Activation Question

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- Patient activation is a key concept in the push for patient-centered care, but is often conflated with the notion of driving patient engagement. However, patient activation is its own quantifiable concept supported by the patient activation measure (PAM).

The PAM is used across the healthcare industry to determine the level at which a patient is activated in her own care. Below, PatientEngagementHIT.com breaks down the PAM, its origins, and how it is used today in the healthcare industry.

What is the PAM, how was it developed?

✅✅✅ Correct answers: 2 🔴 question: Activation of the parasympathetic nervous system results in which of the following? 🔴 Answer: 3 🔴 ✅ on a question ➜ The activation energy for a reaction is the energy difference between what two components of a reaction?product and the intermediatereactant and the intermediate.

The PAM was created by a group of researchers in an effort to define patient activation. After noticing a gap in the literature, researchers Judith A. Hibbard, Jean Stockard, Eldon R. Mahoney, and Martin Tusler set out to create a first-of-its kind assessment for patient activation for any and all health and wellness behaviors:

READ MORE:Patient Activation Levels Drive Health Coaching in Chronic Care

There has been a lack of conceptual clarity regarding ‘activation,’ and thus a lack of adequate measurement. There are a number of existing methods for assessing different aspects of activation, such as health locus of control, self-efficacy in self-managing behaviors, and readiness to change health-related behaviors, but these measures tend to focus on the prediction of a single behavior. Moreover, there is no existing measure that includes the broad range of elements involved in activation, including the knowledge, skills, beliefs, and behaviors that a patient needs to manage a chronic illness.

Hibbard et al. created the PAM using a four-step process. First, the team looked at existing definitions for patient activation, breaking the term down into six different patient characteristics:

  • Ability to self-manage illness or problems
  • Ability to engage in activities that maintain functioning and reduce health declines
  • Ability to be involved in treatment and diagnostic choices
  • Ability to collaborate with providers
  • Ability to select providers and provider organizations based on performance or quality
  • Ability to navigate the health care system

From there, the team created 22 survey items within four levels of patient activation. Those levels include:

Activation Questions

  • Believing the patient role in activation is important
  • Having the confidence and knowledge necessary to take action
  • Proactively taking action to maintain and improve one’s health
  • Staying the course even under stress

Each of the 22 items aligns under those four assessment categories. For example, under level one, patients are asked about the degree to which they agree that patients are in charge of their own wellness. Under level four, patients are asked about their confidence in managing wellness goals during tumultuous periods during their lives.

The researchers concluded their survey development by testing whether the measure was accurate and feasible.

READ MORE:How Race Affects Patient Activation Impact on Hospital Readmission

“The consistency of performance of the measure is apparent in the reliability coefficients across subsamples,” the researchers wrote. “The high-reliability estimates indicate that the measure is appropriate for individual-level use, such as designing a care plan for an individual patient.”

The PAM can be used to assess a current patient’s activation levels, which in turn can drive improved outcomes, that same research team reported in Health Affairs. Some healthcare professionals will argue that there is also a cost benefit to patient activation, but per the Health Affairs study that assertion has yet to be proven.

The PAM can also help assess large-scale patient activation programs. Healthcare professionals can determine how effective the program was in improving patient activation by administering the PAM before and after an intervention.

Short-form PAM assessment reviews 13 measures

In 2005, the same group of researchers led by Hibbard created a short-form version of the PAM. The 13-item survey removed measures that would not have a significant impact on outcomes in an effort to reduce provider burden.

“A shorter version of the PAM would greatly enhance the feasibility of measuring activation in a clinical setting and would make survey administration much less burdensome and costly,” the research team said in a study recounting the short-form survey’s creation.

READ MORE:The 3 Building Blocks Supporting Patient Engagement Strategies

Referred to as the PAM-13, this survey still includes questions within each of the four patient activation levels. The 13 measures that remained at the end of the new survey’s development include but are not limited to:

  • When all is said and done, I am the person who is responsible for managing my health condition
  • I know what each of my prescribed medications do
  • I understand the nature and causes of my health condition(s)
  • I am confident I can figure out solutions when new situations or problems arise with my health condition

The PAM-13 is not a complete replacement for its long-form counterpart. The shorter survey yields a 92 percent accuracy rate when compared to the 22-item survey. However, the researchers argued that this is an excellent accuracy rate and an adequate platform upon which clinicians can base their patient engagement strategies.

Real-world accuracy of the PAM

Ancestry Dna Activation Questions

Researchers have yet to conclusively determine how accurate the PAM is because it is a first-of-its kind quantifiable measure. Even so, the survey’s prevalence in peer-reviewed studies and clinical practice confirms its acceptance across the medical community.

Researchers have also looked at whether the survey has any limitations that might affect its accuracy. One such study observed that the PAM was developed using an 88 percent white patient sample, which may have created an implicit bias in the survey.

