health care institutions Flashcards
(47 cards)
1
Q
Term
A
Definition
2
Q
America’s Best Hospitals: 2024-2025 Honor Roll
A
- New York-Presbyterian Hospital: Named one of the nation’s best hospitals by U.S. News & World Report
- Recognition: For 21 consecutive years
- Rank: #1 hospital in New York
3
Q
Healthcare Institutions
A
- Hospitals: General health facilities
- Clinics: Offer outpatient care
- Ambulatory Surgery Centers: Perform surgeries without overnight stay
- Cruise Ship: Provides medical care on cruises
- All of the Above: Includes all mentioned institutions
- ABC: Possibly refers to a specific classification or example
4
Q
Healthcare Institutions: New Options and Expansion
A
- Specialized Clinics: Focus on specific health issues
- Outpatient Centers: Reduce hospital burden
- Long-Term Care Facilities: For extended care needs
5
Q
Healthcare Institutions: Levels of Care
A
- Short-Term Facilities: Temporary care for acute issues
- Long-Term Facilities: Ongoing care for chronic conditions
- Insurance: Not required for emergency room visits
6
Q
Ambulatory Surgery Centers
A
- Definition: Outpatient surgical facilities
- Cost: Lower cost than hospitals
- Procedures: Routine surgeries, such as biopsies and hernia repairs
- Equipment: Less sophisticated than hospital operating rooms
- Anesthesia: Local anesthesia; patient goes home same day
7
Q
Urgent Care Centers
A
- Operation: Private, for-profit; up to 24-hour care
- Care: Timely and accessible for emergencies
- Treatments: Cuts, sprains, infections
8
Q
Birth Centers
A
- Focus: Midwifery model
- Environment: Comfortable, cost-effective, family-inclusive birth
9
Q
Blood Banks
A
- Function: Blood and platelet donations
- Storage: Blood sorted into components
- Importance: Essential for life; only available through donation
10
Q
Clinics and Medical Offices
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- Clinics: Routine checkups
- Private Practice: Individual or group practice
- Corporately Owned: Connected to larger health systems or hospitals
11
Q
Diabetes Centers
A
- Prevalence: 30 million people with diabetes
- Prediabetes: Affects a third of the population
12
Q
Dialysis Centers
A
- Function: Filter and clean blood for kidney patients
- Purpose: Meet high demand and reduce hospital strain
13
Q
Adult Day Care Centers
A
- Type: Non-residential
- Services: Activities, meals, supervision
- Operation: 10-12 hours/day; social/recreational activities
14
Q
Hospice
A
- Purpose: End-of-life care
- Care: For dying patients and families
15
Q
Imaging and Radiology Centers
A
- Services: Diagnostic imaging
- Types: CT scans, ultrasounds, X-rays, MRIs
16
Q
Mental Health and Addiction Treatment Centers
A
- Purpose: Treat mental health issues
- Addiction Treatment: Drug, alcohol, and behavioral addictions
17
Q
Orthopedic and Other Rehabilitation Centers
A
- Focus: Athletic injuries, disabilities
- Services: Evaluation, diagnosis, therapy
- Conditions: Bone, tendon, ligament, muscle, and joint
18
Q
Telehealth
A
- Definition: Remote healthcare
- Technology: Electronic communication for long-distance care
- Use: Useful during COVID and in rural areas
- New Yorkers: Over 80% used telehealth recently
19
Q
Types of Hospitals
A
- Ownership: Proprietary, voluntary, teaching
- Teaching Hospitals: Provide training; affiliated with medical schools
- Community Hospitals: Small, nonprofit; offer routine care
- Public Hospitals: Government-operated; care for the poor
20
Q
Short-Stay Facilities
A
- Types: Acute Care, Community, Teaching, Public Hospitals
- Purpose: Resolve pressing medical conditions
21
Q
Intermediate Care Facilities
A
- Services: Room, board, nursing care
- Programs: Exercise, social, physical, and occupational therapy
22
Q
Long-Term Care Facilities
A
