D046 Retake QUESTION AND ANSWER 2023

D046 Retake QUESTION AND ANSWER 2023OARS Open-ended questions Affirmations Reflective listening Summaries Positive reframing of thoughts/Form of MI motivational interviewing a collaborative, person-centered form of guiding to elicit and strengthen motivation for change. Empathy for difficult task CBT & DBT Biopsychososcial history through interviewing, asking open ended questions. Narrative Based Therapy Looking at a problem focused story of a clients life. Cognative Reframing A form of cogantive behavioral therapy that assists individuals in reframing their thinking about stressors, promote positive perspectives. Focuses on problem, does NO diagnoses transitional care Activities that prevent repeated and avoidable readmissions and negative health outcomes after a discharge. motivational interviewing a collaborative, person-centered form of guiding to elicit and strengthen motivation for change Case Management Process 1. Client Identification/Selection 2.Assessment and problem/oppertunity identification 3.Development of case management plan 4.Implementation and coordination of care activities. 5.Evaluation of the case management plan and follow up 6.Termination of the case mgmt process Utilization management Medical Necessity Review care plans and charts for medical necessity Ensure patients length of stay in hospital is appropriate, given their diagnosises, health issues, and types of treatment being administered. Care reimbursment is based upon evidence of medical necessity. Medicare Part A (aka Hospital Insurance or HI) Hospice care Medicare Part B The part of the Medicare program that pays for physician services, outpatient hospital services, durable medical equipment, and other services and supplies. Medicare Part C includes a+b, with additional offerings like vision, dental Medicare part D Prescription drug coverage Credentialing Affirmation of the working knowledge of care coordination in the field with having met the requirements for certification. credentialed-work exp Certification Assessment driven validation of the knowledge and application of care coordination in the field and validation of knowledge and critical thinking skills to successfully implement a quality outcome for the client. cert-test Curative Treatment Help a patient regain strength and work toward some level of recovery. care coordinators role: reinforce education on illness treatment, resources and referalls. Palliative Care Simple, focused care to improve the comfort of the client in a familiar enviroment, improves QOL. comfort care with or without curative options cc role: offer and educate at time of chronic illness diagnoses. afforable care act law enacted in 2009 that provides healthcare coverage options via state run insurance options patients are protected from lack of health insurance or pre existing conditions that could have excluded employers from providing coverage plans for their full time employees without penalty. SMART T Timely Does the objective propose a timeline when the objective will be met? Accountable Care Organization (ACO) Improve patient outcomes through coordination of care measures and services that improve a patients qol. goal. reduce hospital readmission and improve patient compliance in community settings. value based care models shift the healthcare system to rewarding physicians for quality of care provided rather than a fee based system with a quantity over quality focus. Smart S specific who is the target population? what will be accomplished? Smart M measurable Is the objective quantifiable? can it be measuered? How much change is expected? Smart A achievable