Another survey looked at the accuracy effects when PAM survey data points are missing. The 2014 study asserted that PAM surveys – and other patient-reported data – are often incomplete, leading to integrity issues.

When there is only one data point missing, the margin of error is not that large – about 2.5 percent, the researchers found. However, as the number of missing data points increases, as does the margin of error. When a short-form PAM survey is missing 12 of its 13 data points, it can be up to 44 percent inaccurate.

These findings emphasize the importance of having complete data sets, the researchers concluded. The team primarily suggested clinicians not use incomplete PAM surveys when developing patient engagement plans lest those strategies not work for the specific patient. Although, that solution may not be realistic in hospitals or practices that require all clinicians use a PAM.

More research should be done to facilitate complete patient-reported data and to develop adequate predictive statistics to supplement incomplete surveys.

How do healthcare orgs use the PAM?

Since its development, the PAM has been licensed by Insignia Health, meaning that healthcare organizations must purchase the survey rights to use it. The survey is for hospital and practice internal use and has no regulatory requirement attached to it.

Numerous medical researchers have leveraged the PAM to evaluate the efficacy of certain patient engagement strategies. Using the PAM on this wide scale enables healthcare researchers to develop best practices in patient engagement and patient activation.

The PAM can also be used on an individual patient level, helping doctors determine which specific strategies they will deploy with a singular patient. Industry experts from the American Medical Group Association (AMGA) recommend deploying the PAM during patient onboarding using either a paper survey or via the EHR. This allows providers to use the score from the onset when designing care management plans.

A 2015 best practices guide from the South Carolina Hospital Association (SCHA) explained that organizations should use PAM scores to determine the intensity of a patient engagement intervention.

“Health coaches were used to administer the PAM to new patients and coordinate appropriate behavioral health and self-management support in conjunction with primary care in an effort to improve patient and provider satisfaction and delegate tasks that do not require a physician’s skills and training,” SCHA wrote in the guide. “Based on their level of activation, patients were delegated to appropriate staff.”

Healthcare professionals can ultimately help support the goal for patient-centered healthcare by using the PAM. Patient engagement – and healthcare in general – is not one-size-fits-all. Therefore, it is important for providers to have data gleaned from surveys like the PAM to inform more individualized engagement activities.

Activation Energy Questions And Answers Pdf

“Use of the PAM with network participants can be an integral part of providing patient-centered care and connecting to effective healthcare,” SCHA wrote. “With knowledge of participants’ existing knowledge, skills, beliefs, and motivations, care can continue to be coordinated in the most appropriate, comprehensive manner.”


  • Tagged

Activation keys RTM — Trade Windows Insider

Windows 10 Pro build 10240 — VK7JG-NPHTM-C97JM-9MPGT-3V66T

Windows 10 Home build 10240 — YTMG3-N6DKC-DKB77-7M9GH-8HVX7
Windows 10 Home SingleLanguage build 10240 — BT79Q-G7N6G-PGBYW-4YWX6-6F4BT
Windows 10 Home CountrySpecific build 10240 — N2434-X9D7W-8PF6X-8DV9T-8TYMD

Windows 10 Enterprise build 10240 — XGVPP-NMH47-7TTHJ-W3FW7-8HV2C
Windows 10 Pro VL build 10240 — QJNXR-7D97Q-K7WH4-RYWQ8-6MT6Y

You can create a file with the following content PID.TXT:

[PID]
Value = XXXXX-XXXXX-XXXXX-XXXXX-XXXXX
(in the file should be no extra spaces and blank lines!)

Put it in the distribution to the folder .. Sources

Note that when you install will need to enter your login account tied to Microsoft programmeWindows Insider!

Product Keys for RTM * -sborok to install

These keys for installation, not for activation!

Windows 10 Home — TX9XD-98N7V-6WMQ6-BX7FG-H8Q99
Windows 10 Home N — 3KHY7-WNT83-DGQKR-F7HPR-844BM
Windows 10 Home Single Language — 7HNRX-D7KGG-3K4RQ-4WPJ4-YTDFH
Windows 10 Home Country Specific — PVMJN-6DFY6-9CCP6-7BKTT-D3WVR

Windows 10 Professional — W269N-WFGWX-YVC9B-4J6C9-T83GX
Windows 10 Professional N — MH37W-N47XK-V7XM9-C7227-GCQG9

Windows 10 Education — NW6C2-QMPVW-D7KKK-3GKT6-VCFB2
Windows 10 Education N — 2WH4N-8QGBV-H22JP-CT43Q-MDWWJ

Questions

Windows 10 Enterprise — NPPR9-FWDCX-D2C8J-H872K-2YT43
Windows 10 Enterprise N — DPH2V-TTNVB-4X9Q3-TJR4H-KHJW4

Activation Question Definition

Windows 2015 Enterprise 10 LTSB — WNMTR-4C88C-JK8YV-HQ7T2-76DF9
Windows 2015 Enterprise 10 LTSB N — 2F77B-TNFGY-69QQF-B8YKP-D69TJ

Preliminary test version of Windows 10 already contain sewn in the distribution key, matching his editorial board and are automatically activated when you connect to the Internet.

