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19 Cards in this Set
- Front
- Back
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what is value based purchasing?
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base line score measures established for selected core measures
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what are points given for in value based purchasing?
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baseline scores for all HCAPS
points give for obtaining improvement goals points given for obtaining national performance goal |
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in a valued based purchasing system how is payment decided on?
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payment from medicate based on percentage of possible points obtained
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what do hospitals no longer receive extra payment for?
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in the future hospitals will no longer receive extra payment for HAC
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T/F
If 2013 doctors who do not meet minimum number of electronic prescriptions have to pay a penalty |
True
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when is voluntary physician based reporting of core measures set to begin?
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voluntary reporting of physicians based core measures slated to begin in 2013 and mandatory reporting in 2015
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after 2015 what will payments to physicians be based on?
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payments to physicians will be based on the VBP system
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what are the ACT curriculum objectives?
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ASK about alcohol
ASSESS severity and readiness to change ADVISE cutting down or abstinence and assit in goal setting and further treatment when necessary ARRANGE follow up to monitor progress ASSURE cross culture efficacy of these practices |
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what is cross culture efficacy
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a term that does not imply that there is a preferred or more accurate culture perspective and therefor that all clinicians encounters are cross cultural
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what are risky drinking amount?
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for men: more than 14 standard drink per week or 2 per day one average or more than 4 on any one occasion
for women and people 65+: 7 per week or 1 per day on average and 3 per occasion |
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why are women's risk at lower amounts?
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women risk consequences at lower amounts is that women have less gastric alcohol dehydrogenase > cannot absorb more alcohol per ingested
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what is problem drinking
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consequences or problems have occurred due to drinking
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what is lower risk drinking?
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more moderate amounts also with no consequence s
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T/F
almost 1/3 of drinkers in the US drink risky amounts and nearly one in four of these individuals have alcohol dependence |
True
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T/F
1 in 12 or 17 million in the US suffer from alcohol abuse or dependence |
True
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what is the leading cause of preventable medical conditions, disabilities, and deaths second only to tobacco and physical inactivity
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alcohol
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what will allow you to categorize a patients alcohol consumption risk?
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Do you ever drink any beer, wine, liquor, or other drink containing alcohol?
On average how many days a week do you drink alcohol? On a typical day when you drink, how many drinks do you have? What is the maximum number of drinks you had on any given day in the last month? |
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define drink
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12 oz of regular beer, 5.5 ounces of wine or 1.5 ounces of 80 proof liquor).
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what are the CAGE questions for?
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Some physicians like to Ask everyone the CAGE questions listed here. These can be part of a standard approach, or can be asked only when patients report drinking risky amounts. Asking everyone will identify more patients with past problems or patients with current heavy drinking who did not understand the prior questions or accurately report their drinking amounts. When asked, the CAGE questions should be asked verbatim as part of the routine medical history.
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