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

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

<p>490 (D)</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 (B)</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 (B)</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 (B)</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 (B)</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) (A)</p> Signup and view all the answers

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

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

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

<p>To maintain profitability (C)</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) (A)</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 (B)</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 (B)</p> Signup and view all the answers

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

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

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

<p>20 days (C)</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 (C)</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 (A)</p> Signup and view all the answers

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

<p>PACE (C)</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 (A)</p> Signup and view all the answers

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

<p>Professional (C)</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 (C)</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 (C)</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 (A)</p> Signup and view all the answers

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

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

Which benefit is required under Medicaid according to the text?

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

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