- Types: Chronic conditions, rehabilitation, psychiatric hospitals, nursing homes
23
Q
Nursing Homes
A
- Purpose: Long-term care
- Types: Intermediate Care, Skilled Nursing, Residential Care
24
Q
Residential Care Facilities
A
- Services: Meals, housekeeping, basic medical monitoring
- Residents: Independent but need help with daily tasks
25
Patient-Centered Medical Homes
- Care Model: Team care, individual plans
- Features: Cultural competency, disease registries, evidence-based care, care management
26
Concierge Medicine
- Description: Membership-based healthcare
- Features: Personalized care, flat fee, unlimited visits
27
Accountable Care Organizations (ACO)
- Model: Population health, provider-led
- Responsibilities: Manage patient group, integrated communication, shared savings
- Types: Physician groups, networks, joint ventures
28
CMS Quality Measures for ACOs
- Areas: Patient experience, care coordination, safety, preventive health, at-risk population
29
Successful Healthcare Institutions
- Traits: Vision, values, strategic plans, medication safety plans, policies, training
30
Vision
- Example: New York Presbyterian Hospital’s Vision: Excellence in clinical care, safety, research, education
31
Our Culture and Values
- Integrity: Truthful, ethical
- Teamwork: Collaborative
- Empathy: Understanding and responsive
- Innovation: Embracing new ideas
- Respect: Valuing individuals
32
Drug Distribution Plans
- Types: Centralized, decentralized, remote, point of care, outsourced, automated dispensing
33
Hospital Centralized Distribution Plan
- Systems: Robots, carousel, centralized pharmacy, cart fill, intravenous admixtures, automation
34
Global Challenges of Healthcare Institutions
- Issues: CDTM status, NYS regulations, Medicare cuts, drug shortages, drug diversion, counterfeit drugs, new regulations, rising drug costs
35
Complexities Related to Medication Management
- Challenges: New drugs, labeling, patient info, medication devices, new systems
36
Challenging Healthcare Trends: NYS Medicaid Facts
- Coverage: 60 million nationwide, 5 million in NYS
- Funding: State and federal
- Enrollment: 38% children, 3 million in NYS
37
Challenging Healthcare Trends: Medicare Facts
- Population: 25% of state’s population
- Spending: Twice the national average, $30 billion/year
38
Medication Safety
- Importance: Priority
- Evolution: Pharmacy systems and education
- Roles: Safety officers, multidisciplinary committees
39
Medication Errors
- Statistics: 10,000 deaths/year, $40 billion cost
- Prevention: Systems to reduce errors
40
Fatal Medication Error: Emily Jerry
- Incident: Overdose of sodium chloride
- Mistake: Wrong concentration in chemotherapy IV
- Outcome: Pharmacist jailed, license revoked
41
Fatal Medication Error: Vincristine Administered Intrathecally
- Incident: Intrathecal administration of vincristine
- Mistake: Misdelivery and administration
- Outcome: Patient death
42
“Do Not Use” Abbreviations
- Examples: U (unit), IU (international unit), qd (every day), qod (every other day), MS (morphine sulfate), MgSO4 (magnesium sulfate), etc.
43
Examples of Errors or Potential Errors
- Examples: Clonidine vs. Klonopin, Dicloxacillin vs. Doxycycline, Methotrexate dosing
44
Errors in Medication Process
- Steps: Medication order, dispensing, administration
45
Medication Errors Causes
- Causes: Look-alike drugs, sound-alike drugs, mistaken communication, new drugs, unfamiliarity, misread orders
46
Pharmacist’s Role in Medication Safety
- Responsibilities: Develop care plans, evaluate failures, educate team and patients, improve processes, incorporate technology, develop programs, participate in analysis
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Team Role in Medication Safety
- Contribution: Everyone in the healthcare team contributes to safety
