NHA CCMA Module 14
Three main goals of ACA
- Expand health insurance coverage - Shift the focus of health care delivery system from treatment to prevention - Reduce costs and improve the efficiency of health care
Psychiatrist
A medical doctor specializing in the diagnosis and treatment of mental illness.
Psychologist
A scientist who studies the mind and behavior of humans and animals
ACA
Affordable Care Act
Auditory learning
Learning by hearing and listening
Kinesthetic learning
Learning by performing a task or handling items
Coordinated Care
Patient care strategies that follow a management philosophy designed to improve patient care outcomes
PCMH
Patient-Centered Medical Home; A health care setting that organizes care around patients, working in teams and coordinating and tracking care over time.
Primary Care Provider (PCP)
Practitioners that coordinate preventative health care services
Practical Nurse (PN)
Triage phone calls, administer meds, and assist w/ other clinical duties
Social Workers
professionals with training in social welfare, human behavior, and the social environment who work with individuals, families, and groups
Patient-Centered
providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions
Accessible Services
providing tools (open-scheduling, extended hours, communication with providers) through patient information web portals
What does MACRA do?
replaces former medicare reimbursement schedule with a pay-for-performance program focusing on quality
Pharmacist
specialist in preparing and dispensing drugs
Dentist
specialist in teeth
Speech Therapist
treats and prevents speech and language disorders
Registered Dietitian Nutritionist (RDN)
A health professional who is a food and nutrition expert
ACOs
Accountable Care Organizations
Institute for Healthcare Improvement (IHI)
An independent organization devoted to improving patient safety and health care globally. Goals: 1. improve experience of care 2. improve health of populations 3. reducing cost of health care
Accountable Care Organization (ACO)
An organization of healthcare providers accountable for the quality, cost, and overall care of Medicare beneficiaries who are assigned and enrolled in the traditional fee-for-service program
Comprehensive Care
Cares for all pt needs--that is, the whole patient and not just medical and physical concerns. This involved the providers as well as the entire health care team
5 core functions of PCMH
Comprehensive Care Patient Centered Coordinated Care Accessible Services Quality and Safety
Continuity of care
Continuation of care smoothly from one provider to another, so that the patient receives the most benefit and no interruption in care.
Specialist
Diagnoses and treats conditions that require a specific area of expertise and knowledge.
Adv Practice Nurses
Usually perform same tasks as PA but are specialized nurses (ex. nurse anesthetists)
Occupational Therapist (OT)
assess a patient's pain, strength, and mobility to develop a treatment plan to improve areas of concern
Quality and Safety
commitments include delivering quality health care. This is met by delivering evidence-based medicine
compliance
meeting the standards and regulations of medical practice's establishing policies and procedures
Visual learning
Learning by seeing, reading, and watching
Registered Nurses (RN)
Licensed by individual states and oversee case management of pts w. complex chronic condition and coach pts abt overall health
MACRA
Medicare Access and CHIP Reauthorization Act
Physician Assistant (PA)
Similar training to physicians + licensed to practice medicine as long as they're supervised by an MD. They conduct physical exams, provide preventative care, prescribe diagnostic tests, assist w/ surgical procedures, diagnose illness, and prescribe meds