L-TC Overview, C7; WB, P-LQ Flashcards

Week 1, 8/29-9/2

1
Q

Nursing Homes are also called Nursing ________.

A

Facilities

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2
Q

NH/F are a type of ____-____ ______.

A

L-TC

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3
Q

L-TC Insurance is a ________ insurance policy.

A

private

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4
Q

An ___________ can buy L-TC Insurance.

A

individual

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5
Q

L-TC Insurance can help pay for _____-____ _____.

A

L-TC

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6
Q

_____-_____ _______ __________ is a private insurance policy that can be purchased by an individual to help pay for L-TC in the future, should it be needed.

A

L-TC Insurance

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7
Q

LTC Insurance is a _______ insurance policy that can be purchased by an _________ to help pay for _____-______ _____ in the future, should it be needed

A

private, individual, L-TC

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8
Q

L-TC Insurance

A

private insurance policy that can be purchased by individual to help pay for LTC in future

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9
Q

_______-_______ _____ Insurance would cover the cost of a permanent NH/F stay.

A

L-TC

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10
Q

NH/F provide Residents with always available ______ care & __________.

A

nursing, supervision

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11
Q

NH/F provide Residents with . . .

A

around-the-clock nursing care & supervision.

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12
Q

A ___________ is a person being cared for in a L-TCF

A

Resident

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13
Q

Resident

A

person being cared for in a L-TCF

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14
Q

CCRC stands for . . .

A

Continuing Care Retirement Communities.

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15
Q

Continuing Care Retirement Communities

A

provide many different levels of care & multiple services on same campus

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16
Q

CCRC provide different levels of ______ on the same __________.

A

care, campus

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17
Q

___________ ____ _______________ __________ provide different levels of care/services on same campus.

A

Continuing Care Retirement Communities

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18
Q

CCRC campuses provide care for _______ & __________ living.

A

independent, assisted

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19
Q

CCRC campuses provide ________ & _______ ______/________ care.

A

skilled, NH/F

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20
Q

The CCRC campus provides a continuum of care by including facilities for _________ living, _________ living, _______ care, & ________ Home care.

A

independent, assisted, skilled, Nursing

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21
Q

A Free-Standing Facility is independently _______ & __________.

A

owned, operated

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22
Q

A _____-________ Facility is independently owned & operated.

A

Free-Standing

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23
Q

A Resident who requires assistance with _________ care, _____, & ___________ would be in an A-LF

A

personal, meals, housekeeping

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24
Q

A Resident who requires assistance with personal care, meals, & housekeeping would be in an ________-________ _________.

A

A-LF

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25
Q

___-_______ Facility is owned by company/organization & operates as a business with intention to make money.

A

For-Profit

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26
Q

For-Profit Facility is owned by ___________/___________ & operates as a business with intention to make money.

A

company/organization

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27
Q

For-Profit Facility

A

owned by company/organization & operating as a business with intention to make money

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28
Q

Nonprofit (Not-For-Profit) Facility is owned/operated by ________ ________ (church, charitable group) with primary goal to provide service to fulfill need in community.

A

service organization

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29
Q

Nonprofit (Not-For-Profit) Facility

A

owned/operated by service organization (church, charitable group) with primary goal to provide service to fulfill need in community

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30
Q

Each facility in a chain of L-TC facilities follow the same _________ ________/__________.

A

corporate policies/procedures

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31
Q

Each facility in a _____ of L-TC facilities follow the same corporate policies/procedures.

A

chain

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32
Q

L-TC survey purpose is to ensure ______ regulations are met.

A

OBRA

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33
Q

L-TC survey purpose:

A

meet OBRA regulations

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34
Q

L-TC ______ purpose is to ensure OBRA regulations are met.

A

survey

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35
Q

CMMS is a __________ agency responsible for monitoring _____ ______/_______.

A

government, NH/F

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36
Q

CMMS ensures NH/F meet _____ (acronym) regulations & meet ___________ standards.

A

OBRA, government

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37
Q

_________ for _________/___________ __________ is a government agency responsible for monitoring Nursing Homes/Facilities to ensure they’re following OBRA regulations & meeting government’s standards.

A

Centers, Medicare/Medicaid Services

38
Q

Centers for Medicare/Medicaid Services

A

government agency responsible for monitoring Nursing Homes/Facilities to ensure they’re following OBRA regulations & meeting government’s standards

39
Q

CMMS ensures ______ _____/______ follow ____________ & __________.

A

NH/F, regulations, standards

40
Q

CMMS is a government agency is responsible for ensuring . . .

A

. . . NH/F follow regulations & standards.

41
Q

CMMS is a government agency is responsible for ensuring NH/F follow __________ & ___________.

A

regulations, standards

42
Q

OBRA set standard for _________ & _________ of NAs who worked there.

A

training, evaluation

43
Q

OBRA set standards for the physical environment in _______ ______/_______.

A

NH/F

44
Q

CCAC stands for . . .

A

Continuing Care Accreditation Commission.

45
Q

Continuing Care Accreditation Commission grants ____________ to CCRCs, as well as to some other types of organizations that provide ____-____ ____ services

A

accreditation, L-TC

46
Q

Continuing Care Accreditation Commission sets standards for ______ ____ ___________.

