Bundle
Bundle of WGU D046 exam
7 Items
WGU D046 Intro to Care Coordination question and answers 100% correct latest
Which SBIRT intervention should a care team associate use after observing a four-to-six-week intervention on client empowerment sessions? - correct answer ... [Show More] Brief Therapy Which example illustrates a patient-centered, short-term intervention that is used to assist in a transition of care? - correct answer Providing a transportation voucher to a provider in 7 days A healthcare coordinator working in a children's clinic notices a bruise like lesion on a three-year-olds abdomen. The parent states that the child has been experiencing diarrhea for the last two days. What is the appropriate course of action? - correct answer Ask the parent what interventions have been used at home An older adult man with congestive heart failure lives alone and has limited resources. On a home visit, the case manager notices that patient is not taking his medication. Which action should be taken first by the case manager? - correct answer Speak with the patient to determine the reason medications are being missed. Which important role does inpatient case management fill during the discharge planning process? - correct answer Facilitating medical services Which security practice can maintain confidentiality of patient records? - correct answer Using record access controls Which description of a Health Insurance Portability and Accountability Act security measure is valid? - correct answer HIPAA violations can result in financial penalties on both an individual and on an institutional level Which National Committee for Quality Assurance initiative was developed to assess the quality of healthcare providers on a consistently measured set of criteria? - correct answer Health Plan Employer Data and Information Set Which states successful comprehensive coverage model spawned the development of the Patient Protection and Affordable Care Act? - correct answer Massachusetts Which healthcare reimbursement model reimburses providers based on patient health outcomes? - correct answer Value based Which reimbursement categorization system is used for outpatient services? - correct answer Ambulatory payment classification Which essential health benefit is permitted under the affordable care act? - correct answer Cessation interventions for adult tobacco users What is true of health problems typically encountered in older adults? - correct answer Older adults experience a number of chronic conditions and occasional acute health problems What is a basic characteristic of certification? - correct answer Offered as proof of baseline understanding of a specific subject area Which characteristic distinguishes between healthcare certifications and licenses? - correct answer Licenses are granted by state agencies How does credentialing benefit a healthcare organization? - correct answer It ensures that a doctor has a legitimate license and carries malpractice insurance Which teaching technique should be used to engage a client who has a low literacy level? - correct answer Ask the client to return demonstrate the skill Which action is an example of a nurse demonstrating client engagement while obtaining written informed consent? - correct answer Obtaining and witnessing a clients signature Which action should a nurse take prior to beginning a cultural assessment? - correct answer Gather the client's cultural health perceptions and beliefs Which of the knowledge domains of care management is being used when a healthcare services coordinator performs a functional capacity evaluation? - correct answer Rehabilitation concepts and strategies Which patient requires case management services? - correct answer A patient who has multiple and complex medical issues What is the first step in formulating an evidence based research question? - correct answer Decide on a population to study What is the first step of the evidence based practice model? - correct answer Identify a clinical problem Which strategy should be used to coordinate healthcare? - correct answer Joint coordination by the case manager and the physician? Which example demonstrates appropriate client engagement during an interaction with a patient? - correct answer A patient recieving answers to questions about personal treatment preferences Which interaction with a strategic partner illustrates effective patient engagement for patients in the healthcare system? - correct answer Co-leading hospital safety and quality improvement committees Who should the case manager involve as a primary strategic partner to coordinate the discharge plan of care for an elderly post stroke patient? - correct answer Home health nurse A woman has just given birth for the first time and requires assistance with breastfeeding after leaving the hospital. Which resource should provide direct assistance to this patient? - correct answer Lactation consultant An individual who struggles with substance abuse is homeless and has been living in the city shelters for the past year. The person approaches the free clinic with complaints of recurring respiratory infections and scabies. Which case management model would be best for this person? - correct answer Intensive An individual with HIV has been hospitalized for acute appendicitis. After the appendectomy, the patient asks the health services coordinator for referrals to HIV support groups in the community. Which case management model will meet the resource needs for this patient? - correct answer Brokerage The director of a homeless shelter for women and children approaches an immunization clinic about connecting the 25 clients served at the shelter to health services. Which case management model would support this director's needs? - correct answer Brokerage A case manager of an inpatient rehabilitation center that manages various chronic illnesses would like to help explore ways to reduce rehospitalization. Which acute care case management model should be used? - correct answer Disease management model Which type of case management model should be used by a case manager working on a short stay rehab unit within an inpatient care setting? - correct answer Integrated functional model [Show Less]
- Exam
- $10.45
- 0
- 144
WGU D046 Intro to Care Coordination CORRECTLY ANSWERED (UPDATED 2022)
A patient arrives at your organization and needs specific care. Recently, your organization signed an agreement with a university health system to allow fo... [Show More] r telehealth assessment and identification of potential treatment options. As the coordinator for this patient, what would be the next step to determine if this is a good solution? Contact the leadership team and the telehealth informatics specialist to identify whether everything is in place for this patient to receive care through this association. Telehealth initiatives have associated a lot of organizations with university and other larger health systems to facilitate a collaborative practice for care delivery. A patient is ready to go home, and the family has expressed concern about the patient being on her own during the day. The patient is unable to complete full activities of daily living due to a recent injury. Is there something that the coordination team can recommend for provision of lunch or dinner? Recommend that the family contact the local Meals on Wheels program, so they can ensure the patient has access to food and drink during the day. The patient has some activities for daily living but is not able to complete all activities. Since the concern is around food during the day, the coordinator identified a service that provides free or reduced delivery of hot meals one time a day. Use of this service also provides reassurance for the family that someone has checked on the patient that day. The care team has determined that to reverse behaviors of smoking, a patient and family should seek ongoing support. What recommendations would the care coordinator make? The care coordinator recommends current community outreach programs available and assists the patient and family in deciding which option will meet their needs. The care coordinator should have a list of partners in the community who can assist patients and families, encouraging compliance and promoting health wellness. Provide an example of the clinic-clinician patient relationship. Examples of the clinic-clinician patient relationship include trust between the clinician and patient, shared decision-making, and mechanisms for mutual support of patient