Assessment Standards and Regulations

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Questions and Answers

What is the primary purpose of standards of assessment?

  • To outline the highest achievable standards in recreational therapy practice.
  • To define the ideal level of performance for all recreational therapists.
  • To compare different recreational therapy settings against each other.
  • To establish a minimum acceptable level of performance. (correct)

Which of the following is NOT a typical source of standards?

  • Individual client preferences. (correct)
  • Voluntary organizations.
  • Government regulations.
  • Professional associations.

According to the North Carolina Recreational Therapy Licensure Act, what is the first step a licensed recreational therapist must complete when working with a patient or client?

  • Evaluate the client's response to the treatment.
  • Develop specific treatment intervention strategies.
  • Implement the individualized treatment plan.
  • Conduct a systematic client assessment. (correct)

Which activity is a licensed recreational therapist in North Carolina authorized to perform?

<p>Developing and implementing individualized treatment plans. (B)</p> Signup and view all the answers

What is the primary purpose of the North Carolina Recreational Therapy Licensure Act?

<p>To ensure that recreational therapists follow a systematic process when working with their clients. (C)</p> Signup and view all the answers

What is the primary focus of the assessment standard defined by ATRA?

<p>To collect comprehensive data for developing individualized treatment plans. (B)</p> Signup and view all the answers

Which of the following options defines a key aspect of the FIM, as used in Inpatient Rehabilitation Facilities (IRF)?

<p>It assesses the client's actual performance in daily activities. (B)</p> Signup and view all the answers

According to the provided information, what is a primary feature of the ICF-MR?

<p>It does not delineate assessment and treatment goals by profession. (C)</p> Signup and view all the answers

In the context of professional standards in recreational therapy, what does the term 'private enforcement' likely refer to?

<p>Actions taken by individuals or groups outside of government control. (A)</p> Signup and view all the answers

Which of these situations might jeopardize a recreational therapy professional's certification?

<p>Failing to meet the minimum performance standards set by a professional organization. (B)</p> Signup and view all the answers

What is the main purpose of the 12 professional standards developed by ATRA?

<p>To provide a written framework for recreational therapy practice. (A)</p> Signup and view all the answers

In which setting are the federal standards most likely to apply, as indicated in the document?

<p>Inpatient rehabilitation facilities. (D)</p> Signup and view all the answers

What is the first step a Recreational Therapist should take upon receiving a request for assessment and treatment?

<p>Responding to the request in a timely manner. (B)</p> Signup and view all the answers

What role does a therapeutic recreation assistant play under the ATRA assessment standard?

<p>Assists in collecting comprehensive data under clinical supervision. (C)</p> Signup and view all the answers

When seeking collaboration in the assessment process, the Recreational Therapist should prioritize which action?

<p>Informing the participant of their role in the process. (D)</p> Signup and view all the answers

Which of the following is NOT a method a Recreational Therapist should implement when using standardized assessment procedures?

<p>Peer feedback (B)</p> Signup and view all the answers

What should a summary of assessment data produced by a Recreational Therapist NOT include?

<p>Recommendations for different treatment options. (C)</p> Signup and view all the answers

Based on the assessment data analysis, what are the next steps a therapist might take?

<p>Formulating clinical impressions and recommendations for treatment. (D)</p> Signup and view all the answers

To whom should a Recreational Therapist report assessment findings?

<p>Appropriate individuals, including the treatment team, patient/client and family. (B)</p> Signup and view all the answers

What key information should be included in the participant's record that a Recreational Therapist is responsible to provide?

<p>All the relevant information regarding the assessment process. (C)</p> Signup and view all the answers

What is an expected, positive outcome of the recreational therapy assessment process for the participant/client?

<p>They benefit from the assessment process without adverse consequences. (D)</p> Signup and view all the answers

Which type of audit focuses on the overall structure and operation of recreational therapy services?

<p>Management Audit (C)</p> Signup and view all the answers

According to the recent ATRA standards change, what is a primary requirement for providing recreational therapy services in a setting regulated by CMS?

<p>A physician's order or referral (D)</p> Signup and view all the answers

In agencies not aligned with a regulatory body (like CMS), how are recreational therapy services initiated?

<p>Using procedures from the agency's Policies &amp; Procedures (B)</p> Signup and view all the answers

Site-specific standards for recreational therapy are primarily established by:

<p>Individual healthcare facilities or agencies (B)</p> Signup and view all the answers

What is a typical time fram for completion of documentation, according to site-specific standards?

<p>Between 24 and 72 hours (D)</p> Signup and view all the answers

What is the purpose of an external audit?

<p>To have an outside source to assess the practice standards, and can include swapping notes with another facility 'buddy'. (D)</p> Signup and view all the answers

How do site-specific standards typically compare to professional and regulatory standards?

<p>They are more specific and often more stringent than professional guidelines or regulatory standards. (B)</p> Signup and view all the answers

What should be done if a client refuses a recreational therapy assessment?