A

health care organizations

47
Q

Continuing Care Accreditation Commission (2)

A
  • grants accreditation to CCRCs, as well as to some other types of organizations that provide L-TC services
  • sets standards for health care organizations

such as adult day care centers

48
Q

CCAC grants accreditation to . . .

A

CCRCs (& some LTC Facilities?)

49
Q

In L-TC Facilities, NAs ensure facility meets/exceeds survey requirements by . . .

A

. . . following facility policy.

50
Q

NH/F provide Residents with around-the-clock _______ ____ & __________.

A

nursing care, supervision

51
Q

________ ______/______ provide Residents with around-the-clock nursing care & supervision.

A

NH/F

52
Q

Nursing Homes/Facilities

A

provide Residents with around-the-clock nursing care & supervision

53
Q

A-LF stands for . . .

A

Assisted-Living Facilty/ies.

54
Q

A-LF are regulated by the _______.

A

state

55
Q

NH/F stands for . . .

A

Nursing Home(s)/Facility(ies)

56
Q

NH/F must comply with _____ & ______ laws.

A

state, federal

57
Q

To maintain _______, LTC Facilities must undergo an inspection.

A

Licensure

58
Q

Licensure

A

state/condition of having license granted by official/legal authority to perform medical acts/procedures not permitted by persons without license

59
Q

To maintain _________, L-TCF must undergo an Inspection.

A

Licensure

60
Q

To maintain Licensure, L-TCF must undergo an ___________.

A

Inspection

61
Q

NH/F that want to participate in _______/_______ programs must be certified.

A

Medicare/Medicaid

62
Q

NH/F that want to participate in Medicare/Medicaid programs must be __________.

A

certified

63
Q

Local _________ are responsible for ensuring facility complies with regulations the local ____________ establishes for L-TC Facilities.

A

agencies, government

64
Q

________ _________ are responsible for ensuring facility complies with regulations the local government establishes for L-TC Facilities.

A

Local agencies

65
Q

Local agencies are responsible for ensuring facility complies with regulations the _______ ________ establishes for L-TC Facilities.

A

local government

66
Q

Skilled Health Care Services are provided by . . .

A

. . . Nurses or other licensed HCP.

67
Q

Under ________, Benefit Period begins when person is hospitalized.

A

Medicare

68
Q

Under Medicare, Benefit Period begins when . . .

A

. . . person is hospitalized.

69
Q

Benefit Periods are under ____________.

A

Medicare

70
Q

Under Medicare, _______ _______ ends when person hasn’t received any Skilled Health Care Services (either in the hospital or NH/F) for 60 days.

A

Benefit Period

71
Q

Under Medicare, Benefit Period ends when . . .

A

. . . person hasn’t received any Skilled Health Care Services (either in the hospital or NH/F) for 60 days

72
Q

Benefit of LTC insurance:

A

can help pay for L-TC services

which help protect person’s savings/assets

73
Q

___________ doesn’t pay for all costs associated with NH/F care.

A

Medicare

74
Q

Medicare ______ pays for all costs associated with NH/F care.

A

doesn’t

75
Q

Medicare _______ cover any portion of A-L care.

A

doesn’t

76
Q

The financial burden transfers to the NH/F & to the state that distributes _________ payments.

A

Medicaid

77
Q

The ________ burden transfers to the NH/F & to the state that distributes Medicaid payments.

A

financial

78
Q

For facilities, Medicaid causes a financial strain because . . .

A

. . . Medicaid payments havn’t been able to keep up with the rising costs of care.

79
Q

For states, Medicaid causes a financial strain because . . .

A

. . . the state must accommodate Medicaid costs within its budget.

This’s becoming hard to do because Medicaid costs are consuming a greater percentage of state budgets every year.

80
Q

In ____, FDR signed the Social Security Act into law.

A

1935

81
Q

In 1935, FDR signed the _________ ________ _____ into law.

A

Social Security Act

82
Q

From the mid-1800s up until the Social Security Act was passed in 1935, many people with chronic illness or disability lived in ___________.

A

Poorhouses

83
Q

The ______ ______ Act legislation provides a monthly pension for older adults who are retired.

A

Social Security

84
Q

Poorhouse’s 2 other names:

A

Almshouses, Poor Farms

85
Q

A cheaper alternative to NH/F back in the 1990s was _______-________ ________.

In the late 1990s, less costly alternatives to the traditional NH/F began to emerge.

A

A-LF

86
Q

A Nonprofit L-TC Facility primarily operates to . . .

A

. . . meet community’s need.

87
Q

A __________ Facility’s primary goal is to provide a service to fulfill community’s need.

A

Nonprofit

88
Q

In 1987, OBRA improved the quality of life for nursing home residents by ensuring that they received a certain ________ of care that took into account Residents’ _______, __________, ________, & ______ needs.

A

standard, physical, emotional, spiritual, social

89
Q

In ______, OBRA improved the quality of life for nursing home residents by ensuring that they received a certain standard of care that took into account residents’ physical, emotional, spiritual, & social needs.

A

1987

90
Q

In 1987, OBRA improved the quality of life for nursing home residents by . . .

A

. . . ensuring that they received a certain standard of care that took into account residents’ physical, emotional, spiritual, & social needs.

91
Q

L-TC insurance may have limited _______.

A

benefits

92
Q

L-TC insurance may have ________ benefits.

A

limited