01 What does dual eligibles mean? Group

01 What does dual eligibles mean? Group of answer choices People who seek payment for physician visits as well as hospitalization Part A and B of Medicare People enrolled in both Medicare and Medicaid. Part B and D of Medicare. 02. In 2016, how many people were enrolled in both Medicare and Medicaid? Group of answer choices 13.2 million 11.7 million 12.5 million 10.2 million 03. How does someone become dual eligible? Group of answer choices A person becomes eligible for Medicaid when they turn 35. When someone turns 65 Medicare and Medicaid becomes available to individuals. In order to become dual eligible the person has to be a member of a minority group. The journey to becoming dual eligible or a dual varies, primarily due to variation in Medicaid coverage by state 04. What is the greatest challenge related to dual eligibles? Group of answer choices Delivering and coordinating services Ease of coordinating services, some of which are covered by Medicare Payments and services to this group of individuals. Acquiring home health and hospice care is easy. 05 What is the transitional care model designed by Mary Naylor? Group of answer choices The process for a nurse to direct another person to perform nursing tasks and activities. Evolved from evidence that the post-acute transition of patients was unnecessarily directed to subacute facilities Promotes the role of the advanced practice registered nurse (APRN) to deliver and coordinate care in collaboration with the interprofessional team for at-risk patients while in the hospital and then continuing that care in the home. Provide care in the home increased significantly with the Olmstead Decision by the U.S. Supreme Court affirming that public entities must provide community-based services to individuals with disabilities 06 What is the Johns Hopkins Hospital at Home model? Group of answer choices Allows eligible patients who present with an acute diagnosis usually predictive of hospital inpatient admission to receive the care alternatively in the home. Required hospitals to provide lists of skilled nursing facilities (SNFs) and home health agencies to patients but not any quality information. Promotes the role of the advanced practice registered nurse (APRN) to deliver and coordinate care in collaboration with the interprofessional team for at-risk patients while in the hospital and then continuing that care in the home A team of a social workers, nurses, and community health workers (CHWs) working 07 How has the Creating High-Quality Results and Outcomes Necessary to Improve Chronic Care Act helped telehealth practices? Group of answer choices Nurse that use telehealth will be the only ones expected to know, understand, and articulate the potential impact that telehealth. Recognizes the hospital as an originating site for telehealth services. It expands the use of telehealth in Medicare Advantage plans and Accountable Care Organizations Regulated telehealth access for patients on dialysis and expands tele stroke services for Medicare beneficiaries 10 After referral to the community-based palliative providers (CBPP), what will the team member for the Horizon Supportive Care Program do first to determine if services are appropriate for the patient? Group of answer choices Leverage the appropriate team member to provide care in the home. Address symptoms such as pain and anxiety Connect members to other resources such as durable medical equipment that could improve the member’s quality of life and outcomes A comprehensive assessment that facilitates the development of an appropriate plan of care 11 What statement is true about the state of care in long-term care facilities? Group of answer choices Nursing facilities are awarded high points on regulation maintenance. Many nursing homes provide poor quality of care. Percentage of facilities with deficiencies increase from 8.07% in 2013 to 10.5% in 2016 One of 8 facilities received high points of excellence. 12 What statement is true about the investigation processes within the federal and state survey and enforcement system? Group of answer choices The complaint investigation processes are weak States are using the regulatory process consistently Many facilities have follow-up enforcement actions Federal guidelines are being followed and thus improvement in care has occurred. 13 What is the single most important contributing factor of the quality of nursing home care in the United States? Group of answer choices Strong enforcement and increased funding for survey and certification programs are needed. Regulatory stringency was significantly associated with better quality for measures studied. Low nurse staffing levels Benefits of strong regulation aid in implementation of federal regulation 14 What is known about for-profit nursing homes that promote better care in nursing homes? Private equity companies have purchased many of the largest nursing home chains which have few reporting requirements. The 10 largest for-profit chains had the highest numbers of violations of federal quality regulations Residents with the highest acuity and the lowest nurse staffing hours compared with nonprofit and government nursing homes For-profit nursing homes operate with lower costs and staffing compared with nonprofit facilities 15 What changed in 2016 that set the stage for changes in training, staffing models, and promotion rates in the military career fields? The VA developed an integrated care strategy where mental health services are available at the same locations as primary care services. All fields were opened to women. New rules were put into place to eliminate sexual assault within the military. The ban on ban of lesbian, gay, bisexual, transgender, and queer (LGBTQ) service members was lifted. SCIENCE

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