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permanent or long-term purchases, typically any item above a fixed amt. (i.e $500). |
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daily financial activity of a program or service. |
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Costs related to OT service provision i.e. salaries, benefits, office supplies and tx equipment |
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cost shared by settnig as whole such as utilities, housekeeping and marketing |
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same expense even when services provided changes i.e. rent |
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change in direct proportion to amoutn of services provided (i.e. splinting material) |
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debts within a budget, indicates payments due for services rendered (to landlord, equipment supplier etc.) |
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assets within a budget- payments oewd to program (consultation fees |
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Continuous Quality Improvement (CQI) |
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Definition
a system oriented approach that views limitations and problems proactively as opportunities to increase quality. Prevention is emphasized |
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Total Quality Management (TQM) |
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Creation of an organizational culture that enables employees to contribute to an environment of continuous improvement to meet or exceed consumer needs |
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Performance Assessment and Improvement (PAI) |
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a systematic method to evaluate the appropriateness and quality of services- utlizes interdisciplinary approach, cient-centered, organizational ethics, improved organizational performance, leadership and management are emphasized |
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a plan to review the use of resources within a facility. (medical necessity and cost efficiency) |
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Professional review organization |
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groups of peers who evaluate the appropriateness of services and quality of care under reimbursement and/or state licensure requirements. |
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evaluation of proposed intervention plan that specifies how and why care will be provided-- used by third party payers |
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evaluation of ongoing intervention program during hospitalization/outpatient/ home care- often component of CQI/ PAI systems |
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Definition
audits of medical records after intervention was rendered |
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Term
First step of program evaluation |
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Definition
Describe program objectives/goals to determine outcome criteria |
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Methods of collecting data for program evaluation |
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Definition
review charts/direct observation, safety checklists/incident reports, surveys of family and/or staff, initial, d/c, follow-up assessments review statistics of cost and service volume. |
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Definition
Acute care hospital, hospice, home-health, SNF. Prospective payment given via DRG. |
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Outpatient. Must be prescribed by physician with physical or psychiatric dx. |
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OT in SNF- Medicare coverage |
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Only if person needs daily skilled rehab. Also provided for designing of maintainence plan/ re-evaluation of plan (as well as caregiver training). |
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If individual is home-bound and skilled nsg, PT or ST began before OT began. OASIS (Outtcome and Assessment Information Set must be completed to verify person's eligibility. |
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DME requirements for medicare |
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Definition
Repeated use, primarily and customarily used for medical purpose, generally not useful to person in absence of illness/injury. Does NOT include grab bars, self-help items, and raised toilet seats/ tub benches. Commode is included. |
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Definition
Starting with a theory and testing that theory , deriving conclusions based on statements assumed to be true (if a = b and b= c then a = c) |
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Developing a theory from data collected, involves synthesizing information to generate theory |
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reporting a relationship when none exists. Often occurs with designs with no control group. |
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Failure to report a relationship when one exists. Often occurs with designs with small n, |
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Semantic differential survey |
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Definition
point scale with opposing adjectives at two extremes, measuring affective meaning |
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Guttman scale rank ordering |
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Definition
placing a numbe alongside a listof items indicating order of importance |
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Measures of central tendency |
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Definition
determination of average or typical scores (mean, median) |
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Definition
determiniation of spread of scores (range, SD) |
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Standard error of measurement |
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Definition
estimate of expected errors in individual's score |
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Alpha-level test of significance |
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Definition
p-value frequently .05 or .01. Basically, only 5 times out of 100 would this score occur randomly. |
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Definition
parametric test of significance used to compare two group means and identify selected probability level (.05) (pre/post tests) , includes Wilcoxon Rank Sum test and Mann-Whitney |
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Definition
parametric test used to compare two or more treatment groups at selected probability level |
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Definition
parametric test used to compare two or more treatment groups while controlling for effects of intervening variables (i.e. comparing UE reach using 2 types of assitive devices while controlling for different arm lengths (group 1 short arms , group 2 long arms) |
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Definition
less powerful than parametric stats, includes test of significance for nominal or ordinal data, includes chi-square test |
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Definition
nonparametric test of signifcant to compare data in form of frequency counts occurring in two or more treatment categories (how many are men/women) |
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Pearson product-moment coefficient (r) |
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Definition
Used with interval and ratio data, used to measure relationship, often to measure reliability , can be used on group or individual scores |
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Spearman's rank order coefficient (rho) |
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Definition
nonparametric test used to correlate ordinal data , equivalent of pearson but with nonparametric data. Used to determine relationship two sets of ranking |
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Intraclass correlation coefficient (ICC) |
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Definition
reliability coefficient based on analysis of variance (used with smaller n's?) |
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Definition
representation of degree that variation in one variable is attributable to another variable |
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credibility or truth to finding, measured what it was designed to measure |
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transferability- findings can be applied to general population outside of study |
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consistency and dependability-- results can be found repeatedly |
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