Final Review Flashcards
How is billing done?
Established by number of illnesses, degree of severity, and complication of decision making
Upcoding
Billing someone for a higher level than they are assigned
Health literacy
Degree to which a person can read and interpret health information
Levels of care
1-4 from least to most severe
5 A’s of Quality of Care
- Accessible-removing structural and cultural barriers
- Affordable-free and low cost programs
- Available-map locations and identify contacts
- Appropriate-establish culturally competent services
- Accountable-assure quality of services
- Understandable-provide education to improve knowledge
4 levels of health literacy
Below basic, basic, intermediate, and proficient
What percentage of adults are proficient at health literacy?
12% of adults
Who is at high risk for low health literacy?
Elderly, minorities, immigrants, low SES, limited education
Red flags for low health literacy
Making excuses
Missing appointments and tests
No questions
Not sticking with medications
Why is health literacy a hidden problem?
People may mask the shame they feel and not talk about it, so it often goes undetected
Barriers to communication
- giving advice
- agreeing
- general statements and cliches
- defensiveness
- change subject
- disrespect
- transference
Barriers to access
Transportation Financial Medical system error (lost information) Fear and distrust Communication and lack of information
What makes a therapeutic relationship?
Trust Respect Appropriate use of power plan interactions Use active listening skills
4 problem areas-professional boundaries
Touch
Self disclosure
Gifts
Contact with clients outside work
Roles of a navigator
Address access to care needs Address emotional and practical concerns Address patients family concerns Be involved throughout continuum of care Help understand care Accompany to appointments Manage insurance problems
