Study guide for the final, part 6 Flashcards
What are agencies with the DHHS?
CDC
HRSA (Health Resources and Services Administration)
FDA
NIH
National Disaster Medical System (NDMS)
What are agencies with the DHS?
FEMA (Federal Emergency Management Agency)
Metropolitan Medical Response Systems (MMRSs)
Border and Transportation Security
What are other federal agencies and assets for emergency preparedness and reponse?
EPA
Dept of Defense
DOJ
Strategic National Stockpile
What was the trend for federal funding for emergency preparedness in 2001
Increase due to 9/11 and anthrax attacks in 2001
How much was spent for fiscal yr 2002 for CDC’s anti-terrorism activities?
$2.1 billion
How much was spent in fiscal yr 2002 for grants to states and localities to upgrade state and local capacity for emergency response?
$917 million
Leading threats to PH
Infectious dz
Tobacco use
Maternal and child health
Workplace safety
Cardiovascular dz
Food safety and nutrition
Injuries
Oral health
Limitations of 21st century PH
Global environmental threats
Disruption of ecosystems
Global pop overload
Social injustice and health inequalities/inequities
Lack of access to effective care
Barriers to future porgress
Lack of ecological view of health
American public’s values, views, understanding
Reduction in discretionary spending
Internal problems in PH: disconnection to private sector and categorical approaches leads to fragmented, isolated programs
What are some of the American public’s values, views, and understanding?
Values for restricting the ability of gov’t
Politicized views on PH processes
Difficulties in understanding complex RFs and interventions
Describe geographic maldistribution among physicians
Physician shortage outside metropolitan area
19.3% of U.S. pop, but 11.4% of physicians in rural areas
Describe specialty maldistribution among physicians
47.7% generalists, 52.3% specialists
The proportion of active PCPs declining since 1949
Trends in international medical graduates
Steadily growing
25.5% of active physicians
1/4 of residency positions are filled by IMGs
Not the solution to the maldistribution because they eventually move to urban areas
Describe HIPAA
Health Insurance Portability and Accountability Act of 1996.
Legal uses of personal medical information are limited to HC delivery, operations, and reimbursement
Orgs must devise methods to safeguard, transfer, and disclosure of personal health information
Describe the revisions to HIPAA under HITECH in 2013
Venders and subcontractors must comply with HIPAA
Restrictions on the use of PHI for marketing
Pt authorization for the use of PHI in research
Use of genetic info for insurance underwriting
Pts have the right to receive electronic copies of their PHI
