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825: Health Care Systems > Care in All Phases of Life > Flashcards

Care in All Phases of Life Flashcards

1
Q

What are the 6 elements of the APTA’s vision for 2020 adopted in 2000?

A
  • Autonomous physical therapist practice
  • Direct access
  • Doctor of Physical Therapy and lifelong education
  • Evidence-based practice
  • Practitioner of choice for movement, function, and health
  • Professionalism
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2
Q

What is the APTA’s new vision which was adopted in 2013?

A

Transforming society by optimizing movement to improve the human experience.

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3
Q

In 2000 the vision was of _____ focus.

Now the new vision is of _____ focus.

A

inward (directed at PTs and PTAs)

outward (directed at the US population)

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4
Q

What are the 8 principles of the new vision?

A
  • identity
  • quality
  • collaboration
  • value
  • innovation
  • consumer-centricity
  • access/equality
  • advocacy
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5
Q

What is the identity of the PT profession?

A

PT profession will define and promote the movement system as the foundation for optimizing movement

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6
Q

The _______ system is the core of physical therapist practice, education, and research

A

movement

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7
Q

What is the triple aim of health care reform?

A
  • better care for individuals (improving the patient experience of care)
  • better health for populations (improving the health of populations
  • cost containment (reducing the per capita cost of health care)
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8
Q

What is the goal of the triple aim?

A

Align providers, payors, and patients

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9
Q

Who developed the triple aim?

A

Institute for Healthcare Improvement

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10
Q

How has the ideas on improving the health of the population evolved?

A

In the past the focus was on one patient at a time (after each gets ill).
Now the focus is on population health (illness prevention).

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11
Q

In the US health care costs increased __% per year from 100 to 2105

A

18

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12
Q

What are 5 emerging themes in health care?

A
  • integrated models of care
  • expansion of coverage
  • refining payment methods
  • linking payment to quality
  • program integrity
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13
Q

The American Physical Therapy Association recognizes that physical therapists are uniquely qualified to assume ______ positions in efforts to prevent injury and disability, and fully supports the positive roles that physical therapists and physical therapist assistants play in the promotion of healthy lifestyles, wellness, and injury prevention.

A

leadership

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14
Q

What is a Patient Centered Medical Home (PCMH)?

A

a health care setting that facilitates partnerships between individual patients and their personal physicians, and when appropriate, the patient’s family. Care is facilitated by registries, information technology, health information exchange and other means to assure that patients get the indicated care when and where they need and want it in a culturally and linguistically appropriate manner.

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15
Q

The AHRQ defines a medical home not simply as a place but as a model of what?

A

the organization of primary care that delivers the core functions of primary health care

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16
Q

What are the 5 functions and attributes of the patient centered medical home?

A
  • Comprehensive Care
  • Patient-Centered
  • Coordinated Care
  • Accessible Services
  • Quality and Safety
17
Q

In the past health care was focused on the individual patient. How has this changed?

A

It is now focused on population/groups

18
Q

In the past health care was _____-based now it is _____-based

A

procedure

outcome

19
Q

In the past health care was under a fee for service payment plan. What is it under now?

A

Episodic payment (case rate) or capitation

20
Q

What can be defined as freedom from disease, injury, and illness?

A

Health

21
Q

_____ wellness is the ability to relate to and connect with other people in our world; ability to establish, maintain relationships with family, friends, co-workers, etc.

A

Social

22
Q

_____ wellness is the ability to understand ourselves and cope with the challenges life can bring; ability to acknowledge, share feelings, etc.

A

Emotional

23
Q

______ wellness is the ability to establish peace and harmony in our lives; ability to develop congruency between values and actions.

A

Spiritual

24
Q

_______ wellness is the ability to recognize our own responsibility for the quality of the air, the water and the land that surrounds us

A

Environmental

25
Q

______ wellness is the ability to get personal fulfillment from our jobs or our chosen career fields while still maintaining balance in our lives.

A

Occupational

26
Q

______ wellness is the ability to open our minds to new ideas and experiences that can be applied to personal decisions, group interaction and community betterment

A

Intellectual

27
Q

______ wellness is the ability to maintain a healthy quality of life that allows us to get through our daily activities without undue fatigue or physical stress.

A

Physical

28
Q

What are the 3 types of prevention?

A
  • Primary
  • Secondary
  • Tertiary
29
Q

Describe primary prevention

A

Preventing a target condition in a susceptible or potentially susceptible population through such specific measures as general health promotion efforts.

30
Q

Describe secondary prevention

A

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.

31
Q

Describe tertiary prevention

A

Limiting the degree of disability & promoting rehabilitation and restoration of function in patients with chronic and irreversible diseases.

32
Q

Describe the direct access rules in the state of Kansas

A

Direct access was passed on July 1, 2013.

PTs only need a referral if the patient doesn’t progress by visit 10 or business day 15.

33
Q

Describe the direct access rules in the state of Missouri

A

Direct access is limited. PTs can eval/treat if referred by physician and seen by PT within one year for same problem.

34
Q

In what neighboring states is direct access unrestricted?

A
  • Nebraska
  • Colorado
  • Iowa
35
Q

In the state of Oklahoma what is the only thing a PT can do without a referral?

A

evaluation

36
Q

What are our 3 social responsibilities as PTs?

A
  • To identify behavior(s) to change
  • To counsel patients about healthy lifestyles
  • Educate public about how to improve physical activity/ exercise levels
37
Q

What is our professional responsibility as PTs?

A

To transform society by optimizing movement to improve the human experience

825: Health Care Systems (7 decks)

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