Term
| What is the Deontologism Theory? |
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Definition
Duty or principle oriented. It focuses on actions not necessarily consequences. If you follow the rules and consequences then you are making the right decision. |
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Term
| What is the Consequentialism/Teleological Theory? |
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Definition
Results oriented. Best way to decide the right thing to do is to figure out what is right for most people. Look at the consequences of the actions. |
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Term
| What is the Rights-Based Ethics Theory? |
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Definition
Looks at the rights of the person |
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Term
| What is character-based ethics (virtue based) theory about? |
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Definition
characteristics of a person will help guide them to make the right decisions. |
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Term
What is the Intuitionism-Based Ethical Theory about? |
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Definition
Follows your gut instinct about making the right decision. |
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Term
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Definition
Having unselfish caring for the welfare of others; placing the needs of others before your own. |
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Term
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Definition
Treating everyone equally |
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Term
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Definition
The ability to make your own choices or decisions |
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Definition
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Definition
Respecting and treating each person as unique |
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Definition
Being honest and factual; providing accurate information. |
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Definition
Having self discipline and knowing your limits |
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Definition
The right to make your own decisions about yourself. |
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Term
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Definition
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Definition
Taking action by helping others by promoting good and preventing harm |
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Term
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Definition
Keeping information private. This means closing pt charts and not expressing pt information verbally. |
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Term
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Definition
Providing services that are useful and necessary |
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Term
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Definition
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Term
What is informed consent? |
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Definition
The pt has the right to know their choices and the consequences of those choices |
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Term
What is Distributive Justice? |
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Definition
Equal distribution of goods (attention, services) to all members of a group |
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Term
What is Compensatory Justice? |
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Definition
Acts to make up for past injustices (usually with money) |
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Term
What is Procedural Justice? |
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Definition
First come, First serve process used to be fair to all members of a group |
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Term
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Definition
Being truthful. This includes refraining from practicing in fraudulant behavior. |
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Term
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Definition
Being faithful to ones clients or collegues. Doing what we say we are going to do. |
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Term
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Definition
Not respecting the rights of others because you think you know what is best and forcing it onto the other person. |
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Term
What is RCW and who is it made by? |
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Definition
Revised Code of Washington. These are statutes and laws established and changed through the legislature. They are written by the legislature and once signed by the governor, they become law. |
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Term
What is WAC and who is it made by? |
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Definition
Washington Administrative Code. These are rules established and changed by boards, commisions, or the Secretary of Health. |
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Term
What is intentional tort? |
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Definition
A civil violation that is done intentionally |
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Term
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Definition
A threat or bodily harm that is done to another person intentionally. This is not always physical. Can be verbal threats, spitting on someone, or physical contact without verbal consent. |
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Term
What is an example of assault? |
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Definition
Hitting a person or telling the person they will stay in the nursing home if they do not do therapy. |
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Term
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Definition
Actual bodily harm that is done to another person without permission. Can include unlawful touching or touching without consent. |
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Term
What is an example of battery? |
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Definition
Causing injury during a wheelchair transfer or leaving a hot pack on a patient too long |
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Term
What is False Imprisonment? |
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Definition
A violation of a personal liberty of another person through unlawful restraint. |
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Term
What is an example of False Imprisonment? |
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Definition
Locking the brakes of a wheelchair with a person in it when the patient is physically not able to unlock them on their own.
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Term
| What is Defamation of Character? |
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Definition
| Damage caused to a person's reputation as a result of negative, spoken, or written words about that person. |
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Term
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Definition
| Deceitful acts that deprive another of their rights. |
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Term
| What is Invasion of Privacy? |
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Definition
| Unauthorized use of information or breaking confidentiality. |
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Term
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Definition
| Causing injury as a result of misconduct or using unreasonable skill |
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Term
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Definition
| Failing to use standard of care when providing services or carelessly doing something. |
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Term
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Definition
| Failing to report an illegal activity. |
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Term
| What are the four defenses of intentional tort? |
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Definition
A. Lack of intent--didn't mean to do it.
B. Consent--consent was given by the injured person either in writing or verbally
C. A waiver or release of liability: Pt knowingly released consent
D. Assumption of risk: pt was informed of risks and still gave consent for treatment |
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Term
| What elements must exist to prove unintentional tort? |
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Definition
A. Was standard of care provided properly
B. Breech of duty: did the patient fail to perform job duties?
C. Causation: Did their actions lead to the harm done?
D. Damage: Was there damage? |
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Term
| What does "standard of care" mean? |
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Definition
| The care that you provide is the same care that any other patient would receive from another therapist. |
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Term
| What are the 4 goals of managed care? |
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Definition
A. To provide some level of healthcare
B. To stop the rising costs of healthcare
C. To keep the premiums low for providers
D. To make money |
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Term
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Definition
Health Maintenance Organization.
- Patient chooses a primary care physician
- Need to see a doctor that are covered within the network.
- A copay is due at the time of visit
- No deductable
- A referral is needed to see a specialist.
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Term
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Definition
Preferred Provider Organization.
- No PCP needed
- Can choose an in network or out of network, in network being cheaper
- Must pay a copay and a deductable
- Deductable must be met before insurance kicks in
- No referral needed
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Term
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Definition
Prospective Payment System. This is a type of reimbursement that has a fixed amount that is predetermined by the provider.
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Term
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Definition
Point of service.
- uses features from both HMO and PPO
- Pt chooses whether or not they want to pay co-pay or co-insurance
- Fairly new and flexible but can be expensive
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Term
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Definition
| Diagnostic Related Group. This is a PPS that determines the amount of reimbursement. |
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Term
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Definition
| Resource Utilization Group. This is used when a patient is submitted into a SNF. The patient is given a score based off the minimum data sheet. The score determines the pt's need for care and how much therapy they will receive.` |
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Term
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Definition
| current procedural terminology. There were created by the American Medical Association and are used universally to document procedures and treatments. |
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Term
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Definition
| International Classification of diseases, clinical modification 9th eddition. This was published by the world health organization and is a diagnostic code that is assigned to a patient by a doctor. |
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Term
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Definition
| These are doctors who decide what services are needed. These doctors give adequate, but not optimal care. |
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Term
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Definition
| A case manager is an insurance company employee who determines if a patient needs a service based on their care plan. They have the authority to deny coverage. |
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Term
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Definition
| Formal or informal rules that prevent doctors from discussing alternative treatment options. |
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Term
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Definition
| A fixed payment at regular intervals to a provider from an insurance company. The amount is determined by contract. |
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Term
| What are the positive changes that managed care has brought to therapy? |
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Definition
- therapists are focused on outcomes and are therefore responsible for the patient's outcome
- Helped to set standards for documentation that everyone must follow
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Term
| What are negative changes that managed care has brought to therapy? |
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Definition
- Decreased # of treatments allowed
- Decreased # of treatment days
- Doctors and case managers decide treatments that can be provided and for how long
- Private practices have trouble getting large managed care contracts
- Decreased reimbursement based on a cap of $1, 870 for OT and for PT and SLP combined.
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Term
| What is under OT evaluation under the CPT code? |
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Definition
| The initial OT evaluation that would be billed in a fixed rate |
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