INTEGRATED PRIMARY CARE EXAM 1
QUESTIONS AND CORRECT
ANSWERS
Traditional mental health ✅✅CORRECT ANSW-1. Services provided outside PC
2. Pg must find and THEN access services
3. Siloed healthcare professionals
4. Referral occurs AFTER symptoms affect functioning
5. Tendency toward LONGER treatment
6. Focus on mental health ONLY
IPC ✅✅CORRECT ANSW-1. Services on-site in PC
2. Services often offered in "REAL TIME"
3. Interdisciplinary team
4. Opportunity for PREVENTION & early INTERVENTION
5. BRIEF interventions
6. Focus on health behaviors, mental health concerns, & substance misuse
Physician-directed practice
- Safety & Quality (EBT, provider accountability)
- Whole-Person Orientation (Biopsychosocial model, culturally responsive practice)
- Personal Physician (lasting pt-provider relationship)
- Care is Coordinated & Integrated (timely referrals w/ comm.) - Enhanced Access (same-day apptmt,
extended hrs, MyChart) ✅✅CORRECT ANSW-PCMH: Where it began
Patient-Centered Medical Home (PCMH) ✅✅CORRECT ANSW-A model of primary care that
provides comprehensive and timely care to patients, while emphasizing teamwork and patient
involvement.
Triple;
1. The best care (individual experience)
,2. For the whole population (improve population health)
3. At the lowest cost (reduce costs of healthcare/control inflation at per capita cost) ✅✅CORRECT
ANSW-PCMH currently goes for the ______ aim, which consists of:
PCMH: Where it's headed ✅✅CORRECT ANSW-Team-Based Care [if presenting concern is
behavioral, psychologist leads the team]
- -Safety & Quality
- Whole-Person Orientation
- Technology Integration
- Quality Measures
- Care is Coordinated & Integrated
- Enhanced Access
- Payment for Added Value -->
Quadruple;
1. The best care (improve individual experience)
2. For the whole population (improve population health)
3. At the lowest cost (reduce costs of healthcare/control inflation at per capita cost)
4. Delivered by healthy providers (improve provider experience --> reduce burnout, ensure adequate
compensation) ✅✅CORRECT ANSW-PCMH is moving toward going for the _______________ aim,
which includes:
50 ✅✅CORRECT ANSW-In traditional model of health, about __% of PC patients with depression
go undiagnosed.
<33 ✅✅CORRECT ANSW-In traditional model of health, [ ]__% of PC patients treated for mental
health disorders receive EVEN minimally adequate treatment.
66 ✅✅CORRECT ANSW-__% of PCPs report that they are unable to access outpatient mental
health services for patients.
stigma ✅✅CORRECT ANSW-Most who need mental health help will not seek it, particularly those
individuals belonging to racial and ethnic minorities, perhaps due to ______.
, Primary care ✅✅CORRECT ANSW-integrated, accessible health care services provided by
clinicians who are accountable for addressing a large majority of health care needs, developing
sustained partnership with patients, and practicing in the context of family and community
integrated primary care ✅✅CORRECT ANSW-combines medical and behavioral health services for
problems patients bring to primary care, including stress-linked physical symptoms, maladaptive
health behaviors, and/or mental health or substance misuse concerns and disorders.
generalist ✅✅CORRECT ANSW-IPC is a ____________ approach to health psychology
Population Health Approach ✅✅CORRECT ANSW-community ("population") interventions
succeed by making SMALL changes in a LARGE # of ppl, rather than large changes in a small # of
people; IPC takes this perspective
10; 70 ✅✅CORRECT ANSW-In a traditional model of health, __% of pts use __% of healthcare
resources.
70 ✅✅CORRECT ANSW-Up to __% of mental health services are provided solely in PC by PCPs
chronic health & mental health conditions ✅✅CORRECT ANSW-Healthcare costs are doubled in
individuals with BOTH _______________________________________.