self-management. Provide an example of the clinic-clinician-community resource relationship. Examples of the clinic-clinician-community resource relationship include the level of interrelationship along Himmelman's continuum for collaborative processes, formal mechanisms for referrals, and effective mechanisms for feedback from community resource to clinic. Provide an example of the patient-community resource relationship. Examples of the patient-community resource relationship include patients' perception and trust of the community resource, formal mechanisms for referrals, and effective communication between patient and community resource. Using health technology to gather patient-specific data in their electronic health record, how could the care coordination team focus care on an individual patient? Using the data collected provides a collection of problems and diagnosis-related groups (DRGs) that can help the care team determine discharge needs. Review of demographic data can provide information after validation that the information is correct during the assessment phase of contact with the patient and family. The electronic health record is a tool used by the coordination team and others to gather information on what is going on with the patient, by providing information on both the current situation and the medical history. It can also include advance directive information for the future. Where should the documentation of the care plan be recorded? In the care planning module of the electronic health record The electronic health record is where all the care team members have access to the record of the patient, and it is the official health record for that patient. A pregnant client is living in the wilds of Alaska. She is not considered to be high risk and there is no reason for her to stay close to town since a frontier midwife is available to travel to her home every month. What would the care coordinator recommend for the client? Satellite telecommunications device A satellite phone is recommended to ensure that if any questions arise when the midwife is not available, the client can call for help. Which statement describes how a healthcare coordinator improves the quality of care delivered in the community? Serves as a bridge between patients, families, and other health care providers. Care coordinators organize care provided by multiple providers that may not have the ability or means to communicate with each other. Coordinating care improves disease management and patient compliance, offers resources, and removes barriers. A care coordinator collaborates with health care providers to ensure that a patient with a chronic health problem receives appropriate care, avoids hospitalization, and attends follow-up visits as scheduled. For which reason should the healthcare coordinator use health information technology (HIT) to improve a patient's care? It improves communication between clinicians and inpatient and outpatient healthcare settings. HIT improves communication between multiple clinicians and clinical sites by improving access to the patient's medical and medication history, plan of care, referral history, and support services. A care coordinator is scheduled to meet with adolescents and adult patients in a community clinic. Which action could a healthcare coordinator take to demonstrates how care coordination improves in disease management? Meet with the school nurse to review the action plans for students with asthma. Care coordination interventions for patients with chronic diseases effectively link outreach, support services, education and guidance. Meeting with the school nurse to review the action plans for students with asthma ensures compliance with medication use and administration in a location convenient for the patient and care providers. What are the outcome goals of the Ambulatory Integration of Medical and Social (AIMS) model? To obtain patient engagement, identify a best practice care model, manage cases as a team, and identify the potential ongoing needs of the patient and family to maintain optimal health The AIMS model goals are patient engagement, care plan development, case management, and ongoing care as needed. What occurs during the patient engagement and assessment phases of the AIMS model? The patient engagement and assessment phases occur during the initial introduction and detailed interview. This allows for the care coordinator and patient to build a trusting relationship and identify the goals and outcomes for care delivery, identify what part each team member will play in the ongoing care team, and identify any concerns that need to be addressed to improve the potential for meetings the goals of care delivery. The introduction of the care coordinator to the care planning process, review of the aims of the team to facilitate optimal health, and incorporation of whatever considerations need to be addressed are vital to a quality outcome. The client and family should be actively engaged in the process. What is the goal for the case management phase in the AIMS model? The goals are about managing the care plan and ensuring that the goals of the plan are considered and modified as needed, and to offer support to the team, the patient, and the family for the success of the care delivery. The care management phase is to evaluate the goals, modify the plan as needed, and to support the care team, patient, and family as needed to meet the goals of the AIMS model. Under which step are there guidelines for the system navigator? Step 3 Step 3 is where the Systems Navigator has specific guidelines for care planning. Under which step are there care conference guidelines? Step 2 Step 2 is where the client goals and needs are assessed and the care team members are identified. Under which step is the Patient Post Card? Step 1 Step 1 is when the identification and referral information is completed and tracked. Under which step is the Coordinated Care Plan located? Step 2 Step 2 is where the client goals and needs are assessed and the care team members are identified. On which form could a patient sign and acknowledge his or her right to withdraw consent to sharing personal health information? Participant Consent Form The Participant Consent Form is used to received a patient consent to have his/her personal health information shared with HealthLink and providers of HealthLink. On which form would the care coordinator document the pharmacies that a patient uses? Coordinated Care Plan The Coordinated Care Plan provides detailed patient information to create a higher user profile for HealthLink. Which document explains to the patient what the patient will receive after the care plan meeting? Patient Post Card The Patient Post Card provides essential information to the patient regarding what is a Coordinated Care Plan and the type of consent needed for HealthLink. Which form would be used to document criteria that validate the patient as a high user of the health system? Coordinated Care Plan The Coordinated Care Plan provides detailed patient information to create a higher user profile for HealthLink. Which action should a healthcare coordinator complete when establishing a plan of care for the patient? Identify the needs, access to resources, and support services. .The case manager should identify the patient's strengths and barriers. This will assist with managing the appropriate plan of care for the patient. Which action should the healthcare coordinator perform when coordinating a patient's care plan? Facilitates services to provide ongoing supportive care. Case management provides ongoing support and coordination of services to improve the patient's quality of life. Which action will the healthcare coordinator take when coordinating care in a clinical setting? Identifies strengths, barriers, and plans care. The case manager assesses the patient's strengths and barriers, creates a plan of care, identifies and arranges the appropriate support services, and monitors for reevaluation or lack of compliance. What is the term identified in the lesson for gathering information, engaging the patient and family, and building a trusting relationship? Motivational interviewing During the interviewing process, it is vital for the care coordinator to build a trusting relationship with the patient and family for collection of medical history and other pertinent information and to encourage the patient and family to engage in the planning of care coordination as members of the team. What are the five key steps that should take place in