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49 Cards in this Set
- Front
- Back
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The Ohio Revised Code Section 4730 outlines what services a PA can legally perform in Ohio. These services do not require special approval by the Medical Board. Select the services that a PA can legally perform in Ohio (check all that apply).
a. Administer IV fluids b. Provide patient education c. Prescribe a drug to induce an abortion d. Administer regional anesthesia e. Exercising physician-delegated prescriptive authority pursuant to a certificate to prescribe issued f. Order a routine diagnostic test |
a. Administer IV fluids
b. Provide patient education e. Exercising physician-delegated prescriptive authority pursuant to a certificate to prescribe issued f. Order a routine diagnostic test |
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Susan Smith, Director of Health Information Services, is preparing a presentation for the new employee orientation at the drug and alcohol rehabilitation program where she is employed. She will be presenting information on 42 CFR, Part 2. The topic of her talk will be _______________.
a. The Role of Twelve-Step Programs in Drug and Alcohol Rehabilitation b. Health Information Exchange in Behavioral Health Care c. Federal Data Sets and Reporting Requirements for Drug and Alcohol Abuse Treatment Centers d. Confidentiality of Drug and Alcohol Abuse Records |
d. Confidentiality of Drug and Alcohol Abuse Records
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In the context of mental health, "duty to warn" means that ______________________.
a. mental health organizations must notify both patients and the Department of Health and Human Services when a suspected breach of confidentiality of patient records has occurred b. clients should notify therapists when they perceive that their symptoms are becoming exacerbated so that treatment can be properly escalated c. family members must warn therapists when the patient makes threatening statements against caregivers d. therapists must warn persons against whom clients make threatening statements, regardless of the fact that such threats are made within a privileged context |
d. therapists must warn persons against whom clients make threatening statements, regardless of the fact that such threats are made within a privileged context
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Where does the majority of income for a significant number of community mental health centers come from?
a. Private Insurance b. Private insurance c. Medicare Part A d. Grants |
d. Grants
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Which of the following is NOT recommended by the American Academy of Pediatrics in an adolescent substance abuse treatment program?
a. Low staff-to-patient ratio b. Combining adolescents and adults in the same treatment unit c. Availability of academic and vocational activities d. Knowledge of the clinicians about adolescent behavior and development in addition to chemical dependency treatment |
b. Combining adolescents and adults in the same treatment unit
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What is the commonly used coding set for psychiatric diagnoses?
a. CPT b. HCPCS Level II c. ICD-10-PCS d. DSM-IV-TR |
d. DSM-IV-TR
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With regard to emergency safety interventions, such as restraint or seclusion, _________________________.
a. one week after use of such emergency safety interventions, involved staff and the patient must have a face-to-face discussion and staff must document the discussion, including how such an intervention might be avoided in the future b. there is no recognized right to be free from the inappropriate use of restraint and seclusion c. within one hour of initiation, there must be a face-to-face assessment of the psychological and physical well-being of the patient conducted by a physician or other professional qualified by special training in the use of emergency safety interventions d. CMS has rules regarding inappropriate physical restraint, but does not address chemical restraint |
c. within one hour of initiation, there must be a face-to-face assessment of the psychological and physical well-being of the patient conducted by a physician or other professional qualified by special training in the use of emergency safety interventions
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Two voluntary accreditation organizations that set standards for substance abuse treatment facilities are __________________.
a. CARF and Joint Commission b. Alcoholics Anonymous and American Psychiatric Association c. National Institute on Alcohol Abuse and Alcoholism (NIAAA) and Center for Substance Abuse Prevention d. ASAM and SAMHSA |
a. CARF and Joint Commission
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Which of the following was NOT a factor in the 2005 implementation of the inpatient psychiatric facility prospective payment system (IPF PPS)?
a. Comorbidities b. MS-DRG c. Patient age d. Assessment scores |
d. Assessment scores
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The role of the health information manager in a substance abuse treatment facility often involves serving as the confidentiality expert. Why is confidentiality of special concern in a substance abuse treatment program?
