HPA 310 EXAM 2 QUESTIONS AND ANSWERS
Who uses long term care services and supports? What challenges does it present? -
Answers -- older adults 60 -65% using long term care
- children and young adults
-those needing high tech care/ specialized care
-physical and mental limitations
challenge: getting access to those facilities
How does patient acuity level impact placement within the continuum? - Answers --
acuity and complexity increase from one end of the continuum to the other
What are the other factors that impact patient's placement within the long term care
continuum? - Answers -1.availability of services
2.extent of disability
3.ability to pay
4.patient preferences
Who are informal caregivers? - Answers --not organized, most of the care is unpaid,
not financed by insurance or public programs
-delivered by family and friends
-basic care, enables people to live independently, community based services can fill in
-4o mil americans provide informal care
What is community based care? - Answers --services are obtained from various health
care agencies
-Economical and least restrictive settings
-supplement informal care giving when needed
-Temporary respite to family members
-Delay or prevent institutionalization
What is the difference between intramural and extramural services? - Answers --
intramural services include home and community based services, meals on wheels,
homemaker, chores, & errands
- extramural services include adult day programs,senior centers, respite care
What is the difference between assisted living and personal care facility and a Skilled
nursing facility (SNF)? - Answers -- assisted living: food, shelter, assistance, 24 hour
non medical custodial care,assistance or supervision with activities of daily living, "age
in place", private living own kitchen, bathroom
-personal care:Food, shelter, assistance, 24 hour-non-medical custodial care,
Assistance or supervision with activities of daily living,Relocate as acuity increases, 3
people per room
, -skilled nursing facilities :nursing home,Provide 24 hour skilled nursing and
rehabilitation-both short-stay rehabilitation and long-stay skilled nursing, including
specialized post-acute care and end-of-life services, highly regulated
What is the primary payor source for SNFs(skilled nursing facility) - Answers -Medicaid
What is the eligibility criteria for Medicare A? - Answers -Skilled care
-3-day hospital stay
-100 days per benefit period
-co payment for 21-100
-65 or older
-paid medicare bills for 10+ years
What are the restrictions for Medicare coverage in a SNF? - Answers -Not a
comprehensive program. LTC(long term care) benefits are limited.
What does Medicare B cover? - Answers --outpatient servies
-preventive services
-home health visits, attending physicians, diagnostic services
What did the Nursing Home Reform Act establish? - Answers --improving quality of
care in nursing homes
-showed abuse,neglect , poor care
-ensure that residents achieve and maintain the "highest practicable" physical, mental,
and psychosocial status"
What is an IRF? What type of conditions do they treat? - Answers -- Inpatient Rehab
Facilitates
- Osteoarthritis
- Rheumatoid arthritis
- Joint replacement
In addition to meeting reasonable and necessary criteria to be admitted to an IRF, what
are the other three requirements? - Answers --Must be medically stable & have 3 hours
of therapy per day
- Receive 24 hour/7day nursing care
-Average length of day ~13.1 days
What are the main drivers of alternative models to the traditional primary care office? -
Answers --Retail clinics
- Urgent care centers
-Concierge medicine
-Virtual physicians
Who uses long term care services and supports? What challenges does it present? -
Answers -- older adults 60 -65% using long term care
- children and young adults
-those needing high tech care/ specialized care
-physical and mental limitations
challenge: getting access to those facilities
How does patient acuity level impact placement within the continuum? - Answers --
acuity and complexity increase from one end of the continuum to the other
What are the other factors that impact patient's placement within the long term care
continuum? - Answers -1.availability of services
2.extent of disability
3.ability to pay
4.patient preferences
Who are informal caregivers? - Answers --not organized, most of the care is unpaid,
not financed by insurance or public programs
-delivered by family and friends
-basic care, enables people to live independently, community based services can fill in
-4o mil americans provide informal care
What is community based care? - Answers --services are obtained from various health
care agencies
-Economical and least restrictive settings
-supplement informal care giving when needed
-Temporary respite to family members
-Delay or prevent institutionalization
What is the difference between intramural and extramural services? - Answers --
intramural services include home and community based services, meals on wheels,
homemaker, chores, & errands
- extramural services include adult day programs,senior centers, respite care
What is the difference between assisted living and personal care facility and a Skilled
nursing facility (SNF)? - Answers -- assisted living: food, shelter, assistance, 24 hour
non medical custodial care,assistance or supervision with activities of daily living, "age
in place", private living own kitchen, bathroom
-personal care:Food, shelter, assistance, 24 hour-non-medical custodial care,
Assistance or supervision with activities of daily living,Relocate as acuity increases, 3
people per room
, -skilled nursing facilities :nursing home,Provide 24 hour skilled nursing and
rehabilitation-both short-stay rehabilitation and long-stay skilled nursing, including
specialized post-acute care and end-of-life services, highly regulated
What is the primary payor source for SNFs(skilled nursing facility) - Answers -Medicaid
What is the eligibility criteria for Medicare A? - Answers -Skilled care
-3-day hospital stay
-100 days per benefit period
-co payment for 21-100
-65 or older
-paid medicare bills for 10+ years
What are the restrictions for Medicare coverage in a SNF? - Answers -Not a
comprehensive program. LTC(long term care) benefits are limited.
What does Medicare B cover? - Answers --outpatient servies
-preventive services
-home health visits, attending physicians, diagnostic services
What did the Nursing Home Reform Act establish? - Answers --improving quality of
care in nursing homes
-showed abuse,neglect , poor care
-ensure that residents achieve and maintain the "highest practicable" physical, mental,
and psychosocial status"
What is an IRF? What type of conditions do they treat? - Answers -- Inpatient Rehab
Facilitates
- Osteoarthritis
- Rheumatoid arthritis
- Joint replacement
In addition to meeting reasonable and necessary criteria to be admitted to an IRF, what
are the other three requirements? - Answers --Must be medically stable & have 3 hours
of therapy per day
- Receive 24 hour/7day nursing care
-Average length of day ~13.1 days
What are the main drivers of alternative models to the traditional primary care office? -
Answers --Retail clinics
- Urgent care centers
-Concierge medicine
-Virtual physicians
