QUESTION AND ANSWERS LATEST 2024-
2025
- desgined to support properly coordinated care within a network (ensure patient
care is coordinated and get right care at the right time with goal of avoiding
unnecessary duplication of services and preventing medical errors)
- Successful ACOs share savings with Medicare Program
- create a more integrated system that can coordinate better and improve quality
and managing costs created by ACA
,- give APRN opportunity to demonstrate ability to diagnose, manage, and
coordinate care for every type of patient population
- shared savings program for ACOs 1. consumer assessment of health care
providers and systems (CAHPS) 2. care coordination and patient safety 3.
preventative health 4. at risk populations
Leadership models - CORRECT ANSWER-- most are based on leaders having ability
to understand themselves
- selfwareness model (goleman) four skills that lead to improve leadership
effectiveness 1. self awareness 2. self management 3. social awareness 4.
relationship management
- transformational model(convey) is the seven habits of highly effective
people/8th habit 1. be practice, take initiative, choose your response 2. begin
with the end in mind, define success 3. put first thing fitst, personally manage
yourself 4. think win-win with a willingness to cooperate 5. seek first to
understand and then to be understoon 6. synergies the whole is greater than the
sum of its parts 7. sharpent the saw and renew your physical, mental, spiritual,
and social dimensions 8. find your voice and inspire others to find theirs
- model that addresses system change and innovation (Henry) focus on individuals
are free to act in interconnected but not predicatable ways and one persons
actions lead to changed in the context for others
Collabortation - CORRECT ANSWER-- true partnership in which there is a valuing
of expertise, power, and respect for all members
- recognize and respect all participants sphere of activity and responsibility
- dynamic and interpersonal process
Triple Aim Initiative (IHI) - CORRECT ANSWER-- improving the patient experience
of care
, - imporving the health of populations
- reduce or control the per capita costs of care
-(improving the patient expierence, reducing the cost of care, improving the
health of populations)
Consensus Model - CORRECT ANSWER-- APRN regulation licensure, accreditation,
certification & education
- important definitions of roles, titles, and population foci & is based on APRN
joing dialogue group
- limitations with leacing competency requirments to each role & does not
conclude education prep for specialization (debate over DNP vs experience)
- Four recognized APRN roles: 1. Nurse Anesthetist 2. Nurse-Midwife 3. Clinical
Nurse Specialist 4. Nurse Practitioner Primary or Acute Care
- Six recognized population foci: 1. Family.individual across lifespan 2. adult
gerontology 3. gender specific 4. neonatal 5. pediatrics 6. psychiatrics/mental
health
- licensure occurs at levels of role and population foci
- specialities focus on practie beyond role and population foci linked to healthcare
needs (ex: oncology, orthopedics, critical care, pallative care)
- APRN MUST complete accredited graduate level program in one of the four roles
with a population focus, pass national certification exam, possess advanced
clinical knowledge and skills, build on competencies of RN by demonstrating
greater depth of knowledge by performing more complex skills, be perpared to
assume responsibility, have significant expierence to reflect license, and obtain a
valid license to practice
- direct patient care is vital to APRN role
- graduate course needs pharmacology, health and physical assessment and
pathophysicology courses
- licensure based on LACE