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This political philosophy believes that health care is an earned reward and it is the responsibility of each individual to maintain their own health.
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Libertarian
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Egalitarian
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Biomedical
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Utilitarian
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This political philosophy believes that our actions should be based on the greatest good for the greatest number of people.
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Libertarian
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Ultilitarian
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Egalitarian
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Biomedical
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This political philosophy believes that health care is the responsibility of society. Health care is needed to work and therefore the poor should be treated using government programs.
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Biomedical
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Libertarian
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Utilitarian
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Egalitarian
Frage 4
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Long’s 4 values for an ethical base of health policy in the US include the following:
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Freedom, equality, rewards, and treatment of the poor.
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Fidelity, freedom, justice, and rights.
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Autonomy, beneficence, freedom, and rights.
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Nonmalificence, justice, autonomy, and veracity.
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This disablement model combines medical rehabilitation and human services to establish that all members of society are at risk of disablement.
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Social Disability
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Utilitarian
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Universalism
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Biomedical
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Within this disablement model the person is viewed to be the cause of disablement and the response is treatment to cure the pathology.
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Universalism
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Utilitarian
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Social Disability
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Biomedical
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This model began with the civil rights movement in the 1960s and views societal attitudes and policies as the cause of disablement with human services needed in response.
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Universalism
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Social Disability
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Biomedical
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Utilitarian
Frage 8
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In 2010 primary funding in Healthcare for therapy services is from:
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The primary societal health policy objective as of recent is:
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In 2010 and as of recent the concept of disablement is driven by:
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An individual just injured their wrist at work and requires outpatient hand therapy yet the closest center is an hour drive away and not within their network. The above illustrates this factor of access to health care
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Acceptability
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Accessibility
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Affordability
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Accommodation
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Availability
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An elderly individual goes to visit their primary care practitioner. The only way to get to the office is my walking up 3 stairs, opened 2 heavy doors, and walking 150 feet down the hallway. The following above this factor of access to health care:
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Accessibility
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Availability
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Affordability
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Acceptability
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Accommodation
Frage 13
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The local pediatric clinic decided to extend their hours to include evenings and every other Saturday. The above illustrates this factor of access to health care.
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Accessibility
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Affordability
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Availability
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Acceptability
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Accommodation
Frage 14
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A client requires skilled OT services yet they must pay a $20 copay at each visit. They decide that due to this cost they can only come once a week. The above illustrates this factor of access to health care.
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Affordability
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Accessibility
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Availability
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Acceptability
Frage 15
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The client’s family state that the client needs to come home from the skilled nursing facility so that they can care for them at home. When homecare is recommended to continue OT services they deny homecare as it is their duty to care for their own loved ones. The following illustrates this factor of access to health care.
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Acceptability
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Accessibility
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Availability
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Accommodation
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Affordability
Frage 16
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The following is true about the characteristics of the uninsured Except:
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The poor is at the greatest risk of being uninsured.
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Adults more than children are uninsured.
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Minorities are more likely to be uninsured than white Americans.
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Most of the uninsured are unemployed.
Frage 17
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In reference to payment mechanisms, this payment mechanism while used primary in Canadian hospitals is also used in the US by the Indian Health Service. This mechanism provides a predetermined amount for hospitals to cover operational expenses
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Global Budgeting
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Capitation
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Fee for Service
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Case Based
Frage 18
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In reference to payment mechanisms, this payment mechanism offers a flat fee, per patient, per month. Incentives with this type of payment are to keep patients health so costs are kept low
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Capitation
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Global Budgeting
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Case Based
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Fee for Service
Frage 19
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In reference to payment mechanisms, examples of this type of payment mechanism include Prospective Payment Systems (PPS) and Diagnostic Related Groups (DRGs). Payment is based on a diagnosis with an incentive to use resources more effectively and
avoid unnecessary procedures.
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Capitation
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Global Budgeting
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Case Based
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Fee for service
Frage 20
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In reference to payment mechanisms, this payment mechanism includes a payment for each service or procedure. The incentive is to add care or days to increase the items
billable and thus increase reimbursement.
