Home Health Aide Exam Review
Questions and Answers
Providers - Answers -Are people or organizations that provide health care, including
doctors, nurses, clinics, and agencies.
facilities - Answers -are places where care is delivered or administered, including,
hospitals, long-term care facilities or nursing homes, and treatment centers.
Payers - Answers -people or organizations paying for healthcare services
long term care (LTC) - Answers -facilities, also called "nursing homes," "skilled nursing
facilities," and "extended care facilities" are for people who need 24-hour skilled care.
Skilled care - Answers -is medically necessary care given by a skilled nurse or therapist.
Lo0ng-term care assists those with on-going conditions
Assisted living - Answers -facilities are residences for people who need some help with
daily care, such as showers, meals, and dressing
(HHA typically work here)
Adult day services - Answers -are for people who need some help and supervision
during certain hours, but who do not live in the facility where care is provided
Acute care - Answers -24-hour skilled care given in hospitals and ambulatory surgical
centers for people who require short-term, immediate care for illnesses or injuries
Subacute care - Answers -Is care given in a hospital or in a long term care facility. It is
used for people who need less care than acute (sudden onset short-term) illness, but
more care than for a chronic (long-term) illness.
Rehabilitation - Answers -is care given by specialists. Physical, occupational, and
speech therapists help restore or improve function after an illness or injury.
Hospice Care - Answers -is given in facilities or homes for people who have
approximately six months or less to live
traditional insurance companies - Answers -offer plans that pay for the heath care of
plan members. Most people covered by traditional insurance are part of plan at their
place of work. The costs are paid for by the employer, the employee, or shared by both.
,Health Maintenance Organization (HMO) - Answers -Alternative means of health care in
which people or their employers are charged a set amount and the HMO provides
health care and covers hospital costs. You must use a particular doctor or group of
doctors except in the case of an emergency.
Preferred Provider Organization (PPO) - Answers -a group of doctors and hospitals that
agree to provide health care at rates approved by the insurer
Managed care - Answers -Cost-control strategies for health care (HMOs and PPOs).
They replace traditional insurance plans.
Medicare - Answers -A program added to the Social Security system in 1965 that
provides hospitalization insurance for the elderly and permits older Americans to
purchase inexpensive coverage for doctor fees and other health expenses.
(4 Parts)
A: Helps pay for care in hospital or skilled nursing facility or for care from a home health
agency or hospice.
B: Helps pay for doctor services and other medical services and equipment
C: Allows private health insurance companies to provide medicare benefits.
D: Helps pay for medications prescribed for treatment.
-Covers more than 43 million people
-Pays for 37% of all home care
-Only pays for services if medically necessary
-Usually people that just got home from the hospital
Medicaid - Answers -Is a medical assistance program for low income people. It is
funded by both the federal government and each state. People must qualify for this
program.
When were the first home health aides hired? - Answers -During The Great Depression
in the 1930s, women were hired as "housekeeping aides." They were paid by the
government. Once the program discontinued, some aides continued to work for local
family and children services, which provided services to families in need.
In 1959... - Answers -A national conference on homemaker services was held. It was
clear that there was a great need not only for homemaker or housekeeping services, but
for personal, in-home care for sick people.
In 1965... - Answers -The Medicare program was created. Because many Medicare
recipients need home care, home health services have been growing ever since.
Medicare first began referring to home makers as "home health aides."
, What are the basic methods of payment for home health services? - Answers -1.
Medicare
2. Medicaid
3. State and local governments
4. Insurance company
5. Individual client or family
Home Health Agencies - Answers -businesses that provide health care and personal
services in the home.
What are some of the healthcare services that are provided by home health agencies? -
Answers -nursing care, specialized therapy, specific medical equipment, pharmacy,
intravenous (IV) products, and personal care.
Home Health Aide (HHA) - Answers -performs assigned tasks, such as taking vital
signs, and provides or assists with routine personal care, such as bathing clients or
preparing meals. Spend the most time with clients than other members of the health
care team. They act as the "Eyes and ears" of the team.
Case Manager/Supervisor - Answers -Usually a registered nurse, a case manager, or
supervisor is assigned to each client by the home health agency. They create the basic
care plan for each client. Monitors any changes that are observed and reported by the
HHA.
Registered Nurse - Answers -In a home health agency, a RN coordinates, manages,
and provides care. RNs also supervise and train home health aides. They develop the
home health aide plan of care, or assignments. Graduated from two/four year nursing
programs and passed a licensing exam.
Physician or Doctor (MD or DO) - Answers -Diagnoses disease or disability and
prescribes treatment
Physical Therapist (PT) - Answers -evaluates a person and develops a treatment plan
to increase movement, improve circulation, promote healing, reduce pain, prevent
disability, and help the resident regain or maintain mobility
speech-language pathologist (Speech therapist) - Answers -identifies communication
disorders, addresses factors involved in recovery, and develops a plan of care to meet
recovery goals.
Occupational Therapist (OT) - Answers -Helps residents learn to adapt to disabilities by
training residents to perform ADLs and other activities
activities of daily living (ADLs) - Answers -basic self-care tasks such as eating, bathing,
toileting, walking, and dressing