Care CEUs

Long Term Care Payment Reform

Section 1: Underlying Issues of the PAC-PRD Initiating Legislation

1. The information collected through the assessments is used by CMS to do which of the following?

A. Calculate payment groups B. Generate quality measures C. Monitor regulatory compliance D. All of the above

2. Acute care hospitals and LTCHs collect similar information at intake and are required to submit these data to CMS.

A. True B. False

3. As ACHs are paid on a discharge-basis to encourage discharge as early as possible, this may result in hospital-level care being shifted to PAC settings.

A. True B. False

Section 2: Data Collection In The Demonstration

4. The primary focus of CRU is staff-time measurement capturing variation in all of the following except:

A. Years of experience for each staff person. B. Types of staff. C. Licensure levels. D. Total time spent with individual patients during three two-week long data collection windows within the nine month CARE collection period in each facility.

5. The guiding principles for the creation of the CARE tool came from the originating DRA 2005 legislation, which includes all of the following except:

A. Measuring patient specific factors predictive of resource intensity needs to inform payment policy discussions. B. Measuring patient outcomes and associated risk adjustment. C. Geographic variation, by census region and by urban / suburban / rural populations served. D. Documenting clinical factors associated with patient discharge placement decisions to provide for seamless and appropriate care transitions.

Section 3: Resource Intensity Analysis Results

6. When the data are stratified by case-mix, the resource intensity information will answer the question of whether different settings provide equal treatment intensity for similar patient types.

A. True B. False

7. The PAC payment systems SNF, IRF, and HHA are similar to each other because they all measure each of the following except:

A. Medical status B. Patient severity C. Functional status D. Cognitive status

8. One of the most important contributions of this project is the consistent measures of patient severity across the different PAC settings, allowing for inter-setting comparisons. The value of using the same measures of a concept across settings is that it allows one to determine equivalent costs independent of setting and to measure changes in outcomes for equivalent cases.

A. True B. False


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