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Flashcards in health care delivery system Deck (24):

what are challenges to health care

Reducing health care costs while maintaining high-quality care for patients
Improving access and coverage for more people
Encouraging healthy behaviors
Earlier hospital discharges result in more patients needing nursing homes or home care.


what is the health services pyramid

Managing health instead of illness
Emphasis on wellness
Injury prevention programs


what are the national priorities

Patient and family engagement
Population health
Safety/eliminating errors as possible
Care coordination
Palliative care for advanced illnesses
Overuse/reducing waste


how do nurses need to be transformed by

Practicing to the full extent of their education and training
Achieving higher levels of education and training through an improved education system that provides seamless progression
Becoming full partners, with physicians and other providers, in redesigning the health care system
Improving data collection and the information infrastructure for effective workforce planning and policy making


what is th professional standards review organizations

Created to review the quality, quantity, and cost of hospital care provided through Medicare and Medicaid


what is the utilization review committees

Review admissions, diagnostic testing, and treatments provided by physicians who cared for patients receiving Medicare


what is the patient protection and affordable care act

Access to health care for all
Reducing costs
Improving quality


what provisions are included in the patient protection and affordable care act

Insurance industry reforms
Increased funding for community health centers
Increased primary care services
Improved coverage for children


what are the reasons for health care accreditation/ certification

To demonstrate quality and safety
To evaluate performance, identify problems, and develop solutions


what is the preventative care and primary health care

Focuses on improved health outcomes for an entire population
Requires collaboration among health professionals, health care leaders, and community members


health promotions lowers overall costs of

Reduces incidence of disease
Minimizes complications
Reduces the need for more expensive resources
Occurs in home, work, and community settings


what is secondary and tertiary care also known as

acute care


what is the focus of secondary and tertiary care

diagnoiss and treatment of disease


what is the most common and expensive service of the health care delivery system

disese management


what is restorative care

Serves patients recovering from an acute or chronic illness/disability
Helps individuals regain maximal function and enhance quality of life
Promotes patient independence and self-care abilities
Requires multidisciplinary approach


what is the focus for restorative care: rehabilitation

to restore patients to their fullest physical, mental, social, vocational, and economic potentioal


what is continuing care

For people who are disabled, functionally dependent, or suffering a terminal disease
Available within institutional settings or in the home:


what facilities have continuing care

assisted living
respite care
adult day care centers


what is respite care

The service provides short-term relief or “time off” for persons providing home care to an ill, disabled, or frail older adult.


where are setting for respite care

home, day care, or health care institution with overnight care.


what are adult day care centers

Provide a variety of health and social services to specific patient populations who live alone or with family in the community
May be associated with a hospital or nursing home or may operate independently
Offer services to patients such as daily physical rehabilitation and counseling


what is hospice

Family-centered care that allows patients to live and remain at home
Focuses on palliative (not curative) care: comfort, independence, and dignity
Provides patient and family support during terminal illness and time of death
Many hospice programs provide respite care, which is important in maintaining the health of the primary caregiver and family.


what are issues in health care delivery

Nursing shortage
Evidence-based practice
Quality and safety in health care/ Patient-centered care
Health care organizations are being evaluated on the basis of outcomes such as prevention of complications, patients’ functional outcomes, and patient satisfaction
Magnet Recognition Program
Nursing-sensitive outcomes
Nursing informatics and technological advancements
Globalization of health care


what is the future of health care

Change opens up opportunities for improvement.
Health care delivery systems need to address the needs of the uninsured and the underserved.
Health care organizations are striving to become better prepared to deal with these and other challenges in health care.
The solutions necessary to improve the quality of health care depend largely on the active participation of nurses.