Nab Exam - Core

Residency Agreement - ANS Written, legally enforceable agreement between a facility and an individual (or their legal representative) who is receiving services in a care residential setting Service Plan - ANS Written, individualized plan for services developed by a service planning team and the care recipient or the care recipient's legal representative, that reflects the care recipient capabilities, choices, and if necessary, applicable, measurable goals, and managed risk issues Risk Agreement - ANS Process where a care recipient's high-risk behavior or choices are reviewed with the care recipient. Alternatives to and consequences of the behavior or choices are explained to the care recipient and the care recipient's decision to modify behavior or accept the consequences is documented. Pediatric home health care - ANS Home health care that is provided to children with illnesses and special needs. Data Assessment and Verification (DAVE) - ANS Program administered by CMS designed to ensure accuracy of MDS data accomplished through data analysis, off-site review, on-site review, and provider education. Case Mix - ANS A system that uses residents (patient) attributes (e.g. functional status in ADLs or cognitive abilities) to classify residents (patients) for purposes such as reimbursement OR a measure of the intensity of care and services used by a group of residents in a nursing facility. Resource Utilization Groups (RUGs) - ANS A collection of nursing facility care recipient classification systems used in a variety of case mix indexed reimbursement systems. Using assessment tools like the MDS 3.0, these systems group care recipients by expected level of resource utilization, usually based upon staff time measurements per care recipient per day. Substantial Compliance - ANS Minor deficiencies or violations, but a facility generally meets the intent of federal or state regulations. On the Federal Enforcement Grid, this equates to boxes A-C. Nursing Home Quality Improvement Initiative - ANS A program of CMS and the U.S, Department of Health and Human Services that compiles information about nursing home care recipients on eight situations/conditions called quality measures (QM) and makes the information available to consumers. Bed Hold Policy - ANS In skilled nursing facilities, the length of time the facility will hold a resident's bed in case he or she has to leave the facility for care elsewhere, such as a hospital, or for any other reason. Skilled Nursing Care - ANS Care given or supervised by registered nurses. Nurses provide direct care; manage, observe, and evaluate a patient's care; and teach the patient and his or her family caregiver when appropriate. Resident Assessment Instrument (RAI) - ANS A tool used to help facilities identify care recipient's needs and strengths and develop an appropriate care plan. The federal system includes: the MDS, CAAs, and utilization guidelines. Case Mix Index (CMI) - ANS Each Related Utilization Group (RUG) is assigned a weight, or numeric score, which reflects the relative resources predicted to provide care to a resident (patient). The higher the weight, the greater the resource requirements are for the resident. It determines the payment (for each resident) made monthly to the facility.