UPDATED ACTUAL Questions and CORRECT Answers
Question: True or false: There is a uni- versal definition of "care coordina- tion"
Correct Answer: false
Question: the use of an interprofessional team, including the patient, to facilitate delivery of care that
supports optimal health across settings and over time
Correct Answer: SONHI definition of Care Coordina- tion
Question: 3 Goals of care coordination 4. scope of care co- ordination
Correct Answer: 1. improve and optimize care; improve quality and decrease cost 2. promote health
and independence 3. reduce unnecessary service utilization care coordination not
needed ’ extensive care coordination needed
Question: 3 Attributes of care coordination
Correct Answer: 1. Information exchange 2. Multidisciplinary 3. Care across transitions
Question: Care Coordina- tion: "Informa- tion Exchange" Who is involved? When is it done? Who can
access it?
Correct Answer: - exchange of information *among services and care providers before and after* each
patient care interaction - standardized communication template accessible to all team
members
Question: Care Coordina- tion: "Informa- tion Exchange" When is it partic- ularly critical?
Correct Answer: during transitions of care
Question: Care Coordina- tion: "Informa- tion Exchange" Built-in support for ____________
____________ and _________, evidenced-based decision support tools, provider alerts, and
patient reminders
Correct Answer: quality improvement; safety
, Question: false; includes patient and family
Correct Answer: True or false: The multidiscipli- nary team only includes health care professional
workers
Question: Care Coordina- tion: "Multidisci- plinary" (4)
Correct Answer: - *trusted* interaction between and among team members - roles are shared and
appreciated , and different members *make contributions* - coordinator is the point
of access - provides clinical integration and interdependence
Question: - Proactive and comprehensive plan of care, including patient goals. Revised as needed. -
Created, documented, executed, and updated with every patient - Includes community and
nonclinical services with health care services that in- corporate the patient's needs,
preferences, and resources to achieve the patient's goals - Developed and shared across
providers and patient's support system - Patient-centered and family-focused
Correct Answer: Care Coordina- tion: "Care across transitions" (5)
Question: When the 3 at- tributes of care coordination are balanced, there is ______________ care
Correct Answer: integrated; evidenced-based; interprofessional communication; appropriate re- source
allocation; patient-centered; follow-up
Question: True or false: Care coordina- tion is limited within the health- care system
Correct Answer: false; beyond the healthcare system - people may require knowledge of social
services, employment, community resources, insurance, etc
Question: What happens when there is a lack of care coor- dination?
Correct Answer: unmet needs, reactive, fragmented
Question: What happens when there is too much care coor- dination?
Correct Answer: redundant, ineffective