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Health Occ, Ch 1 Health Care Systems Flashcards

(70 cards)

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1
Q

major type of health care facility

A

hospitals

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2
Q

What do hospitals offer?

A

acute care

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3
Q

immediate, short term care

A

acute care

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4
Q

Hospitals can be classified as?

A

private or voluntary

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5
Q

for-profit, in business to make money, and can turn people away if they have no money or insurance

A

private hospitals

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6
Q

not-for-profit, money put into hospital, and cannot turn anyone away

A

voluntary hospitals

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7
Q

Hospitals vary in ___ and ___ provided.

A

size; services

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8
Q

treat a wide variety of illnesses

A

general hospitals

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9
Q

care for only special conditions or age groups

A

specialty hospitals

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10
Q

Type/Examples of specialty hospitals

A

burn hospitals, oncology (cancer) hospitals, or pediatric hospitals (Riley, St. John’s Springfield, Childrens in ST. Louis)

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11
Q

operate by federal, state, or local govts

A

government hospitals

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12
Q

Government hospital example

A

Veterans hospitals

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13
Q

used for a person who does not need hospital care, but is not ready to go home yet. (not at HSHS St. Anthony)

A

sub-acute care facility

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14
Q

When is a sub-acute care facility used?

A

Used to give patient rehab or additional IV therapy

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15
Q

Where can a sub-acute care facility be found?

A

in hospitals or long term care facilities (ex. nursing homes; Rehab to Home [recovery reasons like therapy for hip replacement])

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16
Q

Home Care Agencies

A

care for persons in their home (HSHS covers large area)

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17
Q

What services do Home Care Agencies offer?

A

V therapy, personal care (bathing & washing hair), wound care (infected or surgical care), or physical therapy (occupational or speech)

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18
Q

also called nursing homes, nursing facilities, nursing centers, or skilled care facilities

A

long-term care facilities

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19
Q

Long-term care facilities provide ___ ____ and ____ ____ to individuals who can no longer care for themselves

A

basic physical; emotional care

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20
Q

People living in nursing homes are called?

A

residents

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21
Q

designed for persons w/ Alzheimer’s disease or other dementias. (Ex: Willow Brook & Lavender Ridge in Effingham)

A

Memory Care Facilities

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22
Q

Memory Care Facilities can be _____ or ____ in long term care facility. (allow to do more things than nursing home; smaller)

A

stand-alone facility; separate unit

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23
Q

care for people w/ mental illness (not HSHS, @ Sarah Bush- Behavioral Health) (Heartland Human Services- outpatient, don’t live there)

A

Mental Health Agencies

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24
Q

designed for persons who are dying (w/ home health) *not just physical; address emotions & social & spiritual life; help family

