Summary D026 Implementing value-based care| action
plan Dina Jones WESTERN GOVERNERS UNIVERSITY
Which core competency most accurately describes the following example of
interprofessional practice?
Communicate roles and responsibilities to patients, families, and other professionals.
Explain the roles and responsibilities of other care providers and how the team
works together to provide care. - ANSWER: Roles and responsibilities for
collaborative practice
Collaborative practice involves communicating roles and responsibilities to patients,
families and care providers.
Which are examples of benefits to patients who have interdisciplinary care plans? -
ANSWER: Reducing healthcare-related expenditures, Lowering rates of hospital-
acquired conditions unrelated to the original diagnosis, Decreasing the overall length
of stay, regardless of diagnosis.
Decreasing the overall length of stay, regardless of diagnosis is a benefit of an
interdisciplinary care plan. Lowering rates of hospital-acquired conditions unrelated
to the original diagnosis is a benefit of an interdisciplinary care plan. Reducing
healthcare-related expenditures is a benefit of an interdisciplinary care plan.
Which of the following defines the term Cultural Competence and Diversity within
the context of group dynamics in a health care setting? - ANSWER: Observing your
team members' interactions with each other, as well as understanding the
differences in age, gender, and ethnicity.
Observing your team members' interactions with each other, as well as
understanding the differences in age, gender, and ethnicity is an example of conflict
and problem solving dynamics in a healthcare setting.
Which choice is not an example of proper "wheelchair etiquette?" - ANSWER:
Continuing to stand even after meeting the person in a wheelchair for the first time.
Ideally, you should stand only during your initial greeting, when first entering the
room.
A healthcare coordinator feels that a supervisor is showing favoritism to a colleague.
Which would be an appropriate way for the healthcare coordinator to address this
concern? - ANSWER: Schedule a meeting with the supervisor to discuss the concerns.
This approach allows the healthcare coordinator to address the problem directly
with the supervisor, who can resolve the situation. It also gives the supervisor the
opportunity to clear up any misunderstandings and to be aware of managerial
actions that are being perceived as favoritism.
A culturally diverse interprofessional healthcare team is working with a healthcare
coordinator to prepare a care plan for a patient with mental and physical illnesses.
What action will promote successful interprofessional collaboration among the team
members? - ANSWER: Aligning values to meet the patient's needs.
,A healthcare coordinator works with a variety of healthcare professionals as a
liaison, or coordinator, of patient care. This requires the healthcare professionals to
collaborate and work together as a team.
A patient has been referred by a primary care physician to a specialist for a
consultation. If a specialist disagrees with a treatment being implemented by a
patient's primary care provider, which is an appropriate strategy for the healthcare
coordinator? - ANSWER: Suggest that the care providers collaborate to come to an
agreement about treatment options.
Interprofessional teamwork and team-based care are essential to quality patient
care. Care recommendations vary among providers with different education,
backgrounds, values, experience, and expertise. Collaboration and communication
among providers are necessary to achieve the best outcome for the patient.
Which definition below most accurately defines a high deductible health plan
(HDHP)? - ANSWER: A health insurance plan in which the enrollee pays a deductible
of at least $1,250 (Self Only coverage) or $2,500 (family coverage). The annual out-
of-pocket amount (including deductibles and copayments) the enrollee pays cannot
exceed $6,350 (Self Only coverage) or $12,700 (family coverage). These dollar
amounts are for 2014.
This is an example of a high deductible health plan (HDHP).
Comparing the various plans, which of the following is true if you belong to an HMO?
- ANSWER: You will have limitations on the doctors and other providers you can use.
This is true for an HMO plan.
Which of the following accurately defines the term care plan? - ANSWER: A written
individual plan of care, developed from an evidenced assessment with the patient,
family caregiver, and interdisciplinary health care team. The care plan should detail
the patient's health, behavioral, social and health system needs, and personal
preferences.
This is an accurate definition for the term Care Plan.
A healthcare coordinator is reviewing the discharge with a client who states, "I have
so many medical bills, I am not sure if I will be able to pay my mortgage." Which of
the following would be an appropriate resource for this client? - ANSWER: Social
worker
A social worker is a liaison to a community or government organization that could
offer financial assistance or other affordable low-income housing options to the
patient. The social worker can assist the patient to contact the appropriate
organization that would be best able to provide assistance.
A healthcare provider is reviewing a plan of care that includes physical therapy with
an older adult patient who lives alone and is scheduled for a total knee replacement.
