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.