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Ambulatory Care Exam 1 with correct answers.
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Ambulatory Care Exam 1 with correctanswers
Elements |of |CCTM |- |correct |answer--Assuming |accountability
-Providing |patient |support
-Building |relationships |and |agreements |among |providers |that |lead |to |shared |expectations |for |
communication |and |care
-Developing |connectivity |via |electronic |or |other |information |pathways |that |encourage |timely |and |
effective |information |flow |between
Care |coordination |- |correct |answer-Need |high |quality |referral |or |transition
Should |be |timely
Safe: |Referrals |and |transitions |are |planned |and |managed |to |prevent |harm |to |patients |from |medical
|or |administrative |errors. |
Effective: |referrals |and |transitions |are |based |on |scientific |knowledge |
Patient |centered |
efficient |
Equitable
6 |principles |of |CCTM |Nusing |- |correct |answer-These |six |principles |provide |a |basis |for |establishing |
an |informed |and |collaborative |care |coordination |process |that |includes |all |staff, |key |stakeholders, |
and |nurse |leaders |across |the |continuum |of |care:
-Know |how |care |is |coordinated |in |your |setting
-Know |who |is |providing |care
-Establish |relationships |with |multiple |entities |and |individuals |who |can |work |together |to |improve |
care |coordination |and |transition |management |systems
-Know |the |value |of |technology, |its |impact |on |workflow, |and |the |roles |of |care |coordination |team |
members
-Engage |the |patient |and |family
-Engage |all |team |members |in |care |coordination
,The |logic |model |and |CCTM |- |correct |answer-The |Logic |Model |depicts |program |outcomes, |how |the |
program |is |supposed |to |accomplish |these |outcomes |and |what |is |the |basis |(logic) |for |these |
expectations. |
Links |program |inputs |(resources) |and |activities |to |the |program |products |and |outcomes |while |
communicating |the |logic |
Components:
Inputs: |resources |that |go |into |the |program
Activities: |actual |events |or |actions |that |take |place
Products: |direct |tangible |output |of |program |activities |
Outcomes: |impact |of |the |program; |the |sequence |of |effects |triggered |by |the |program, |often |
expressed |in |terms |of |short |term, |intermediate, |and |distal |outcomes
Stages |of |change |model |- |correct |answer-Stages:
◦Precontemplation |- |no |intention |to |change |in |the |next |6 |months
◦Contemplation |- |intend |to |change |in |the |next |6 |months
◦Preparation |- |intend |to |take |action |in |the |immediate |future
◦Action |- |observable |changes
◦Maintenance |- |have |made |changes |and |working |to |prevent |relapse
◦Termination |- |not |always |recognized |as |a |stage
Public |health |nursing |- |correct |answer-Lillian |Wald |visiting |nurses |- |decision |that |need |public |
health |nurses |and |integrate |courses |or |have |it |be |post |grad
-Education |is |important
Community |- |pathological |social |conditions
Treat |community |and |other |sources
Industrialization/depression
, -Lack |of |coordination, |resources, |access
Challenges |- |communicable |disease, |stresses |of |immigration |and |SES |disparity
Cost |of |healthcare |unsustainable
Fiscal |caps |pushed |large |volumes |of |services |to |outpatient
Acuity |of |patient |care |escalated |in |ambulatory |areas
Affordable |Care |Act |- |correct |answer-In |2011, |the |law |provided |for |free |preventive |care |for |seniors
|such |as |annual |wellness |visits |and |personalized |prevention |plans
Community |Care |Transitions |program |for |at |risk |Senior |Adults, |preventing |ED |visits |and |hospital |
readmissions
increased |reimbursement |for |primary |care
State |sanctioned |Patient |Centered |Medical |Homes
Physician |reimbursement |changing |from |Fee-for-Service |to |Value |Based |Care |models
Misconceptions |of |ambulatory |care |nursing |- |correct |answer--a |misconception |that |the |acute |care |
setting |is |the |point |of |access |for |individuals |requiring |care |coordination |and |transition |
management, |when |in |fact |the |ambulatory |care |setting |is |the |point |of |access;
-a |misconception |that |care |transitions |originate |with |a |hospitalization |rather |than |recognizing |the |
multiple |care |transitions |occurring |among |diverse |ambulatory |care |settings;
-a |misconception |that |a |measure |of |care |coordination |and |transition |management |is |handing |
patients |written |instructions |prior |to |discharge, |a |single |intervention |of |a |hand-off |but |not |a |
measure |of |performance |of |care |being |coordinated |or |the |transition |being |managed;
-a |misconception |that |care |coordination |and |transition |management |are |discrete |points |of |
communication |rather |than |a |continuous |conversation |with |ongoing |communication;
-a |misconception |that |individuals |with |complex |health |care |needs |are |equipped |with |self-
management |skills |and |decision-making |skills |to |know |what |to |do |when |their |condition |worsens |or
|they |develop |a |complication
-a |misconception |that |individuals |with |complex |health |care |needs |seek |care |in |traditional |primary |
care |settings, |when |diverse |ambulatory |settings |are |serving |vulnerable |populations |including |
uninsured, |Medicaid, |and |geographically |and |economically |disadvantaged.
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