D046- WGU Exam With Complete Solutions.
Evidence Based Care - Answer 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 - Answer 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 - Answer PCP. Outpatient clinics, Women's Health. Specialty care providers, therapists, pharmaceutical support, social
workers
Accountable Care Organization (ACO) - Answer 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) - Answer Patient Engagement Assessment and Care plan Development Case Management Ongoing Care as Needed
Patient Engagement Phase PACO - Answer Interact
Ensure
Provide guidance and resources
Assessment and Care Plan Development Phase PACO - Answer 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 - Answer Patient stays on track and has the support Monitoring goal progress
Modifying the care plan as necessary
Ongoing Care as Needed Phase PACO - Answer 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 - Answer Quality case as the leading driver. Quality over quantity D046- WGU Exam With Complete Solutions.
Scope of Practice - Answer a set of regulations and ethical considerations that define
the scope, or extent and limits, of the EMT's job
fee-for-service - Answer Health plan that repays the policyholder for covered medical
expenses
Diagnostic Related Groups (DRGs) - Answer 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 - Answer 1. Client identification and selection 2. Assessment and problem/ Opportunity identification 3. Development of the case management plan 4. Implementation and coordination of care activities 5. Evaluation of the case management plan and follow-up
6. Termination of the case manage
Active Listening to Care Coordinators - Answer Undivided attention, appropriate body language signals, patient acknowledgment, behaviors that convey a nonjudgmental attitude and respectful respectful responses.
Affortable Care Act - Answer Provides healthcare options via state-run insurance exchanges. The law prevents the use of medical history to refuse employment or insurance, if eligible.
Key Communication Skills - Answer 1. Set the Stage
2. Elicit Information
3. Give Information
4. Understand the patient's perspective
5. End the Encounter
Set the Stage - Answer Greet the patient Find out how the patient is feeling Introduce the computer Explain and reassure
Elicit Information - Answer Look at computer intermittently while talking to patient
Point to relevant areas Avoid computer when patient is emotional Involve patient in confirming data is correct
Give Information - Answer Verify patient can see screen
Encourage patient to ask questions
Share Materials
Evidence Based Care - Answer 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 - Answer 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 - Answer PCP. Outpatient clinics, Women's Health. Specialty care providers, therapists, pharmaceutical support, social
workers
Accountable Care Organization (ACO) - Answer 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) - Answer Patient Engagement Assessment and Care plan Development Case Management Ongoing Care as Needed
Patient Engagement Phase PACO - Answer Interact
Ensure
Provide guidance and resources
Assessment and Care Plan Development Phase PACO - Answer 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 - Answer Patient stays on track and has the support Monitoring goal progress
Modifying the care plan as necessary
Ongoing Care as Needed Phase PACO - Answer 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 - Answer Quality case as the leading driver. Quality over quantity D046- WGU Exam With Complete Solutions.
Scope of Practice - Answer a set of regulations and ethical considerations that define
the scope, or extent and limits, of the EMT's job
fee-for-service - Answer Health plan that repays the policyholder for covered medical
expenses
Diagnostic Related Groups (DRGs) - Answer 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 - Answer 1. Client identification and selection 2. Assessment and problem/ Opportunity identification 3. Development of the case management plan 4. Implementation and coordination of care activities 5. Evaluation of the case management plan and follow-up
6. Termination of the case manage
Active Listening to Care Coordinators - Answer Undivided attention, appropriate body language signals, patient acknowledgment, behaviors that convey a nonjudgmental attitude and respectful respectful responses.
Affortable Care Act - Answer Provides healthcare options via state-run insurance exchanges. The law prevents the use of medical history to refuse employment or insurance, if eligible.
Key Communication Skills - Answer 1. Set the Stage
2. Elicit Information
3. Give Information
4. Understand the patient's perspective
5. End the Encounter
Set the Stage - Answer Greet the patient Find out how the patient is feeling Introduce the computer Explain and reassure
Elicit Information - Answer Look at computer intermittently while talking to patient
Point to relevant areas Avoid computer when patient is emotional Involve patient in confirming data is correct
Give Information - Answer Verify patient can see screen
Encourage patient to ask questions
Share Materials