The patient will be unable to provide adequate self-care until recovered from the
surgery. Which of the following would be an appropriate resource to include in the
,patient's care plan for transition of care from the hospital setting? - ANSWER:
Inpatient rehabilitation care facility
A patient can receive short-term, inpatient nursing care, and physical therapy at a
rehabilitation center. Once the patient is sufficiently recovered to provide self-care,
the patient can return home.
A healthcare provider suggests that a patient diagnosed with heart disease lose a
significant amount of weight to make further health progress and improve treatment
outcomes. Which of the following partners should the healthcare coordinator
include in the patient's care plan to provide patient-centered collaborative care? -
ANSWER: Registered dietician
A registered dietician can provide education and support for a patient's nutritional
and dietary needs. A dietician can help the patient lose weight to improve health
outcomes.
Which of the following is an example of a verbal method for facilitating patient
centered communication? - ANSWER: Rephrasing
This is an example of a verbal method for facilitating patient centered
communication. Example: "Let me summarize what you have told me so far..."
The phrase/question "What would you like to get out of today's visit?" would be
helpful to elicit the patient's perspective on what area of focus? - ANSWER:
Expectations
"What would you like to get out of today's visit," would be an appropriate inquiry for
this area of focus.
What are the first four recommended sequenced events in Patient-Centered Medical
Interviewing? - ANSWER: (1) Introduce and build rapport, (2) Elicit the patient's
agenda, (3) List all of the patient's agenda items, (4) Negotiate the agenda
This is the recommended sequenced events in Patient-Centered Medical
Interviewing.
A healthcare coordinator is discussing transitional care with a post-surgical patient
who has limited mobility. The patient states, "I'm fine to go home and care for
myself." What strategy should the healthcare coordinator use to ensure quality
patient-centered care? - ANSWER: Request that an occupational therapist assess the
patient's self-care abilities.
By collaborating with a healthcare team member to assess the patient's self-care
abilities, the healthcare coordinator can present practical post-surgical care options
to the patient. The patient may be able to return home and provide self care, or care
assistance at an appropriate level may be recommended, such as a visiting home
health nurse. Patient-centered care allows the patient to decide which option is best,
after education and outcome assessment.
A healthcare coordinator is discussing a care plan with a teenage patient diagnosed
with type 1 diabetes mellitus. The patient will require daily insulin injections to
manage the disease, but tells the healthcare coordinator, "I'm nervous about having
, to give myself shots everyday." What should the healthcare coordinator do to ensure
quality patient-centered collaborative care? - ANSWER: Suggest that a qualified
healthcare team member show the patient how to perform self-injections.
Using medications improperly leads to poor patient outcomes. If a patient is hesitant
about how to properly administer a medication, the healthcare coordinator should
ensure the patient is given adequate education by a qualified member of the
healthcare team, such as a nurse, to be able to perform insulin injections on a daily
basis. By providing hands-on instruction to prevent medication administration errors,
safety, quality, and efficiency of care can be improved.
A healthcare coordinator is collaborating to arrange hospice care for an older adult
patient who lacks the mobility to get out of bed. The patient is planning on being
cared for at home by a family caregiver. Which recommendation will provide the
patient with quality patient-centered collaborative care? - ANSWER: Recommend
that the caregiver take a hospital community education class about pressure sores.
The healthcare coordinator can recommend training to the caregiver that will
increase the quality and safety of home care by reducing the risk of developing
sores. Most hospitals offer community education classes for caregivers that can
contribute to providing quality, safe, efficient care.
Which of the following is an example of a strengths-based case management model?
- ANSWER: A model that is a perspective originally developed to help a population of
persons with persistent mental illness make the transition from institutionalized care
to independent living.
Strengths-based case management is a perspective originally developed to help a
population of persons with persistent mental illness make the transition from
institutionalized care to independent living.
Which of the following is not an example of an essential case management skill
and/or value? - ANSWER: HIPPA law compliance
This is not an example of an essential case management skill and/or value.
Given that the case manager would be wise to prepare for the interview and
preparation will help ensure that the goals of the interview arc met, which of the
following is a best practice for preparing for an interview? - ANSWER: Dress in a
manner that is appropriate for the location of the interview and the standards set by
the ease management employer.
This is a best practice for preparing for an interview.
A patient was injured falling off a horse in a location that is a three-hour drive from
home. The patient is treated for a broken arm at an emergency care center. How can
the healthcare coordinator collaborate for follow-up care after the patient returns
home? - ANSWER: Refer the patient to a healthcare provider in the patient's
hometown.
