WGU D046 Intro to Care Coordination KB Already Graded A

WGU D046 Intro to Care Coordination KB Already Graded A List the resources (strategic partners) that are needed to meet individual healthcare needs. patients' healthcare needs are met are the availability and access to the resources needed to meet individual healthcare needs. Those resources include: · Primary Care physicians · Outpatient clinics · Specialty care providers · Women's Health (preventive care, Ob/Gyn services) · Therapists (e.g., physical, occupational, mental health) · Pharmaceutical support (traditional and specialty pharmacies) · Social workers Clear communication Index provides a set of research based tool to help develop and aid understanding of public messages and materials Community Health Help the community advance to their health who are living in poverty. People living in poverty will need to learn about healthy eating. Population Health ◦Reflect outcomes of care for the population. ◦Based on age, ACO driven for kids and some medicare recipients. ◦Reimburse how to we achieve outcomes in the community. Difference: health system has a major role in community Health and Population Health. Community Health: Hospital and health systems be involved to understand their community. Helps advance heath. Population Health: reimbursed how the outcomes is achieved in the community Implication of Health ◦ provides context to nurse' practices, roles and knowledge and frames patient's Day to day lives of patients. Examples: ◦Patients who face social and/or economic barriers to gain access to community resources and strategic partners ◦ Resources are not available in their area Challenges ◦ To patients and their families to understand why healthcare is so important ◦ Coordination of patient care may be difficult if the resources are not available in the area What is the goal for care coordination? The goal for care coordination is achieving the "Quadruple Aim": · Improve physician's experience · Improve patient outcomes · Lower Cost of Care · Improved patient experience (Safety) "Quadruple Aim": - driving down healthcare costs - Improve outcomes based on evidence and based on interventions - deliver benefits to those with multiple needs - improve experiences with the system Care coordinators: · organize care provided by multiple providers · improves disease management and patient compliance · offers resources · removes barriers. Key Roles of the Care Coordinator 1) Connect patients' with resources partnerships that provide services to help patients' achieve their healthcare goals 2) To help patients understand why the services are important. 3) When cost is a barrier, the care coordination process also involves seeking low or no-cost public health options. 4) To seek the services of organizations that receive private or government funds to provide care and services to various patient populations. Key components of care management include: (1) work process redesign, (2) population management, and (3) data analytics and infrastructure support. . Identify the goals of the ACO's · Control costs in health care · Improve health care quality · encourage lower cost, higher quality, and better coordinated Clinical-community linkages. · help to connect health care providers, community organizations, and public health agencies so they can improve patients' access to preventive and chronic care services. · Coordinating health care delivery, public health, and community-based activities to promote healthy behavior. · Forming partnerships and relationships among c