Team-based Care

Post-test

  1. Complete the following statement: Team-based care is a ______approach in which teams of ______and ______personnel are incentive and accountable for the provision of ______and ______services to an established ______of ______.
  2. Characteristics of team-based care include all of the following except:
  3. Multidisciplinary team
  4. Coordinated
  5. Provider-centered
  6. Quality driven
  7. Population-focused
  8. Accountable
  9. List 3 barriers to establishing team-based practices:
  10. ______
  11. ______
  12. ______
  13. In comparing the traditional practice with a team-based practice, what were key elements you identified as beneficial?
  14. Transitioning from current care to a team-based care requires a paradigm shift. As a care manager what can you do to promote the transition?
  15. What is meant by reactive vs. proactive care?
  16. What are the patient paradigm shifts of team-based care?
  17. List 2______
  18. List 2 of the 4 pillars of the Patient-Centered Medical Home(PCMH)
  19. ______
  20. What model does the following statement represent? The PCP PCMH establishes relationships with others impacting the care of the patient that is outside of the primary care setting.
  21. ______
  22. Accountable Care Organizations are accountable for 2 primary outcomes. What are they?
  23. ______and ______
  24. Patient empowerment provides a means to effect change. What can the provider/care manager do to support patient empowerment? List 3.
  25. ______.
  26. ______.
  27. ______.
  1. List 3 core elements of self-management?
  2. ______
  3. The three components self-management address:
  4. Medical
  5. Social
  6. (List the third here)______
  7. The Basic 8 Framework for Self-management provides us guidance for the provider/patient interactions. Give an example of how you would open discussion with the patient regarding the Basic 8?
  8. The provider’s role in behavioral change is supportive guidance. This includes:
  9. Tailor information to the individual
  10. Motivational support and skills to the individual patient’s needs and targeted behavior.
  11. That includes: (add to the list)
  12. Information
  13. ______
  14. ______
  15. Complete the following statements regarding change:
  16. Awareness is necessary
  17. ______and skills are also necessary
  18. To be effective, interventions should match the patients’ ______of ______.
  19. People may be at different stages for different ______.
  20. Assessing motivation (importance and confidence) is a good way to find out where the patient is in the ______.
  21. Arguing with patients about a change increases ______.
  22. Collaborative planning reflects the patient’s ______and ______.
  23. Behavioral change goals should be ______, measurable, and ______.

Thank you for completing the Team-based care and the Skills for Promoting Empowered Patients section. We hope you found this information useful and applicable to your new role. We look forward to a robust discussion with the group.

The Mi-CCSI Training Team