1C The Health System Flashcards
(17 cards)
What is primary, secondary, tertiary, and quaternary care?
1 - point of contact like FM
2 - referral like to a cardiologist
3 - complex treatment like heart surgery, often academic
4 - extension of 3, but similar
You have patients and providers, but what are purchasers and payors?
Purchasers - those who buy healthcare, like employers and govts
Payors - those who “pay” health systems like insurance and govt
What are the T1, T2, and T3 components of translational research?
T1 - what works?
T2 - who does it work for?
T3 - how do we deliver?
The ONC, FDA, CDC, CMS, and NIH are all under what federal umbrella?
Dept of Health and Human Services
PPOs and HMOs are what kind of healthcare? Which is more common?
Private managed care - they contract with providers to provide care; PPOs are more common
What is single payer healthcare?
Universal model where a single entity like the government pays for essentials
Medicare/aid and VA - which is govt financed and which is govt provided?
VA is healthcare provided while Medicare/aid is financed
What % of the GDP in US goes to healthcare? Why is it rising?
About 17.6% - rising due to medical cost inflation and aging population
You ___ for the elderly/disabled and ___ the poor.
You CARE for the elderly and AID the poor
Are Medicare and Medicaid administered through federal or state govt?
Medicare is federal while Medicaid is state and federal
What program was designed to cover uninsured children in families with incomes that are modest but too high to qualify for Medicaid?
CHIP (formerly called SCHIP)
What law from 1986 affected ERs?
Emergency Medical Treatment & Labor Act (EMTLA) - they have to treat anyone that comes in
What size business has to offer healthcare after ACA?
50 or more FTE employees
What is the individual mandate and when was it repealed?
Under the ACA, individuals were required to have health insurance or pay a penalty. 2019
What does an accountable care organization promote and which service is it under?
Accountability through teamwork and collaboration - Medicare
What did HITECH promote? When was it made law?
Use of EHR; 2009
What is meaningful use?
Part of HITECH and the idea that EHR be used in a substantive way, not just checking boxes
