WGU D046 Course of Study Worksheet questions and correct answers 2022

WGU D046 Course of Study Worksheet questions and correct answers 2022List the resources (strategic partners) that are needed to meet individual healthcare needs. Primary Care physicians Outpatient clinics Specialty care providers Women's Health (preventive care, Ob/Gyn services) Therapists (e.g., physical, occupation, mental health) Pharmaceutical support (traditional and specialty pharmacies) Social workers Define health literacy the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions 00:20 01:38 What is the goal for care coordination? Quadruple Aim: Improved Physician Experiance Improved Patient Outcomes Lower Cost of Care Imrpoved Patinet Experience AIMS Model Patient engagement Assessment and care plan development Case management Ongoing care as needed AIMS engage The engagement phase allows the care coordinator the opportunity to interact with the patient and their family, ensure that their questions are answered, and to provide guidance and resources that will help navigate patients through their care plan. Part of engagement involves: Validating a patient's concerns Reinforcing the role of the coordinator as a helper/resource Giving information to address immediate concerns AIMS assesment and care plan development/case management The assessment and care plan development phase allow the coordinator to “identify social and environmental factors that may affect medical plan adherence, health care services utilization, and health care outcomes. The assessment process collects information that is helpful for interpreting the completed assessment and using that information to develop a comprehensive care plan that will address the patient’s medical and non-medical challenges. The case management phase is all about ensuring that the patient stays on track and has the support and he/she needs. Under this model, case management includes Monitoring goal progress Offering support Modifying the care plan as necessary to align with the patient’s changing needs What is the role of the care coordinator? Using resource partnerships to not to just connect patients with the key services and levels of care necessary to achieve their healthcare goals, but also to help patients understand why these services are important. Identify the goals of the ACO's To improve patient outcomes through coordination of care measures and services that improve a patient's quality of life. Identify and define clinical-community linkages. Resources that "help to connect health care providers, community organizations, and public health agencies so they can improve patients' access to preventive and chronic care services". Discuss how health information technologies are used in a variety of care coordination activities. With the help of IT: Accurate and complete information about a patient's health, so providers can give the best possible care, whether during a routine visit or a medical emergency The ability to better coordinate the care given, which is especially important if a patient has a serious medical condition A way to securely share information with patients and their family caregivers over the internet, for patients who opt for this convenience; this means patients and their families can more fully take part in decisions about their healthcare Information to help diagnose health problems sooner, reduce medical errors, and provide safer care at lower costs What are case management models? Use clinical reasoning to examine a patient's personal and medical history, so the team can pool resources and different clinical perspectives to make both independent and shared decisions regarding each patient's care. What are the four steps the AIMS Model encompasses? 1) Patient engagement 2) Assessment and care plan development 3) Case management 4) Ongoing care as needed 00:02 01:38 What kind of coordination does the Wraparound Care Model provide? For whom? Youth with complex behavioral needs. Broker Case Model Helps clients identify their needs and broker supportive services in one or two contacts. Clinical Case Management Model In a clinical case management model, a clinical care provider serves as the case manager. Frequently, the case manager is a counselor or therapist. This model recognizes that many clients face barriers to services that reach beyond simple questions of access. Strengths-Based Clinical Case Management Model focuses on empowering clients and their families. Case management and clinical services focus on creating client opportunities for growth, education, and skill development. Involves outreach, clinical services, advocacy, and robust coordination between case managers and clients What is the PCMH Medical Neighborhood Collaborative Care Model? Patient-Centered Medical Home (PCMH). That medical home may then interact with a "neighborhood" of community resources, including a team of outpatient caregivers, specialists, hospitals, mental/behavioral health resources, and non-medical community resources. What is the greatest challenge of care coordination and case management? The fragmented nature of care transitioning, in which patients and providers may not always have the same information What are the steps of the care coordination model? Establish a care plan, planning for a care conference meeting with providers to discuss and finalize the care plan, plan implementation led by a team systems navigator to ensure all the necessary technology and tools are in place so all members of the team may utilize shared information, then ongoing support and re-evaluation/measurement of the plan for adjustments/updates, as necessary. How do you set the stage using appropriate communication skills? Greet patient appropriately and acknowledge the wait time if needed Find out how the patient is feeling about the consultation Introduce the computer into the coordinator-patient triad Explain and reassure the patient of confidentiality of EMR Discuss and define the key communication skills used by health services coordinators. Instances in which a patient may share "personal, emotional or psychological problems" in which case "undivided attention should be focused on the patient...with hands off the mouse and keyboard and eyes off the screen." ? Explain the importance of active listening. -Shows the patient that you care-Establishes trust in a healthcare professional-patient relationship-Lessens your chance of erroneous information capture or decision-making, based on your own assumptions-Increases the chances that you will procure pertinent information Define motivational interviewing and provide 2 strategies of when it would be useful and what you would say A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. Positive reinforcement. What is telemedicine? A technology-driven means for patients to connect with healthcare providers for remote monitoring of their health conditions and to receive medical consultation without having to come for an office visit. What is culturally competent care? Is the process of acquiring specific knowledge, skills, and attitudes to provide culturally congruent care What is evidence-based practice (EBP)? -It's using research that has already been done to help us -use of best evidence to influence care What are the six-steps of the care coordination process? 1. Client identification and selection: Focuses on identifying clients who would benefit from case management services. This step may include obtaining consent for case management services, if appropriate. 2. Assessment and problem/opportunity identification: Begins after the completion of the case selection and intake into case management and occurs intermittently, as needed, throughout the case. 3. Development of the case management plan: Establishes goals of the intervention and prioritizes the needs of the client, support system, and/or family caregiver, as well as determines the type of services and resources that are available in order to address the established goals or desired outcomes. 4. Implementation and coordination of care activities: Puts the case management plan into action. 5. Evaluation of the case management plan and follow-up: Involves the evaluation of the client's status and goals and the associated outcomes. 6. Termination of the case management process: Brings closure to the care and/or episode of illness. The process focuses on discontinuing case management when the client transitions to the highest level of function, the best possible outcome has been attained, or the needs/desires of the client change. What is transitional care? Activities that prevent repeated and avoidable re-admissions and negative health outcomes after a hospital discharge