A healthcare coordinator can collaborate with healthcare team members by
referring the patient to an appropriate healthcare provider in the patient's home
community, where the patient is more likely to be compliant with follow-up care.
plan Dina Jones WESTERN GOVERNERS UNIVERSITY
Which core competency most accurately describes the following example of
interprofessional practice?
Communicate roles and responsibilities to patients, families, and other professionals.
Explain the roles and responsibilities of other care providers and how the team
works together to provide care. - ANSWER: Roles and responsibilities for
collaborative practice
Collaborative practice involves communicating roles and responsibilities to patients,
families and care providers.
Which are examples of benefits to patients who have interdisciplinary care plans? -
ANSWER: Reducing healthcare-related expenditures, Lowering rates of hospital-
acquired conditions unrelated to the original diagnosis, Decreasing the overall length
of stay, regardless of diagnosis.
Decreasing the overall length of stay, regardless of diagnosis is a benefit of an
interdisciplinary care plan. Lowering rates of hospital-acquired conditions unrelated
to the original diagnosis is a benefit of an interdisciplinary care plan. Reducing
healthcare-related expenditures is a benefit of an interdisciplinary care plan.
Which of the following defines the term Cultural Competence and Diversity within
the context of group dynamics in a health care setting? - ANSWER: Observing your
team members' interactions with each other, as well as understanding the
differences in age, gender, and ethnicity.
Observing your team members' interactions with each other, as well as
understanding the differences in age, gender, and ethnicity is an example of conflict
and problem solving dynamics in a healthcare setting.
Which choice is not an example of proper "wheelchair etiquette?" - ANSWER:
Continuing to stand even after meeting the person in a wheelchair for the first time.
Ideally, you should stand only during your initial greeting, when first entering the
room.
A healthcare coordinator feels that a supervisor is showing favoritism to a colleague.
Which would be an appropriate way for the healthcare coordinator to address this
concern? - ANSWER: Schedule a meeting with the supervisor to discuss the concerns.
This approach allows the healthcare coordinator to address the problem directly
with the supervisor, who can resolve the situation. It also gives the supervisor the
opportunity to clear up any misunderstandings and to be aware of managerial
actions that are being perceived as favoritism.
A culturally diverse interprofessional healthcare team is working with a healthcare
coordinator to prepare a care plan for a patient with mental and physical illnesses.
What action will promote successful interprofessional collaboration among the team
members? - ANSWER: Aligning values to meet the patient's needs.
,A healthcare coordinator works with a variety of healthcare professionals as a
liaison, or coordinator, of patient care. This requires the healthcare professionals to
collaborate and work together as a team.
A patient has been referred by a primary care physician to a specialist for a
consultation. If a specialist disagrees with a treatment being implemented by a
patient's primary care provider, which is an appropriate strategy for the healthcare
coordinator? - ANSWER: Suggest that the care providers collaborate to come to an
agreement about treatment options.
Interprofessional teamwork and team-based care are essential to quality patient
care. Care recommendations vary among providers with different education,
backgrounds, values, experience, and expertise. Collaboration and communication
among providers are necessary to achieve the best outcome for the patient.
Which definition below most accurately defines a high deductible health plan
(HDHP)? - ANSWER: A health insurance plan in which the enrollee pays a deductible
of at least $1,250 (Self Only coverage) or $2,500 (family coverage). The annual out-
of-pocket amount (including deductibles and copayments) the enrollee pays cannot
exceed $6,350 (Self Only coverage) or $12,700 (family coverage). These dollar
amounts are for 2014.
This is an example of a high deductible health plan (HDHP).
Comparing the various plans, which of the following is true if you belong to an HMO?
- ANSWER: You will have limitations on the doctors and other providers you can use.
This is true for an HMO plan.
Which of the following accurately defines the term care plan? - ANSWER: A written
individual plan of care, developed from an evidenced assessment with the patient,
family caregiver, and interdisciplinary health care team. The care plan should detail
the patient's health, behavioral, social and health system needs, and personal
preferences.
This is an accurate definition for the term Care Plan.
A healthcare coordinator is reviewing the discharge with a client who states, "I have
so many medical bills, I am not sure if I will be able to pay my mortgage." Which of
the following would be an appropriate resource for this client? - ANSWER: Social
worker
A social worker is a liaison to a community or government organization that could
offer financial assistance or other affordable low-income housing options to the
patient. The social worker can assist the patient to contact the appropriate
organization that would be best able to provide assistance.
A healthcare provider is reviewing a plan of care that includes physical therapy with
an older adult patient who lives alone and is scheduled for a total knee replacement.
