Case management - ANSWER the dynamic and systematic collaborative approach to
providing and coordinating health care services to a defined population.
- participative process to identify and facility options and services for meeting individual
healthcare needs while decreasing fragmentation and duplication of care and increasing
quality and cost effective clinical outcomes.
Standards of care - ANSWER parameters to measure the quality of healthcare
Clinical guidelines - ANSWER statements to help make decisions about health specific cir-
cumstances.
Clinical pathway - ANSWER structured multi-disciplined plan of care to support clinical
guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway - ANSWER 1. Timeline
2. Categories of care/activities and interventions
3. Intermediate and long term outcome criteria
4. Variance tracking
Are 4 parts of what?
Decision tree - ANSWER used to select the best course of action in decisions where there
is no clear decisions.
Descriptive screening tool - ANSWER identifies characteristics about a population to
show health prevention.
1
,Predictive screening tool - ANSWER shows what may happen to a specific population.
Evaluative screening tool - ANSWER evaluates the understanding/effectiveness
SF-36 - ANSWER predictive screening tool to assess functional health and well being. As-
sesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. Disability
Patient activation measure - ANSWER 13 item predictive screening tool to evaluate pa-
tient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
Health risk assessment - ANSWER predictive screening tool: patient's self assessment of
their health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse condition.
- examples: PHQ-9, etc.
Rose Q - ANSWER health risk assessment for angina, MI, coronary heart disease.
Defined angina pectoris as, "a chest pain or discomfort with these characteristics:
(a) the site must include either the sternum (any level) or the left arm and left anterior chest
(defined as the anterior chest wall between the levels of clavicle and lower end of sternum),
(b) it must be provoked by either hurrying or walking uphill (or by walking on the level, for
those who never attempt more),
2
, (c) when it occurs on walking it must make the subject either stop or slacken pace, unless
nitroglycerin is taken, (d) it must disappear on a majority of occasions in 10 min or less from
the time when the subject stands still."
Possible myocardial infarction1 was defined as, "one or more attacks of severe pain across
the front of the chest lasting for 30 min or longer."
Seattle angina questionnaire - ANSWER 19-item self-administered health risk assessment
for angina and functional artery disease measuring five dimensions of coronary artery dis-
ease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4 treatment satisfaction and 5
disease perception.
-score of 0 to 100, where higher scores indicate better function (eg, less physical limitation,
less angina, and better quality of life).
Arthritis impact measurement scales - ANSWER health risk assessment: Disease-specific
measure of physical, social, and emotional well-being designed as a measure of outcome in
arthritis.
-scales: mobility, physical activity (walking, bending, lifting), dexterity, household activity
(managing money and medications, housekeeping), social activities, activities of daily living,
pain, depression, and anxiety.
Score range: Range is 0-10 for each section. Total health score 0-60.
--> Zero represents good health status, 10 and 60 represent poor health status.
Functional living index-cancer - ANSWER health risk assessment: Cancer-specific, func-
tionally-oriented quality of life instrument.
-22 items assessing 5 domains: Physical well-being and ability, emotional state, sociability,
family situation, nausea
- Higher score indicates better quality of life.
3
providing and coordinating health care services to a defined population.
- participative process to identify and facility options and services for meeting individual
healthcare needs while decreasing fragmentation and duplication of care and increasing
quality and cost effective clinical outcomes.
Standards of care - ANSWER parameters to measure the quality of healthcare
Clinical guidelines - ANSWER statements to help make decisions about health specific cir-
cumstances.
Clinical pathway - ANSWER structured multi-disciplined plan of care to support clinical
guidelines and protocol to improve continuity and coordination.
4 parts of clinical pathway - ANSWER 1. Timeline
2. Categories of care/activities and interventions
3. Intermediate and long term outcome criteria
4. Variance tracking
Are 4 parts of what?
Decision tree - ANSWER used to select the best course of action in decisions where there
is no clear decisions.
Descriptive screening tool - ANSWER identifies characteristics about a population to
show health prevention.
1
,Predictive screening tool - ANSWER shows what may happen to a specific population.
Evaluative screening tool - ANSWER evaluates the understanding/effectiveness
SF-36 - ANSWER predictive screening tool to assess functional health and well being. As-
sesses physical and mental health.
- used in health economics, cost-effectiveness of health tx
-evals individual patient health status.
- does not consider sleep
-scored 00-100, lower score-> incr. Disability
Patient activation measure - ANSWER 13 item predictive screening tool to evaluate pa-
tient's knowledge, skills, confidence in self-care.
- higher the score the better (scored 0-52)
-predicts health care outcomes, medication adherence and ER visits.
Health risk assessment - ANSWER predictive screening tool: patient's self assessment of
their health and how likely they will seek care.
- predicts future health costs
- predicts likely-hood of progression of their illness to a worse condition.
- examples: PHQ-9, etc.
Rose Q - ANSWER health risk assessment for angina, MI, coronary heart disease.
Defined angina pectoris as, "a chest pain or discomfort with these characteristics:
(a) the site must include either the sternum (any level) or the left arm and left anterior chest
(defined as the anterior chest wall between the levels of clavicle and lower end of sternum),
(b) it must be provoked by either hurrying or walking uphill (or by walking on the level, for
those who never attempt more),
2
, (c) when it occurs on walking it must make the subject either stop or slacken pace, unless
nitroglycerin is taken, (d) it must disappear on a majority of occasions in 10 min or less from
the time when the subject stands still."
Possible myocardial infarction1 was defined as, "one or more attacks of severe pain across
the front of the chest lasting for 30 min or longer."
Seattle angina questionnaire - ANSWER 19-item self-administered health risk assessment
for angina and functional artery disease measuring five dimensions of coronary artery dis-
ease:
1 physical limitation, 2 anginal stability, 3 anginal frequency, 4 treatment satisfaction and 5
disease perception.
-score of 0 to 100, where higher scores indicate better function (eg, less physical limitation,
less angina, and better quality of life).
Arthritis impact measurement scales - ANSWER health risk assessment: Disease-specific
measure of physical, social, and emotional well-being designed as a measure of outcome in
arthritis.
-scales: mobility, physical activity (walking, bending, lifting), dexterity, household activity
(managing money and medications, housekeeping), social activities, activities of daily living,
pain, depression, and anxiety.
Score range: Range is 0-10 for each section. Total health score 0-60.
--> Zero represents good health status, 10 and 60 represent poor health status.
Functional living index-cancer - ANSWER health risk assessment: Cancer-specific, func-
tionally-oriented quality of life instrument.
-22 items assessing 5 domains: Physical well-being and ability, emotional state, sociability,
family situation, nausea
- Higher score indicates better quality of life.
3