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Due to federal law, confidentiality requirements for clients being treated for mental health and/or substance abuse are more stringent in comparison to other types of outpatient rehabilitation treatment. As such, the HIM manager must stay up-to-date on client confidentiality requirements and have strict regulations for appropriate dissemination of client treatment information.
Confidentiality is of special concern because of the stigma that is attached to drug and alcohol problems. Also, there is a federal law (42 CFR) that protects the confidentiality of clients within drug and alcohol treatment programs. |
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Which of the following terms can be equally applied either to mental illness and intellectual disability in the same person or to mental illness and chemical dependency in the same person?
a. Dual diagnosis b. MIID c. Bipolar d. MICA |
a. Dual diagnosis
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The Joint Commission provides accreditation for both inpatient and outpatient mental health facilities. What manual would JC use to survey a freestanding mental health facility?
a. Conditions of Participation b. CAMH - Comprehensive Accreditation Manual for Hospitals c. CAMAC - Comprehensive Accreditation Manual for Ambulatory Care d. CAMBHC - Comprehensive Accreditation Manual for Behavioral Health Care |
d. CAMBHC - Comprehensive Accreditation Manual for Behavioral Health Care
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What is the purpose of the American Society of Addiction Medicine's (ASAM's) Patient Placement Criteria Manual?
a. To establish criteria for measuring and improving the quality of substance abuse treatment services b. To assist in the development of legislation and regulations governing the placement of patients who have been involuntarily committed to substance abuse treatment c. To assist in the development of a prospective payment system using reimbursement criteria based on the level of care in which the patient is placed d. To define levels of care and the specific criteria that should be used in placing clients in the appropriate treatment setting |
d. To define levels of care and the specific criteria that should be used in placing clients in the appropriate treatment setting
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The most common form of outpatient treatment for substance abuse disorders is _________________.
a. drug therapy b. group therapy c. individual therapy d. family therapy |
c. individual therapy
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______________________ is a legal process by which individuals who are deemed to be a danger to themselves or to others may be admitted to a treatment program even though they refuse or cannot consent to the treatment.
a. Voluntary admission b. Detention c. Incarceration d. Involuntary commitment |
d. Involuntary commitment
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What is a major continuous quality improvement focus in the behavioral health setting?
a. Discharged not final billed days b. Anemia management c. Nutritional status of patients d. Customer satisfaction and shared decision-making |
d. Customer satisfaction and shared decision-making
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Developed by the substance abuse client's treatment team, this document is used to identify the type and frequency of services needed by the client. It includes measurable goals and objectives that address the problems identified in the clinical assessment and should be updated periodically.
a. Individualized treatment plan (ITP) b. Addiction severity index (ASI) c. History and physical (H&P) d. Progress notes (SOAP) |
a. Individualized treatment plan (ITP)
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The American Society of Addiction Medicine (ASAM) Placement Criteria has four broad levels of service. What type of service is provided at a Level II?
a. Intensive inpatient treatment b. Outpatient treatment c. Residential treatment d. Intensive outpatient or partial hospitalization treatments |
d. Intensive outpatient or partial hospitalization treatments
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What four types of documentation are basic to all treatment records of individuals with mental illness?
a. History and Physical, Treatment Plan, Progress Notes and Discharge Summary b. Assessment, Treatment Plan, Progress Notes, Restraint Report and Discharge Summary c. Assessment, Progress Notes, Operative Report and Discharge Summary d. Assessment, Treatment Plan, Progress Notes and Discharge Summary (including aftercare follow-up) |
d. Assessment, Treatment Plan, Progress Notes and Discharge Summary (including aftercare follow-up)
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Wrap-around services _______________________________.
a. focus on provision of an array of community support services for persons with mental illness sufficient to allow them to live in the least restrictive environment b. represent the predominant method of mental health service delivery to children with emotional disturbances and their families, utilizing professional services tailored to meet the specific needs of the child and family, often including the home and/or school settings. c. refer to a meeting of the interdisciplinary team during which the individual program plan is reviewed and revised d. include aggressive consistent implementation of specialized and generic training, treatment, health services, and related services on a 24-hour daily schedule in an institutional setting |
b. represent the predominant method of mental health service delivery to children with emotional disturbances and their families, utilizing professional services tailored to meet the specific needs of the child and family, often including the home and/or school settings.
