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HEALTH POLICY Flashcards

(68 cards)

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1
Q

WHAT DOES THE ANA SAY ABOUT NURSING

A

NURSING PROMOTES THE DELIVERY OF HOLISTIC CONSUMER CENTERED CARE AND OPTIMAL HEALTH OUTCOMES THROUGHOUT THE LIFE SPAN AND ACROSS THE HEALTH ILLNESS CONTINUMM WITHIN AN ENVIRONMENTAL CONTEXT THAT ENCOMPASSES CULTURE, ETHICS, LAW, POLITICS, ECONOMICS, ACCESS TO HEALTH CARE RESOURCES AND COMPETING PRIORITIES

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2
Q

EACH HEALTH CARE DELIVERY ORGANIZATION HAS WRITTEN WHAT

A

POLICIES AND PROCEDURES P&Ps FOR EVERY NURSING INTERVENTION

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3
Q

POLICY AND PROCEDURE MANUALS SHOULD WHAT

A
  1. PROVIDE THE STANDARD OF CARE THAT MEETS REGULATORY/ACCREDITATION REQUIREMENTS AND PROMOTES SAFETY
  2. EASY TO ACCESS AND UP TO DATE
  3. REVIEWED ANNUALLY FOR RELEVANCE BASED ON THE CURRENT EVIDENCE
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4
Q

NATIONAL POLICIES

A

HIPAA
EMTALA
PSDA
PPACA
ADA

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5
Q

HIPAA

A

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

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6
Q

EMTALA

A

EMERGENCY MEDICAL Tx AND ACTIVE LABOR ACT

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7
Q

PSDA

A

PATIENT SELF DETERMINATION ACT

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8
Q

PPACA

A

PATIENT PROTECTION AND AFFORDABLE CARE ACT

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9
Q

ADA

A

AMERICANS WITH DISABILITIES ACT

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10
Q

PROBLEM:

INFRINGEMENT OF BASIC RIGHTS AND NEED FOR FEDERAL PROTECTIONS

LEGISLATIVE SOLUTION

A

AMERICANS WITH DISABILITIES ACT (ADA)

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11
Q

AMERICANS WITH DISABILITIES ACT (ADA)

PURPOSE

A
  1. PROMOTES INCLUSION
  2. PROTECTS THE RIGHTS OF INDIVIDUALS WITH PHYSICAL OR MENTAL DISABILITIES
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12
Q

EMPLOYERS MUST PROVIDE WHAT?

ADA

A

REASONABLE ACCOMODATION

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13
Q

INDIVIDUAL WITH THE DISABILITY HOLDS WHAT

ADA

A

THE RIGHT TO DISCLOSE

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14
Q

ADA ENSURES EQUAL OPPORTUNITY FOR PEOPLE WITH WHAT

A

DISABILITIES IN EMPLOYMENT, TRANSPORTATION, AND PUBLIC ACCOMODATIONS

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15
Q

WHAT DOES HIPAA ESTABLISH AND PROVIDE

A

ESTABLISHED PATIENT’S RIGHTS TO PRIVACY, CONFIDENTIALITY, ACCESS TO CARE
PROVIDES INSURANCE PROTECTIONS

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16
Q

IF YOU ARE NOT PROVIDING DIRECT CARE, WHAT SHOULD YOU DO TO THE PT CHART

HIPAA

A

DON’T OPEN IT

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17
Q

WHAT SHOULD YOU MAINTAIN WHEN COMMUNICATING ABOUT PATIENTS

HIPAA

A

A REASONABLE LEVEL OF PRIVACY

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18
Q

WHAT SHOULD YOU AVOID DISCLOSING ABOUT PATIENTS

HIPAA

A

PHI
PROTECTED HEALTH INFORMATION

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19
Q

WHAT PROBLEMS PROMPTED EMTALA

A

PATIENT DUMPING AND POOR PATIENT OUTCOMES

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20
Q

WHAT IS THE PURPOSE OF EMTALA

A

PROTECT PATIENTS WHO DO NOT HAVE HEALTH INSURANCE FROM BEING TURNED AWAY FROM THE ED OR SENT TO ANOTHER HOSPITAL

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21
Q

COMMON REASONS FOR EMTALA VIOLATION

A
  1. INADEQUATE STABILIZATION
  2. INADEQUATE SCREENING
  3. INAPPROPRIATE TRANSFER
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22
Q

