WGU D046 Care Coordination 101 Latest 2023 Already Graded A

WGU D046 Care Coordination 101 Latest 2023 Already Graded A Health 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