communication skills needed for care coordination? Setting the stage, eliciting information, providing information to the patient and family, understanding the patient and family's perspective, and ending the encounter These five steps are a guide to completing a quality interview with the patient and family: setting the stage, eliciting the information, providing information to the patient and family, understanding the patient's perspective, and ending the encounter. During the motivational interviewing session, what are some of the behaviors that demonstrate active listening? Undivided attention, appropriate body language, acknowledgement of patient, nonjudgmental attitude, and respectful responses Demonstrations of active listening are behaviors that convey attention and respect. Here are five that are recommended from the reading: undivided attention, appropriate body language, acknowledgement of patient, nonjudgmental attitude, and respectful responses. Culturally competent care coordination teams tend to demonstrate the following key behaviors or approaches: Collaborative relationship, effective communications, respectful care incorporating culture into care, holistic perspective, individualized care, interprofessional coordination, empowerment, and cultural skills These practices are key descriptors of culturally competent care, including collaborative relationship, effective communications, respectful care incorporating culture into care, holistic perspective, individualized care, interprofessional coordination, empowerment, and cultural skills. What are some of the factors that should be included for a patient's culturally competent care? Age, ethnicity, geographical background, languages spoken, socioeconomic status, health literacy, and other factors Culturally competent care accounts for the dimensions of a patient's background (e.g., age, ethnicity, geographical background, languages spoken, socioeconomic status, health literacy, etc.) in determining the approach to both care and healthcare plan coordination. While working with an older individual, you ask that the family leave the room. After they leave, you notice the patient is anxious and not engaged in the conversation or responding verbally. What are some considerations to evaluate for communicating with this patient? Consider bringing the family back into the room. Cultural sensitivity involves discussing with the patient and family who needs to be present during all discussions. Some cultures use a social system to identify the best treatment for older members of their society. In which way should a healthcare coordinator collaborate with a patient's interdisciplinary team? Share patient responses to care and treatment during the meeting. An interdisciplinary team consists of all healthcare providers involved in the patient's care. It is a joint effort with all team members having the same common goal to meet the patient's needs. All members' assessments, treatments, and outcomes are taken into consideration and discussed during the meeting. A healthcare coordinator is using motivational interviewing to counsel an adolescent with obesity. In which way should they facilitate behavior change? Encourages goals to change lifestyle and eating habits. Motivational interviewing is a communication technique used to help identify therapeutic interventions that strengthening the patient's personal motivation and commitment to newly established treatment goals. A healthcare coordinator is preparing to assess a patient from a non-English speaking culture. In which way will they provide culturally appropriate care to this patient? Honors the patient's choices and beliefs When providing culturally appropriate care, the patient's personal and cultural preferences are identified and taken into consideration. All of the data that were collected at the starting point for Charles's care coordination would have been initiated at what phase in the care coordination process? Issue identification and collection of patient data begin after the completion of the case selection and intake into case management and occur intermittently, as needed, throughout the case. The face-to-face meetings with the IEHP team represent which phase of the care coordination process? This phase puts the case management plan into action, and these meetings with the care team allow members of the team to implement treatment interventions and track the patient's progress. Identification of a plan to manage Charles's mental health issues and keep him from seeking hospitalization are part of which phase of the care coordination process? During the development of the care plan, the care team establishes goals of the intervention and prioritizes the needs of the patient, support system, and family or caregiver, as well as determines the types of services and resources that are available in order to address the established goals or desired outcomes. The "Health Building" aspects of Charles's care represent which phase of the care coordination process? As the patient has progressed through the plan and is making progress on goals, new goals can be determined for monitoring. The "Achieving Goals" outcomes of Charles's care represent which phase of the care coordination process? Once a patient has established new patterns of behavior and has achieved treatment intervention goals, he or she may be eventually exited from the plan (while the care manager would still conduct periodic checks on the patient's ongoing progress). As the care coordinator, a unique client case has you thinking about options for the family of a client with Alzheimer disease. The client is in an early stage and needs to be around others for safety reasons. The family is with the client most of the evening and at night but is not able to cover the daytime hours of 9 am to 5 pm. What is a cost-effective consideration that will meet the needs of the client and family? Look at community services for seniors. The option of a senior center will allow the client to be engaged in activities outside of the family, yet allow the patient to have others close by without the cost of a personal sitter or healthcare worker. Most senior centers have staff available. The center should be made aware of the client's condition so that they can plan for safety concerns. The client has some special needs that should be set up prior to discharge. Your organizations do not offer these types of services. How will you facilitate getting the services established for the client? Contact multiple community organizations that offer the services and seek information on the options and prices related to the services. Consider adding these services to your organization's partnership list for future utilization. No organization can provide every service that may be needed. Partnerships with community organizations that are focused on providing specialized services to clients are vital to the success of both this client and other clients. A special needs child and his family are ready to consider transitioning back to a home setting, but the care needed in the home would be too extensive for the family alone. What would be the best option for this situation? Review the admission assessment and interview to identify whether a home care situation was already in place. If not, work with the family to see if they would like to have you contact the hospital's home health department to arrange this service through the organization. Collaboration with the client and family is vital to success. If they do not already have a service established or want to change services, the coordinator can contact the organization's services to attempt to cover it. Also have other services that are offered within the community available, so the family has multiple options. [Show Less]
- Exam
- $15.45
- 0
- 171
WGU D046 Quizzes WITH COMPLETE SOLUTIONS LATEST 2022
