulated?
consumers of long term care are politically powerful
Which of the following is not an accrediting agency?
History has shown that increasing the availability of services usually results in:
an increase in usage of services
Horizontal integration involved an alliance of 2 or more organizations providing similar services
Most accreditation agencies measure performance against standards that are:
set higher than licensure requirements
Nursing facility administrators are licensed by:
To date, most integrated health systems have been built around:
Certified Nursing Assistants (CNAs) are not licensed.
out-of-pocket payment for long term care have decreases due to the impact of managed care and long term care insurance.
Medicaid serves the "medically indigent," those who have no other coverage and cannot afford to pay for their own care.
Medicare coverage of skilled nursing services is limited to how many days per benefit period?
A prospective payment system pays providers based on their actual expenses.
Medicaid is managed by:
state governments under federal guidelines
The demand for tort reform to reduce liability insurance costs is being led by:
healthcare providers and insurance companies
Managed care organizations (MCOs) function as:
both providers and payers
Most private long-term care insurance is sold to:
Managed care applies only to private insurance systems.
Medicare was designed to provide all needed long-term care for people over the age of 65.
Regulations require that a provider have a quality assurance and process improvement (QAPI) protocol but leave the makeup of the committee to the provider to determine
Quality First is a(n):
private, voluntary initiative by provider associations to improve quality of care
W. Edwards Deming's "total quality management" is based on recognition that individuals can contribute to improving quality and reducing costs.
The first step in measuring quality is determining what is meant by quality.
The basic concept behind CQI is that quality:
is not separate from other aspects of the organization's operations
Nursing Home Compare (aka five-star) initiative by CMS is designed to raise consumer awareness of the quality of care in nursing facilities, promote consumer use of Medicare's information, and:
pressure facilities to improve quality
The most commonly used types of quality measures are process, outcomes, and:
An organization may have several quality improvement teams at work at any given time
Creating an effective quality improvement program for a long term care facility or agency is best accomplished by copying one developed by an acute care provider.
Externally mandated quality requirements are aimed at:
weeding out poor performers and ensuring that providers meet minimal standards
Culture change can reduce employee turnover.
The Green House Project breaks the mold of institutional care by creating small homes for 6 to 10 elders who:
Require some skilled nursing or assisted living care
Culture change, if approached properly, can happen quickly
Properly assigning blame is one of the characteristics of successful organizational culture change.
Prominent culture change programs include:
both the Eden Alternative and Pioneer Network
The term "culture change" is used in two separate, but close ways.
Which of the following is not a function of an ethics committee?
Making difficult ethical decisions concerning individual resident choices
The ethical issue of access deals only with whether a person receives services, not the types of services received, or where they are received
Denying care that would prevent pain or suffering is a form of what type of abuse?
Competency is not the same are rationality
A living will is a(n):
Everyday issues such as food, activities, and private space are not of high importance to most residents
The Patient Self-Determination Act mandates that a patient create a living will
Autonomy, as used in the context of long term care, means:
Autonomy means that the right of the consumer to make all decisions regarding care is absolute.
Most residents in long-term care facilities prefer rooms that are:
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