A

hospices

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25
In hospice, what 4 needs are provided to the person and family?
Physical, emotional, social, and spiritual
26
allow persons to live in their own apartment, but takes care of services such as cooking, laundry, cleaning, and transportation (Ex. Villas of Hollybrook, Glenwood, Brookstone)(very expensive)
Assisted Living Facilities
27
helps a person return to their highest level of function. (4-6 hrs therapy / day; intensive) Patients receive rehab in hospitals and nursing homes as well.
Rehabilitation Facilities
28
When should rehab begin?
when a person first seeks health care (quicker= better recovery)
29
This involves health care agencies joining together as one provider of care and has done so many services can be offered
Health Care Systems
30
__ goes into one system.
Money
31
What System is St. Anthony a part of? What other hospitals are in it?
Hospital Sisters Health System; ex. St. Antony, St. John's, St Marys, St. Joseph's, St. Elizabeths, Good Shepherd, Holy Family
32
Health Care Systems are led by a governing body called...
Board of Directors or Board of Trustees
33
begins suddenly, but the patient is expected to recover | Examples: Flu, COVID, pneumonia, Tonsillitis, Appendicitis
acute illness
34
ongoing illness that begins slowly and has no cure This type can usually be managed with treatments/medicine Examples: Diabetes, Lupus, Asthma, Arthritis, Parkinson’s, HIV, cancer
chronic illness
35
one which eventually ends in death | Examples: AIDS, cancer, ALS (wasting of muscles throughout)
terminal illness
36
Staff members whose skills and knowledge are directed to the person is total care. Members work together to meet the needs of the patient. (health occ students are a part of this)
Health Care Team
37
How many different healthcare careers are there?
200
38
Who is the focus of the health care team?
patient/resident
39
The nursing team consists of who? (3)
R.N.’s (registered nurse), L.P.N.’s (licensed practical nurses), and nursing assistants
40
person gets training while working in a facility Ex: dental assistant, phlebotomist (draw blood; in lab), dietetic assistant (prepares trays; food), pharmacy technician (pills in bottles)
On the job training
41
high school program which prepare student for immediate employment Ex: Health occ class- provides C.N.A. training
Secondary Vocational Program
42
two-year course of study offered by vocational schools or community colleges Ex: Registered nurse, Radiologic technologist (takes X-Rays), vet tech, physical therapy assistant, dental hygienist
Associate's Degree
43
degree offered by college or university acquired after 4 or more years Ex: registered nurse, medical lab technologist (read slides; look @ machines), radiologic technologist, social work, psychology
Bachelor's Degree
44
awarded by college or university after 1 or more years beyond bachelor’s Ex: Dietician, Occupational Therapist, Speech Language Pathologist, Social Worker, Registered Nurse (aka NP; Nurse Practitioner)
Master's Degree
45
awarded by college or university after 2 or more years beyond master’s degree Ex: physician, dentist, healthcare administrator (runs hospital/nursing home; COO or CEO; Chad Markwell), psychiatrist, veterinarian, ophthalmologist (surgery on eyes), physical therapist, pharmacist, optometrist (examines eyes & prescribes)
Doctorate/Doctor's Degree
46
Nursing care patterns depend on how many persons need...
care, the staff, and the cost.
47
focuses on task and jobs. (each person has own function; each nurse= different task) (not typically liked by patient)
functional nursing
48
involves a team of nursing staff led by an RN. (St. Anthony uses) (charge nurse stays @ desk & communicates w/ doctor) (most $ efficient)
team nursing
49
involves total care. (not really used; not $ efficient)
primary nursing
50
involves moving services from departments to the bedside. (goes w/ any patterns ^) (MRIs & CAT scans don’t move)
patient-focused care
51
coordinates care from admission to discharge (follows up every day)
Case Management-nurse case manager
52
Different positions wear different colors...
CNA= black; case manager= blue, respiratory= brown; lab= burgundy; physical therapy= khakis & polo
53
purchased by individuals and families (expensive; if job doesn’t offer)
private insurance plans
54
covers individuals belonging to a group (typically w/ job; often offered by employer to employees)
group insurance plans
55
type of insurance plan that provides services for a prepaid fee (reason= keep people healthy, better in long run; saves $) Monthly fee paid, which slays the same regardless of the amount of care used
Health Maintenance Organization (HMO)
56
HMO focuses on ______, such as immunizations and routine exams
preventative care (health maintenance)
57
type of contracted care often offered by large companies/industries to their employees (discount). The industry/company forms a contract with certain hospitals or physicians to provide all the care to their employees at a reduced rate.
Preferred Provider Organization (PPO)
58
What is the disadvantage of PPO?
Patients must choose hospitals or doctors w/in the contract (inconvenient)
59
federal govt. program (same across US) Provides benefits for almost all individuals over the age of 65 Also provides benefits for individuals who have been disabled for more than 2 years
Medicare
60
program offered by state govt. Benefits vary slightly from state to state Provides benefits for low-income individuals, children who qualify for public assistance, and individuals who are physically disabled or blind
Medicaid
61
Method of controlling costs for Medicare and Medicaid Length of stay and treatment costs are determined for certain diagnosis Each diagnosis has a number called a DRG (diagnosis-related group) code (DRG forced hospitals to do good job) Hospital is prepaid
Prospective Payment System
62
If expenses go over the amount paid, the hospital __ money If expenses stay under the amount paid, the hospital __ money Encourages hospitals to be __
loses; makes; efficient
63
The line of authority or chain of command in health care facilities May be simple or complex, depending on the size of the facility Indicates areas of responsibility
Organizational structure
64
Problems or questions should always be taken to a worker’s ____
immediate supervisor
65
OBRA stands for
Omnibus Budget Reconciliation Act
66
OBRA law developed in
1987
67
Requires states to establish training and competency evaluation for nursing assistants Nursing assistants must complete state-approved program and take a written exam Must also complete competency skills If a nursing assistant does not work for 2 years, must retrain Each state maintains a registry of qualified individuals
OBRA
68
Problems are also known as
deficiencies or "tags"
69
If problems are found... The agency is given time, usually ___ at most, to correct the problem. The agency can be ___ for uncorrected or serious deficiencies. (2nd chance) The agency can lose its ___________________ (if not fixed 3rd chance)
60 days; fined; license, certification, or accreditation
70
Your ____ is to provide quality care to patients/residents If questioned by a surveyor, answer ___. If you don’t know the answer, tell the surveyor the ___ and tell them you ___ the answer.
responsibility; honestly; truth; will find

Health Occ (4 decks)

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