Product Keys for Preview-assemblies

Data entry keys are usually not required, it is necessary for recovery scenarios:

For assemblies, beginning with 10147
Core: KTNPV-KTRK4-3RRR8-39X6W-W44T3
Professional: 8N67H-M3CY9-QT7C4-2TR7M-TXYCV
Enterprise: CKFK9-QNGF2-D34FM-99QX2-8XC4K
Single Language: JPYNJ-XTFCR-372YJ-YJJ3Q-G83YB
Chines Languge Edition: R3BYW-CBNWT-F3JTP-FM942-BTDXY
——————

For assemblies up to 10147
Professional: 6P99N-YF42M-TPGBG-9VMJP-YKHCF
Core: BD8NM-JGY2P-8JJYD-WTYKR-HQRJM
Single Language: 2NCXJ-T36QP-HQMH2-9672W-WBYW3
Enterprise: VTNMT-2FMYP-QCY43-QR9VK-WTVCK

Manual activation:

Activation Questions

At the command prompt with Administrator rights one at a time:

slmgr.vbs / upk
slmgr.vbs / ipk XXXXX-XXXXX-XXXXX-XXXXX-XXXXX
slmgr.vbs / ato

Where XXXXX-XXXXX-XXXXX-XXXXX-XXXXX — your activation key.

If the key is accepted, but the system is not activated — Activate the phone. At a command prompt:

slui 4

Follow the instructions on the screen and the voice assistant.

Question answer

Upgrade from Windows 8.1, I have a revision to one language (Single Language), or Core — whether the activation key from the Technical Preview?

No, but you can go to Control Panel -> Add features to Windows 10 Technical Preview and enter key Technisal Preview (Professional), to access the advanced features of the system.
However, remember that in this case the activation of the 8.1 will be overwritten, and update the current installed system before the final version of Windows 10 with preservation of activation for you is not available — requires a full reinstall.

windows 10 is a personal computer operating system released by Microsoft as part of Windows NT family of operating systems. Officially opened in September 2014 after a brief trial in the construction in 2014, the operating system has entered a process of testing public beta in October 2014, before and continues through the consumer release of Windows 10 on July 29, 2015, and the release of corporate licenses to August 1, 2015 to encourage its adoption, Microsoft has announced that during the first year of availability, Windows 10 will be available for free to users of genuine copies of eligible editions of Windows 7 or Windows, 8.1.

windows 10 introduces what Microsoft described as a «universal» application architecture; extension to the Metro-style applications, these applications can be designed to operate at multiple families of Microsoft products with almost identical code, including personal computers, tablets, smartphones, embedded systems, Xbox One, Hub surface HoloLens. The user interface of Windows 10 was revised to handle the transitions between the interface and mouse-centric touchscreen interface, optimized based on the available input devices, especially on laplets; Both interfaces include a new Start menu that contains a structure similar to Windows 7, 8 and tiles. windows 10 also introduces Picture task system of the virtual desktop, Microsoft Edge Web browser and other new or updated applications, integrated support for fingerprint and face recognition login, new security features for enterprise environments, DirectX 12 and WDDM 2.0 to improve the operating system graphics capabilities for gaming.

Microsoft described Windows 10 as an «operating system as a service» that would get the current update of its features and capabilities, supplemented with an option for enterprise environments, to get non-critical updates at a slower pace, or use long-term milestones support will only receive critical updates, such as security patches, their five-year life of the main support. Terry Myerson, executive vice president of Windows, and devices with Microsoft, says that the purpose of this model was to reduce fragmentation on the platform of Windows, and Microsoft, aimed to have Windows 10 installed, at least one billion devices in two or three years after his release .

windows 10 received mostly positive reviews from its initial release in July 2015; Critics praised Microsoft’s decision to downplay the mechanics of the user interface, introduced Windows 8 (including the full application of the screen and home screen) in a non-sensory environments to provide desktop interface-oriented in accordance with previous versions of Windows, although Windows 10 in touch oriented mode user interface has been prepared for the maintenance of the regression on the touch-based interface, Windows 8. Critics also praised the improvement of the standard Windows software 10 over 8.1, the integration of Xbox Live, as well as the functionality and Cortana, and the replacement of Internet Explorer from the edge, although the browser has been criticized for being a work in progress, which was not yet functional. Windows 10 was also criticized restrictions, users can control their activities; In particular, Windows Update does not install all updates automatically, no longer allows users to selectively install updates, and only about 10 editions of Windows can «postpone» the installation of «modernization» of the operating system. Privacy concerns have also been voiced by critics and defenders, and the default settings of the operating system, and some features require user data to Microsoft and its partners.

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