TIPS FOR PREVENTING EMTALA VIOLATIONS

A
  1. DOCUMENT EVERYTHING
  2. DO NOT GIVE PATIENT’S ADVICE
  3. NEVER REFUSE PATIENT CARE
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23
Q

WHAT PROBLEMS PROMPTED PSDA

A
  1. INFRINGEMENT OF BASIC RIGHTS
  2. NEED FOR FEDERAL PROTECTIONS
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24
Q

PURPOSE OF PSDA

A

PROMOTE PATIENT AUTONOMY BY INFORMING PATIENTS OF THEIR RIGHTS SURROUNDING MEDICAL TREATMENT

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25
WHAT ARE THE HIGHLIGHTS OF PSDA
1. ADVANCED DIRECTIVE 2. DURABLE POWER OF ATTORNEY FOR HEALTH CARE (DPAHC) 3. GUARDIAN 4. DO NOT RESUSCITATE (DNR)
26
WHAT IS AN ADVANCED DIRECTIVE
LETS PROVIDERS KNOW YOUR WISHES BEFORE YOU GET SICK IN THE EVENT YOU CAN'T SPEAK FOR YOURSELF
27
WHEN DOES A DPAHC COME INTO PLAY
WHEN A PSYCHOLOGIST FROM THE HOSPITAL DETERMINES PATIENT IS NO LONGER MENTALLY COMPETENT
28
WHAT PROBLEMS PROMPTED ACA
1. HIGH COST OF HEALTH CARE 2. LARGE PERCENTAGE OF AMERICANS WITHOUT HEALTH INSURANCE 3. LIMITED ACCESS TO HEALTH CARE
29
4 COMMON THEMES OF ACA
1. CONSUMER RIGHTS AND PROTECTIONS 2. AFFORDABLE HC COVERAGE 3. INCREASED ACCESS TO HC 4. QUALITY OF CARE THAT MEETS THE NEEDS OF PATIENTS
30
LEGAL TAKEAWAYS
1. FOLLOW POLICIES OUTLINED BY THE FACILITY 2. PRACTICE EFFECTIVE COMMUNICATION 3. BUILD RAPPORT WITH YOUR PATIENT'S 4. DOCUMENT ACCURATELY 5. UNDERSTAND THE LAWS THAT GOVERN PRACTICE
31
WHAT IS HEALTH ACCORDING TO WHO 2018
STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL-BEING, NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY
32
33
WHAT IS HEALTHY PEOPLE
NATIONAL HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES DEVELOPED EVERY 10 YEARS TO IMPROVE THE HEALTH OF ALL AMERICANS
34
WHEN WAS HEALTHY PEOPLE LAUNCHES
1979
35
WHAT WAS THE ORIGINAL FOCUS OF HEALTHY PEOPLE
REDUCING PREVENTABLE DEATH AND INJURY
36
WHAT EDITION IS HEALTHY PEOPLE 2030
5TH EDITION
37
ROLE OF THE NURSE
HEALTH PROMOTION DISEASE PREVENTION
38
HEALTH PROMOTION
IS THE PROCESS OF ENHANCING PEOPLE'S INFLUENCE OVER AND IMPROVEMENT OF THEIR HEALTH
39
DISEASE PREVENTION
IS PRIMARY AND SECONDARY (EARLY DETECTION) PREVENTIVE MEASURES AIMED AT REDUCING THE BURDEN OF DISEASES AND ASSOCIATED RISK FACTORS
40
RISK FACTORS
ANY ATTRIBUTE, QUALITY, ENVIRONMENTAL SITUATION, OR TRAIT THAT INCREASES THE VULNERABILITY OF AN INDIVIDUAL OR GROUP TO AN ILLNESS OR ACCIDENT
41
NON MODIFIABLE RISK FACTORS
CONDITIONS THAT INCREASE THE RISK OF DEVELOPING A DISEASE CANNOT BE CHANGED
42
MODIFIABLE RISK FACTORS