how a healthcare coordinator improves the quality of care delivered in the community? Serves as a bridge between patients, families, and other health care... [Show More] providers. A care coordinator collaborates with health care providers to ensure that a patient with a chronic health problem receives appropriate care, avoids hospitalization, and attends follow-up visits as scheduled. For which reason should the healthcare coordinator use health information technology (HIT) to improve a patient's care? It improves communication between clinicians and inpatient and outpatient healthcare settings. A care coordinator is scheduled to meet with adolescents and adult patients in a community clinic. Which action could a healthcare coordinator take to demonstrates how care coordination improves in disease management? Meet with the school nurse to review the action plans for students with asthma. Which action should a healthcare coordinator complete when establishing a plan of care for the patient? Identify the needs, access to resources, and support services. Which action should the healthcare coordinator perform when coordinating a patient's care plan? Facilitates services to provide ongoing supportive care. Which action will the healthcare coordinator take when coordinating care in a clinical setting? Identifies strengths, barriers, and plans care. In which way should a healthcare coordinator collaborate with a patient's interdisciplinary team? Share patient responses to care and treatment during the meeting. A healthcare coordinator is using motivational interviewing to counsel an adolescent with obesity. In which way should they facilitate behavior change? Encourages goals to change lifestyle and eating habits. A healthcare coordinator is preparing to assess a patient from a non-English speaking culture. In which way will they provide culturally appropriate care to this patient? Honors the patient's choices and beliefs Which step in evidence-based practice (EBP) determines if a revised protocol is a success? Evaluate. A healthcare coordinator assesses an adolescent patient in the behavior health clinic. Which action should they take when prioritizing problems and goals that reduce anxiety and encourage compliance? Plan the details for each task. A healthcare coordinator is reviewing the treatment plans created by multiple providers to manage a patient's chronic illness. Which action should the healthcare coordinator take to ensure healthcare was appropriately delivered between the providers? Review the plans for intervention alignment. Which phase of intervention occurs following identification of potential services? Planning A healthcare services professional is coordinating services for a Muslim female patient that who does not want a male caregiver to complete an assessment. Which intervention is appropriate at this stage based on individualization? The male caregiver should leave the room and ask if a female caregiver is available. A patient with a history of liver cirrhosis has documentation that indicates 6 months of abstinence from alcohol. Which stage of change is the patient demonstrating? Maintenance Which type of therapy helps a patient understand the thoughts and feelings that influence behavior? Cognitive behavioral Which techniques are used for motivational interviewing? Open questions, affirmation, reflective listening, and summary reflections Which statement shows a correct usage of cognitive reframing? "Your husband is in Heaven now and is no longer in pain." During treatment for opioid overdose, a provider assesses the patient's level and then asks about substance use and associated behaviors. Which step of substance abuse screening is the provider completing? Brief intervention What would be a SMART goal for a patient who is one day post total knee replacement surgery? Patient will walk one lap around the unit with minimal pain by postoperative day four. Which question should a patient with a history of alcohol abuse be asked when using motivational interviewing? "What role does alcohol play in your life?" After a patient has heart surgery, a surgeon changes the patient's medications and asks to have the patient's blood pressure and heart rate monitored weekly. Which strategic partner should take on this task? Home health nurse What is the distinguishing characteristic of the brokerage case management model? It links the client with available community resources and contacts. A patient with a smoking history is newly diagnosed with lung disease and is being discharged to home in the care of her spouse. Which action demonstrates support for patient autonomy? Asking the patient about her preferences What does the M stand for in the SMART model of goal setting? Measurable The healthcare coordinator of a substance abuse center is responsible for obtaining intake information. What is an effective interview technique? Beginning with less personal questions to establish trust Which step in the case management process is defined as executing activities or interventions that lead to the patient accomplishing the goals of the plan? Implementation Which SBIRT intervention is in use when a care team associate teaches a low-risk patient about moderate drinking limits? Brief intervention What is the first step in determining which safeguards should be put in place to protect electronic medical records? Conduct a risk assessment for the organization In an effort to comply with the health information portability accountability act (HIPPA), the implementation of which strategy can help mitigate the risk of EMR data breaches? Assigning different levels of access based upon employee role. Which action should be taken to ensure patient assessments are documented timely and accurately into the electronic medical record (EMR)? Document the assessment as it is being completed. A continuing education program is being designed that focuses on the Health Insurance Portability and Accountability Act (HIPAA). Which is an example of inappropriate use of personal health information (PHI)? Advertising a service related to a patient's illness. A family member calls a medical-surgical care area and asks for the results of a patient's tests. Which action should be taken? Check to see if the patient has set up a password for the medical record. While riding in the elevator with a colleague, the care coordinator is asked about a specific patient. What should the care coordinator do? Refuse to discuss the patient if the colleague is not involved in the patient's care. A group of physicians, hospitals, and ancillary healthcare providers are collaborating to provide care to patients enrolled in Medicare. Which term best describes this structure of care providers? Accountable Care Organizations (ACOs) The care coordinator is researching the provisions of the Patient Protection and Affordable Care Act (ACA) for a patient. Which should be identified as a practice of this legislation? Prohibits health insurance to be cancelled for a new illness A patient's insurance company is evaluating the appropriateness of required emergency surgery before paying the insurance claim. Which process is the insurance company using for this review? Retrospective review Which mechanism is a useful tool when formally documenting the benefits of case management efforts? Cost avoidance reporting What is an advantage of using computerized provider order entry (CPOE)? It reduces the number of prescription errors. A care coordinator is working with a woman who has an intellectual disability. The woman's son is interested in reading his mother's medical records and asks the care coordinator for help. Which action must be taken to prevent a Health Insurance Portability and Accountability Act (HIPAA) violation? Have the son obtain a medical power of attorney The care coordinator is discussing care options with a patient diagnosed with end-stage renal disease. What should the care coordinator explain about palliative and hospice care? Palliative care can begin immediaWGU D046 Quizzes WITH COMPLETE SOLUTIONS LATEST 2022tely. [Show Less]
- Exam
- $12.45
- 0
- 125
WDU D046 Intro to Care Coordination questions and answers updated 2022
