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Flashcards in Care in all Phases Deck (29)
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1

Vision

an imagined idea or goal towards which one aspires

2

Identity

PT profession will define & promote the movement system as the foundation for optimizing movement
The movement system is the core of physical therapist practice, education, and research

3

Quality

Establish & adopt best practice standards in practice, education, & research
Generate, validate, & disseminate evidence & quality indicators
Espouse payment for outcomes & patient satisfaction

4

Collaboration

With other health care providers, consumers, community organizations, etc.

5

Value

Ensure the best value = health outcomes achieved per dollar spent
Accountability will be a core characteristic of the profession

6

Innovation

The PT profession will offer creative & proactive solutions to increase the value of physical therapy to society
Health care delivery models, practice patterns, education, research, new technology applications, etc.
Extend PT reach beyond the traditional patient-therapist setting

7

Triple Aim of health care reform

Better health for populations
Better Care for individuals
Cost Containment

8

Goal of triple aim:

align providers, payors and patients

9

Emerging themes in health care

integrated models of care
expansion of coverage
refining/changing payment mdoels
linking payments to quality
program integrity

10

Integrated Models of Care

Accountable Care Organizations (ACOs)
Patient Centered Medical Homes (PCMHs)
Bundled Payment

11

Expansion of Coverage

Prevention & Wellness
Medicaid expansion and State Exchanges
Nondiscrimination

12

Refining / Changing Payment Methods

Reductions in payment rates
Refinements to payment systems
Patient assessment instruments

13

Linking Payment to Quality

Value Based Purchasing pay for outcomes
Hospital readmissions policy / penalties
Electronic health records & registries

14

Program Integrity

Provider enrollment
Funding increases for enforcement (e.g., fraud & abuse)
Expansion of audits (RACs, ZPICs, etc.)

15

Patient Centered Medical Home

a health care setting that facilitates partnerships between individual patients and their personal physicians, and when appropriate, the patient’s family.

16

PCMH functions and attributes:

comprehensive care
patient-centered
coordinated care
accessible services
quality and safety

17

Health

Freedom from disease, injury, and illness
Includes wellness

18

Welllness

Multidimensional state
Existence of positive health
Exemplified by quality of life, sense of well-being

19

Social wellness

The ability to relate to and connect with other people in our world; ability to establish, maintain relationships with family, friends, co-workers, etc.

20

Emotional Wellness

The ability to understand ourselves and cope with the challenges life can bring; ability to acknowledge, share feelings, etc

21

Spiritual Wellness:

The ability to establish peace and harmony in our lives; ability to develop congruency between values and actions

22

Environmental Wellness

The ability to recognize our own responsibility for the quality of the air, the water and the land that surrounds us

23

Occupational Wellness

The ability to get personal fulfillment from our jobs or our chosen career fields while still maintaining balance in our lives

24

Intellectual Wellness

The ability to open our minds to new ideas and experiences that can be applied to personal decisions, group interaction and community betterment

25

Physical Wellness

The ability to maintain a healthy quality of life that allows us to get through our daily activities without undue fatigue or physical stress.

26

Types of Prevention

Primary
Secondary
Tertiary

27

Primary prevention

Preventing a target condition in a susceptible or potentially susceptible population through such specific measures as general health promotion efforts

28

Secondary prevention

Decreasing duration of illness, severity of disease, and number of sequelae (abnormalities following or resulting from disease, injury, or treatment) through early diagnosis and prompt intervention

29

Tertiary prevention

Limiting the degree of disability & promoting rehabilitation and restoration of function in patients with chronic and irreversible diseases