Pennsylvania State Board of Physical Therapy requires every PT to complete 30 hours of Continuing Education credits every 2 years. The owner of the practice that Sally PT works for supports this requirement by providing continuing education money as a benefit to her employees. Sally PT uses this money to take a continuing education course on advanced treatment for cervical spine dysfunction.
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9. Pennsylvania State Board of Physical Therapy requires every PT to complete 30 hours of Continuing Education credits every 2 years. The owner of the practice that Sally PT works for supports this requirement by providing continuing education money as a benefit to her employees. Sally PT uses this money to take a continuing education course on advanced treatment for cervical spine dysfunction.
Following the course, Sally evaluates a patient with cervical spine radiculopathy. Sally is able to develop a plan of care based on the techniques taught at the course she attended that was paid for by her employer. Sally’s patient achieves pain free ROM and can perform all ADLs without limitation within 4 weeks.
In this example, what element of the health care system facilitated Sally’s ability to provide effective care for her patient and the patient’s optimal functional outcomes:
Group of answer choices
A. Resources
B. Delivery System
D. Governance and Management
13. Ash PT has worked for 10 years in a hospital in a rural setting with a large elderly population. As a result, most of Ash’s patient cases are over 60 years old. Ash has developed expertise for working with a geriatric population. And the PT department has focused their resources on program development for a geriatric population.
Ash evaluates a 6 year old boy after he gets his cast removed following a tibia fracture. The closest pediatric hospital PT department is 2 hours away. Ash treats the boy but because the area in which she lives and works is mostly a geriatric population she is not very skilled with pediatric patients. Ash’s treatment plan is not very effective and efficient and the boy is discharged without returning to full functional ability.
What is the underlying element that contributed to a lack of resources for the boy to achieve his optimal functional outcomes:
Group of answer choices
A. Resources
C. Market
D. Governance and Management
15. In Joe PTs SNF Rehabilitation department:
PTs complete evaluations, re-evaluations and discharge summaries and write functional goals related to standing balance, trunk control and lower extremity function.
PTAs carry out the plans of care established by the PTs.
OTs complete evaluations, re-evaluations and discharge summaries and write functional goals related to sitting balance, trunk control and upper extremity function.
COTAs carry out the plans of care established by the OTs.
SLPs complete evaluations, re-evaluations and discharge summaries and write functional goals related to communication and feeding.
Patient transporters are given patient schedules to bring patients to and from the gym to save the therapists from wasting time getting patients to therapy.
Admin support staff remind all therapists when paperwork is due to update patient progress.
The director and assistant director of rehab coordinate case reviews to monitor patient progress and discharge status.
This coordination of care and the way the department operates is a component of what element of the health care system:
Group of answer choices
A. Resources
B. Delivery System
C. Market
16. Joe PT works in a skilled nursing facility (SNF) who’s patient population is mostly covered by Medicare insurance plans. As a result, the SNF follows the specific guidelines, rules and regulations established by Medicare for patient management.
Joe has a patient that recently had a total hip replacement. Following his initial examination, Joe established goals for the patient using functional outcome measures. He completes his weekly progress notes required by Medicare guidelines which keeps Joe’s treatment plan on track, and his patient meeting his goals in a timely way.
In this example, what element of the health care system is facilitating the patient achieving his goals and outcomes:
Group of answer choices
A. Resources
C. Market
D. Governance and Management
17. Mary PT works for a large entrepreneurial health system that has state of the art facilities including a full gait lab, a large therapy gym with body weight supported gait training equipment, and an aquatic therapy pool with a patient lift.
Mary evaluates a 12 year old boy with cerebral palsy. Mary is able to do a thorough gait analysis in the gait lab, implement a treatment plan which includes aquatic therapy for some maximal total body resistance exercise, and gait training with progressive body weight support and loading. In 12 weeks the patient improves his GMFM score, shows an reduced Energy Expenditure Index, and an improved PedsQL Quality of Life outcome measure.
The facilities and technology available to support this plan of care are an example of what element of the health care system
Group of answer choices
A. Resources
B. Delivery System
D. Governance and Management
24. Bodenheimer describes financial and nonfinancial barriers as the two major categories impacting access to care. From a financial perspective, what is likely a most important key factor impacting access to care:
Group of answer choices
A. Income level
B. Having or not having health insurance coverage
C. Socioeconomic status
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