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Capitation
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Global Budgeting
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Case Based
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Fee for Service
Frage 21
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The “Triple Aim” refers to this:
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The goals to improve health outcomes, enhance consumer satisfaction, and reduce health care costs.
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The barriers of money, access, and demographics to insurance.
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The growth of health care expenditure due to economics, demographic changes, and the system.
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The amount the US spends on hospitals, medications, and therapy.
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In reference to the “3 dimensions of quality”, this dimension looks at the delivery of care using both technical excellence and interpersonal excellence.
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Professional Regulations
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Outcomes
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Process
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Structure
Frage 23
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In reference to the “3 dimensions of quality”, this dimension includes permanent features of the health care system, both physical and human resources to deliver services.
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Outcomes
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Professional Regulations
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Process
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Structure
Frage 24
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Personal Based Concepts of Health care Quality include:
Frage 25
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Use the description to determine the form of outcome measure of health care. A voluntary process performed by a nongovernmental organization in which an organization undergoes a process to determine if it meets a set of standards. The JACHO is an example of this.
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Patient Privacy
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Report Cards
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Utilization Review
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Accreditation
Frage 26
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Use the description to determine the form of outcome measure of health care. This measure seeks to increase consumer awareness of quality of care and creates competition between physicians. It includes measures that are made public.
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Utilization Review
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Accreditation
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Patient Privacy
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Report Cards
Frage 27
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Use the description to determine the form of outcome measure of health care. This measure often includes an insurance representative’s review of medical records and treatments to determine appropriateness of care
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Accreditation
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Utilization Review
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Patient Privacy
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Report Cards
Frage 28
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The NBCOT, “The Official Documents”, OT licensure, and the “Scope of Practice for OT” are all examples of the following:
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Professional Regulations
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Medical Negligence
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The Quality Chasm
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Patient Privacy
Frage 29
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Population based concepts of health care quality include:
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Quality of life
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outcome
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satisfaction
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process
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What is a measurement of personal based concepts of health care quality?
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interview
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survey
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peer interview
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community-based
Frage 31
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This bill replaces “No Child Left Behind” and repeals the accountability system that required schools to achieve annual yearly progress on student testing
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Americans with Disabilities Act
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Rehabilitation Act
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Every Student Succeeds Act
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Development Disabilities Act
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This part of IDEA services infants and children with disabilities through early
intervention.
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Part D
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Part B
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Part C
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Part A
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This purpose of this act is to enhance quality of life for older adults through objectives such as suitable housing, employment, retirement, community services, and meaningful activities through the state agencies on aging.
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This act utilized state councils on developmental disabilities, protection and advocacy systems, university affiliated programs, and projects of national significance.
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Within the “Americans with Disabilities Act”, this title includes equal opportunities for employment and reasonable accommodations
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Title 4
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Title 1
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Title 2
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Title 3
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This act promotes an evaluative process with the use of technology to improve function, independence, and quality of life
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This Act provides an income protection for those who are elderly, blind, disabled, and meet the income requirements
Frage 38
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According to new paradigms of disability:
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Eligibility of benefits based on severity of impairment
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The domain of disability is a medical "problem"
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Strategy is to fix the individual, correct the deficit
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Eligibility for accommodations is seen as a civil right
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The Source of Intervention in New Paradigms for disability include:
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The Workforce Investment Act:
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Supports federal job training for many populations
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No answer text provided.
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Prohibits housing discrimination
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Supports state programs for public-awareness programming to increase access to technology
Frage 41
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Assertive communication can be completed using the DESC model. Read the following scenario and determine what part of DESC it would fall into: You
observe a client in therapy who presents with increased confusion and lethargy from the day before.
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Consequences
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Specification
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Description
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Expression
Frage 42
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Assertive communication can be completed using the DESC model. Read the following
scenario and determine what part of DESC it would fall into: you feel that the client should be tested because they may have a urinary tract infection.
