Home Health Basics

Beschreibung

Basic Review Questions for Home Health Practioner
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144
1

Zusammenfassung der Ressource

Frage 1

Frage
What does OASIS stand for?
Antworten
  • Outcome and Assessment Information Set
  • Outcome and Assessment Introduction Set
  • Objective Assessment Information Set
  • Objective and Analysis Information Set

Frage 2

Frage
Private Insurance or Non-medicare Patients always need OASIS documentations
Antworten
  • True
  • False

Frage 3

Frage
What are the cardinal requirement for home health care admission?
Antworten
  • Homebound
  • Skilled Care Need
  • Intermittent Care
  • Physician Order
  • Reasonable and Necessary
  • Authorizations

Frage 4

Frage
How many days are there in one home health episode?
Antworten
  • 30 Days
  • 60 Days
  • 15 Days
  • 45 Days

Frage 5

Frage
All interventions need an MD order.
Antworten
  • True
  • False

Frage 6

Frage
What does PHI stand for?
Antworten
  • Protected Health Information
  • Personal Health Information
  • Protected Health Identity
  • Personal Health Identity

Frage 7

Frage
It contains all written orders, diagnosis, medications, treatment, rehabilitation potential etc.
Antworten
  • 485 POC
  • OASIS-C
  • Medication Profile
  • Referral Notes

Frage 8

Frage
When should wound trending be done?
Antworten
  • Every Visit
  • Every 14 Days
  • Every 60 Days
  • Every 30 Days

Frage 9

Frage
Wound that presents as intact skin with non-blanchable redness of a localized area?
Antworten
  • Stage 1 PU
  • Stage 2 PU
  • Stage 3 PU
  • Suspected DTI
  • Unstageable

Frage 10

Frage
Characterized by partial-thickness loss of dermis presenting as a shallow open ulcer with a red-pink wound bed without slough
Antworten
  • Stage 1 PU
  • Stage 2 PU
  • Stage 3 PU
  • Suspected DTI
  • Unstageable

Frage 11

Frage
Wound that presents as an intact ruptured serum-filled blister.
Antworten
  • Stage 1 PU
  • Stage 2 PU
  • Stage 3 PU
  • Suspected DTI
  • Unstageable

Frage 12

Frage
Characterized by a purple or maroon localized area of discolored intact skin or a blood-filled blister due to damage of underlying soft tissue from pressure.
Antworten
  • Suspected DTI
  • Stage 1 PU
  • Stage 2 PU
  • Stage 3 PU

Frage 13

Frage
What Stage of PU is in the image? (Image taken from google. No copyright infringement intended)
Antworten
  • Stage 1
  • Stage 2
  • Stage 3
  • Stage 4
  • Suspected DTI

Frage 14

Frage
What Stage of PU is in the image? (Image taken from google. No copyright infringement intended)
Antworten
  • Stage 1
  • Stage 2
  • Stage 3
  • Stage 4
  • Unstageable

Frage 15

Frage
Stage 2 PU may present as a shiny or dry shallow ulcer with slough or bruising.
Antworten
  • True
  • False

Frage 16

Frage
Which patient is NOT considered HOMEBOUND?
Antworten
  • Patient who goes to adult day care centers on a regular basis.
  • Patient who goes to dialysis every M,W, F.
  • Patient who to church every Sunday for religious service.
  • Patient who uses crutches, drives himself to the mall every Friday to do shopping.

Frage 17

Frage
The following patients are considered homebound, EXCEPT:
Antworten
  • A patient paralyzed from a stroke who is confined to a wheelchair.
  • A patient who is blind and requires the assistance of another person in leaving his place of residence.
  • A patient who uses crutches to a daily walk to the park every morning and does ADLs and groceries on his own.
  • A patient with no physical limitations but has a psychiatric illness that by nature, leaving home unattended would not be safe for the patient.

Frage 18

Frage
All are considered patient’s place of residence or home EXCEPT for:
Antworten
  • Skilled Nursing Facility
  • Board and Care Facility
  • Assisted Living Facility
  • Caregiver's Home

Frage 19

Frage
What are the Drivers of Home Health Practice?
Antworten
  • Patient Benefit
  • Physician’s Orders
  • Plan of Care
  • Patient’s continued progress
  • OASIS/Evaluation
  • Need of intermittent skilled care

Frage 20

Frage
What are the Major Segments of a home health plan of care?
Antworten
  • Patient Education
  • Caregiver Training
  • Treatment
  • Rehabilitation
  • Medication Safety
  • Infection Control

Frage 21

Frage
When should the evaluation of additional disciplines ordered on referral be done?
Antworten
  • Within 5 Days from SOC
  • Within 5 Days from hospital discharge
  • Within 5 Days from referral
  • Within 5 Days from face to face encounter

Frage 22

Frage
When should the POC be signed by the physician?
Antworten
  • Within 30 days from the ordered date
  • Within 30 days from the hospital discharge
  • Within 30 Days from the referral
  • Within 5 days from SOC

