Health Care Delivery Systems Power Point

Question 1

Challenges to health care

Answer 1

Reducing health care costs uninsured patients, 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

Question 2

Nurses are the ____ of patient care.

Answer 2

managers

Question 3

Nurses face challenges to prevent gaps in healthcare across health settings and provide _____.

Answer 3

continuity of care

Question 4

Values of the nursing profession are rooted in helping people to regain, maintain or improve health, prevent illness, and find _____.

Answer 4

comfort and dignity

Question 5

The national priorities partnership promotes ____.

Answer 5

best practices

Question 6

The national priorities partnership promotes prevention, treatment, and ______ for the leading causes of mortality.

Answer 6

intervention practices

Question 7

The national priorities partnership ensures person- and ______ care.

Answer 7

family-centered

Question 8

The national priorities partnership make care ____.

Answer 8

safer

Question 9

The national priorities partnership promotes communication and ______.

Answer 9

care coordination

Question 10

The national priorities partnership makes quality care ______.

Answer 10

affordable

Question 11

The Institute of Medicine (IOM) states that nurses need to be transformed by practicing to the full extent of their _____.

Answer 11

training

Question 12

The Institute of Medicine (IOM) states that nurses need to be transformed by achieving _______ of education through an education system that provides seamless progression

Answer 12

higher levels

Question 13

The Institute of Medicine (IOM) states that nurses need to be transformed by becoming full partners with physicians and other health care providers in ______ the health care system

Answer 13

redesigning

Question 14

The Institute of Medicine (IOM) states that nurses need to be transformed by _____data collection and the information infrastructure for effective workforce planning and policy making

Answer 14

improving

Question 15

Regulatory and _____ approaches help with health care regulation and reform.

Answer 15

competitive

Question 16

Professional standards review organizations (PSROs) were

created to review the quality, quantity, and ______ of hospital care provided through Medicare and Medicaid

Answer 16

cost

Question 17

Utilization review (UR) committees review admissions, diagnostic testing, and treatments ordered by physicians who cared for patients receiving ____.

Answer 17

Medicare

Question 18

The _____ sets quality standards for accreditation of health care facilities.

Answer 18

The Joint Commission

Question 19

The ______ ensures that health care providers and agencies comply with state regulations - Nurses Practice Act.

Answer 19

state licensing boards

Question 20

Other regulatory agencies include

Answer 20

US Department of Health & Human Services
US Food and Drug Administration
State and local public health agencies

Question 21

“_____” - also called Sentinel Events are preventable and devastating. They include surgical, product or device, patient protection, care management, environmental, radiological and critical.

Answer 21

never events

Question 22

The Patient Protection and Affordable Care Act allows ______, reducing costs, improving quality.

Answer 22

access to health care for all

Question 23

Provisions of the affordable care act include insurance industry reforms, increased funding for public programs and improved coverage for _____.

Answer 23

children

Question 24

Health Services Pyramid Slide Review

Answer 24

?

Question 25

Five levels of services include disease prevention, health promotion, primary, secondary, and _____.

Answer 25

tertiary

Question 26

Health care settings include preventive, primary, secondary, tertiary, restorative, and ______.

Answer 26

continuing

Question 27

In preventative health care settings they reduce and control risk factors and include immunization, stress management, and using a ____.

Answer 27

seat belt

Question 28

In primary health care settings the emphasis is on _______. It includes prenatal and well baby checks, family planning, nutrition counseling, and disease control.

Answer 28

health promotion

Question 29

In secondary health care setting the aim is diagnosis and treatment of ______. Secondary health care settings include _____ and emergency departments.

Answer 29

acute illnesses | hospital

Question 30

The _____ health care settings are highly specialized and involve highly technical care. i.e. oncology centers, burn centers, intensive care

Answer 30

tertiary

Question 31

The ____ health care setting includes intermediate follow up care. i.e. home health care, rehab centers, and skilled nursing facilities

Answer 31

restorative

Question 32

The ____ health care setting includes long term or chronic illness care. i.e. hospice and palliative care, respite care, adult day care, assisted lviing

Answer 32

continuing

Question 33

Preventative care reduces and _____ risk factors for disease.

Answer 33

controls

Question 34

Primary care focuses on improved ______ and requires collaboration.

Answer 34

health outcomes

Question 35

Health promotion programs _______.

Answer 35

lower overall costs

Question 36

Health promotion is the major theme for patients who receive preventive and ____.

Answer 36

primary care

Question 37

Health promotion programs reduce _____ of disease.

Answer 37

incidence

Question 38

Health promotion programs ______ complications.

Answer 38

minimizes

Question 39

Health promotion programs reduces the need for more _____.

Answer 39

expensive resources

Question 40

Secondary and Tertiary care are also called ____.

Answer 40

acute care

Question 41

Secondary and Tertiary care (acute care) focuses on ______ and treatment of disease.

