Chapter 12: Interprofessional Collaborative Practice and Care Coordination Across Settings

Vocabulary flashcards covering key terms from Chapter 12 notes on interprofessional practice, care coordination, and community health.

Healthy People 2030 leading health indicators

A set of indicators identified to measure progress toward the public health goals of Healthy People 2030.

Johns Hopkins Hospital Community Health Needs Assessment (CHNA)

A systematic process to identify community health needs and guide resource allocation and program planning at Johns Hopkins Hospital.

Socioeconomic needs

Needs related to social determinants of health, including employment, crime/neighborhood safety, housing/homelessness, education, and the food environment.

Direct health needs

Health care needs such as behavioral health/substance use, mental health, chronic diseases, uninsured or underinsured status, and dental services.

CHNA focus areas

The CHNA focuses on transportation, overall health, mental health, dental health, safety, and other health domains.

Community-based health care

Care provided to people who live within a defined geographic area.

Continuity of care

Nurses provide continuity of care when a patient moves from one level of care to another or from one setting to another.

Interventions to promote health

Nursing actions delivered to promote health and prevent illness.

Manage acute or chronic illness

Nursing management of acute conditions and chronic diseases to maintain or restore health.

Promote self-care

Efforts to empower patients to perform self-care activities to maintain or improve health.

Nurses working in the community

Community health nurses who provide care in community settings, promote health, manage illnesses, and ensure care continuity.

Transportation as a CHNA focus

An identified CHNA focus area alongside overall health, mental health, dental health, and safety.