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Evidence Based Care - correct 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 - correct 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 - correct answer ✔✔PCP. Outpatient clinics, Women's
Health. Specialty care providers, therapists, pharmaceutical support, social workers
Accountable Care Organization (ACO) - correct 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) - correct answer ✔✔Patient Engagement
Assessment and Care plan Development
Case Management
Ongoing Care as Needed
Patient Engagement Phase PACO - correct answer ✔✔Interact
Ensure
Provide guidance and resources
, Assessment and Care Plan Development Phase PACO - correct 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 - correct answer ✔✔Patient stays on track and has the support
Monitoring goal progress
Modifying the care plan as necessary
Ongoing Care as Needed Phase PACO - correct 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 - correct answer ✔✔Quality case as the leading driver. Quality over
quantity
Scope of Practice - correct answer ✔✔a set of regulations and ethical considerations that define
the scope, or extent and limits, of the EMT's job
fee-for-service - correct answer ✔✔Health plan that repays the policyholder for covered
medical expenses
Diagnostic Related Groups (DRGs) - correct 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