3.4 Program Evaluation and Research Methods Flashcards
The patient can be surveyed for satisfaction at any point in a case management program, but all patients should be surveyed when their cases are __________.
closed
The ______ _______ _________ (HRA) is a tool to assess a patient’s health status, risk of negative health outcomes, and readiness to change certain behaviors.
Health Risk assessment
It is used to design a _______, so the patient can take action to improve his or her health status and ___ or ____the onset of disease caused by reported at-risk behaviors.
prevention plan, delay, prevent
______ _____ ______ do more than just evaluate risk for disease or disability, and they are sometimes referred to as health assessment or wellness profiles
Health risk assessment
____ _____ _______ are also used by employers for wellness programs, by fitness centers to screen members before using equipment, and by health insurance companies to identify individuals for disease management programs.
Health risk assessments
The Affordable Care Act specifies that an _____ ____ _________be part of an annual wellness visit for Medicare beneficiaries.
Health risk assessment
__________ __________ uses technology and statistical methods to analyze enormous amounts of data to predict outcomes for individual patients.
Predictive modeling
The objective is to identify these high-risk individuals at the _____ __________ and to begin implementing appropriate __________.
earliest opportunity, interventions
___________ ___________ identifies individuals whose future medical expenses could be significant and provides appropriate education and intervention through a disease management or case management program.
Predictive modeling
The ______ ____ ______ (ACG) System is a tool developed by John Hopkins University to assess risk.
adjusted clinical group
_________ _______ ______ provides an accurate representation of the morbidity burden of populations, subgroups, or individual patients based on the overall picture, and not an individual diseases.
Adjusted Clinical Group
Unlike many traditional methods of identifying clients for case management, such as emergency department usage, hospitalization, or high dollar claims, the _______ _____ ____ Predictive Model identifies individuals who are likely to become high resource users.
adjusted clinical group