diabetes, heart disease, blood clotting disorders, & asthma ✅✅CORRECT ANSW-In terms of
comorbidity with mental health, worse outcomes are found in those with the following medical
conditions:
- Helping a man with diabetes identify and address barriers to self-managing his illness and making
lifestyle changes
- Coaching an overwhelmed, highly stressed woman experiencing family and career challenges to
establish realistic expectations and effectively assert herself
- Connecting a child's stomach pain to school-related distress and teaching anxiety management
skills
- Assisting a widowed man with slowly progressing Parkinson's disease identify social supports to
help him manage daily life
- Running a joint group medical appointment for pregnant women and their partners
✅✅CORRECT ANSW-List a few examples of behavioral health in IPC
QUESTIONS AND CORRECT
ANSWERS
Traditional mental health ✅✅CORRECT ANSW-1. Services provided outside PC
2. Pg must find and THEN access services
3. Siloed healthcare professionals
4. Referral occurs AFTER symptoms affect functioning
5. Tendency toward LONGER treatment
6. Focus on mental health ONLY
IPC ✅✅CORRECT ANSW-1. Services on-site in PC
2. Services often offered in "REAL TIME"
3. Interdisciplinary team
4. Opportunity for PREVENTION & early INTERVENTION
5. BRIEF interventions
6. Focus on health behaviors, mental health concerns, & substance misuse
Physician-directed practice
- Safety & Quality (EBT, provider accountability)
- Whole-Person Orientation (Biopsychosocial model, culturally responsive practice)
- Personal Physician (lasting pt-provider relationship)
- Care is Coordinated & Integrated (timely referrals w/ comm.) - Enhanced Access (same-day apptmt,
extended hrs, MyChart) ✅✅CORRECT ANSW-PCMH: Where it began
Patient-Centered Medical Home (PCMH) ✅✅CORRECT ANSW-A model of primary care that
provides comprehensive and timely care to patients, while emphasizing teamwork and patient
involvement.
Triple;
1. The best care (individual experience)
,2. For the whole population (improve population health)
3. At the lowest cost (reduce costs of healthcare/control inflation at per capita cost) ✅✅CORRECT
ANSW-PCMH currently goes for the ______ aim, which consists of:
PCMH: Where it's headed ✅✅CORRECT ANSW-Team-Based Care [if presenting concern is
behavioral, psychologist leads the team]
- -Safety & Quality
- Whole-Person Orientation
- Technology Integration
- Quality Measures
- Care is Coordinated & Integrated
- Enhanced Access
- Payment for Added Value -->
Quadruple;
1. The best care (improve individual experience)
2. For the whole population (improve population health)
3. At the lowest cost (reduce costs of healthcare/control inflation at per capita cost)
4. Delivered by healthy providers (improve provider experience --> reduce burnout, ensure adequate
compensation) ✅✅CORRECT ANSW-PCMH is moving toward going for the _______________ aim,
which includes:
50 ✅✅CORRECT ANSW-In traditional model of health, about __% of PC patients with depression
go undiagnosed.
<33 ✅✅CORRECT ANSW-In traditional model of health, [ ]__% of PC patients treated for mental
health disorders receive EVEN minimally adequate treatment.
66 ✅✅CORRECT ANSW-__% of PCPs report that they are unable to access outpatient mental
health services for patients.
stigma ✅✅CORRECT ANSW-Most who need mental health help will not seek it, particularly those
individuals belonging to racial and ethnic minorities, perhaps due to ______.
, Primary care ✅✅CORRECT ANSW-integrated, accessible health care services provided by
clinicians who are accountable for addressing a large majority of health care needs, developing
sustained partnership with patients, and practicing in the context of family and community
integrated primary care ✅✅CORRECT ANSW-combines medical and behavioral health services for
problems patients bring to primary care, including stress-linked physical symptoms, maladaptive
health behaviors, and/or mental health or substance misuse concerns and disorders.
generalist ✅✅CORRECT ANSW-IPC is a ____________ approach to health psychology
Population Health Approach ✅✅CORRECT ANSW-community ("population") interventions
succeed by making SMALL changes in a LARGE # of ppl, rather than large changes in a small # of
people; IPC takes this perspective
10; 70 ✅✅CORRECT ANSW-In a traditional model of health, __% of pts use __% of healthcare
resources.
70 ✅✅CORRECT ANSW-Up to __% of mental health services are provided solely in PC by PCPs
chronic health & mental health conditions ✅✅CORRECT ANSW-Healthcare costs are doubled in
individuals with BOTH _______________________________________.
diabetes, heart disease, blood clotting disorders, & asthma ✅✅CORRECT ANSW-In terms of
comorbidity with mental health, worse outcomes are found in those with the following medical
conditions:
- Helping a man with diabetes identify and address barriers to self-managing his illness and making
lifestyle changes
- Coaching an overwhelmed, highly stressed woman experiencing family and career challenges to
establish realistic expectations and effectively assert herself
- Connecting a child's stomach pain to school-related distress and teaching anxiety management
skills
- Assisting a widowed man with slowly progressing Parkinson's disease identify social supports to
help him manage daily life
- Running a joint group medical appointment for pregnant women and their partners
✅✅CORRECT ANSW-List a few examples of behavioral health in IPC
