Test 2 Flashcards

1
Q

CER

A

the generation and synthesis of evidence that compares the benefits and harms of alternative methods to prevent diagnose treat and monitor a clinical conditions or to improve the delivery

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2
Q

1972

A

Office of Technology Assessment; advised congress on the effectiveness of healthcare

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3
Q

1975

A

national center for healthcare technology; endorsed research on a team

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4
Q

1989

A

Agency for Healthcare Policy and Research aka Agency for healthcare Research and Quality; led to 2003

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5
Q

2003

A

the medicare prescription drug, improvement and modernization act; facilitate the development of evidence and update practice guidelines

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6
Q

2010

A

Patient Centered Outcomes Research institute

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7
Q

American Recovery and Reinvestment Act

A

Feb 2009; increased CER by 1.1 billion; federal coordinating council for CER

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8
Q

federal coordinating council

A

to assist agencies of the federal government in coordinating comparative effectiveness and related health services research; includes AHRQ, NIH, CDC, CMS, FDA, VA

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9
Q

coordination functions

A

research infrastructure, workforce development, methods development

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10
Q

efficacy

A

extent to which a healthcare intervention is beneficial when administered under optimal circumstances

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11
Q

effectiveness

A

extend to which a healthcare intervention does more good than harm in real world patient populations

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12
Q

tenets of CER

A

from patient perspective or population perspective
compares at least 2 alternative methods
describes the results at the population and subgroup levels
measures outcomes
employs methods and data sources appropriate for the decision of interest
conducted in settings similar to where the intervention will be used

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13
Q

different types of data sources utilized in CER

A

experimental studies
prospective observational studies
retrospective studies
decision models with or without cost information
systematic reviews of existing research including meta analysis

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14
Q

stakeholder

A

individual organization or communities that have a direct interest in the process and outcomes of a project research or policy endeavor

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15
Q

stakeholder

A

represent a broad range of individuals selected to create a shared understanding and make effective decisions; patients and consumers, clinicians, healthcare providers, payers and purchasers, policymakers, regulators, life science industry, researchers, research funders

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16
Q

race

A

ones physical characteristics and or genetic/biological makeup; social construct; associated with superiority and inferiority; 15 on the last census

17
Q

ethnicity

A

characteristic of ppl who share a common and distinctive racial, national, linguistic, or cultural heritage; geographic origins, religion, roles, patterns, etc; 2 on the last census

18
Q

culture

A

integrates pattern of human behavior; passed from generation to generation, a given person can have numerous of these; changes overtime

19
Q

3 ways culture can effect a persons health and experiences of healthcare

A
perceptions of health and illness
beliefs about why and how illness occurs
health behaviors 
how symptoms are described and how concerns are expressed 
how treatment is pursued and followed
20
Q

unconscious bias exists

A

acquiring and storing social knowledge fro experiences and learning

21
Q

2 or more ways health care providers can minimize the harmful impact of their biases

A
stereotype replacement
counter stereotypic imagining
individualization
perspective taking
increasing opportunities for contact with individuals from different groups
partnership building
22
Q

CLAS standards

A

culturally and linguistically appropriate services; dept of health and human services as a way to improve quality of services provided to all individuals which will help achieve health equality

23
Q

TOC

A

transitions of care; movement of patient within a healthcare system or between healthcare systems and providers to receive care

24
Q

pre discharge

A

med rec
patient education
discharge planning
scheduling of followup appointments

25
Q

post discharge

A

follow up phone call
communication with ambulatory provider
home visits

26
Q

bridging

A

transition coach
patient centered discharge
clinical continuity with inpatient / outpatient providers

27
Q

patient groups at risk

A
older adults
persons with limited health literacy
terminal patients 
children with special needs
patients taking more than 5 meds
cognitive 
complex medical behaviors health conditions
patients with disabilities
lower patient incomes
new admits LTCF
homeless
28
Q

pharmacists roles and responsibilities

A

medical reconciliation
participate in rounds
evaluate appropriateness of drug regimen
anticipate and resolve drug problems
communicate changes in drug therapies to providers
adapt teaching of drug regimen to level of education/literacy
preform hoe visits
review automated refill programs
help with interpretation of discharge paperwork
assist with third party formulary review and selection of covered medications for patients

29
Q

plan for improving medication management during TOC

A

start patient education earlier
use established educational techniques
follow up with patient after discharge

30
Q

health literacy

A

the degree to which individuals have the capacity to obtain process and understand basic health information needed to make appropriate health decisions

31
Q

federal health literacy initatives

A

Section 3507 of the ACA - label and print advertising

Healthy Ppl 2020 - increase reports easy to understand instructions, repeating back directions, help fill out forms

32
Q

other national initiatives

A

National Action Plan to improve health literacy - goal that health services are delivered in ways that are easy to understand and that improve health longevity and quality of life
health literacy online
health literacy workgroup

33
Q

health literacy initiative in Alabama

A

alabama health literacy initiative

34
Q

health literacy resources for pharmacists

A
AHRQ patient assessment tools
pharmacist specific:
 AHRQ Pharmacy Health Literacy Center
CDC health literacy Health care providers collaborate
health literacy tool shed
35
Q

cost of health literacy

A
increased hospital visits and admissions
increased prevalence and severity of chronic disease states
increased mortality
increased med errors
decreased preventative services
36
Q

prevalence of health literacy

A

80 million US adults

12% of US adults are expected to have proficient or effective health literacy

37
Q

5 steps in which a pharmacist can help execute to help improve the health literacy of a community

A

identify patients at risk for health literacy conduct screenings
evaluate how pharmacy setting is set up to serve patients with limited health literacy
conduct a feasible interventions to target all levels of health literacy
conduct interventions to targeted patient populations
consistently evaluate health literacy change to validate efficacy