True or False: Kaiser Permanente offers a Medicare Senior Advantage and Medicare Advantage plan. Both plans provide members with a comprehensive set of
... [Show More] benefits. These plan offerings are based on the Kaiser Permanente Market service area. - answer True
Fill in the blank. Kaiser Permanente Senior Advantage is a _ plan. - answer MAPD
Kaiser Permanente Washington and Mid-Atlantic States offer which Medicare Advantage plans? - answer Both Medicare Advantage with and without Prescription Drug coverage.
KPSA and MA members are expected to obtain their health care: - answer Only at a Kaiser Permanente or contracted health care facilities or pharmacies (except for certain urgent care and emergency-related services)
To be eligible for KPSA and MA , an individual must: - answer Be entitled to Medicare Part A and enrolled in Medicare Part B
To be eligible for KPSA and MA, an individual must: - answer Permanently reside within the KP Medicare service area.
Advantage plus is an optional supplemental plan that - at an additional monthly premium. - answer Provides extra benefits (such as vision, dental, and/or hearing coverage)
In CA, this plan is named the Medicare Medi-Cal plan. Senior Advantage Special Needs Plan members who lose their Medicaid Status can maintain their KP membership by submitting an abbreviated election for for enrollment into the Senior Advantage Individual Plan.
The form must be submitted within - days. - answer 120
To be eligible for the Senior Advantage Special Needs plan, an individual must already have -. - answer Both Medicare Part A, Part B, and Medicaid
Individuals with Medicare and Medi-Cal qualifies for a Special Election Period and can enroll or disenroll -. - answer Once per quarter during the first 3 quarters of the year.
At Kaiser Permanente, -- apply to the MOOP (max out of pocket) - answer all Medicare covered services (Parts A&B)
What is the correct Prescription Drug Coverage tier for: Non-preferred Brand name drugs? - answer Tier 4
What is the correct Prescription Drug Coverage tier for: Non-preferred Generic Drugs? - answer Tier 2
What is the correct Prescription Drug Coverage tier for: Injectable Part D vaccines? - answer Tier 6
What is the correct Prescription Drug Coverage tier for: Preferred Generic Drugs? - answer Tier 1
What is the correct Prescription Drug Coverage tier for: Specialty Tier - answer Tier 5
What is the correct Prescription Drug Coverage tier for: Preferred Brand name drugs? - answer Tier 3
Under KP's Medicare Prescription Drug Benefit, injectable Part D vaccines are covered at no charge: - answer At any coverage stage (in most plans)
You are looking up the cost sharing for a member's prescription. After finding the drug tier level in the formulary, you will look up the cost in the: - answer Summary of benefits
Lower copays for selected chronic condition drugs are in - (in most plans) - answer Tier 1, preferred generic
When was Kaiser Established - answer 1945
How many members dose Kaiser have - answer 11.8 million
What is the Kaiser Mission Statement - answer Kaiser Permanente exists to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve.
How many hospitals does Kaiser have - answer 39
How many medical offices does kaiser have - answer 680
- answer We strive to achieve clinical excellence by giving our patients the best possible care and service from top doctors.
What does Palliative care mean - answer Palliative care is a term derived from Latin palliare, "to cloak." It refers to specialised medical care for people with serious illnesses. It is focused on providing people with relief from the symptoms, pain and stress of a serious illness — whatever the prognosis.[12] The goal is to improve quality of life for both the sick person and the family as they are the central system for care.
What does your discernment process look like? - answer My discernment process entails taking an in-depth look at the patient's spiritual makeup with the goal of identifying potential areas of spiritual concern and determine an appropriate spiritual care plan. I listen carefully to the patient in an effort to find out their needs, hopes, and resources to assist in their healing and wellbeing
Cardiac Conduction Pathway System
SA node> AV node> Bundle of His> Left and Right bundle branches> Purkinjie fibers
Pacemakers of the heart
♥ Natural: SA Node = 60-100 beats/minute
♥ Backup: AV Node = 40-60 beats/minute
♥ Backup: Purkinje Fibers (ventricles) = 20-40 beats/minute
Brainpower
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SA Node
• Intrinsic Pacemaker of the heart
• Rate 60-100 beats/min
• RA (Right Atrium), close to SVC (Superior Vena Cava)
• Blood supply from RCA (Right Coronary Artery) & LCA (Left Coronary Artery)
Interatrial/Internodal Tracts
Transmits impulses from the SA node to the AV node through the RA & LA
AV node
• Slows conduction (40-60 beats/min)
• Physiologic delay allows atrial kick on floor of RA near tricuspid valve
Bundle of His
Bundle of cardiac muscle fibers that conducts the electrical impulses from the AV node in the right atrium to the septum between the ventricles and then to the left and right ventricles.
bundle branches
Right and Left (Left anterior & Left posterior fascicles)
Purkinjie Fibers
Fibers from Bundle Branches imbedded into the ventricle walls.
Depolarization vs Repolarization
Depolarization – electrical excitation of the cell membrane, normally followed by mechanical contraction
Repolarization – return of cell membrane to its resting state, normally followed by mechanical relaxation
Electrical and mechanical activity of the heart
♥ The heart has two activities that are performed rhythmically: electrical activity followed by mechanical activity
♥ Electrical activity always precedes mechanical activity
♥ It is possible to have electrical activity without mechanical response
♥ Always check the patient - Do Not Depend on the Machine!!!
Measurement of the boxes in the ekg
♥ A standard ECG is printed at 25mm per second or 25 small squares per second. Since one second divided by 25 small boxes, then each 1 mm box = 0.04 seconds. The larger boxes indicated by the heavier lines are equal to 0.20 seconds.
♥ Voltage is measured along the vertical axis and is expressed in millivolts (mV). The standard calibration is that a 1 mV signal produces a 10-mm deflection (0.1 mV=1mm). Simply put 10 small squares vertically is equal to 1 millivolt
EKG waveforms and intervals
♥ P wave – rounded with upright deflection in lead II, atrial depolarization
♥ PR interval- delay @ AV junction
• measure from beginning of P wave to beginning of QRS
• Normal duration 0.12 – 0.20 seconds •
S wave – Negative deflection following the R-wave
♥ QRS complex – multiple components, Ventricular depolarization, - 0.06 –0.11
• Q wave – first negative deflection after P wave R wave
• Positive deflection after the Q
♥ J point - marks where the QRS complex ends and the ST segment begins
♥ ST segment – normally isoelectric line between QRS and the beginning of the T wave
♥ QT interval – beginning of the QRS complex to the end of the T wave; changes with heart rate, usually half of the R to R interval. beginning of vent activation through Ventricular depolarization. 0.44 –0.48 (Rate dependent)
♥ T wave - follows the QRS; typically, larger than the P wave and slightly asymmetric; Ventricular repolarization
♥ U wave – not usually seen, may be due to hypokalemia or digitalis toxicity [Show Less]