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What is Alcoholics Anonymous?
a. A recovery program sponsored by the American Society of Addition Medicine b. A regulation described in 42 CFR, Part 2, Confidentiality of Drug and Alcohol Abuse Records c. An employee assistance program offered by most large companies in the United States d. An organization of self-help recovery groups that utilize a twelve-step program |
d. An organization of self-help recovery groups that utilize a twelve-step program
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How frequent must restraint orders be written by the physician?
a. Every 4 hours for adults and every 2 hours for children b. Every 1 hour for adults and every 15 minutes for children c.Every 24 for adults and every 8 hours for children d. Every 4 hours for adults and children |
a. Every 4 hours for adults and every 2 hours for children
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Substance abuse treatment "services staffed by designated addiction treatment and mental health personnel who provide a planned regimen of care in a 24-hour live-in setting...." is called ______________________.
a. residential/inpatient treatment b. intensive outpatient treatment c. medically managed intensive inpatient treatment d. partial hospitalization treatment |
a. residential/inpatient treatment
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What is the role of a case manager in substance abuse treatment settings?
a. Ensures that all documentation requirements are met b. Assists the client with non-treatment activities c. Designs therapeutic recreational activities d. Oversees all treatment activities |
b. Assists the client with non-treatment activities
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On page 294 in your book is a list of the required elements for an authorization to release information from an alcohol or drug program from 42 C.F.R. Part 2, Confidentiality of Alcohol and Drug Abuse Patient Records. Name the 9 required elements.
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* Name or general designation of the program making the disclosure
* The name of the individual or organization that will receive the disclosure * The name of the patient who is the subject of the disclosure * The purpose or need for the disclosure * How much and what kind of information will be disclosed * A statement that the patient may revoke the consent at any time, except to the extent that the program has already acted in reliance to it * The date, event or condition upon which the consent expires * The signature of the patient (and/or authorized person) * The data on which the authorization is signed |
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The Diagnostic and Statistical Manual of Mental Disorders __________________.
a. uses non-unique code numbers b. is a coding system is based on SNOMED. c. was developed by the American Medical Association d. provides clear descriptions of diagnostic categories of various mental disorders |
d. provides clear descriptions of diagnostic categories of various mental disorders
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Many substance abuse agencies and treatment facilities have established employee assistance programs to serve working adults and their employers.
a. True b. False |
a. True
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What does the acronym SAMHSA stand for?
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Substance Abuse and Mental Health Services Administration
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Federal law mandates strict confidentiality guidelines for substance abuse facilities.