A patient arrives at your organization and needs specific care. Recently, your organization signed an agreement with a university health system to allow fo... [Show More] r telehealth assessment and identification of potential treatment options. As the coordinator for this patient, what would be the next step to determine if this is a good solution? Contact the leadership team and the telehealth informatics specialist to identify whether everything is in place for this patient to receive care through this association. Telehealth initiatives have associated a lot of organizations with university and other larger health systems to facilitate a collaborative practice for care delivery. A patient is ready to go home, and the family has expressed concern about the patient being on her own during the day. The patient is unable to complete full activities of daily living due to a recent injury. Is there something that the coordination team can recommend for provision of lunch or dinner? Recommend that the family contact the local Meals on Wheels program, so they can ensure the patient has access to food and drink during the day. The patient has some activities for daily living but is not able to complete all activities. Since the concern is around food during the day, the coordinator identified a service that provides free or reduced delivery of hot meals one time a day. Use of this service also provides reassurance for the family that someone has checked on the patient that day. The care team has determined that to reverse behaviors of smoking, a patient and family should seek ongoing support. What recommendations would the care coordinator make? The care coordinator recommends current community outreach programs available and assists the patient and family in deciding which option will meet their needs. The care coordinator should have a list of partners in the community who can assist patients and families, encouraging compliance and promoting health wellness. Provide an example of the clinic-clinician patient relationship. Examples of the clinic-clinician patient relationship include trust between the clinician and patient, shared decision-making, and mechanisms for mutual support of patient self-management. Provide an example of the clinic-clinician-community resource relationship. Examples of the clinic-clinician-community resource relationship include the level of interrelationship along Himmelman's continuum for collaborative processes, formal mechanisms for referrals, and effective mechanisms for feedback from community resource to clinic. Provide an example of the patient-community resource relationship. Examples of the patient-community resource relationship include patients' perception and trust of the community resource, formal mechanisms for referrals, and effective communication between patient and community resource. Using health technology to gather patient-specific data in their electronic health record, how could the care coordination team focus care on an individual patient? Using the data collected provides a collection of problems and diagnosis-related groups (DRGs) that can help the care team determine discharge needs. Review of demographic data can provide information after validation that the information is correct during the assessment phase of contact with the patient and family. The electronic health record is a tool used by the coordination team and others to gather information on what is going on with the patient, by providing information on both the current situation and the medical history. It can also include advance directive information for the future. Where should the documentation of the care plan be recorded? In the care planning module of the electronic health record The electronic health record is where all the care team members have access to the record of the patient, and it is the official health record for that patient. A pregnant client is living in the wilds of Alaska. She is not considered to be high risk and there is no reason for her to stay close to town since a frontier midwife is available to travel to her home every month. What would the care coordinator recommend for the client? Satellite telecommunications device A satellite phone is recommended to ensure that if any questions arise when the midwife is not available, the client can call for help. Which statement describes how a healthcare coordinator improves the quality of care delivered in the community? Serves as a bridge between patients, families, and other health care providers. Care coordinators organize care provided by multiple providers that may not have the ability or means to communicate with each other. Coordinating care improves disease management and patient compliance, offers resources, and removes barriers. A care coordinator collaborates with health care providers to ensure that a patient with a chronic health problem receives appropriate care, avoids hospitalization, and attends follow-up visits as scheduled. For which reason should the healthcare coordinator use health information technology (HIT) to improve a patient's care? It improves communication between clinicians and inpatient and outpatient healthcare settings. HIT improves communication between multiple clinicians and clinical sites by improving access to the patient's medical and medication history, plan of care, referral history, and support services. A care coordinator is scheduled to meet with adolescents and adult patients in a community clinic. Which action could a healthcare coordinator take to demonstrates how care coordination improves in disease management? Meet with the school nurse to review the action plans for students with asthma. Care coordination interventions for patients with chronic diseases effectively link outreach, support services, education and guidance. Meeting with the school nurse to review the action plans for students with asthma ensures compliance with medication use and administration in a location convenient for the patient and care providers. What are the outcome goals of the Ambulatory Integration of Medical and Social (AIMS) model? To obtain patient engagement, identify a best practice care model, manage cases as a team, and identify the potential ongoing needs of the patient and family to maintain optimal health The AIMS model goals are patient engagement, care plan development, case management, and ongoing care as needed. What occurs during the patient engagement and assessment phases of the AIMS model? The patient engagement and assessment phases occur during the initial introduction and detailed interview. This allows for the care coordinator and patient to build a trusting relationship and identify the goals and outcomes for care delivery, identify what part each team member will play in the ongoing care team, and identify any concerns that need to be addressed to improve the potential for meetings the goals of care delivery. The introduction of the care coordinator to the care planning process, review of the aims of the team to facilitate optimal health, and incorporation of whatever considerations need to be addressed are vital to a quality outcome. The client and family should be actively engaged in the process. What is the goal for the case management phase in the AIMS model? The goals are about managing the care plan and ensuring that the goals of the plan are considered and modified as needed, and to offer support to the team, the patient, and the family for the success of the care delivery. The care management phase is to evaluate the goals, modify the plan as needed, and to support the care team, patient, and family as needed to meet the goals of the AIMS model. Under which step are there guidelines for the system navigator? Step 3 Step 3 is where the Systems Navigator has specific guidelines for care planning. Under which step are there care conference guidelines? Step 2 Step 2 is where the client goals and needs are assessed and the care team members are identified. Under which step is the Patient Post Card? Step 1 Step 1 is when the identification and referral information is completed and tracked. Under which step is the Coordinated Care Plan located? Step 2 Step 2 is where the client goals and needs are assessed and the care team members are identified. On which form could a patient sign and acknowledge his or her right to withdraw consent to sharing personal health information? Participant Consent Form The Participant Consent Form is used to received a patient consent to have his/her personal health information shared with HealthLink and providers of HealthLink. On which form would the care coordinator document the pharmacies that a patient uses? Coordinated Care Plan The Coordinated Care Plan provides detailed patient information to create a higher user profile for HealthLink. Which document explains to the patient what the patient will receive after the care plan meeting? Patient Post Card The Patient Post Card provides essential information to the patient regarding what is a Coordinated Care Plan and the type of consent needed for HealthLink. Which form would be used to document criteria that validate the patient as a high user of the health system? Coordinated Care Plan The Coordinated Care Plan provides detailed patient information to create a higher user profile for HealthLink. Which action should a healthcare coordinator complete when establishing a plan of care for the patient? Identify the needs, access to resources, and support services. .The case manager should identify the patient's strengths and barriers. This will