<p>The refusal should be documented within their chart (D)</p> Signup and view all the answers

Flashcards

Minimum Level of Performance

The least acceptable standard for performance in assessment situations.

Assessment Sources

The origins from which assessment standards are derived, including regulations and voluntary guidelines.

Licensed Recreational Therapist

A professional licensed to practice recreational therapy in various settings, including clinical and community.

Individualized Treatment Plan

A customized plan designed after assessing a patient or client, outlining goals and interventions.

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Systematic Evaluation

The process of methodically assessing a client's response to a treatment plan to suggest changes.

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IRF-PAI

Instrument used for assessing patients in inpatient rehabilitation facilities.

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FIM

Functional Independence Measure; assesses patient performance and functional ability.

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Assessment Standard

Therapeutic recreation specialists gather comprehensive data for treatment planning.

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Minimum Performance Expectations

Set standards for quality that facilities must achieve in recreational therapy.

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ATRA

American Therapeutic Recreation Association; provides standards for practice.

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Private Enforcement

Non-governmental monitoring of compliance with performance standards.

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Quality Assurance

Process of maintaining the expected standards of service in recreational therapy.

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Therapeutic Recreation Assistant

Aides in data collection for assessments under supervision of specialists.

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Recreational Therapy Assessment

A process where a therapist evaluates a patient's needs for recreational therapy based on referrals.

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Participant Responsibility

The duty of patients to engage and collaborate during the assessment process.

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Standardized Assessment Procedures

Structured methods like interviews and tests used by therapists to gather assessment data.

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Assessment Summary

A report detailing a patient's strengths and limitations in various life activity areas.

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Clinical Impressions

A therapist's conclusions and recommendations based on assessment data analysis.

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Reporting Assessment Findings

Sharing results from the assessment with the treatment team and patient/family.

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Documentation Requirement

The necessity for therapists to record all relevant assessment information in patient records.

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Family Involvement

The participation of clients' families in the assessment process.

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ATRA Standards of Practice

Guidelines for recreational therapy assessment and treatment.

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Assessment Audit

A review process to evaluate the quality and effectiveness of assessments provided.

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Documentation Audit

An evaluation of the accuracy and completeness of treatment records and documentation.

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Physician's Order

A formal request made by a physician for specific therapeutic services for a patient.

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Individualized Assessment

A tailored evaluation process to gather comprehensive patient data for treatment planning.

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Regulatory Body

An organization that establishes regulations affecting therapy practices in certain settings.

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Policies and Procedures

Guidelines that dictate how services should be delivered in an agency, ensuring standards are met.

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Site-Specific Standards

Standards more stringent than general regulations meant for specific agencies or settings.

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Study Notes

Standards of Assessment

  • Assessment standards are the minimum level of performance deemed acceptable (Burlingame and Blaschko, 2002).
  • Sources for these standards include regulations, voluntary organizations, professional organizations, and site-specific or agency-specific standards.

Regulations

  • Regulations are laws enacted by any level of government.

Voluntary

  • Voluntary standards represent minimum expectations for performance set by private organizations.

Professional Organizations

  • Professional organizations set minimum performance expectations supported by the organization.
  • Certification may be lost or challenged if standards are not met.

Site-Specific or Agency

  • Site-specific or agency-specific standards outline minimum care requirements in policy and procedure manuals.
  • These standards often change based on feedback, and may be stricter than professional or regulatory standards, but never less stringent.
  • Site-specific standards may include time frames for completion (e.g., 24-72 hours), the process of producing documentation files, and placement of documentation within electronic or paper charts.

ATRA Assessment Standard

  • Standard 1 dictates that a therapist collects systematic and comprehensive data on patients to develop an appropriate individual treatment plan.
  • A therapeutic recreation assistant aids in data collection under the supervision of a specialist.
  • A summary of the assessment process should include data on patient/client strengths and limitations across physical, cognitive, social and behavioral/emotional domains with relation to functional independence.

ATRA Standards of Practice

  • ATRA provides 12 professional standards to describe recreational therapy practice.
  • The standards ensure consistent quality recreational therapy services, supporting their systematic provision.
  • Specific aspects outlined in the ATRA standards include the therapist's responsibilities to receive, respond to, and properly document requests (and associated physician orders/referrals), informing the participant of responsibilities, documenting the entire assessment process, and using appropriate, standardized assessment tools.

Recent Changes to ATRA Standards

  • Therapists must follow regulatory requirements and procedures for specific settings.
  • If an agency is not regulated or aligned with a body (i.e., CMS), then the agency must use policies and procedures developed to initiate and provide therapy services, including using individual education plans (IEP) and referrals to appropriate bodies (eg. council on aging or Medicaid waivers).

Assessment Audit & Evaluation

  • Audits encompass management and documentation components.
  • Internal (staff/supervisors) and external audits are conducted to evaluate standards.
  • Strategies such as "swap with a buddy," "find a buddy," and using university RT graduate programs may be employed.

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M2-Standards_of_Assessment-INST.ppt PDF

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