30 Questions
Who typically needs LTC in the community or institutional settings?
Elderly individuals
Which of the following is NOT a condition that the non-elderly may need LTC for?
Diabetes
What was the primary source of LTC funding before the advent of the Federal Government's involvement?
Charitable organizations
During the Great Depression in the 1930s, why did some sponsoring organizations stop providing LTC?
Financial hardship
What type of care was provided in almshouses (poor houses) before 1935 in the USA?
Long-term care
What prompted the need for the Federal Government to deliver healthcare during the Great Depression?
Business bankruptcies leading to lack of funding for care
What is the main purpose of DRGs in patient classification?
To categorize patients into clinically meaningful and resource-use homogeneous groups
How many mutually exclusive DRGs are currently used in Medicare's PPS?
490
What does the relative weight assigned to each DRG in Medicare's PPS compare to?
The average for all DRGs
How does the prospective payment system encourage hospitals to treat patients?
By dismissing patients as soon as practical
What effect did the prospective payment system have on home health care?
Led to a tremendous increase in home care services
Why did hospitals have to dismiss Medicare patients quickly under the prospective payment system?
Due to the payment structure incentivizing quick dismissals
What was the impact of the Medicare Prospective Payment System (PPS) on hospitals?
Hospitals were paid a fixed amount for each Diagnosis-Related Group (DRG)
Why did the growth in home care significantly increase between 1983-1998?
Impact of managed care
What was the primary reason for hospitals needing to discharge patients sooner?
To maintain profitability
What classification system was developed using 383 major diagnostic categories based on ICD-10 codes?
Diagnosis-Related Group (DRG)
Which factor did NOT contribute to the growth in home care between 1983-1998?
Professional independence for clinicians
What is the main purpose of the Medicare Prospective Payment System (PPS) for hospitals?
To pay hospitals a fixed amount for each patient's diagnosis
What is the estimated average cost per year for nursing home care?
$170,000
How many days does SNF pay for after a hospitalization according to Medicare?
20 days
What is required for patients to be eligible for Medicaid in terms of their assets?
Patients must lower their assets
What is the main concept behind 'Aging in Place'?
Providing only the necessary care for patients to stay in their homes
Which program provides comprehensive medical and social services for those eligible for nursing home care?
PACE
What is the main feature of PACE as an alternative to nursing home care?
Most participants live at home
What is the relationship between a patient and a pharmacist in pharmaceutical care?
Professional
In terms of TPNs, what must a patient do to be eligible for coverage in federally sponsored programs?
Spend down to Medicaid eligibility
What was the heart of the educational reform in pharmaceutical care in the late 1980s-present?
Clinical training
What is the primary incentive for private third party payers to reimburse for home care services?
Reduce hospitalization costs
What aspect of home care services is negotiated in Managed Care Organizations?
Reimbursement rates
Which benefit is required under Medicaid according to the text?
Home care
Explore the reasons for the spectacular growth in home care during the period 1983-1998, including the impact of Medicare Prospective payment system, managed care, advances in technology, and clinicians' acceptance.
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