D046- WGU questions & answers rated
A+ latest update
Evidence Based Care - ANS ✔✔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 - ANS ✔✔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 - ANS ✔✔PCP. Outpatient clinics, Women's Health.
Specialty care providers, therapists, pharmaceutical support, social workers
Accountable Care Organization (ACO) - ANS ✔✔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) - ANS ✔✔Patient Engagement
Assessment and Care plan Development
Case Management
Ongoing Care as Needed
Patient Engagement Phase PACO - ANS ✔✔Interact
Ensure
Provide guidance and resources
, Assessment and Care Plan Development Phase PACO - ANS ✔✔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 - ANS ✔✔Patient stays on track and has the support
Monitoring goal progress
Modifying the care plan as necessary
Ongoing Care as Needed Phase PACO - ANS ✔✔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 - ANS ✔✔Quality case as the leading driver. Quality over quantity
Scope of Practice - ANS ✔✔a set of regulations and ethical considerations that define the scope,
or extent and limits, of the EMT's job
fee-for-service - ANS ✔✔Health plan that repays the policyholder for covered medical expenses
Diagnostic Related Groups (DRGs) - ANS ✔✔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.
A+ latest update
Evidence Based Care - ANS ✔✔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 - ANS ✔✔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 - ANS ✔✔PCP. Outpatient clinics, Women's Health.
Specialty care providers, therapists, pharmaceutical support, social workers
Accountable Care Organization (ACO) - ANS ✔✔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) - ANS ✔✔Patient Engagement
Assessment and Care plan Development
Case Management
Ongoing Care as Needed
Patient Engagement Phase PACO - ANS ✔✔Interact
Ensure
Provide guidance and resources
, Assessment and Care Plan Development Phase PACO - ANS ✔✔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 - ANS ✔✔Patient stays on track and has the support
Monitoring goal progress
Modifying the care plan as necessary
Ongoing Care as Needed Phase PACO - ANS ✔✔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 - ANS ✔✔Quality case as the leading driver. Quality over quantity
Scope of Practice - ANS ✔✔a set of regulations and ethical considerations that define the scope,
or extent and limits, of the EMT's job
fee-for-service - ANS ✔✔Health plan that repays the policyholder for covered medical expenses
Diagnostic Related Groups (DRGs) - ANS ✔✔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.
