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3 Major Components of Excellence - Answer -Cultural
Operational
Strategic
A good IPOC address all the following - Answer -1. Assessment
2. Treatment goals
3. Competent activities
4. Recording
5. Measures of progress and a time schedule for improvement
6. Danger signals and counterindications
Acute Care - Answer -Acute care is a branch of secondary health care where a patient receives
active but short-term treatment for a severe injury or episode of illness, an urgent medical condition, or
during recovery from surgery. In medical terms, care for acute health conditions is the opposite from
chronic care, or longer term care.
Ambulatory Care - Answer -Ambulatory care or outpatient care is medical care provided on an
outpatient basis, including diagnosis, observation, consultation, treatment, intervention, and
rehabilitation services. This care can include advanced medical technology and procedures even when
provided outside of hospitals.
Case Management uses expanded IPOCs for complex problems, such as - Answer -Multiple
concurrent conditions, and expensive chronic diseases, such as end-stage heart failure and multiple
sclerosis
Clinical Practice Guidelines - Answer -Systematically developed statements to assist practitioner
and patient decisions about appropriate health care for specific clinical circumstances
Community Health - Answer -A focus on sustaining all members of a community at their highest
possible level of functioning for their individual happiness and their collective benefit
Community Hospital - Answer -A short-stay general or specialty (e.g. Women', children's, eye,
orthopedic) hospital, excluding those owned by the federal government
Components of a Healthcare organization - Answer -1, caregiving team
2. Clinical support teams
, 3. Logistic support teams
4. Strategic support teams
Credentialling - Answer -The process of validating a professional's eligibility for medical staff
membership and/or privileges to be granted on the basis of academic preparation, licensing, training,
certifications, and performance
Diagnosis, the process of determining the nature of disease.... - Answer -Drives all of evidence-
based medicine
Diagnostic excellence requires two kinds of knowledge - Answer -Rapid communication of
patient's current needs
Understanding of clinically indicated responses
Federal Managed Care regulations at 42 CFR 438 recognize four types of managed care entities: -
Answer -Managed Care Organizations (MCOs)
Primary Care Case Management (PCCM)
Prepaid Inpatient Health Plan (PIHP)
Prepaid Ambulatory Health Plan (PAHP)
Functional protocols - Answer -Procedures and sets of activities to carry out elements of care
-are a major contribution to patient safety
Functions of a clinical care organziation - Answer --Ensuring an accurate diagnosis
-Ensuring excellence--safe, effective, patient-centered, timely, efficient, and equitably care
-Individualizing patient care planning and treatment
-Improving community health
-Improving clinical performance
Good functional protocols have the following compenents - Answer -Authorization
Indication
Counterindications
Required supplies, equipment, and conditions
Actions
Recording
Follow-up
HCO Contribution to Excellent Care - Answer -Safe