HCS management Research

Question 0

Descriptive study design

Answer 0

Describe and analyze a phenomenon

Question 1

Experimental study design addresses?

Answer 1

Intervention effectiveness because participants are assigned to different groups to determine effects of intervention

Question 2

A standardized recommended intervention protocol for a specific diagnosis

Answer 2

Clinical/ critical pathway

Question 3

Provider is paid on a monthly basis for each member regardless if no healthcare is delivered.
Per member per month.

Answer 3

Capitation

Question 4

The descriptive categories that determine the level of payment at a per case rate.

Answer 4

DRGs

Diagnostic related groups.

Question 5

Most common form of managed care. You have to see doctor within the network and get referrals for specialists.

Answer 5

HMO

Health maintenance organization

Question 6

Managed care that offers a choice for providers, which in turn decreases reimbursement percent.

Answer 6

PPO

Preferred provider organization

Question 7

The nationwide payment schedule that determines the medicare payment for each inpatient stay based on DRGs

Answer 7

PPS

Question 8

Who qualifies for medicare?

Answer 8

65 and up
Permanent kidney failure

Long term disability over 2yrs; maybe

Question 9

What settings are covered under part A?

Answer 9

Inpatient
SNF
Home health
Rehabs
Hospice

Question 10

Primary difference between part A and part B

Answer 10

Part A- 5days pw

Part B- 3days pw

Question 11

OT reimbursement in SNFs is based upon?

Answer 11

RUGs

Question 12

In home care what has to be established before OT can begin?

Answer 12

Intermittent nursing OT or Speech

Question 13

In home health, What eval is administered to verify medicare eligibility?

Answer 13

OASIS

Question 14

Name 4titles under ADA

Answer 14

Employment
Public services
Public accommodations
Telecommunications

Question 15

Mandated comprehensive resident assessment system

Answer 15

MDS

Question 16

Direct expense

Answer 16

Related to OT service

Salary
Benefits
Supplies

Question 17

Fixed expenses

Answer 17

Remains at the same level

Rent

Question 18

Variable expense

Answer 18

Change in direct proportion to services provided.

Splinting materials

Question 19

Indirect expense

Answer 19

Cost shared by OT and the setting

Utilities

Question 20

Determination of variability/ difference from norm.

Answer 20

Standard deviation

Question 21

Parametric test comparing 2 group means n identify a difference at a selected probability level

Answer 21

T test

Question 22

Parametric test comparing 2 or more Tx groups at a probability level

Answer 22

ANOVA, analysis of variance

Question 23

Used to correlate interval or ratio data

High correlation?

Answer 23

Pearson coefficient ; R

.7- 1

Question 24

Validity

Answer 24

Tool measures what it is intended to measure

Question 25

Criterion validity

Answer 25

Compares the tool to another with established validity

Question 26

Reliability

Answer 26

Establishes Consistency and stability

Question 27

Inter rater reliability

Answer 27

Different raters will achieve same results

Question 28

Early detection of problems to reduce the duration of disease

Answer 28

Secondary prevention source

Question 29

What is the suggested interrater reliability of a standardized test?

Answer 29

80%