Care in all Phases Flashcards
Vision
an imagined idea or goal towards which one aspires
Identity
PT profession will define & promote the movement system as the foundation for optimizing movement
The movement system is the core of physical therapist practice, education, and research
Quality
Establish & adopt best practice standards in practice, education, & research
Generate, validate, & disseminate evidence & quality indicators
Espouse payment for outcomes & patient satisfaction
Collaboration
With other health care providers, consumers, community organizations, etc.
Value
Ensure the best value = health outcomes achieved per dollar spent
Accountability will be a core characteristic of the profession
Innovation
The PT profession will offer creative & proactive solutions to increase the value of physical therapy to society
Health care delivery models, practice patterns, education, research, new technology applications, etc.
Extend PT reach beyond the traditional patient-therapist setting
Triple Aim of health care reform
Better health for populations
Better Care for individuals
Cost Containment
Goal of triple aim:
align providers, payors and patients
Emerging themes in health care
integrated models of care expansion of coverage refining/changing payment mdoels linking payments to quality program integrity
Integrated Models of Care
Accountable Care Organizations (ACOs)
Patient Centered Medical Homes (PCMHs)
Bundled Payment
Expansion of Coverage
Prevention & Wellness
Medicaid expansion and State Exchanges
Nondiscrimination
Refining / Changing Payment Methods
Reductions in payment rates
Refinements to payment systems
Patient assessment instruments
Linking Payment to Quality
Value Based Purchasing pay for outcomes
Hospital readmissions policy / penalties
Electronic health records & registries
Program Integrity
Provider enrollment
Funding increases for enforcement (e.g., fraud & abuse)
Expansion of audits (RACs, ZPICs, etc.)
Patient Centered Medical Home
a health care setting that facilitates partnerships between individual patients and their personal physicians, and when appropriate, the patient’s family.
PCMH functions and attributes:
comprehensive care patient-centered coordinated care accessible services quality and safety
Health
Freedom from disease, injury, and illness
Includes wellness
Welllness
Multidimensional state
Existence of positive health
Exemplified by quality of life, sense of well-being
Social wellness
The ability to relate to and connect with other people in our world; ability to establish, maintain relationships with family, friends, co-workers, etc.
Emotional Wellness
The ability to understand ourselves and cope with the challenges life can bring; ability to acknowledge, share feelings, etc
Spiritual Wellness:
The ability to establish peace and harmony in our lives; ability to develop congruency between values and actions
Environmental Wellness
The ability to recognize our own responsibility for the quality of the air, the water and the land that surrounds us
Occupational Wellness
The ability to get personal fulfillment from our jobs or our chosen career fields while still maintaining balance in our lives
Intellectual Wellness
The ability to open our minds to new ideas and experiences that can be applied to personal decisions, group interaction and community betterment
Physical Wellness
The ability to maintain a healthy quality of life that allows us to get through our daily activities without undue fatigue or physical stress.
Types of Prevention
Primary
Secondary
Tertiary
Primary prevention
Preventing a target condition in a susceptible or potentially susceptible population through such specific measures as general health promotion efforts
Secondary prevention
Decreasing duration of illness, severity of disease, and number of sequelae (abnormalities following or resulting from disease, injury, or treatment) through early diagnosis and prompt intervention
Tertiary prevention
Limiting the degree of disability & promoting rehabilitation and restoration of function in patients with chronic and irreversible diseases
