OTD 417 Exam 2 Part 2 Questions with 100% Correct Answers

Triple Aim Correct Answer - improving individual experience of health care - improving health of population - reducing per-capita cost of care Current goals of CMS Correct Answer - compensation based on pt complexity - reduce therapy delivery based on financial consideration rather than need - maintain simplicity - movement toward value-based care - movement toward quality IMPACT act of 2014 Correct Answer - address post-acute arenas (SNF, HH, IRF) - optimize quality - data collection and standardization of data measures to better coordinate care and payment - considers patient characteristics not care setting and considers more complicate patient - section GG came out value-based purchasing Correct Answer - shift from payment for volume to paying based on quality of care parameters - paid for good care, lose money for poor care - facilities who lose money support those who are doing well - controlling costs behind programs - happening with hospitals, private practice with Medicare B and demonstration projects with HH Change in practice due to trends Correct Answer - more standardization of care - encouragement of evidence-based practice - demonstration of addressing value metrics - facilities want staff who can work toward quality measures Accountable care organization Correct Answer - integrated network - coordinated care with better accountability for quality, costs and outcomes - emphasis on chronic care management - OT role: focus on QOL - newer generations developing based on population health Medical homes Correct Answer - primary care model/physician directed - different than ACO's: single physician-directed practice coordinates care - interprofessional team-driven - patient centered - coordinated care: enhances quality and saves money - includes all aspects of HC system - focuses on high (complex) patients