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Unit 6 > Health Care Systems: Health care delivery > Flashcards

Health Care Systems: Health care delivery Flashcards

1
Q

What purpose does The Joint Commission and the National Committee for Quality Assurance serve?

A

Set standards for facilities to develop policies and procedures to ensure the care patients receive is both of high quality and safe.

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2
Q

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a tool used to do what?

A

Improve care delivery to patients.

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3
Q

Nursing excellence programs (Magnet Recognition Program and Pathway to Excellence Program) serve what purpose to the nursing profession?

A

Make nurses happier. Happy nurse means high retention and low turnover rates.

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4
Q

What is the difference between the Magnetic Program and the Pathway to Excellence?

A
  • Magnet Program:
    • Maintaining high quality patient outcomes
    • Observe and implement new practices nurses come up with.
  • Pathway to Excellence:
    • Improve communication between intra and interdisciplinary teams
    • Harbors a supportive environment
    • Aims to make nurses lives easier.
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5
Q

With that being said about the two programs you could say the main focus of each is?

A
  • Magnet program: Make the nurses job more efficient so they can provide quality care.
  • Pathway to Excellence: Creating a healthy work environment.
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6
Q

What does insurance reform refer to?

A

Changes reimbursement structure for healthcare.

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7
Q

Besides race and ethnicity, healthcare disparities also relate to?

A

Social, economic, and environmental differences.

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8
Q

(T/F) States have little power to enact legislation to control healthcare costs and instead can implement procedures that can alter cost in other ways.

A

True

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9
Q

What is an example of a way that states altering healthcare cost, other than through legislation.

A

Change definitions of chronic illnesses to help control reimbursement.

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10
Q

(T/F) States cannot put a cap on pharmaceutical prices to help control market costs.

A

False, states can put a cap on pharmaceutical prices.

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11
Q

Part A of Medicare covers?

A
  • Hospitalization
  • SNFs
  • Some hospice care
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12
Q

Part B of Medicare covers?

A
  • Doctor visits
  • OT/PT
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13
Q

Part C of Medicare covers?

A
  • Prescription drugs
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14
Q

How does one qualify for Medicaid?

A

Income based.

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15
Q

What is the purpose of Children’s Health Insurance Program (CHIP)?

A

Provide insurance to children who may not meet Medicaid requirements.

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16
Q

What is our responsibility as a nurse to discuss private insurance with our patients?

A

It’s not. Next card.

17
Q

As far as education goes, how does this vary between an RN vs a PN?

A

RN: Will educate and teach

PN: Can reinforce teaching under the guidance of an RN or Provider

18
Q

What is the objective of a primary care provider?

A

Manage your health needs through referring you to specialists, ordering diagnostic studies, and etc.

19
Q

(T/F) Your PCP can treat a respiratory problem you are experiencing?

A

True. If you do not improve, then they can refer you to a specialist.

20
Q

What is the objective of a community care setting?

A

Preventative services.

Care for patients before they need to be treated at a health facility.

21
Q

What are some preventative services provided by a community care setting?

A

Education on eating well, exercising, and what to look for in certain acute situations, like strokes or heart attacks.

22
Q

Acute care setting vs Long term care facility?

A

Acute care: Treatment in ED or brief(ish) stay in a hospital.

Long term care facility: A place for patients who do not require specific needs and just need a place to live.

23
Q

How does a skilled nursing facility vary from a long term care facility?

A

SNFs may provide short-term rehabilitation like OT and PT, as well as provide IV fluids, wound care, and respiratory treatments.

24
Q

How does a long term care hospital vary from a SNF or long term care facility? Examples?

A

A place for patients with long term illnesses to stay at.

Examples: severe burns, trauma, or ventilation needs.

25
Q

Objective of an assisted living facility?

A

Encourage independence for patients, but still provides 24-hour supervision/assistance to meet needs.

26
Q

(T/F) Hospice care and palliative care are the same thing?

A

False.

Hospice: Goal is to provide comfort when patient decides to no longer receive care/treatment for their illness.

Palliative: Goal is to provide comfort, but patient is still receiving care for their illness.

27
Q

What does respite care provide for patients and family?

A

Respite care provides caregivers to families when they need a break from caregiver responsibilities for a short time.

28
Q

What does home care services provide?

A

Nurse comes to home and performs assessments and obtains lab samples or provides wound care, antibiotic administration, and other nursing tasks.

Unit 6 (5 decks)

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