Frage 23

Frage
OASIS-C Transfer should always be done within 24-48 hours from the date of transfer.
Antworten
  • True
  • False

Frage 24

Frage
When should the Resumption Plan of Care be completed?
Antworten
  • Within 1 Day from ROC
  • Within 2 Days from ROC
  • Within 2 Days from SOC
  • Within 5 Days from ROC

Frage 25

Frage
The following OASIS-C documentation may be done after an OASIS-C Resumption of Care EXCEPT for:
Antworten
  • OASIS-C SOC
  • OASIS-C Recertification
  • OASIS-C Other Follow Up
  • OASIS-C Discharge

Frage 26

Frage
A private insurance only patient was admitted back to the hospital from home health care. What documents are needed to be completed by the home health practitioners?
Antworten
  • Transfer order
  • Transfer summary
  • OASIS-C Transfer
  • Discharge order

Frage 27

Frage
What is the time line for Re-hospitalization penalty period FOR HOSPITAL?
Antworten
  • 30 Days from SOC
  • 60 Days from home health discharge
  • 15 Days from SOC
  • 45 Days from home health discharge

Frage 28

Frage
What is the time line for Re-hospitalization penalty period FOR HOME HEALTH?
Antworten
  • 30 Days from SOC
  • 60 Days from home health discharge
  • 15 Days from SOC
  • 45 Days from home health discharge

Frage 29

Frage
When should the OASIS-C Recertification be completed?
Antworten
  • Within 5 Days prior to the end of the episode
  • Within 5 Days from the end of the episode
  • Within 5 Days from the Recertification period
  • Within 5 Days prior to start of care.

Frage 30

Frage
When should Face-to-face encounter be done?
Antworten
  • Within 5 days from ROC date
  • Within 60 days from SOC date
  • Within 90 days prior SOC date
  • Within 30 Days from SOC date

Frage 31

Frage
What are the four important elements to assess during OASIS-C SOC using standardized tool for best practice?
Antworten
  • Skin
  • Pain
  • Depression
  • Fall
  • Activity
  • Elimination

Frage 32

Frage
The following are used in outcome measurements in OASIS except for:
Antworten
  • Pain
  • Dyspnea
  • Bathing
  • Urinary Incontinence
  • Depression

Frage 33

Frage
It is the condition that is most related to the current plan of care. It is also defined as the reason for home health.
Antworten
  • Primary Diagnosis
  • Secondary Diagnosis
  • Pertinent Diagnosis
  • Treatment Diagnosis

Frage 34

Frage
All, but one, can be considered as surgical wound according to M1340:
Antworten
  • Muscle Flap
  • Wounds with drains
  • Surgical Incision
  • Ostomies

Frage 35

Frage
Which of the following can be considered as surgical wound according to M1340?
Antworten
  • Peritoneal dialysis catheter insertion site
  • Surgical Scars
  • PICC lines
  • PU treated by surgical debridement

Frage 36

Frage
All,but one, can be considered as intravenous or infusion therapy according to M1030:
Antworten
  • Central line for medications
  • Insulin pumps
  • Saline flushing
  • TPN

Frage 37

Frage
All, but one, are not considered as enteral therapy according to M1030:
Antworten
  • Osterized feeding administered through nasogastric tube.
  • NGT used for medication administration only.
  • Saline Flushing feeding to keep NGT patent.
  • NGT used for feeding and medication but without prescription for therapy which provides nutrition.

Frage 38

Frage
When is the CMS 485 updated or reviewed?
Antworten
  • Every 15 days
  • Every 30 Days
  • Every 45 Days
  • Every 60 Days

Frage 39

Frage
Supplies require a physician order.
Antworten
  • True
  • False

Frage 40

Frage
DME supplies require a prescription from the MD but do not require documentation of medical necessity.
Antworten
  • True
  • False

Frage 41

Frage
All, but one, can trigger a need for a supplemental order.
Antworten
  • Updates
  • Change in medication regimen
  • New orders
  • Correction of visit frequencies

Frage 42

Frage
Which of the is/are elements of a good verbal order:
Antworten
  • Name of the Patient
  • Name of the Ordering Physician
  • The order
  • Manner of acquisition and verification
  • Name of the clinician verifying the order
  • All of the above

Frage 43

Frage
After the Clinical Manager assigns an admitting clinician who will do the admission visit, what should the admitting clinician do FIRST?
Antworten
  • Call the patient for verification of available schedule for the admission visit.
  • Call the DME provider for verification of equipment.
  • Call the pharmacy for verification of medications.
  • Do the admission visit within 24 to 48 hours.

Frage 44

Frage
During the actual admission visit, which of the following should the admitting clinician FIRST do?
Antworten
  • Introduction and Legal paperwork
  • Assess the environment of care
  • Medication Reconciliation
  • Develop an Interim Plan of Care

Frage 45

Frage
Which of the following items IS NOT considered PHI:
Antworten
  • Name
  • Photograph
  • Fax Number
  • Medical Record Number
  • None of the above
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