Centers for Medicare and Medicaid Services (CMS), the Institute ...

[P68T]

Centers for Medicare and Medicaid Services (CMS), the Institute of Medicine, and the Joint Commission have developed standards to address areas of concern for older hospitalized adults.
 
  Which of the following situations is of particular concern for an older adult with a hospitalization requiring complex care?
 
  A) Transitions in care
  B) Hospital-acquired respiratory infections
  C) Need for geriatric care manager
  D) Placement in an acute care for elders unit

Question 2

A client in the skilled nursing facility refuses rehabilitation services 5 out of 7 days. An administrator tells the client that they will be transferred to the intermediate care unit.
 
  The client states, Medicare is paying my bill; you can't transfer me. Which of the following is the best response by the nurse administrator?
 
  A) You are making good progress it's time to move to the intermediate care unit.
  B) We don't accept Medicare clients in the skilled unit.
  C) Oh, I wasn't aware; you will be staying here.
  D) Medicare will only pay as long as you continue to make progress toward your goals.

[lkoler]

Answer to Question 1

Ans: A
CMS, the Institute of Medicine, and the Joint Commission have placed a high priority on the issue of older adults with complex medical problems who transfer between care settings, because they are particularly vulnerable to experiencing problems. Geriatric care managers and acute care for elders unit assist with this issue. Hospital-acquired urinary tract infections and wounds not respiratory infections are prevalent.

Answer to Question 2

Ans: D
Medicare and other insurance programs will cover all or part of the care for up to 100 days of care, but only as long as the person continues to require the skilled level of services. The expectation is that the person will be able to progress to a higher level of functioning and show some recovery from the acute episode.