Answer 41

diagnosis

Question 42

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

Answer 42

disease management

Question 43

____ of care by uninsured contributes to high costs.

Answer 43

postponement

Question 44

Discharge planning begins at ______.

Answer 44

admission

Question 45

Discharge planning continuity of care requires working with all members of the ______.

Answer 45

interdisciplinary team

Question 46

Discharge planning requires ______ to various health care disciplines.

Answer 46

referrals

Question 47

Discharge planning involves patient and family members . Also called ____.

Answer 47

patient centered care

Question 48

Comprehensive patient and family education is involved in ____.

Answer 48

discharge planning

Question 49

_____ care involves hospitals, intensive care, psychiatric facilities, and rural hospitals.

Answer 49

secondary and tertiary care

Question 50

_____ care serves patients recovering from an acute or chronic illness/disability

Answer 50

restorative

Question 51

restorative care helps individuals regain ______ and enhance quality of life

Answer 51

maximal function

Question 52

______ care is a provision of medically related services and equipment to patients and families in their homes for health maintenance, education, illness prevention, diagnosis and treatment of disease, palliation, and rehabilitation.

Answer 52

home health care

Question 53

Home health care involves coordination of ______.

Answer 53

services

Question 54

Home health care focuses on patient and family _______.

Answer 54

independence

Question 55

Home health care usually is reimbursed by ______ (such as Medicare and Medicaid in the United States), private insurance, and private pay.

Answer 55

government

Question 56

Home health care usually is reimbursed by ______ (such as Medicare and Medicaid in the United States), private insurance, and private pay.

Answer 56

government

Question 57

_______- includes physical, occupational, and speech therapy, and social services.

Answer 57

Rehabilitation

Question 58

Rehabilitation begins on ______.

Answer 58

admission

Question 59

Rehabilitation focuses on preventing _______ and maximizes patient function and independence.

Answer 59

complications

Question 60

_______ provide intermediate medical, nursing, or custodial care for patients recovering from acute illness or disabilities

Answer 60

Extended care facility

Question 61

_______ provides care for patients until they can return to their community or residential care location

Answer 61

intermediate care/skilled nursing facility

Question 62

______ is for people who are disabled, functionally dependent, or suffering a terminal disease

Answer 62

continuing care

Question 63

Available within institutional settings or in the home via continuing care includes nursing centers or facilities, assisted living _______, adult day care centers and hospice.

Answer 63

respite care

Question 64

Nursing center or facilities provide _____ intermediate and custodial care. Nursing, rehabilitation, diet, social, recreational, and religious services.

Answer 64

24 hour

Question 65

Residents of any age with chronic or debilitating illness | are cared for at _____.

Answer 65

nursing centers or facilities

Question 66

_____ are regulated by standards: Omnibus Budget Reconciliation Act of 1987; Box 2-2, p. 21

Answer 66

continuing care:nursing centers or facilties

Question 67

Continuing Care: assisted living can be in a long-term care setting, home environment, and patients have greater _____. There are no fee caps.

Answer 67

autonomy

Question 68

______ care provides short-term relief or “time off” for people providing home care to an individual who is ill, disabled, or frail.

Answer 68

Respite

Question 69

_____ care settings include home, day care, or health care institution with overnight care.

Answer 69

respite

Question 70

Respite care includes trained volunteers to enable _____ to leave the home for errands or social time.

Answer 70

family caregivers

Question 71

_______ provide a variety of health and social services to specific patient populations who live alone or with family in the community

Answer 71

adult day care centers

Question 72

Adult day care centers may be associated with a _______ or nursing home or may operate independently

Answer 72

hospital

Question 73

_____ is family centered care that allows patients to live with comfort, independence, and dignity while easing the pains of terminal illness.

Answer 73

hospice

Question 74

Hospice focuses on _______ (not curative) care

Answer 74

palliative

Question 75

Many hospice programs provide ______, which is important in maintaining the health of the primary caregiver and family.

Answer 75

respite care

Question 76

Accountable care organizations (ACOs) were | developed to coordinate _____. Nurses act as leaders and care coordinators.

Answer 76

medical care

Question 77

Patient-centered medical home (PCMH) coordinates care, ______, monitors patient outcomes. Primary care providers function as the hub of the PCMH

Answer 77

gathers clinical data

Question 78

Issues in Health Care Delivery include the nursing shortage, competency, and _______ (pay for performance, patient satisfaction)

Answer 78

quality and safety in health care

Question 79

Other health care delivery issues include the globalization of health care resulting in _______, nursing informatics and technological advancements, and the magnet recognition program - nursing sensitive outcomes.

Answer 79

vulnerable populations

Question 80

Changes in the future of health care opens up opportunities for_____.

Answer 80

improvement.

Question 81

Health care delivery systems need to address the needs of the uninsured and the _____. Health care organizations are striving to become better prepared to deal with these and other challenges in health care.

Answer 81

underserved

Question 82

The solutions necessary to improve the quality of health care depend largely on the _______ of nurses.

Answer 82

active participation