a. True b. False |
a. True
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42 C.F.R. Part 2, confidentiality of drug and Alcohol Abuse Records
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federal regulations that mandate strict confidentiality of drug and alcohol patient information in federally assisted substance abuse treatment programs
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Addiction Severity Index (ASI)
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a rating scale that was developed to be used by clinicians to measure the severity of a client's substance abuse problems; the ASI measures 7 substance abuse-related problem areas: medical condition, drug use, alcohol use, employment, illegal activity, social relations, and psychological findings
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Alcoholics Anonymous (AA)
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a worldwide organization of self-help recovery groups that support individuals in maintaining sobriety; AAA is based on a 12-step recovery process, and AA and other programs that follow the 12-step recovery process are sometimes referred to as 12-step programs
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CARF International (Commission on Accreditation on Rehabilitation Facilities)
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a voluntary accreditation agency that sets standards that promote "the delivery of quality services to people with disabilities" (CARF, 1994); CARF standards include a section devoted to alcohol and other drug treatment programs
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Center for Substance Abuse Prevention (CSAP)
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an agency of SAMHSA that provides national leadership for community-based substance abuse prevention programs; among other activities, CSAP administers a number of grant programs aimed at reducing the incidence of substance abuse
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clinical assessment
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a clinical assessment is conducted by a clinician for every client that enters a substance abuse treatment program; the clinical assessment is used as a basis for the client's diagnosis and individualized treatment plan
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Diagnostic and Statistical Manual of Mental Disorders, 4th edition, text revision (DSM-IV-TR)
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a classification system and nomenclature of mental disorders developed by the American psychiatric Association with a stated purpose of providing "clear descriptions of diagnostic categories in order to enable clinicians and investigators to diagnose, communicate about, study, and treat people with various mental disorders" (APA, 2000, p.xxxvii); it is also used as a coding system for mental health disorders; each diagnosis is assigned a unique code number that is based on ICD-9-CM; DSM-V is scheduled to replace DSM-IV in 2013
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dually diagnosed
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clients with both a substance abuse disorder and a chronic mental illness are considered to be dually diagnosed; these clients typically have special treatment needs
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employee assistance programs (EAPs)
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substance abuse assessment and treatment programs established through a contractual arrangement between an organization and a substance abuse treatment facility to serve the employees within an organization
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individualized treatment plan (ITP)
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a written plan developed by the client's treatment team that is used to identify the type and frequency of services needed by the client; it includes measurable goals and objectives that address the problems identified in the clinical assessment and should be updated periodically usually every 6 months) as the client's treatment needs change
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intensive outpatient or partial hospitalization treatment
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"an organized outpatient service that delivers treatment services during the day, before or after work or school, in the evening, or on weekends
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Inventory of Substance Abuse Treatment Services (I-SATS)
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a listing of all known public and private substance abuse treatment facilities in the US and its territories
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involuntary commitment
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a legal process by which individuals who are deemed to be a danger to themselves or to others may be admitted to a substance abuse (or mental health) treatment program even though they refuse or cannot consent to the treatment
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medically managed intensive inpatient treatment
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substance abuse treatment programs that "provide a planned regimen of 24-hour medically directed evaluation, care, and treatment of mental sand substance related disorders in an acute care inpatient setting; they are staffed by designated addiction-credentialed physicians, including psychiatrists, as well as other mental health- and addiction-credentialed clinicians" (ASAM, 2001, p.4)
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National Registry of Evidence-based Programs and Practices (NREPP)
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sponsored by SAMHSA, NREPP is an online searchable database of treatments and interventions that have been demonstrated to be effective for substance abuse and mental health treatment and prevention programs
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National Survey of Substance Abuse Treatment Services (N-SSATS)
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an annual survey of all substance abuse treatment facilities known to SAMHSA; N-SSATS collects facility-specific information on location, characteristics, services offered, and utilization
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outpatient treatment
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"professionally directed evaluation, treatment, and recovery services...provided in regularly scheduled sessions" (ASAM, 2001, p.2)
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qualified service organization agreement (QSOA)
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an exception to the 42 CFR, part 2 Confidentiality of alcohol and drug abuse patient records that permits disclosure of patient record information to an organization providing services to the substance abuse program, such as laboratory, data processing, bill collecting, dosage preparation, legal, medical, or accounting services; the qualified service organization (QSO) has a written agreement to provide professional services to the substance abuse program, and that agreement requires the QSO to follow the 42 CFR regulations
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residential/inpatient treatment
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substance abuse treatment "services staffed by designated addiction treatment and mental health personnel who provide a planned regimen of care in a 24-hour live-in setting...they are housed in, or affiliated with, permanent facilities where patients can reside safely; they are staffed 24 hours a day; mutually and self-help group meetings generally are available on site" (ASAM, 2001, p.3)
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Treatment Episode Data Set (TEDS)
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one of the components of DASIS, TEDS collects from states uniform data that are client specific, but not client identifiable, including demographic and substance abuse characteristics
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