assist with managing the appropriate plan of care for the patient. Which action should the healthcare coordinator perform when coordinating a patient's care plan? Facilitates services to provide ongoing supportive care. Case management provides ongoing support and coordination of services to improve the patient's quality of life. Which action will the healthcare coordinator take when coordinating care in a clinical setting? Identifies strengths, barriers, and plans care. The case manager assesses the patient's strengths and barriers, creates a plan of care, identifies and arranges the appropriate support services, and monitors for reevaluation or lack of compliance. What is the term identified in the lesson for gathering information, engaging the patient and family, and building a trusting relationship? Motivational interviewing During the interviewing process, it is vital for the care coordinator to build a trusting relationship with the patient and family for collection of medical history and other pertinent information and to encourage the patient and family to engage in the planning of care coordination as members of the team. What are the five key steps that should take place in communication skills needed for care coordination? Setting the stage, eliciting information, providing information to the patient and family, understanding the patient and family's perspective, and ending the encounter These five steps are a guide to completing a quality interview with the patient and family: setting the stage, eliciting the information, providing information to the patient and family, understanding the patient's perspective, and ending the encounter. During the motivational interviewing session, what are some of the behaviors that demonstrate active listening? Undivided attention, appropriate body language, acknowledgement of patient, nonjudgmental attitude, and respectful responses Demonstrations of active listening are behaviors that convey attention and respect. Here are five that are recommended from the reading: undivided attention, appropriate body language, acknowledgement of patient, nonjudgmental attitude, and respectful responses. Culturally competent care coordination teams tend to demonstrate the following key behaviors or approaches: Collaborative relationship, effective communications, respectful care incorporating culture into care, holistic perspective, individualized care, interprofessional coordination, empowerment, and cultural skills These practices are key descriptors of culturally competent care, including collaborative relationship, effective communications, respectful care incorporating culture into care, holistic perspective, individualized care, interprofessional coordination, empowerment, and cultural skills. What are some of the factors that should be included for a patient's culturally competent care? Age, ethnicity, geographical background, languages spoken, socioeconomic status, health literacy, and other factors Culturally competent care accounts for the dimensions of a patient's background (e.g., age, ethnicity, geographical background, languages spoken, socioeconomic status, health literacy, etc.) in determining the approach to both care and healthcare plan coordination. [Show Less]
- Exam
- $12.45
- 0
- 151
WGU D046 Course of Study Worksheet questions and correct answers 2022
List the resources (strategic partners) that are needed to meet individual healthcare needs. Primary Care physicians Outpatient clinics Specialty care p... [Show More] roviders Women's Health (preventive care, Ob/Gyn services) Therapists (e.g., physical, occupation, mental health) Pharmaceutical support (traditional and specialty pharmacies) Social workers Define health literacy the degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions What is the goal for care coordination? Quadruple Aim: Improved Physician Experiance Improved Patient Outcomes Lower Cost of Care Imrpoved Patinet Experience AIMS Model Patient engagement Assessment and care plan development Case management Ongoing care as needed AIMS engage The engagement phase allows the care coordinator the opportunity to interact with the patient and their family, ensure that their questions are answered, and to provide guidance and resources that will help navigate patients through their care plan. Part of engagement involves: Validating a patient's concerns Reinforcing the role of the coordinator as a helper/resource Giving information to address immediate concerns AIMS assesment and care plan development/case management The assessment and care plan development phase allow the coordinator to “identify social and environmental factors that may affect medical plan adherence, health care services utilization, and health care outcomes. The assessment process collects information that is helpful for interpreting the completed assessment and using that information to develop a comprehensive care plan that will address the patient’s medical and non-medical challenges. The case management phase is all about ensuring that the patient stays on track and has the support and he/she needs. Under this model, case management includes Monitoring goal progress Offering support Modifying the care plan as necessary to align with the patient’s changing needs What is the role of the care coordinator? Using resource partnerships to not to just connect patients with the key services and levels of care necessary to achieve their healthcare goals, but also to help patients understand why these services are important. Identify the goals of the ACO's To improve patient outcomes through coordination of care measures and services that improve a patient's quality of life. Identify and define clinical-community linkages. Resources that "help to connect health care providers, community organizations, and public health agencies so they can improve patients' access to preventive and chronic care services". Discuss how health information technologies are used in a variety of care coordination activities. With the help of IT: Accurate and complete information about a patient's health, so providers can give the best possible care, whether during a routine visit or a medical emergency The ability to better coordinate the care given, which is especially important if a patient has a serious medical condition A way to securely share information with patients and their family caregivers over the internet, for patients who opt for this convenience; this means patients and their families can more fully take part in decisions about their healthcare Information to help diagnose health problems sooner, reduce medical errors, and provide safer care at lower costs What are case management models? Use clinical reasoning to examine a patient's personal and medical history, so the team can pool resources and different clinical perspectives to make both independent and shared decisions regarding each patient's care. What are the four steps the AIMS Model encompasses? 1) Patient engagement 2) Assessment and care plan development 3) Case management 4) Ongoing care as needed What kind of coordination does the Wraparound Care Model provide? For whom? Youth with complex behavioral needs. Broker Case Model Helps clients identify their needs and broker supportive services in one or two contacts. Clinical Case Management Model In a clinical case management model, a clinical care provider serves as the case manager. Frequently, the case manager is a counselor or therapist. This model recognizes that many clients face barriers to services that reach beyond simple questions of access. Strengths-Based Clinical Case Management Model focuses on empowering clients and their families. Case management and clinical services focus on creating client opportunities for growth, education, and skill development. Involves outreach, clinical services, advocacy, and robust coordination between case managers and clients What is the PCMH Medical Neighborhood Collaborative Care Model? Patient-Centered Medical Home (PCMH). That medical home may then interact with a "neighborhood" of community resources, including a team of outpatient caregivers, specialists, hospitals, mental/behavioral health resources, and non-medical community resources. What is the greatest challenge of care coordination and case management? The fragmented nature of care transitioning, in which patients and providers may not always have the same information What are the steps of the care coordination model? Establish a care plan, planning for a care conference meeting with providers to