Home Health Basics

Descripción

Basic Review Questions for Home Health Practioner
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Resumen del Recurso

Pregunta 1

Pregunta
What does OASIS stand for?
Respuesta
  • Outcome and Assessment Information Set
  • Outcome and Assessment Introduction Set
  • Objective Assessment Information Set
  • Objective and Analysis Information Set

Pregunta 2

Pregunta
Private Insurance or Non-medicare Patients always need OASIS documentations
Respuesta
  • True
  • False

Pregunta 3

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

Pregunta 4

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

Pregunta 5

Pregunta
All interventions need an MD order.
Respuesta
  • True
  • False

Pregunta 6

Pregunta
What does PHI stand for?
Respuesta
  • Protected Health Information
  • Personal Health Information
  • Protected Health Identity
  • Personal Health Identity

Pregunta 7

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

Pregunta 8

Pregunta
When should wound trending be done?
Respuesta
  • Every Visit
  • Every 14 Days
  • Every 60 Days
  • Every 30 Days

Pregunta 9

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

Pregunta 10

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

Pregunta 11

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

Pregunta 12

Pregunta
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.
Respuesta
  • Suspected DTI
  • Stage 1 PU
  • Stage 2 PU
  • Stage 3 PU

Pregunta 13

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

Pregunta 14

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

Pregunta 15

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

Pregunta 16

Pregunta
Which patient is NOT considered HOMEBOUND?
Respuesta
  • 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.

Pregunta 17

Pregunta
The following patients are considered homebound, EXCEPT:
Respuesta
  • 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.

Pregunta 18

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

Pregunta 19

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

Pregunta 20

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

Pregunta 21

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

Pregunta 22

Pregunta
When should the POC be signed by the physician?
Respuesta
  • 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

Pregunta 23

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

Pregunta 24

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

Pregunta 25

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

Pregunta 26

Pregunta
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?
Respuesta
  • Transfer order
  • Transfer summary
  • OASIS-C Transfer
  • Discharge order

Pregunta 27

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

Pregunta 28

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

Pregunta 29

Pregunta
When should the OASIS-C Recertification be completed?
Respuesta
  • 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.

Pregunta 30

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

Pregunta 31

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

Pregunta 32

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

Pregunta 33

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

Pregunta 34

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

Pregunta 35

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

Pregunta 36

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

Pregunta 37

Pregunta
All, but one, are not considered as enteral therapy according to M1030:
Respuesta
  • 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.

Pregunta 38

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

Pregunta 39

Pregunta
Supplies require a physician order.
Respuesta
  • True
  • False

Pregunta 40

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

Pregunta 41

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

Pregunta 42

Pregunta
Which of the is/are elements of a good verbal order:
Respuesta
  • 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

Pregunta 43

Pregunta
After the Clinical Manager assigns an admitting clinician who will do the admission visit, what should the admitting clinician do FIRST?
Respuesta
  • 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.

Pregunta 44

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

Pregunta 45

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