Assessment Key Concepts
1. Preferred Provider Organization (PPO) - ANSWER a
prepaid group practice that allows a third-party payer (such
as an insurance company) to contract with a group of health
care providers to administer services at a lower fee in return
for prompt payment and a guaranteed volume of patients
and services
2. Respite Care - ANSWER a type of care provided for
caregivers of homebound ill, disabled, or older adult
patients
3. Single-Payer System - ANSWER health care system in
which the government collects all health care fees via taxes
and pays out all health care costs
4. Value-Based Purchasing - ANSWER program that
measures, reports, and rewards excellence in health care
delivery, taking into consideration access, price, quality,
efficiency, and alignment of incentives
, 5. New Health System for 21st Century - ANSWER the
Institute of Medicine (IOM) called for six outcomes,
envisioning a system that is safe, effective, efficient,
patient-centered, timely, and equitable
6. Quadruple Aim - ANSWER to improve the patient care
experience, improve the health of a population, and reduce
per capita health care costs at the same time (was originally
the triple aim) but was revised to include job satisfaction
for health care workers.
7. Eight Factors of Reliability Care Accountability Matrix
(RCAM) - ANSWER 1. clostridium difficile prevention
2. catheter associated urinary tract infection prevention
3. surgical site infection prevention
4. hand hygeine
5. length of stay management
6. readmission prevention
7. mortality reduction
8. experience of care