discuss and finalize the care plan, plan implementation led by a team systems navigator to ensure all the necessary technology and tools are in place so all members of the team may utilize shared information, then ongoing support and re-evaluation/measurement of the plan for adjustments/updates, as necessary. How do you set the stage using appropriate communication skills? Greet patient appropriately and acknowledge the wait time if needed Find out how the patient is feeling about the consultation Introduce the computer into the coordinator-patient triad Explain and reassure the patient of confidentiality of EMR Discuss and define the key communication skills used by health services coordinators. Instances in which a patient may share "personal, emotional or psychological problems" in which case "undivided attention should be focused on the patient...with hands off the mouse and keyboard and eyes off the screen." ? Explain the importance of active listening. -Shows the patient that you care-Establishes trust in a healthcare professional-patient relationship-Lessens your chance of erroneous information capture or decision-making, based on your own assumptions-Increases the chances that you will procure pertinent information Define motivational interviewing and provide 2 strategies of when it would be useful and what you would say A client-centered, directive method for enhancing intrinsic motivation to change by exploring and resolving ambivalence. Positive reinforcement. What is telemedicine? A technology-driven means for patients to connect with healthcare providers for remote monitoring of their health conditions and to receive medical consultation without having to come for an office visit. What is culturally competent care? Is the process of acquiring specific knowledge, skills, and attitudes to provide culturally congruent care What is evidence-based practice (EBP)? -It's using research that has already been done to help us -use of best evidence to influence care What are the six-steps of the care coordination process? 1. Client identification and selection: Focuses on identifying clients who would benefit from case management services. This step may include obtaining consent for case management services, if appropriate. 2. Assessment and problem/opportunity identification: Begins after the completion of the case selection and intake into case management and occurs intermittently, as needed, throughout the case. 3. Development of the case management plan: Establishes goals of the intervention and prioritizes the needs of the client, support system, and/or family caregiver, as well as determines the type of services and resources that are available in order to address the established goals or desired outcomes. 4. Implementation and coordination of care activities: Puts the case management plan into action. 5. Evaluation of the case management plan and follow-up: Involves the evaluation of the client's status and goals and the associated outcomes. 6. Termination of the case management process: Brings closure to the care and/or episode of illness. The process focuses on discontinuing case management when the client transitions to the highest level of function, the best possible outcome has been attained, or the needs/desires of the client change. What is transitional care? Activities that prevent repeated and avoidable re-admissions and negative health outcomes after a hospital discharge [Show Less]
- Exam
- $12.95
- 0
- 144
WGU D046 Care Coordination 101 questions and correct answers 2022
Health literacy a person's capacity to learn about and understand basic health information and services, and to use these resources to promote one's healt... [Show More] h and wellness Quadruple Aid 1. Improved patient experience 2. Improved physician experience 3. Lower cost of care 4. Improved patient outcomes Accountable Care Organization (ACO) New type of health care organization incentivized to improve quality of care, improve population health, and reduce the total cost of care. relational coordination Frequent effective horizontal coordination and communication carried out through ongoing relationships of shared goals, shared knowledge, and mutual respect. Cold Transfer Patients are transferred on for additional care or services with an individual or entity with whom the referring caregiver has no prior rapport or working relationship What often happens with a cold transfer? Patients try to follow up on referrals while they do not have a clear understanding of why additional service is important to their health Clinical community linkages Resources that help to connect health care providers, community organizations, and public health agencies so they can improve patients access to preventive and chronic care services Clinical Decision Support Patient medical history and other data Computerized Disease Registries Provide key information to providers for clinical decision-making Computerized provider order entry (CPOE) Used for the entry of patient treatments to initiate care at the point of service Consumer health IT application Online resources or provider websites that provide information for patients concerning their care Electronic medical record systems Electronic databases used to enter and store patient information such as demographic data, allergies, health history, medical treatment orders and medication administration orders Electronic prescribing Electronic systems used to transmit prescriptions electronically to a patients pharmacy of choice Telehealth Web based resource for patients to counsel with a health care providers concerning their healthcare needs, both for scheduled visits and for general advice related to medical, behavior health or medication use Clinical reasoning Every health care provider evaluates a patients info, history and treatment plan for a different perspective. Effective teams then pool resources to make both independent and shared decisions for each patients care Care coordination models designed to improve the continuum of care for patients with complex medical history and care needs AIMS model Helps to address both the medical and nonmedical needs of adult patients through 2 steps: patient engagement, assessment & care plan development, case management and ongoing care as needed Engagement phase in AIMS model allows care coordinators the opportunity to interact with the patient and their family; ensures questions are answered and provides guidance Assessment & care plan in AIMS model allows coordinators to identify social and environmental factors that may affect medical plan adherence and health care outcomes Case management phase Ensures the patient stays on track and has the support he/she needs. This includes monitoring goal progress; offering support; and modifying care plan as needed Wraparound Model Provides team based care coordination for children and youth with complex behavioral health needs Motivational interviewing strategy aimed at persuading patients and using positive reinforcements to maintain adherence with treatment plan and follow through on appointments throughout care transitions warm transfer transfer that was preceded by contact by a member of the care team 3 levels of change talk Desire to change; ability to change; need to change Commitment talk Expressed at the end of a motivational interviewing session, this seals the patient's commitment to a care management goal Health Catalyst Care Management Suite host applications that can support the motivational interviewing process and help care managers optimize patient engagement Collaborative relationship Care teams work in partnership with the patient and family in planning care Effective communication Verbal or nonverbal exchanges establish trust with the patients; including actively listening, using simple language and an unhurried demeanor Respectful care Responsive to and accepting patients beliefs and values; open-minded Holistic perspective Planning and delivering care based on knowledge of the multiple facets of the person and family Individualized care Tailoring care plans and care delivery to the needs and wishes of patients and families interprofessional coordination Multiple people working together as a synergetic team that addresses patient/family needs Self-awareness Demonstration of self-reflection to gain understanding of ones own assumptions and becoming open to beliefs and values other than ones own Empowerment Providing patients or caregivers important health information and encouraging them to participate in their care [Show Less]
