Module 10 - Patient Care Coordination And Education Flashcards
Team-based patient care provides a partnership between what?
partnership between providers and patients to ensure that patients are educated and actively involved in their care
Patient-Centered Medical Home Core Function and Attributes
- Comprehensive care is an approach that includes care for the patient’s need
- Patient-centered care positions patients and their families as core members of the team
- Coordinated care means the provider-directed medical practice oversees all specialty care, hospital, home health care, and community services
- Accessible services
- Quality and safety commitments include delivering quality health care.
Accountable Care Organizations
Group of medical professionals associated with a defined patient population that are accountable for the quality and cost of care delivered to those patients.
key to achieving full participation of families and patients?
Communicating effectively
What is a requirement for receiving resources from the CDC?
within a specific geographical location and does not require a fee or someone to receive federal or local resources to be eligible.
suggested screening for breast cancer
mammogram starting at 40 y.o
suggested screening for cervical cancer
- every 3 years from age 21 to 29 years of a pap test
- every 3 or 5 years from 30-65 of a pap test and hpv test
Colorectal cancer suggested screening
age 45 and can be done by performing a fecal occult blood test (FOBT)
cholesterol screen suggested screening
Adults who have a family history of high cholesterol levels may need to be tested more regularly.
Lung cancer suggested screening
- annually for adults age 50 to 80 years who have a 20-pack-year smoking history or currently smoke or have quit within the past 15 years.
Diabetes screening test
- recommended every 3 years for adults
Abdominal aortic aneurysm Recommended One-Time Screening
male patients aged 65 to 75 years who have ever smoked
Hepatitis C Recommended One-Time Screening
- being born between 1945 and 1965; history of blood transfusions or organ transplant before 1992; use of injected illegal drugs; and chronic liver disease, HIV, or AIDS.
What are common signs of substance use disorder?
- tired and sad
- very energetic and talking fast
When conducting the patient interview, what should be included?
- changes in health status
- medication reconciliation, refills needed?
- confirm allergies
- screen for health conditions (fall risks, MH status, screening tests)
- update health history
- educate pt on preventive services
- any needed or recommended immunizations
