HEDIS
HEDIS stands for
Healthcare Effectiveness Data and Information Set
Which traditional payment model encourages volume over value by paying for each service separately?
Fee-For-Service.
What is Patient-centered care?
healthcare approach that places the patient at the center of all aspects of their care.
What is HCDI vision
Improving the quality of health for all, especially for vulnerable populations.
This common time management challenge leads to missed deadlines, increased stress, and reduced productivity.
Procrastination?
True or False HEDIS makes it possible to compare the performance of health plans
True
A network of doctors and hospitals that shares responsibility for providing coordinated care to limit unnecessary spending.
What is an Accountable Care Organization ACO
What is a Vulnerable Population?
Groups of people who are at higher risk of poor health, economic, social, or psychological outcomes due to various factors.
What is HCDI Mission
Implementing innovative, patient centered strategies that increase quality and access to care while reducing the cost for health services through the application of data driven solutions.
This method helps people set clear and achievable goals that keep them focused and motivated.
SMART goals?
What does NCQA stand for?
National Committee for Quality Assurance
What is Risk Sharing in Healthcare?
Financial arrangement where the risks and rewards of patient care are shared between providers and payers?
A payment model where a single payment covers all services related to a specific treatment or condition over a defined period
Bundled payments
What are the 4 pillars of the parachute model
Community Relations
Strategic alliance
Communication
Research
Indirect communication style that avoids conflict, leading to unmet needs and an unheard voice while prioritizing harmony
Passive Communication
True or false: HEDIS measures encompass more than 90 measures that assess various aspects of health care
True
What types of advanced technologies are becoming more prevalent in Value-Based Care?
Telehealth, wearable devices, and remote monitoring.
What aspect of VBC focuses on regular screenings and lifestyle counseling to prevent diseases?
Preventive Care and Chronic Disease Management.
What is REL/REaL Data
Data about someone's race ethnicity and language
Recognize and understand your own emotions and how they influence your behavior during conflicts.
Self Awareness
What organization is responsible for administering HEDIS?
NCQA
What term describes the VBC trend of focusing on the health outcomes of entire populations rather than individual patients?
Population Health Management.
Which major healthcare reform act has been crucial in promoting Value-Based Care models? (Medicaid and Medicare expansion)
The Affordable Care Act (ACA)
what are Food Swamps
Areas where unhealthy foods are more readily available than healthy foods.
Understand and consider the emotions and perspectives of others involved in the conflict.
Empathy
This HEDIS measure focuses on ensuring that children are up-to-date on their immunizations by age 2
Childhood Immunization Status (CIS)
What will CHWs need more of as VBC evolves?
Ongoing training and education.
List at least two preventative measures
immunization
screenings
Mental Health Assessments
This organization has been delivering excellence in service for 33 years.
What is HCD International?
The (A) in SMART goals
Achievable
This HEDIS measure focuses on tracking whether adolescents have received recommended immunizations by age 13
Immunizations for Adolescents (IMA).
What does PCMH stand for
Patient-Centered Medical Home
What is the primary focus of Value-Based Care?
Improving health outcomes while controlling healthcare costs
Five Cs of HCDI
Customer:
Client:
Communication:
Culture:
Community
A task management tool that helps you organize and prioritize tasks by urgency and importance
The Eisenhower Matrix