HPA 311 Exam 2

Bathing, brushing teeth and toileting are examples of ADL's or IADL's?

Activities of Daily Life (ADL's)

Facilitators to the transition from paper to electronic health records include:

All of the above (High resource systems, qualified staff, processes and workflows that integrate technology)

Identify a commonly used "big data" tool for health IT:

All of the above (NCQA quality compass, healthcare dashboards, clinical decision support)

Select the example of transition of care by a health state:

B & C Transitioning from living at home to an assisted living facility A cancer patient moving from curative to palliative care

Choose the IOM quality aimed by this CMS objective: Increase appropriate use of screening and prevention services

Effective

T/F: Doctors are instructed to list the medical error that led to a patient's cause of death on the death certificate

False

T/F: Individuals with lower socioeconomic status and racial and ethnic minorities who have chronic diseases need less assistance with instrumental activities of daily living.

False

T/F: Racial and ethnic minorities and individuals who have lower socioeconomic status receive higher quality health care compared to non-hispanic whites and those with higher socioeconomic status.

False

T/F: Utilizing patient navigation has been shown to increase rates of chronic disease.

False

Which individual level theory describes how individuals make health-related decisions by weighing threat, severity, threat susceptibility, and the benefits of and barriers to the decisions they are weighing to their health

Health Belief Model

Cooking, driving and managing finances are examples of ADL's or IADL's?

Instrumental activities of daily living (IADL's)

Which individual level theory describes how constraints such as income and individual preferences influence consumer choices?

Microeconomics Consumer Choice Theory

Facilitators to the transition from paper to electronic health records include:

None of the above (High implementation costs, underestimating necessary management of HER system, Concerns about keeping technology updated)

Which type of quality measure includes changes to health, behavior or knowledge, patient satisfaction, and health-related quality of life?

Outcome measures

Patient navigation is a ________-centered health care service delivery model.

Patient

Which resource was created by the Affordable Care Act to fund more comparative effectiveness research to improve healthcare quality?

Patient-centered outcomes research institute

Choose the IOM quality aim addressed by this CMS objective: Reduce inappropriate an unnecessary care

Safe

Which individual and environment theory describes individual beliefs as learned through social interactions?

Social Cognitive Theory

Which individual and environment theory describes the individual as living in other environments, such as family or community environments, that also influence the health-related decisions they make as individuals?

Social Ecological Model

Which individual and environment theory focus on how interpersonal relationships influence health-related outcomes, and how these relationships influence health outcomes?

Social Network and Social Support Theory

What are the types of quality measures?

Structure, process, outcomes

Which individual level theory describes how individual's control of behaviors, attitudes as well as norms influence their behaviors?

Theories of planned behavior and reasoned action

Which title of the Affordable Care Act does this IT goal support: While this was the focal point of the Affordable Care Act, health IT plays an essential role in collecting, synthesizing and distributing relevant information related to the health of individuals, as well as the role of providers - across settings - in helping patients to achieve that health in a safe, high-quality manner

Title I. Quality, affordable health care for all Americans

Which title of the Affordable Care Act does this IT goal support: As part of the Medicaid expansion, the goal to simplify healthcare enrollment for a number of families.

Title II. The role of public programs

Which title of the Affordable Care Act does this IT goal support: In an effort to protect Medicare, the Affordable Care Act ends overpayments to insurance companies and improve quality of care for Medicare beneficiaries.

Title III. Improving the quality and efficiency of health care

Which title of the Affordable Care Act does this IT goal support: With its efforts to create a national prevention and health promotion strategy, Title IV provides a number of health IT opportunities for recommended health screenings to track to observe both provider compliance in recommending and scheduling patient screenings, as well as patient compliance in obtaining those services.

Title IV. Prevention of chronic disease and improving public health

Which individual level theory describes how individuals change their behaviors, and transitions an individual through stages of readiness in making a change?

Trans-theoretical Model

Chronic, or noncommunicable, diseases are those that last for a long time, or emerge over a long period of time with age, and are leading cause of death, accounting for 7 out of every 10 deaths in the U.S.

True

T/F: A major goal of the Affordable Care Act is to increase quality of care and reduce healthcare costs through the improvement of coordination in patient care and assuring continuity of patient care across transitions.

True

T/F: Acute care services are those that are time sensitive and often rapid patient interventions

True

T/F: Dashboards are data visualizations created using data created from health IT

True

T/F: Individuals with lower socioeconomic status and racial and ethnic minorities who have chronic diseases need more assistancewith activities of daily living,

True

T/F: On any given day, about 1 in 25,000 patients have an infection caused by their medical care, most commonly from surgery sites or in the lungs, but also the bloodstream, urinary tract, and gastrointestional areas

True

T/F: PCP's can include: family practitioners, internists, nurse practitioners, obstetricians/gynecologists, pediatricians and physician assistants.

True

T/F: Patient safety is part of quality healthcare, and is assured through preventing errors and creating a culture of safety across patients and providers.

True

T/F: Setting the changes in transitions of care can happen between levels, locations or providers of care.

True

T/F: The end goal for health policies is to increase access to quality healthcare for all individuals.

True

T/F: The goal of the 2003 IOM Report Patient Safety: Achieving a New Standard for Care was to identify functions for key support that EHR systems should support

True

T/F: The goals of the 2011 IOM Report Health IT and Patient Safety: Building safer systems for Better Care was to identify how to create health IT processes that continue to address safeguards for privacy and security

True

What are the groups of healthcare providers and hospitals organized to accept a contracted overall payment to provide care for at least 5,000 patients called?

accountable care organizations