NRNP 6531 question with correct answers 2023/2024 passed

NRNP 6531What act supports patient-centered primary care through the creation of authority for the centers for Medicare and Medicaid services? - correct answers The Patient Protection and Affordible Care Act of 2010 What was the Patient Prevention and Affordable Care act designed to do? - correct answers Develop new models of interdisciplinary team practice, payment, reform and increased use of information technologies OT practitioners need to assess how the profession fits within these new models of care and must study the impact they have on key health care outcomes related to....? - correct answers The "Triple Aim" of lowering costs, improving patient experience, and managing the health of populations The ACA authorizes the establishment of.....? - correct answers The Centers for Medicare and Medicaid Innovation (CMMI) and outlines projects with specific criteria that focuses on elements of the Triple Aim (1/5) ACA underscores what congress hoped for in terms of making changes in the system - CMMI Project - correct answers (1/5) ACA i: Promoting broad payment and practice reform in primary care, including patient-centered medical home models for hign need applicable individuals (2/5) ACA underscores what congress hoped for in terms of making changes in the system - CMMI Project - correct answers (2/5) ACA iii: Utilizing geriatric assessments and comprehensive care plans to coordinate the care of applicable individuales with multiple chronic conditions (3/5) ACA underscores what congress hoped for in terms of making changes in the system - CMMI Project - correct answers (3/5) ACA v: Supporting coordination for chronically-ill applicable individuals at high risk of hospitalization through a health information technology enabled provider network that includes care coordinators, chornic disease registery and home tele-health technology (4/5) ACA underscores what congress hoped for in terms of making changes in the system - CMMI Project - correct answers (4/5) ACA vii: Utilizing medication therapy managment services (5/5) ACA underscores what congress hoped for in terms of making changes in the system - CMMI Project - correct answers (5/5) ACA viii: establishing community based health teams to support small practice medical homes by assiting the primary care practitioner in chronic care managment, including patient self-managment activities What is the critical issue? - correct answers Monitoring the hundreds of CMMI projects to promote the role of OT in these demonstration programs What is Care Coordination? - correct answers In practice and policy, care coordination is an integral component of the new models and is defined as the deliberate organization of patient care activities between two or more participants invovled in a patient's care to facilitate the appropriate delivery of health care services How is organized care managed? - correct answers It involves the marshaling of personnel and other resources needed to carry out all required patient care activites. It is managed by the exchange of information among participants responsible for different aspects of care Without care coordination what would happen? - correct answers Pitfalls exist that can lead to fragmented care and resulting negative outcomes, such as medication errors and avoidable hospitalizations and emergancy department visits What percentage of medicare beneficiaries do not have access to care coordination? - correct answers 80% What are the barriers affecting care coordination? - correct answers Lack of patient access to a range of needed health and social services and the resulting difficulty care coordination teams have in managing scarce resources in health care systems What health care professionals are grounded in the critical skills and competencies necessary for effective team management and implementation of care coordination? - correct answers OT practitioners Care coordination models depend on.....? - correct answers Improvment in team-based approaches that support a patient and family cented focus, multidisciplinary communication, coordination of work and roles among team members, and measurment of team-based outcomes of care What does ACO stand for and what does it do? - correct answers Accountable Care Organization - promotes community-based care transition programs and enhanced primary care What does PCMH stand for and what does it do? - correct answers Patient-Centered Medical Home - an approach to providing comprehensive primary care for people of all ages and with all medical conditions What are the elements of PCMH? - correct answers -team based care -information technologies -payment incentives for value-based care What professions are typically the lead care managers in models using the PCMH approach? - correct answers Nurse practitioners and social workers The CMMI is conducting several other primary initiatives, including efforts in collaboration with Federally Qualified Health Centers to provide primary care and Multi-Payer Advanced Primary Care Practice. These and other grants and projects promote what? - correct answers Care coordination, improved access, patient education, and other services to support chronically ill patients and those who have multiple or complex conditions (1/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - correct answers (1/8) Models are patient and family caregiver centered in concept and design that support shared decision-making (2/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - correct answers (2/8) Interprofessional teams match services to patient and family needs to gain the highest value (3/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - correct answers (3/8) Team leadership shifts according to patient and family needs, preferences and expertise of team members (4/8) American Academy of Nursing Guiding Principles for Implementation, Evaluation and Payment for Care Coordination and Transitional Care Models: - correct answers (4/8) Existing and new payment