HS 320 Exam 2 Actual Questions And Correct Detailed Answers 100% Verified.

What is Chronic Disease Care Management? - correct answer Means many different things to different people Includes: Resource coordination Utilization management Follow-up Patient education Clinical management Health care delivery system exists within - correct answer communities Lots of stakeholders with interests such as - correct answer Patients Employers Public health/government Community groups Educational system Payers (Insurers, Federal govt) Chronic disease affects certain populations disproportionately represented - correct answer elderly obesity ethnicity socio-economic depressed Delivery System Design Levels - correct answer -Regional/national level: Macrosystem -Medical Care Organization: Mesosystem -Practice Level: Microsystem Why is alignment required? - correct answer for breakthrough improvement in community health Microsystem frustration: Patients - correct answer waits and discontinuities don't receive proven services feel they aren't being heard microsystem frustration: Providers - correct answer feel they have little control over their work life stressed by demands for productivity despite older sicker clientele Chronic Care Model - correct answer *look at slides* Delivery System Design - correct answer Define population of patients Define roles and distribute tasks amongst team members. Use planned interactions to support evidence-based care. Provide clinical care management services. Ensure regular follow-up. Give care that patients understand and that fits their culture Collaboration is needed to - correct answer improve outcomes and reduce disparities need collective accountability To improve outcomes in chronic illness - correct answer Patients must be prescribed and taking proven therapies Patients must be managing their illness well model slides - correct answer look at them Primary care visits - correct answer 50-70% are largely informational or informative (including check-backs for chronic illness care) yet they are organized like acute visits US average is 16.3 minutes Patients are given an average of 20 seconds to tell their story before they are interrupted How to recognize a productive interaction - correct answer Assessment of self-management skills and confidence as well as clinical status Tailoring of clinical management by stepped protocol Collaborative goal-setting and problem-solving resulting in a shared care plan Active, sustained follow-up features of effective care management - correct answer Regularly assess disease control, adherence, and self-management status Either adjust treatment (best practice) or communicate need to physician immediately (less effective) Provide self-management support Provide more intense follow-up Assist with navigation through the health care process health care organization slide - correct answer look at slide! task distributions - correct answer see slides! Team meetings - correct answer Regular intervals All members of care team Agenda: Old business New Business What isn't working? Opportunities for excellence? Use planned interactions to - correct answer support evidence-based care Planned visit - correct answer an encounter with the patient initiated by the practice to focus on aspects of care that typically are not delivered during an acute care visit. Planned care elements can be inserted into acute visits if needed (small practices, patients refusing to come in for planned care, etc.) All visits contain elements of both (patient agenda/clinician agenda) The more planned care functions done by other members of the team, the more time for the patient agenda in the exam room ((improves clinician-patient relationship, higher patient satisfaction) What does a planned visit look like? - correct answer The provider team proactively calls in patients for a longer visit (individual or group) to systematically review care priorities. Visits occur at regular intervals as determined by provider and patient. Team members have clear roles and tasks. Delivery of clinical management and patient self-management support are the key aspects of care. Patient outreach - correct answer Have receptionist or provider call patient and explain the need for planned visit using script explaining different nature of visit Personal appeal by clinician works best Ask patient to bring in bag of all medications they are taking (including OTCs and herbals) Preparing for the visit - correct answer Team Huddle" at start of clinic session RN/LPN/MA prints any relevant patient summaries from registries and attaches to front of chart MD reviews medications/labs prior to visit The visit - correct answer Ask patient open-ended questions "How's your health? Any issues you want to discuss? Review patient's data Identify interventions, labs, referrals and self-management needs Problem solve adherence/other issues with patient Create an patient action plan (if indicated) Schedule follow-up Philosophy of Chronic Disease Management Model - correct answer Focus on Motivation, Consultation and Education Timing of Interventions is Important Well-structured and Supported Groups Benefit Most What's needed to improve chronic illness care for the population? - correct answer Build a regional healthcare "system Collaboration and Leadership Measurement (& incentives) Infrastructure Active program of practice change The goal is to transform health care delivery across - correct answer a region cancer is the ____ most common cause of death in the U.S. - correct answer 2nd cancer is a group of over 100 diseases characterized by - correct answer uncontrolled cell division, hyperplasia (different cells), local tissue invasion, metastasis Cancer: Egyptians - correct answer Distinguished benign tumors from malignant ones Had different treatments for cancer including surgery and medication Hippocrates credited with naming "cancer" as carcinoma because - correct answer tumors looked like a crab. (Karkinoma is Greek for Crab) During the 1500 and 1600 centuries cancer was explained as the result of - correct answer an excess of black bile. 17th century with the discovery of the lymph system, - correct answer it was theorized that lymph abnormalities were the primary cause of cancer 18th century established experimental oncology looking for - correct answer causes, diagnostic clues and treatments for cancer Late 19th century: Microscopes aided in the examination of cells and their activity - correct answer Cancer cells were found to have varying morphology 20th century established oncology as a science - correct answer Cancer research in Cell culture Carcinogens Diagnostic techniques chemotherapy Michigan has a higher cancer rate versus the national cancer rate - correct answer true cell cycle - correct answer *look at slides* Many think of cancer as a single condition, although it consists of - correct answer more than 100 different diseases Characterized by uncontrolled growth and the spread of abnormal cells What is cancer? - correct answer A