ACMA Certification Exam- Terms and Definitions

ACMA Certification Exam- Terms and Definitions Pay-for-perfomance Hospitals reimbursed based on performance Value-Based Purchasing, Reasmissions, hospital acquired conditions 3 Major Pay-for-performance Programs Value based purchasing Hospitals can receive a financial bonus for strong performance Clinical Care Outcomes, Patient Experience, Efficiency, Safety, Clinical care process (Core Measures) 5 Domains of Value Based Purchasing Mortality Clinical care outcomes places a heavy emphasis on _________. MSPB (Medicare Spending per Beficiary Term for how Medicare determines a hospitals Efficiency 3 days prior to admission to 30 days post discharge. MSBP (Medicare Spending per Beneficiary) comprises the cost of care from what time frame? Patient Safety Indicators (PSIs) and infection rates Medicare measures safety using _________. A tool that can measure Readmission risk Society for Hospital Medicines Project Boost Risk Assessment (8Ps) Society for Hospital Medicines Project Boost Risk Assessment (8Ps)- Measures Readmission Risk 8Ps is A tool that can measure Readmission risk The LACE Index is ________. A tool that can measure Readmission risk AHRQ Project Red Toolbox severity of illness, identify factors that put the pt at higher risk for readmission. Readmission risk tools assess are _____? Identifying pt/family goals, determine expected level of care (input v outpt), identify appropriate post-acute options (allowing to get auth before procedure) Preadmission assessment includes Past medical History, Family History, Medications, Recent hospitalizations/surgeries, identify patient goals, Presence of advance directive, identification of next of kin, Durable POA, current living situation, Details regarding language and learning style, Preferred DC destination Nursing admission assessment includes the degree to chick pts have capacity to obtain, process and understand basic health info and services needed to make health decisions Teach-back or having pt read something and then explain to you Assess Health Literacy by______ Title VI of the Civil Rights act added in 1980 Law that medicare and medicaid cannot discriminated based on LEP (limited English proficiency)