Long Term and Home Health Care
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Questions and Answers

Who typically needs LTC in the community or institutional settings?

  • Elderly individuals (correct)
  • Individuals with disabilities
  • Children with behavioral issues
  • Teenagers with chronic illnesses
  • Which of the following is NOT a condition that the non-elderly may need LTC for?

  • Diabetes (correct)
  • Head injury
  • Birth defects
  • Stroke
  • What was the primary source of LTC funding before the advent of the Federal Government's involvement?

  • Private businesses
  • Charitable organizations (correct)
  • State governments
  • Religious organizations
  • During the Great Depression in the 1930s, why did some sponsoring organizations stop providing LTC?

    <p>Financial hardship</p> Signup and view all the answers

    What type of care was provided in almshouses (poor houses) before 1935 in the USA?

    <p>Long-term care</p> Signup and view all the answers

    What prompted the need for the Federal Government to deliver healthcare during the Great Depression?

    <p>Business bankruptcies leading to lack of funding for care</p> Signup and view all the answers

    What is the main purpose of DRGs in patient classification?

    <p>To categorize patients into clinically meaningful and resource-use homogeneous groups</p> Signup and view all the answers

    How many mutually exclusive DRGs are currently used in Medicare's PPS?

    <p>490</p> Signup and view all the answers

    What does the relative weight assigned to each DRG in Medicare's PPS compare to?

    <p>The average for all DRGs</p> Signup and view all the answers

    How does the prospective payment system encourage hospitals to treat patients?

    <p>By dismissing patients as soon as practical</p> Signup and view all the answers

    What effect did the prospective payment system have on home health care?

    <p>Led to a tremendous increase in home care services</p> Signup and view all the answers

    Why did hospitals have to dismiss Medicare patients quickly under the prospective payment system?

    <p>Due to the payment structure incentivizing quick dismissals</p> Signup and view all the answers

    What was the impact of the Medicare Prospective Payment System (PPS) on hospitals?

    <p>Hospitals were paid a fixed amount for each Diagnosis-Related Group (DRG)</p> Signup and view all the answers

    Why did the growth in home care significantly increase between 1983-1998?

    <p>Impact of managed care</p> Signup and view all the answers

    What was the primary reason for hospitals needing to discharge patients sooner?

    <p>To maintain profitability</p> Signup and view all the answers

    What classification system was developed using 383 major diagnostic categories based on ICD-10 codes?

    <p>Diagnosis-Related Group (DRG)</p> Signup and view all the answers

    Which factor did NOT contribute to the growth in home care between 1983-1998?

    <p>Professional independence for clinicians</p> Signup and view all the answers

    What is the main purpose of the Medicare Prospective Payment System (PPS) for hospitals?

    <p>To pay hospitals a fixed amount for each patient's diagnosis</p> Signup and view all the answers

    What is the estimated average cost per year for nursing home care?

    <p>$170,000</p> Signup and view all the answers

    How many days does SNF pay for after a hospitalization according to Medicare?

    <p>20 days</p> Signup and view all the answers

    What is required for patients to be eligible for Medicaid in terms of their assets?

    <p>Patients must lower their assets</p> Signup and view all the answers

    What is the main concept behind 'Aging in Place'?

    <p>Providing only the necessary care for patients to stay in their homes</p> Signup and view all the answers

    Which program provides comprehensive medical and social services for those eligible for nursing home care?

    <p>PACE</p> Signup and view all the answers

    What is the main feature of PACE as an alternative to nursing home care?

    <p>Most participants live at home</p> Signup and view all the answers

    What is the relationship between a patient and a pharmacist in pharmaceutical care?

    <p>Professional</p> Signup and view all the answers

    In terms of TPNs, what must a patient do to be eligible for coverage in federally sponsored programs?

    <p>Spend down to Medicaid eligibility</p> Signup and view all the answers

    What was the heart of the educational reform in pharmaceutical care in the late 1980s-present?

    <p>Clinical training</p> Signup and view all the answers

    What is the primary incentive for private third party payers to reimburse for home care services?

    <p>Reduce hospitalization costs</p> Signup and view all the answers

    What aspect of home care services is negotiated in Managed Care Organizations?

    <p>Reimbursement rates</p> Signup and view all the answers

    Which benefit is required under Medicaid according to the text?

    <p><strong>Home care</strong></p> Signup and view all the answers

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