Unit 1: Changing Landscape of Healthcare, Establishment of PSP Flashcards
1
Q
Primary Responsibilities of the PSP
A
Guiding pt across full cycle of condition.
- bring efficacy to HCS
- ongoing relationship with pt (booster sess)
- Relational coordination
a. shared goals
b. shared knowledge
c. mutual respect
d. communication - Coordination of care
a. organize activities btw providers
b. facilitate appropriate delivery of healthcare svcs
2
Q
PSP Necessary Skillset
8 Skills
A
- Understanding BPS nature of SRDs
a. biological (somatic, neurophysiologic)
b. Psychological (fear, catastrophizing, etc)
c. Social (work, home life/support, social interaction) - DDx/Medical Screening
- When/How of imaging & Interpretation
- Evidence-based tx methods
- Incorporate effective psych methods
- Manage disability
- Case management
- Excellent communication skills
3
Q
2016: Health category with highest spending?
What was cost?
A
MSK disorders
est. $380 BIL
Low back & NECK = Highest
est. $134.5 BIL
4
Q
6 BENEFITS for PSP implementation
A
- controlling costs
- unburdening trad PCPs
- more strategic specialist referrals
- disruptive innovation
- standardization of care
- new evidence & technolgies
5
Q
OBSTACLES for PSP implementation
A
- educational changes
- incentivizing value
- overcoming prejudice
- detrimental effect on those invested in “supermarket approach”
- Resistance from within the profession(s) that could be PSPs
6
Q
PSP Conclusion
Takeaways, benefits, skills
A
The need for reform in the HCS is recognized by public, industry & providers.
Meaningful reform will:
- improve pt. health
- improve pt. experience
- decrease percapita costs
PSP responsible for front-line dx, management, triage would help achieve these goals, is aligned with pt-centered models of healthcare.
This is not UNPRECEDENTED:
Primary oral health care specialists = Dentists.
SKILLS:
- apply evidence-based procedures
- educate/motivate pts
- prevent/manage disability related to SRDs
BENEFITS:
- improved pt. satisfaction
- reduced costs