BEHAVIORS AND EXPOSURES THAT CAN RIASE OR LOWER A PERSON'S RISK CAN BE CHANGED
43
EXAMPLES OF NON MODIFIABLE RISK FACTORS
AGE GENDER GENETIC FACTORS RACE AND ETHNICITY
44
EXAMPLES OF RISK FACTORS THAT ARE MODIFIABLE
HIGH BP SMOKING DM PHYSICAL INACTIVITY OBESITY HIGH BLOOD CHOLESTEROL
45
IS A FAMILY Hx OF DM MODIFIABLE OR NONMODIFIABLE
NONMODIFIABLE
46
IS ALCOHOL USE MODIFIABLE OR NONMODIFIABLE
MODIFIABLE
47
LEVELS OF PREVENTION
PRIMARY SECONDARY TERTIARY
48
PRIMARY PREVENTION
TRUE PREVENTION THAT SEEKS TO PREVENT THE INITIAL OCCURRENCE OF DISEASE OR INJURY
49
SECONDARY PREVENTION
EARLY DETECTION AND Tx OF DISEASE WITH THE GOAL TO LIMITING SEVERITY AND ADVERSE EFFECTS
50
TERTIARY PREVENTION
MINIMIZING EFFECTS OF LONG TERM COMPLICATIONS THROUGH INTERVENTIONS
51
WHAT LEVEL OF PREVENTION IS A MAMMOGRAM
SECONDARY
52
WHAT LEVEL PREVENTION IS A HEP B VACCINE ADMINISTRATION
PRIMARY PREVENTION
53
WHAT LEVEL OF PREVENTION IS A tPA FOLLOWING AN ISCHEMIC STROKE
TERTIARY
54
WHAT LEVEL OF PREVENTION IS HANDWASHING
PRIMARY PREVENTION
55
WHAT LEVEL OF PREVENTION IS PARTICIPATING IN PT FOLLOWING A KNEE REPLACEMENT
TERTIARY PREVENTION
56
HEALTH DISPARITY
DIFFERENCES IN HEALTH CARE OUTCOMES AND DIMENSIONS OF HEALTH CARE, INCLUDING ACCESS, QUALITY, AND EQUITY, AMONG POPULATION GROUPS
57
WHAT DOES DISPARITY INCLUDE
POVERTY, ENVIRONMENTAL THREATS, INADEQUATE ACCESS TO HEALTH CARE, INDIVIDUAL OR BEHAVIORAL FACTORS, AND EDUCATIONAL INEQUALITIES
58
VULNERABLE POPULATIONS
GROUPS OF PATIENTS WHO ARE MORE LIKELY TO DEVELOP HEALTH PROBLEMS BECAUSE OF EXCESS HEALTH RISKS, WHO HAVE LIMITED IN ACCESS TO HC SERVICESS, OR WHO DEPEND ON OTHERS FOR CARE
59
EXAMPLES OF VULNERABLE POPULATIONS
POVERTY, OLDER ADULTS, DISABLED PERSONS, HOMELESS, IMMIGRANTS, INDIVIDUALS IN ABUSIVE RELATIONSHIPS, SUBSTANCE ABUSE, AND PEOPLE WITH MENTAL ILLNESS
60
SOCIAL DETRMINANTS OF HEALTH
CONDITIONS IN THE ENVIRONMENT WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY OF LIFE OUTCOMES AND RISKS
61
5 CATEGORIES OF SOCIAL DETERMINANTS OF HEALTH
1. EDUCATION ACCESS AND QUALITY 2. HEALTH CARE AND QUALITY 3. NEIGHBORHOOD AND BUILT ENVIRONMENT 4. SOCIAL AND COMMUNITY CONTEXT 5. ECONOMIC STABILITY
62
WHAT ARE SOCIAL DETERMINANTS OF HEALTH (SDOH)
UNDERLYING CAUSES OF HEALTH INEQUITIES
63
SDOH DISADVANTAGE IS NOT WHAT
DETERMINISTIC
64
65
SDOH SHAPES WHAT
HEALTH OVER THE LIFE COURSE
66
HOW DO SDOH AND SOCIAL INJUSTICES INTERACT
TO PRODUCE HEALTH INEQUITIES
67
WE MUST MOVE BEYOND THAT CHARACTERISTICS OF INEQUITIES TOWARD WHAT
SDOH MITIGATION
68

202 Theory (7 decks)

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