The patient will be unable to provide adequate self-care until recovered from the
surgery. Which of the following would be an appropriate resource to include in the
,patient's care plan for transition of care from the hospital setting? - ANSWER:
Inpatient rehabilitation care facility
A patient can receive short-term, inpatient nursing care, and physical therapy at a
rehabilitation center. Once the patient is sufficiently recovered to provide self-care,
the patient can return home.
A healthcare provider suggests that a patient diagnosed with heart disease lose a
significant amount of weight to make further health progress and improve treatment
outcomes. Which of the following partners should the healthcare coordinator
include in the patient's care plan to provide patient-centered collaborative care? -
ANSWER: Registered dietician
A registered dietician can provide education and support for a patient's nutritional
and dietary needs. A dietician can help the patient lose weight to improve health
outcomes.
Which of the following is an example of a verbal method for facilitating patient
centered communication? - ANSWER: Rephrasing
This is an example of a verbal method for facilitating patient centered
communication. Example: "Let me summarize what you have told me so far..."
The phrase/question "What would you like to get out of today's visit?" would be
helpful to elicit the patient's perspective on what area of focus? - ANSWER:
Expectations
"What would you like to get out of today's visit," would be an appropriate inquiry for
this area of focus.
What are the first four recommended sequenced events in Patient-Centered Medical
Interviewing? - ANSWER: (1) Introduce and build rapport, (2) Elicit the patient's
agenda, (3) List all of the patient's agenda items, (4) Negotiate the agenda
This is the recommended sequenced events in Patient-Centered Medical
Interviewing.
A healthcare coordinator is discussing transitional care with a post-surgical patient
who has limited mobility. The patient states, "I'm fine to go home and care for
myself." What strategy should the healthcare coordinator use to ensure quality
patient-centered care? - ANSWER: Request that an occupational therapist assess the
patient's self-care abilities.
By collaborating with a healthcare team member to assess the patient's self-care
abilities, the healthcare coordinator can present practical post-surgical care options
to the patient. The patient may be able to return home and provide self care, or care
assistance at an appropriate level may be recommended, such as a visiting home
health nurse. Patient-centered care allows the patient to decide which option is best,
after education and outcome assessment.
A healthcare coordinator is discussing a care plan with a teenage patient diagnosed
with type 1 diabetes mellitus. The patient will require daily insulin injections to
manage the disease, but tells the healthcare coordinator, "I'm nervous about having
, to give myself shots everyday." What should the healthcare coordinator do to ensure
quality patient-centered collaborative care? - ANSWER: Suggest that a qualified
healthcare team member show the patient how to perform self-injections.
Using medications improperly leads to poor patient outcomes. If a patient is hesitant
about how to properly administer a medication, the healthcare coordinator should
ensure the patient is given adequate education by a qualified member of the
healthcare team, such as a nurse, to be able to perform insulin injections on a daily
basis. By providing hands-on instruction to prevent medication administration errors,
safety, quality, and efficiency of care can be improved.
A healthcare coordinator is collaborating to arrange hospice care for an older adult
patient who lacks the mobility to get out of bed. The patient is planning on being
cared for at home by a family caregiver. Which recommendation will provide the
patient with quality patient-centered collaborative care? - ANSWER: Recommend
that the caregiver take a hospital community education class about pressure sores.
The healthcare coordinator can recommend training to the caregiver that will
increase the quality and safety of home care by reducing the risk of developing
sores. Most hospitals offer community education classes for caregivers that can
contribute to providing quality, safe, efficient care.
Which of the following is an example of a strengths-based case management model?
- ANSWER: A model that is a perspective originally developed to help a population of
persons with persistent mental illness make the transition from institutionalized care
to independent living.
Strengths-based case management is a perspective originally developed to help a
population of persons with persistent mental illness make the transition from
institutionalized care to independent living.
Which of the following is not an example of an essential case management skill
and/or value? - ANSWER: HIPPA law compliance
This is not an example of an essential case management skill and/or value.
Given that the case manager would be wise to prepare for the interview and
preparation will help ensure that the goals of the interview arc met, which of the
following is a best practice for preparing for an interview? - ANSWER: Dress in a
manner that is appropriate for the location of the interview and the standards set by
the ease management employer.
This is a best practice for preparing for an interview.
A patient was injured falling off a horse in a location that is a three-hour drive from
home. The patient is treated for a broken arm at an emergency care center. How can
the healthcare coordinator collaborate for follow-up care after the patient returns
home? - ANSWER: Refer the patient to a healthcare provider in the patient's
hometown.
A healthcare coordinator can collaborate with healthcare team members by
referring the patient to an appropriate healthcare provider in the patient's home
community, where the patient is more likely to be compliant with follow-up care.
