WGU D046 Latest 2023 Graded A+

WGU D046 Latest 2023 Graded A+ Evidence Based Care Helps us identify the most appropriate individualized treatment plan, improves patient outcomes, increase effectiveness and efficiency of interventions, and most current research and patient outcome measures Empanelment The act of assigning individual patients to individual primary care providers (PCP) and care teams with sensitivity to patient and family preference. The basis for population health management and the key to continuity of care. Strategic Partners Community Resources PCP. Outpatient clinics, Women's Health. Specialty care providers, therapists, pharmaceutical support, social workers Accountable Care Organization (ACO) Improve patient outcomes through coordination of care measures and service that improve a patient's quality of life. Goal: reduce hospital readmission and improve patient compliance in community settings. AIMS Care Coordination Model (PACO like TACO) Patient Engagement Assessment and Care plan Development Case Management Ongoing Care as Needed Patient Engagement Phase PACO Interact Ensure Provide guidance and resources Assessment and Care Plan Development Phase PACO Identify social and environmental factors that may affect medical plan adherence, health care serves utilization, and health care outcomes. Collect information that is helpful Develop care plan Case Management Phase PACO Patient stays on track and has the support Monitoring goal progress Modifying the care plan as necessary Ongoing Care as Needed Phase PACO Ensuring that community-based resources are in place Contact the care coordinator should new challenges arise Summarize achieved goals or negotiate continued work Closing the case if appropriate Value Based Healthcare Quality case as the leading driver. Quality over quantity Scope of Practice a set of regulations and ethical considerations that define the scope, or extent and limits, of the EMT's job fee-for-service Health plan that repays the policyholder for covered medical expenses Diagnostic Related Groups (DRGs) Patient classification system to help control and standardize costs for inpatient services. Used along with patient and regional demographic data to determine the median cost for a particular procedure/service. Categorize patients into groups based on -diagnoses, type of treatment (ex. surgical), complications or comorbidities, age, gender, discharge status. Determine length of stay, average cost the hospital should charge for similar patients. Care Coordination Process 1. Client identification and selection 2. Assessment and problem/ Opportunity identification