Personalized Healthcare/Population Health
The following are components of what mission: relationships matter, healthcare is for everyone, value-based care, and whole-person care.
What is Accolade's mission?
How we identify members for our clinical programs in Phase 1 of the CM Process. A segment of the larger population who would benefit from participating in the program for the purpose of achieving the defined program outcomes.
What is stratification?
Name the 4 basic skills of motivational interviewing. Think of the acronym!!!
What are Open-ended questions, Affirmations, Reflections, and Summarizing.
Name 2 of the 5 Pillars of SDOH.
What are (and 2 of these) Economic Stability, Education, Social and Community Context, Health and Healthcare System, and Neighborhood and Built Environment.
The point in a call where customizing the member's experience in your value statement (identifying reason for call from trigger and chart review) occurs
What is Post HIPAA?
Focuses on human-to-human care that is personal, data-driven, and value-based
What is Personalized Healthcare?
Screening tools we administer to help members and their providers understand that there might be a risk for these conditions; they are not diagnostic tools.
What are the PHQ-9 and GAD-7?
The _________ is designed to help people express their own intention, commitment, readiness, and willingness to change. It may also help people talk about the small steps they are already taking. If their level is less than a 7, it may not be the best goal to pursue.
What is the Confidence Ruler?
Barriers to goals are documented here.
After enhancing your clinical value and engaging with member through informal assessment, you should proceed to completion of this tool.
What is the Clinical Program Assessment?
The new north star in healthcare that focuses on improving pop health, health equity, enhancing pt experience, improve provider satisfaction, and reduce costs.
What is the Quintuple Aim?
a well-developed _______ guides each member interaction to ensure appropriate interventions are completed, leading to achievement of goals and outcomes
What is a Case Management Care Plan?
The following are examples of what should be included in this engagement technique: how long will the interaction take place, what topics will be discussed, the order of priority for the topics.
What is setting the agenda?
Name 3 internal resources to help a member overcome barriers related to SDOH.
What are (any 3 of them) Social Workers, Registered Dietitian, Pharmacy Team, Logistics Team, Stewards, BH Team?
Additional option for leaving a tailored value statement to attempt clinical engagement when the member cannot be reached by phone.
What is mobile message?
Makes us think about the people who aren't getting care, look at the whole group of people
What is Population Health?
This tool is meant as the vehicle to gather actionable information used to develop a personalized care plan that will lead to successful program graduation and outcomes.
What is the Clinical Program Assessment?
Assessing ________ is a great way of letting the member take the lead in giving you the insight you need to tailor your educational efforts to help evoke behavior change.
What are salient beliefs?
Name one approved external resource for helping members overcome barriers.
What is (any 1 of these) the CDC site, findhelp.org, and health people 2030?
This happens on every call regardless of call content and includes a highlight reel of the call, homework for each person, detail about next f/u, contact info for nurse, etc.
What is the Call Wrap?
A systematic approach for achieving defined outcomes for a specific segment of the population and is modeled after the case management process; comprised of an identification and engagement model, program-specific assessment, a CM care plan, and defined graduation goals.
What is a Clinical Program?
A plan that outlines the specific steps the member will take to independently oversee their chronic conditions.
What is the self-management plan?
Motivational interviewing is most effective during the ____ and ____ stages of change, when people start to more seriously consider their reasons to change.
What are Contemplation and Preparation?
True or False: Every goal has a barrier.
What is true?
List the 5 components of a Value Statement
What are Intro to Clinician and Accolade, HIPAA/recorded line, Customized Member Experience, Engagement, and Call Wrap