Population Health Data and Analytics
EHR with the largest market share in the US market
Epic
In terms of Health Behaviors (Smoking, Poor Diet, Lack of Physical Activity, Alcohol Consumption), which of these behaviors is a leading risk factor associated with death and disability in the US
Poor Diet
The 3 elements of the Donabedian Model for assessing the quality of care in healthcare organizations are Structure, Process and...
Outcome
What are the key considerations in Policy Making (Political, Budget and ...)
Implementation
MACRA legislation created the Quality Payment Program that repealed the ...
Sustainable Growth Rate (SRG) formula
The latest standard to be developed under the HL7 healthcare standards organization
Fast Healthcare Interoperability Resources (FHIR – pronounced “fire”)
The first step of the Transtheoretical Model (TTM) (Stages of Change)
Precontemplation (no recognition of need for or interest in change)
Type of research that measures whether or not an intervention can work under ideal conditions
Efficacy Research
What federal agency established through the ACA provides the authority for new demonstrations and models to support population health
Center for Medicare & Medicaid Innovation (CMMI)
MACRA created the two-track Quality Payment Program (QPP) that emphasizes value-based payment for physicians to choose from two tracks: Merit-Based Incentive Payments System (MIPS) and ...
Advanced Alternative Payment Models (AAPMs)
The most common default export format for all certified EHRs
C-CDA (Consolidated Clinical Document Architecture)
One of the first theories of health behavior (most widely recognized) that theorizes that the people’s beliefs about whether they are at risk for a problem and their perceptions of the benefits and barriers to taking action influence their readiness
Health Belief Model (HBM)
Type of research that measures whether an intervention works in routine clinical care
Effectiveness Research
Type of advocacy attempting to influence policy-making in the legislative or executive branches of government
Lobbying
Merit-Based Incentive Payment System (MIPS) adjusts Medicare Part B payments based on performance in four performance categories: quality, cost, promoting interoperability and....
Improvement Activities
Organizations that manage and enable the exchange of health data for a particular region or state
Health Information Exchanges (HIEs)
Health promotion theory that best accounts for changing behaviors where multiple steps are involved and where behavior can move forward or regress over time
Transtheoretical Model (TTM)
What is the measure derived from combining all three parts of the Triple Aim
Value
A large player in the federal government that focuses on efforts to implement nationwide health information technology use and interoperability
Office of the National Coordinator for Health Information Technology
A legal entity recognized and authorized under applicable federal or state laws, comprised of eligible groups of providers that work together to manage and coordinate care for a payer-specific population is the ....
ACO (Accountable Care Organization)
The process of using data (claims and others) to create groups with similar “risk” based on the likelihood of them seeking care, or needing care, and therefore most likely having higher utilization
Risk stratification
Theory that believes that people’s behaviors are a reflection of the environment they are in and the social cues around them; and that changing behavior is greatly based on self-efficacy- a person’s belief that they can change a behavior
Social Cognitive Theory (SCT)
According to research by McGinnis et al., 2002), which one of the factors has the highest contribution to premature death (environmental exposure, medical care, social circumstances, genetics, behavioral patterns)
Behavioral patterns (40%)
Legislative branch agency that advises Congress on issues related to reimbursement for Medicare and Medicare Advantage plans
Medicare Payment Advisory Commission (MedPAC)
A CMMI-led pilot program designed to provide multipayer alignment to support primary care transformation
Comprehensive Primary Care (CPC) Program