- Exam
- $11.95
- 0
- 204
WGU D046 question and answers 2022
What is an important part of the decision to pursue hospice or palliative care? Part of the decision whether to pursue hospice or palliative care has to d... [Show More] o with payer sources and the level of hospice care a patient wishes to receive. The accountable care organization (ACO) The accountable care organization (ACO) is a new type of health care organization incentivized to improve quality of care, improve population health, and reduce the total cost of care. 01:27 01:38 What are case management models? Models include the ambulatory integration of the medical and social model (AIMS), the wraparound care coordination model, the patient-centered medical home (PCMH), and the medical neighborhood collaborative care model. What are the four steps the AIMS Model encompasses? 1-Patient engagement 2-Assessment and care plan development 3-Case management 4-Ongoing care as needed What kind of coordination does the Wraparound Care Model provide? For whom? provide team-based care coordination for children and youth with complex behavioral health needs. This model was created to serve a need for care of youth with complex physical and behavioral health needs for which care was either duplicated, involved unnecessary services, or lacked the support and resources to achieve the young patient's health care goals What is the PCMH Medical Neighborhood Collaborative Care Model? the concept of a medical neighborhood, in which a patient's primary provider may be considered their Patient-Centered Medical Home (PCMH). That medical home may then interact with a "neighborhood" of community resources, including a team of outpatient caregivers, specialists, hospitals, mental/behavioral health resources, and non-medical community resources. What is the case management process flow? -Patient engagement activities -Interview with the patient to gain their medical history as well, gain demographic information and learn the patient's goals and needs -Construction of a Coordinated Care Conference for the assembly of a coordinated care team that will be led by a Lead Care Coordinator -Management of the care team and collaborative efforts as part of the case management process How do you set the stage using appropriate communication skills? -Greet patient appropriately and acknowledge the wait time if needed -Find out how the patient is feeling about the consultation -Introduce the computer into the coordinator-patient triad -Explain and reassure the patient of confidentiality of EMR Explain the importance of active listening. -Shows the patient that you care -Establishes trust in a healthcare professional-patient relationship -Lessens your chance of erroneous information capture or decision-making, based on your own assumptions -Increases the chances that you will procure pertinent information What is telemedicine? also sometimes referred to as telehealth or remote healthcare, continues to evolve, both in terms of the technology used and the capacity of providers to provide a wider range of remote healthcare services to patients and their families. Remote patient monitoring involves integrated devices that connect with providers, so necessary interventions may be administered in a more timely manner and prevent escalation of serious health conditions that could result in hospitalization. What is culturally competent care? caregivers understand and attend to the total context of the individual's situation, including awareness of immigration status, stress factors, other social factors, and cultural similarities and differences What is transitional care? activities that prevent repeated and avoidable re-admissions and negative health outcomes after a hospital discharge 00:02 01:38 What are the phases of the population care coordination intervention process? -data analysis and selection -assessment -planning -interventions -evaluations -individualization What is DICE? (duration, integrity, commitment, and effort) outlines those additional change factors to manage with employees and other stakeholders. What is SWOT? Strengths-are considered attributes weighed as positive to an organization's internal environment. Weaknesses- harmful or negative qualities. Opportunities-are external factors considered to be favorable to an organization. Threats-are external factors perceived to be adverse or unfavorable. What is ADKAR? Awareness- Individual awareness of the need for change Desire- Individual desire to participate and support the change Knowledge- Individual knowledge regarding how to change Ability- Individual ability to implement new skills and behaviors Reinforcement- Individual level reinforcement for keeping newly acquired skills and behaviors in place What are the four steps of the safety net medical home initiative? 1. laying the foundation-quality improvement, engaged leadership 2. building relationships- empanelment, continuous team based healing 3. changing care delivery-patient centered interactions, organized evidence based care 4. reducing barriers to care-cared coordination, enhanced access What are the factors to consider when assembling a case management plan of care? -Data gathering format -Development strategies -Factors in patient acuity determination -Verification of the appropriate resources and case management plans that allow UM-driven evidence-based clinical guidelines and clinical pathways that will lead to optimal patient health outcomes. assessment phase of care coordination plan During the assessment phase of this subpopulation, the full interview and assessment of a specific client are reviewed and considered. The assessment should include the client, family, community, services currently utilized, and potential future needs. A comprehensive needs assessment is completed during this phase and will need to stay updated as the patient transitions. planning phase of care coordination plan Planning occurs after the identification of the potential services needed. Creation of the care team and identification of the care coordination plan will begin. This improves the process of including the right care team members to the initial planning stages with the care team. Client engagement will be needed to ensure the success of the care delivery path, as it usually requires the client and family to adapt or adopt new practices or services into their daily living. interventions phase of care coordination plan The goals for the interventions will fall into three categories: prevention, transition of care, and chronic care. All interventions should be supported through evidence-based practices when possible. Ensuring that the client receives the immediate care delivery for the moment is important; ensuring that interventions to support those plans and treatments in the future needs to be worked on by all members of the team. evaluation phase of care coordination plan Evaluation is an analysis of the plan, the interventions, and the outcomes. This phase is ongoing and will lead to reevaluations based on the outcomes and the continuous cycle of improving the outcome for the client as well as in analysis of the ongoing nature of diseases. Some conditions will be short-lived and can be resolved, whereas other problems or conditions are chronic with exacerbation, remission, or maintenance cycles. All of this will factor into the ongoing nature of dealing with clients in the healthcare setting individualization phase of care coordination plan The final stage is the ongoing individualization of the plan to meet the needs of the client, the family, the environment, and the community. This occurs after and along with the continual evaluation, since the overarching plan requires ongoing and concurrent evaluation and individualization according to the client's needs. Only at resolution is a care coordination plan ever complete, although this will be impacted by a re-entry into another episode of care cognitive reframing a form of cognitive-behavioral therapy that assists individuals in reframing their thinking about the stressors in their lives to promote positive rather than negative perspectives? What is motivational interviewing? a client-centered, directive method for [Show Less]
- Exam
- $14.45
- 0
- 161
Purchase the bundle to get the full access instantly
- 3 Million+ Study Documents
- 100% Money Back Guarantee
- Immediate Download Access
Add To Cart
Reviews 0
Bundle Details
$40.95
- Trusted by 800,000+ Students
- 24/7 Money Back Guarantee
- Download is directly available
107
0
Seller Details
