ACO correct answers An acronym for Accountable Care Organization
Actuary correct answers A person in the insurance field who decides insurance policy rates and reserves dividends, as well as conducts various other statistical analyses
Parternship for Health ACT 1966 correct answers recognized...
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ACO correct answers An acronym for Accountable Care Organization
Actuary correct answers A person in the insurance field who decides insurance policy rates and
reserves dividends, as well as conducts various other statistical analyses
Parternship for Health ACT 1966 correct answers recognized health promotion and illness
prevention as a " State of complete physical, mental, social well being
Assessment tool and diagnostic tests correct answers tools used for evaluating risk and outcomes
asessment tool
Glascow coma scale and Ranchos Los Amigos( cogitive scale) correct answers tools used to
access brain injured patients
psychiatric disability correct answers term that can be associated with various types of illness or
injury not just psych
HAART correct answers highly active antiretroviral therapy
Psychiatric Disablity correct answers a silent comborid condition can affect a patients physical
health and quality of life
Dual Diagnosis correct answers Substance abuse and mental health combined diagnosis
polypharmacy correct answers unintended duplication of drugs that usually results when patients
see multiple physicians or frequent numerous pharmacies using homeopathic, supplemental,or
OTC or herbal medcicnes also put individuals at risk for what?
unintentional polypharmacy correct answers seeking competitive drug pricing or when useing
various pharmacies with locations near work, home, social events. See it in older adults who
visist mutliple physicians
Managed Care OrganIzation ( MCO) correct answers what can help prevent polypharmacy
intentional polypharmacy correct answers addicted to drugs is an example of
IT software systems correct answers IT software now can notify ordering MD about potential
abuses ie polypharmacy. Can interface with disease managment where pharmacy daa and claims
data are used to stratify health patterns and health profiles of patients
Blinking light for MD's correct answers taking 5 or more medications
using different pharmacies to fill scripts
,chronic pain correct answers people you have chronic pain develop a dependency fro a pain med
regimen that allows them to tolerat their daily living activites and lead a fairly normal life. they
do get the label of addicted drug-seeking patients
BASIS 32 correct answers a common and effective assessment tool for the patient suspected of
having substance abuse/mental health
Identification of patient correct answers First step in CM process
utlizization managament correct answers computer software helps ID cases for CM flag the ones
that exceed a certain amount of money or hospitlization is found in which department
consultation correct answers the act of conferring with another individual for the purpose of
gaining an opinion or advice is known as
physician correct answers keep decision maker
autocratic correct answers sole responsbility legally and ethically for physicians can be
Medication Thearpy Managment correct answers used in Medicare and Medicaid part B
collaboration/communication correct answers The glue that binds all the process of Case
management together
frontal lobe injury correct answers problems with activities
involving planning, organizing and problem solving
poor attention
personality changes
occipital lobe correct answers visual problems
Temporal lobe correct answers short term memory loss
inablity to process information
smell and sound deficienies
Left parietal lobe correct answers written spoken language problem
right partietal lobe correct answers visual deficits
diffculty negotiating new or familar places
C3 or higher correct answers vent support
T6 or higher correct answers autonomic dysreflexia a life threatening condition that presents
with a pounding headache, profuse sweating episodic high blood pressure, bradycardia
autonomic dysreflexia correct answers full bladder, fecal impaction, tight clothing
Benchmarking correct answers the ongoing process of measuring products, services, and
practices against competitors or leaders in a given specialty
Case Managment correct answers a managment technique to achieve opitmal otucomes and
efficient resource utilization for a given patient population
continous quality improvement correct answers the cyclical process to assess, measure, change a
process, re-measure, and reassess for ongoing incremental improvments
Outcomes Managment correct answers The process of assessing mutliple factors including casre
effectiveness, side effects, adminsistrative and geneal costs, and patient satisfaction
Practice Parameters correct answers the pulbished guidelines for patient managmened which
includes proctocols, critical paths, and algorithms
Re-engineering correct answers Fundamental rethinking and radical redesign of business
processes to achieve dramatic improvments in measures of preformance
Value Analysis correct answers balancing the cost and quality effects of care by improving care
delivery processess, and eliminating unnecessary care variances
Disease Management correct answers The continous porcess of identigying and delivering the
most efficinet combination of resources for the treatment or prevnetion of disease, within a
selected patient population
Single Blind correct answers investigator knows treamtent paitent is receiveing
open label correct answers both the patient and investigator know the treatment patient is
receiving
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