Exam 2 Review Flashcards
(61 cards)
public hospitals
oldest type of hospital
owned by federal, state, or local government
American Medical Association (AMA)
protected the interests of providers
caused their rep to become more prestigious
federal hospitals
don’t serve the general public, they serve beneficiaries like veterans, military members, and native americans
voluntary hospitals
not government owned and non-profit
financed through community efforts
proprietary hospitals
investor owned hospitals
for profit, owned by corporations, individuals, or partnerships
primary goal is to make money
acute care hospitals
focuses on patients that stay 30 days or less
Medicare Rural Hospital Flexibility Program (MRHFP)
created because rural hospitals see more poor and elderly, resulting in financial issues
it allows some rural hospitals to be classified as critical access hospitals if they have <25 acute care beds–they can get extra Medicare reimbursement
chief of medical staff
in charge of the medical staff/physicians that provide clinical services to the hospital
certification of hospitals
allows them to get Medicare and Medicaid reimbursement
mandated by DHHS
must adhere to conditions of participation
accreditation of hospitals
private standard developed by accepted organizations to meet certain standards
-The Joint Commission accreditation means they met Medicare and Medicaid standards and don’t need certification
Patient Self-Determination Act of 1990
requires hospitals that are in Medicare and Medicaid programs to provide patients with information on their rights upon admission
-Patient Bill of Rights
3 cost containment approaches for facilities
- Lean-staff identify patient care processes that are inefficient and revise them
- Six Sigma-uses statistics to identify and eliminate defects in patient care
- Plan Do Study Act-4 step cycle that focuses on improving workflow
why were urgent/emergent care centers established?
for consumers that needed medical care but not life threatening. they take the place of the ER for those that really don’t need it
Health Centers
provide culturally competent primary healthcare services to the uninsured or indigent population
respite care
temporary care program, established to provide relief to the caregivers of chronically ill patients that needed a mental break
hospice care
provides care for patients with life threatening illness and comfort for the patient’s family
hospice care teams
work together to care for chronically ill patients
nurses, doctors, social workers, therapists, clergy, etc
why is primary care the essential component of the us healthcare system?
it is often the point of entry of most people since it focuses on preventative and routine care
secondary care
focuses on short term interventions that may require a specialist’s intervention
-hospitalization, routine surgery, specialty consultation
difference between a doctor of medicine and a doctor of osteopathic medicine
a doctor of osteopathic medicine uses more holistic approach focusing on the entire person, and a doctor of medicine uses an allopathic approach
allopathic approach
actively intervening in attacking and eradicating the disease
hospitalist
physician that provides care to hospitalized patients, usually a general practitioner and can provide more efficient care. they monitor the patient from admittance to discharge
nonphysician practitioner (NPP)
general term including physician assistants, nurse practitioners, and certified nurse practitioners
physician extenders
NPP are often called this because they are often used as a substitute for physicians but not involved in total care
