Health Informatics an Interprofessional Approach 1st Edition By Nelson Staggers
Health Informatics an Interprofessional Approach 1st Edition By Nelson Staggers
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Chapter 9: Home Health and Related Community-Based Systems
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | Private insurance |
| b. | Patients and families in the form of self-pay |
| c. | Medicare |
| d. | Medicaid |
ANS: C
As the largest payer, Medicare, through its Conditions of Participation, represents the standard for the services provided by home health agencies and the payment for these services by many commercial insurance payers and state Medicaid programs.
DIF: Cognitive Level: Understand REF: p. 149
| a. | Determine payment and measure quality and outcomes |
| b. | Determine payment and standardize data |
| c. | Determine the time of visits and measure quality and outcomes |
| d. | Determine efficiency and measure quality and outcomes |
ANS: A
OASIS, or the Outcome and Information Set, is a standardized data set with two important purposes: it is the basis for determining payment for each 60-day episode of care, and it measures the quality and outcomes of services delivered by home health agency clinicians.
DIF: Cognitive Level: Understand REF: p. 151
| a. | 1776 |
| b. | 1800s |
| c. | 1965 |
| d. | 2001 |
ANS: B
Early home health services originated in the United States in the 1800s and were based on the district nursing model developed in England. Often, initial programs evolved into visiting nurse associations. Home health services increased and changed considerably after Medicare was enacted in 1965.
DIF: Cognitive Level: Remember REF: p. 148
| a. | EHR |
| b. | CDS |
| c. | EMR |
| d. | BCMA |
ANS: B
Clinical decision support (CDS) systems may be the next frontier for home health and related community-based systems. CDS systems are applications that analyze data and help providers make clinical decisions.
DIF: Cognitive Level: Remember REF: p. 153
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