Wk 7&8 Flashcards

1
Q

What is the Collaborative Care model?

A

Integrated behavioral health in primary care.
Started by primary care and population health.
Brief psychotherapy; Medication consultation; Registry based tracking; Treatment to target

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2
Q

Population health

A

brings significant health concerns into focus and addresses ways that resources can be allocated to overcome the problems that drive poor health conditions in the population.

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3
Q

What is PRIME?

Public Hospital Redesign and Incentives in Medi-Cal

A

Pay-for-performance program

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4
Q

Key Elements of Collaborative Care

A

Team-Driven
Population-Focused
Measurement-guided
Evidence-based

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5
Q

AIMS center

A

80 randomized trials
Improved outcomes
Improved satisfaction
Reduced costs: $1 spent on C.C saves $6.50 in health care costs

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6
Q

Most common illicit drug 2018:

A
  1. Marijuana

2. Pain relief misuse (mostly prescribed)

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7
Q

Most common SUD:

A
  1. Alcohol (most initiates of substances)
  2. Illicit drugs
  3. Marijuana (2nd most initiates of substances)
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8
Q

Most drug overdose

A

Opioid (synthetic prescribed opiods)

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9
Q

Largest reason for not getting Substance Use Treatment:

A

Did not feel they needed treatment

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10
Q

risk factor for opioid OD:

A

male, non-hispanic white, rural area, 45-55.; High opioid doses, co-prescription, illnesses (pancreatitis, liver, metastatic solid tumor); illicit drug use; ETOH use;

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11
Q

Treatments for opioid OD:

A

Methadone (full opiate agonist, licensed clinics only); Buprenorphine (partial opiate agonist); Natrexone (Opiate antagonist)

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12
Q

Root causes of climate change

A

Global population
Fossil fuels, green house gases
Market failure

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13
Q

Population health macrofactors

A
Income and wealth
Education
Employment and occupation
Family and social support
The built environment
The food environment
Community safety and culture
Media/information environment
Environmental pollution
Geography
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14
Q

Population health management

A

maintain and improve health of a group of people, usually already known to a system.
Payment around metrics in that population.
Data systems designed to track panel size, demographics, quality metrics of interest, teams share the care and support patients (tracks them too),

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15
Q

Ex of population health management

A

Veterans Health Patient Aligned Care Teams

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16
Q

Components of healthy schools

A
healthier nutrition options
physical education programs
chronic health condition management
health education
practice improvement