Study Guide Questions forHealth Care System Quiz1. What identified issues drive health care changes?employers want lower premium cost, increased cost of services, not enough dr, fear anout gov. control, lack of universal access of care, growing complexity of system, growing # of uninsured.Health care triangle, costs, access, quality; a change in any of these changes the remaining two.2. What are the various organizational designs of managed care delivery systems?HMO- sharing financial risk between insurer and care provider. cost control. 3 types of HMOstype one-staff model, second-independent practice association, third- networkPPO, point of service (POS, utilization review companies (UR), exclusive provider organization (EPO)-least freedom, mamaged insurance-limited access,increase in outpt services.3. What are the attributes of the PCP, according to Joel? 4. What does Joel identify as the principles guiding the Medical Home Model?A medical home, in broad terms, is a physician-directed practice that providescare that is “accessible, continuous, comprehensive and coordinated and deliveredin the context of family and community. The rationale for adopting this model—which often goes hand in hand with providing enhanced reimbursement rates to primary care clinicians—is that it will increase quality and reduce costs.5. Identify seven external forces affecting health care delivery? Social values and culture- Ethnic diversity, Cultural diversity, social cohesionGlobal influences- immigration, trade & travel, terrorism, epidemicsPopulation characteristics- demographic trends and issues, health needs, social morbidity (AIDS, drugs, homicides, injuries, auto accidents, behavior-related diseases)Physical environment- toxic waste, air pollutants, chemicals; sanitation, ecological balance, global warmingTechnology development- biotechnology, information systemsEconomic conditions- general economy, competitionPolitical climate- President & Congress, interest groups, laws & regulationsLegal Parameters1. The regulation of APRNs in the State of Texas is by what group(s)?the texas BON2. What is the purpose of the new Consensus Model for advanced Practice?To regulate the APRN roleAPRN Regulation includes the Essential elements: licensure, accreditation, certification and education (LACE).Licensure is the granting of authority to practice. Accreditation is the formal review and approvalby a recognized agency of educational degree or certification programs in nursing or nursing-related programs. Certification is the formal recognition of the knowledge, skills, and experience demonstrated by the achievement of standards identified by the profession.Education is the formal preparation of APRNs in graduate degree-granting or post-graduate certificate programs.3. Does authority of prescriptive privileges, for dangerous and controlled substances, allow for NPs to provide medical care in a respective clinical site? 4. What are the Texas BON APRN every 2 year renewal requirements?20 contact hours of continuing education within the last 24 calendar months appropriate for the advanced practice role and population-focus area. or renew the national certification recognized by the Board as meeting the certification requirement for the APRN role and population focus area of licensure; this will satisfy the requirements to renew both your RN license and APRN license. APRN who has Prescriptive Authority must also complete at least five additional contact hours in pharmacotherapeutics within the preceding two years.5. Does having a collaborative agreement with a physician to prescribe medication allow a new graduate to prescribe prior to certification in the state of Texas/ NoStudy Guide Questions for Collaboration Quiz What are three key characteristics from Joel of the definition or essentials of collaboration?Collaboration is a dynamic, transforming process of creating a power-sharing partnershipFour essential components; separate and unique practice spheres, common goals, shared power control, mutual concerns. Key behaviors essential for collaboration; approachability, interpersonal skills, listening, and verbal message skillsWhat are three key competencies identified by Joel for to achieve collaborative practice?Mutual trust, Mutual respect, Communication, assertiveness, cooperation, clinical skills, positive attitude, coordination, decision making skillsHow do decision-making and communication interact with each other to affect collaboration?What are major Steps having to do with communication that are helpful to achieve and/or improve Collaboration?What is a specific strategy you will use in your first NP position to overcome barriers to collaboration identified by Clarin(2007)? (First list the barriers she identified.)Study Guide Test QuestionsFor the Consensus Model 1) Define and discuss LACE in the Consensus Model.licensure, accreditation, certification and education (LACE).4 core roles for APRN- clinical nurse specialist (CNS), certified nurse practitioner (CNP)certified nurse midwife (CNM),certified RN anesthetist (CRNA)APRN Population Specializations (6) - -Adult-Gerontology-Pediatrics-Neonatology-Women's health/gender related-Family/individual across the life span-psychiatric mental health2. The Consensus Model has the following components – APRN roles-Population Foci- APRN specialties. True or False? Explain. True, see above3. What is the purpose of the Consensus Model?To regulate the APRN role.APRN Regulation includes the Essential elements: licensure, accreditation, certification and education