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Consequences
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Expression
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Specification
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Description
Frage 43
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The following is an example of this form of advocacy. At the government level you as the OT write a letter to the senator lobbying for a stop to the therapy cap
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Advocacy with the health care environment
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Professional advocacy
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Advocacy with professional organizations
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Patient and client advocacy
Frage 44
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The following is an example of this form of advocacy. AOTPAC ensures the visibility of OT in Washington while the AOTA’s Representative Assembly governs and sets policies and professional standards
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Advocacy with the health care environment
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Advocacy with professional organizations
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Patient and client advocacy
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Professional advocacy
Frage 45
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The following is an example of this form of advocacy. You as the OT educate the Nurse Practitioner that the orders that they have been writing to address splinting of the hand
are more appropriate for OT’s scope of practice and not PT’s.
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Professional Advocacy
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Patient and client advocacy
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Advocacy with professional organizations
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Advocacy with the health care environment
Frage 46
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As part of the Essential Health Benefits, habilitative services are:
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Mental health and substance abuse use disorder services that include behavioral health treatments.
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Chronic disease management services.
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Services that offer preventative and wellness services.
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Services that help those to acquire, retain, and improve skills necessary to reside in community based settings.
Frage 47
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Examples of reflection during advocacy include asking yourself:
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Can the client self advocate without my help
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Does the client want me to intervene?
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Is it necessary that I intervene?
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All of the above
Frage 48
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What sequence for advocacy includes becoming aware of key issues that concern state or national therapy practice?
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In the legislative process this is the point where therapists and others typically can provide testimony.
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Bill is referred to a subcommittee
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Publication of written report
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Bill is introduced in House
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Bill is referred to committee
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This is when a bill can be "killed" during the legislative process
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This basic feature of an insurance contract includes the out of pocket max, deductible,
and co-payment requirements
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Beneficiary
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Covered Events
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Covered Services
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Eligibility
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Provider Cost Limits
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The following describes this basic feature of an insurance contract. Once an event occurs a beneficiary is eligible for services if those services are deemed to be reasonable and necessary.
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Provider Cost Limits
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Covered Events
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Beneficiary Cost Limits
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Covered Services
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Eligibility
Frage 53
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The following describes this basic feature of an insurance contract. This feature is often
not seen by consumers and includes fee schedules and case rates
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Covered Events
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Covered Services
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Provider Cost Limits
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Eligibility
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Beneficiary Cost Limits
Frage 54
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Using the scenario below, answer questions 46 and 47. The beneficiary is in a serious
car accident. They incur a total of $50,000 in covered medical expenses. Their insurance has a $5,000 deductible, $20% coinsurance, and $6,000 out of pocket max. How much would the beneficiary pay?
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$5,000
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$6,000
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7,000
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10,000
Frage 55
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Using the scenario below, answer questions 46 and 47. The beneficiary is in a serious car accident. They incur a total of $50,000 in covered medical expenses. Their insurance has a $5,000 deductible, $20% coinsurance, and $6,000 out of pocket max. How much would the insurance pay?
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$44,000
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$50,000
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$32,000
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$10,000
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When a beneficiary elects to not purchase health care insurance as they feel they do not need it even though they would be able to financially afford insurance, this is an example
of:
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Insurer Moral Hazard
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Actuarial Analysis
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Actuarial Adjustment
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Individual Moral Hazard
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This concept considers demographics, past medical utilization, and know costs to make statistical decisions about future utilization and cost of health care.
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Individual Moral Hazard
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Actuarial Analysis
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Actuarial Adjustment
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Insurer Moral Hazard
Frage 58
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The following are components of the “American Health Benefits Exchange” Except:
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4 tiers of insurance options
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The same cost paid out of pocket for all
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Must include at least 2 multistate plans and a nonprofit cooperative model
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Plans must meet essential health benefits
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Social security work incentives include all of the following Except:
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An actuarial process that preferentially identifies people with anticipated low health care costs:
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Favorable selection
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No answer text provided.
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Actuarial analysis
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Moral hazard