WGU D053 Study Guide 1 Latest 2023 Graded A

WGU D053 Study Guide 1 Latest 2023 Graded A Micro Patient Care level Macro Organization, Industry, global level Mezzo Community Level Why are interdisciplinary rounds beneficial to patients? Ensures Pt centered and coordinated care. 1. Pt status addressed 2. Discussion / Clarification of goals and expected outcomes 3. Plan of care developed or modified What are Integrated Care Plans (ICP)? You choose a health plan that is best for you. You can select a PCP who will know all your medical needs and help you make decisions. ICP used most often is Childhood obesity interventions, cancer care, and chronic disease management. What are Shared Care Plans? Plans are living, evolving tools that provide current information from all team members including the patient and family. What is your understanding of Interprofessional Treatment Plans? plans can be developed in response to any illness, but often refer to behavioral or addiction treatment Explain Shared Decision Making and why it is so important in healthcare? Professionals work with patients to help them make the best decisions about their own health and healthcare options. What are team huddles? usually at the beginning of a work day, to touch base and co-plan care for the day. Define sociopolitical drivers Social and political factors. These factors are socioeconomic status, education, neighborhood, and physical environment, employment, and social support networks, as well as access to health care. Trauma Informed Care? It recognizes the presence of trauma symptoms and acknowledges the role trauma has on an individual's life. PHC Framework for Ethical Decision Making 1. Identify ethical issue 2.Identify stakeholders who have authority 3. Acknowledge biases, feelings, and different views 4. Gather and Clarify facts 5. Consider Mission, vision, and values 6. Identify options and weigh against values and principles 7. Make a decision 8. Implement, and Evaluate decisions The IDEA: Ethical Decision - Making Framework comprised of four steps and incorporates five conditions 1. Identify the facts 2. Determine the relevant ethical principles 3. Explore the options 4. Act Five conditions: 1. Empowerment 2. Publicity 3. Relevance 4. Revisions and Appeals 5. Compliance (Enforcement) How is technology changing care? Allow people to manage their health more effectively, to better ways of diagnosing disease, to monitoring the impact of policies on population health, digital technologies for health, or digital health, are having a profound effect on how health services are delivered and how health systems are run. HIPAA Security Rule regulations outlining the minimum administrative, technical, and physical safeguards required to prevent unauthorized access to protected health care information What is the HIPAA Privacy Rule? -protects individuals' medical records and other personal health information, including transfer of electronic records -sets limits and conditions on the uses and disclosures allowed without patient authorization - only necessary information is disclosed -gives patients rights concerning the examination and copying of their health records and to request corrections HITECH Act Health Info Technology for Economic & Clinical Health Act. Part of ARRA. Additional privacy regulations on top of HIPAA, breach notification rules & stiffer civil and criminal penalties for security violations What is an executive order? A non-legislative directive by the president that has the force of law. professional development Includes certifications; assessment-based certificates; attending conferences, workshops, and in-services; online webinars and activities; reading journal articles and completing continuing education courses. Certification A qualification that a health professional may seek in addition to their primary qualifying degree or other credentials. Credentialing -Bachelor's Degree in Health Services Coordination -A process by which individuals' pre-acquired knowledge, skills, or competencies are evaluated against predetermined standards. What are physical barriers that affect health access for many people in the United States? Physical restraints (disability, age, mental health) access to health care facilities access to health professionals access to virtual care Why is access to quality health care services so important? Important for promoting and maintaining health, preventing and managing disease, reducing unnecessary disability and premature death, health equity for all. Triple Aim Framework The Institute for Healthcare Improvement initiated the Triple Aim Framework to identify the best measures for optimal healthcare. 1.Improving Pt experience of care 2.Improving population health 3.Reducing the per capita cost of health care What happens when social determinants of health are met? What happens when they are not met? When SDOH are well met, health outcomes improve, population health is better, and cost per capita is reduced. When they are not well met, for instance, if someone has a low income, poor living conditions, and food insecurity, health outcomes are erratic, population health is affected, and eventually, cost per capita goes up as people need to access more emergency and chronic healthcare. Why is Patient centered collaborative care so important? "Patient- and family-centered care encourages the active collaboration and shared decision-making between patients, families, and providers to design and manage a customized and comprehensive care plan.... Care is collaborative, coordinated, and accessible" Quadruple Aim patient experience and outcomes, Satisfied Patients, reducing costs, Improved Provider Experiences Chronic Care Model focused on proactive evidenced based, population based, & patient-centered care for patients with 2 or more chronic medical conditions Patient Centered Medical Home a care delivery model whereby patient treatment is coordinated through their primary care physician to ensure they receive the necessary care when and where they need it, in a manner they can understand EMR (electronic medical record) an electronic document that contains patient health information, gathered from different sources Electronic Health Record (EHR) An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be created, managed, and consulted by authorized clinicians and staff across more than one healthcare organization What are the six domains of Digital Literacy? 1. Communication/ Collaboration/ Participation 2. Teaching/ Learning/ Professional Development 3. Technical Proficiency 4. Information/ Date and Media Literacy 5. Creation/ Innovation and scholarship 6. Digital Identity/ Wellbeing/ safety and security Netiquette Virtualization of professional standards and codes of conduct that health professionals adhere to. What are some examples of possible ethical dilemmas? treatment nonadherence, end-of-life care, refusal of care or treatment, and use of alternative or experimental treatments Purpose of IDEA Ethical Decision Making Framework? The fair process helps guide healthcare providers and administrators in working through ethical issues encountered in the delivery of healthcare. What are the 4 steps of IDEA? What are the five conditions? Identify the facts. Determine the relevant ethical principles. Explore the options. Act. Empowerment: There should be efforts to minimize power differences in decision-making and encourage participation by all involved. Publicity: The framework (process), decisions, and their rationales should be transparent. Relevance: Decisions should be made on the basis of reasons (i.e., evidence, principles, arguments) that “fair-minded” people can agree are relevant. Revisions and appeals: There should be opportunities to revisit, revise, or appeal decisions in light of further evidence. Compliance (enforcement): There should be either voluntary or public regulation of the process YODA Ethical Decision Making Framework You - Ethics is everyone's responsibility Observe - Identify the problem, acknowledge feelings, gather the facts Deliberate - consider alternatives, examine values, evaluate alternatives Act - articulate the decision, implement the plan, perform a concluding review Karen Ann Quinlan First "right to die" case - 1975 The 21-year-old girl who went out for her friend's birthday, after a combination of Valium, alcohol, and dieting, she slipped into what had recently been labeled "persistent vegetative state" the courts decided that "the proposed removal from the respiratory machine was acceptable" (225). Religious Beliefs supported this case Nancy Cruzan Automobile accident and had to have a feeding tube. They didn't know what she wanted till some college friends of her told them that they knew what she wanted. Led to the 1991 Patient Self-Determination Act. Janet Adkins Alzheimer's patient 64 years old from Oregon. Traveled to Detroit to seek assistance in suicide from Dr. Jack Kevorkian (She was his first public assisted suicide patient). Brittany Maynard "Death with Dignity"; moved to Oregon to die with dignity, suffered from stage 4 brain cancer Cassandra Callender diagnosed as having Hodgkin lymphoma, refused further treatment after receiving several cycles of chemotherapy. Her mother supported her decision and hospital contacted the Connecticut Department of Children and Families, who took legal custody. What is the difference between bioethics and professional ethics? The key difference between bioethics and medical ethics is that bioethics generally is concerned the moral principles of all biomedical technologies, such as cloning, stem cell therapy, xenotransplantation and the use of animal models in research while medical ethics is more specific and focused on the medical treatment of humans