WGU D046 Care Coordination 101 questions and correct answers 2022

WGU D046 Care Coordination 101 questions and correct answers 2022Health literacy a person's capacity to learn about and understand basic health information and services, and to use these resources to promote one's health and wellness Quadruple Aid 1. Improved patient experience 2. Improved physician experience 3. Lower cost of care 4. Improved patient outcomes Accountable Care Organization (ACO) New type of health care organization incentivized to improve quality of care, improve population health, and reduce the total cost of care. relational coordination Frequent effective horizontal coordination and communication carried out through ongoing relationships of shared goals, shared knowledge, and mutual respect. Cold Transfer Patients are transferred on for additional care or services with an individual or entity with whom the referring caregiver has no prior rapport or working relationship What often happens with a cold transfer? Patients try to follow up on referrals while they do not have a clear understanding of why additional service is important to their health Clinical community linkages Resources that help to connect health care providers, community organizations, and public health agencies so they can improve patients access to preventive and chronic care services Clinical Decision Support Patient medical history and other data Computerized Disease Registries Provide key information to providers for clinical decision-making Computerized provider order entry (CPOE) Used for the entry of patient treatments to initiate care at the point of service Consumer health IT application Online resources or provider websites that provide information for patients concerning their care Electronic medical record systems Electronic databases used to enter and store patient information such as demographic data, allergies, health history, medical treatment orders and medication administration orders Electronic prescribing Electronic systems used to transmit prescriptions electronically to a patients pharmacy of choice Telehealth Web based resource for patients to counsel with a health care providers concerning their healthcare needs, both for scheduled visits and for general advice related to medical, behavior health or medication use Clinical reasoning Every health care provider evaluates a patients info, history and treatment plan for a different perspective. Effective teams then pool resources to make both independent and shared decisions for each patients care Care coordination models designed to improve the continuum of care for patients with complex medical history and care needs AIMS model Helps to address both the medical and nonmedical needs of adult patients through 2 steps: patient engagement, assessment & care plan development, case management and ongoing care as needed Engagement phase in AIMS model allows care coordinators the opportunity to interact with the patient and their family; ensures questions are answered and provides guidance Assessment & care plan in AIMS model allows coordinators to identify social and environmental factors that may affect medical plan adherence and health care outcomes Case management phase Ensures the patient stays on track and has the support he/she needs. This includes monitoring goal progress; offering support; and modifying care plan as needed Wraparound Model Provides team based care coordination for children and youth with complex behavioral health needs Motivational interviewing strategy aimed at persuading patients and using positive reinforcements to maintain adherence with treatment plan and follow through on appointments throughout care transitions warm transfer transfer that was preceded by contact by a member of the care team 3 levels of change talk Desire to change; ability to change; need to change Commitment talk Expressed at the end of a motivational interviewing session, this seals the patient's commitment to a care management goal Health Catalyst Care Management Suite host applications that can support the motivational interviewing process and help care managers optimize patient engagement Collaborative relationship Care teams work in partnership with the patient and family in planning care Effective communication Verbal or nonverbal exchanges establish trust with the patients; including actively listening, using simple language and an unhurried demeanor Respectful care Responsive to and accepting patients beliefs and values; open-minded Holistic perspective Planning and delivering care based on knowledge of the multiple facets of the person and family Individualized care Tailoring care plans and care delivery to the needs and wishes of patients and families interprofessional coordination Multiple people working together as a synergetic team that addresses patient/family needs Self-awareness Demonstration of self-reflection to gain understanding of ones own assumptions and becoming open to beliefs and values other than ones own Empowerment Providing patients or caregivers important health information and encouraging them to participate in their care