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HOSA BOWL > Healthcare Systems > Flashcards

Healthcare Systems Flashcards

(61 cards)

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1
Q

General Hospital

A

Treats a wide range of conditions of age groups.

Provides diagnostic, medical, surgical, and emergency care services

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2
Q

Specialty hospitals

A

Provides care for special conditions or age groups

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3
Q

Government hospitals

A

Operated at federal, state, and local government agencies throughout the world

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4
Q

University or medical college centers

A

Provide hospital services for research and education(funded by private and government sources)

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5
Q

Long-term care facilities (LTCs or LTCFs)

A

Provide assistance and care for elderly patients and care for individuals with disabilities

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6
Q

Residential care facilities:

A

Provide basic physical and emotional care for individuals who can’t care for themselves

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7
Q

Extended care facilities:

A

Designed to provide skilled nursing care and rehabilitative care to return to home or other LTCs

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8
Q

Independent living facilities and assisted living facilities:

A

Allows individuals to purchase or rent an apartment in a facility

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9
Q

Medical offices

A

Diagnosis, treatment, examination, basic laboratory testing, minor surgery

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10
Q

Concierge Medicine

A

Retainer medicine where an enhanced level of care is given by a physician for a monthly fee.

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11
Q

Dental offices

A

Vary from one or more dental clinics to a group/Provide general care to all age groups or specialized care for age groups

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12
Q

Surgical clinics or surgicenters:

A

Minor surgical procedures

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13
Q

Urgent, walk-in, or emergency care clinics:

A

Provide first aid or emergency

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14
Q

Rehabilitation Clinics:

A

Physical, occupational, speech, and other therapies

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15
Q

Substance abuse clinics:

A

Provide rehabilitation for drugs

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16
Q

Specialty clinics:

A

Care for specific diseases

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17
Q

Outpatient clinics:

A

Operated by hospitals or large groups, provide care for non admitted patients

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18
Q

Health department clinics:

A

Offer clinics for pediatric healthcare, the transmission of STDs, treatment for respiratory, immunizations

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19
Q

Medical center clinics:

A

College/University/Clinics for various conditions

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20
Q

Optical Centers:

A

Owned by an ophthalmologist or optometrist

Provide vision examinations, prescribe eyeglasses or contacts, check eye diseases

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21
Q

Emergency Care Services:

A

Special care for accidents and illness

Ambulances, rescue squads, emergency clinics, helicopter service

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22
Q

Laboratories

A

Perform special diagnostic tests
(Dentist - dentures and repairing/replacing teeth)

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23
Q

Home Health Care

A

Provide care in patient’s homes, older citizens

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24
Q

Hospice:

A

Provide care for terminally ill and life expectancies under 6 months

Palliative care provides comfort and support to die with dignity

Counseling for patients and family

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25
Mental health facilities:
Treat patients with mental health disorders and diseases
26
Genetic Counseling Centers
Work with couples or individuals who are pregnant or considering pregnancy Prenatal screening tests, abnormalities, and birth defects explain test results, identify medical options for birth defects, help with psychological issues with genetic disorders
27
Rehabilitation Facilities
Provide care to help patients with physical/mental disabilities obtain maximum self-care and function(therapy)
28
Health Maintenance Organizations(HMOs)
Healthcare delivery systems and health insurance Total health services directed toward preventive health care Use the service of other health care facilities
29
Industrial Health Care Centers
Occupational health clinics provide healthcare for employees of industry/business Basic examinations, teaching accident prevention and safety, and emergency care
30
School Health Care Services
Emergency care for victims of sudden illness and accidents
31
Pharmaceutical Services
Link health science with chemical science Prepares and dispenses medications and provides expertise on drug therapy
32
World Health Organization(WHO)
International agency sponsored by UN Complies statistics and informations on diseases Publish health information Investigate/address health problems
33
US Department of Health and Human Services(USDHHS)
Deals health problems Goal is to protect the health of all Americans Provides grant money
34
National Institutes of Health(NIH)
Division of the USDHHS Researches diseases and conducts scientific studies
35
Centers for Disease Control and Prevention(CDC)
Division of the USDHHS Concerned with causes, spread, and control of diseases
36
Food and Drug Administration(FDA)
Regulating food and drug products Protect public through regulation of other things like cell phones
37
Agency for Healthcare Research and Quality(AHRQ)
Improve quality, safety, efficiency, and effectiveness of health care
38
Occupational Safety and Health Administration(OSHA)
Establish and enforce standards to protect workers from job injuries and illnesses Standards on things like limits on chemicals
39
Health departments
Health services and specific services for states/communities
40
Voluntary or Nonprofit Agencies
Supported through donations, membership fees, fundraisers, or federal/state grants Health care at all levels(minus international) Organizations focus on diseases, provide funding for research, and promote education regarding research.
41
The Joint Commission
Created to ensure patients receive highest quality healthcare
42
Deductibles
Amount to be paid by patient for medical services
43
Co-insurance:
Requires specific percentages of expenses to be shared by patient and company
44
Co-payment:
Specific amount of money patient pays for service
45
Preferred provider organization(PPO)
Provided by large industries or companies Contracts with agencies to provide service at reduced rate Require deductibles and co-payments
46
Medicare
Health care for anyone over 65, people with disabilities over 2 years, anyone with kidney disease
47
Type A for hospital insurance
Covers hospital service Provided by extended care facility or home health agency and hospice
48
Type B for medical insurance
Additional coverage for doctor services, outpatient treatments, therapy, clinical laboratory services Premium and annual deductible for services
49
Type D
Pharmaceutical(medication) expenses
50
Medigap policy
Health insurance plan to help pay medical expenses not covered by Medicare Offered by private insurance companies Require premium pay
51
Medicaid
Medical assistance program jointly funded by governments Pays for health care in individuals with low income, qualify for public assistance, and blind or disabled Provide hospital services, physician’s care, long-term care services, and therapies
52
Children’s Health Insurance Program(CHIP)
Provide healthcare to uninsured children in low income families where they can’t afford private insurance but are too eligible for Medicaid Provides inpatient and outpatient hospital services, physician’s surgical and medical care, laboratory and X-ray tests, well-baby and well-child care
53
Workers’ compensation
Health insurance plan providing treatment for workers injured on job Administered by state/payments made by employers and state Plan reimburses the worker for wages lost because of injury
54
TRICARE
Healthcare for military personnel Provides care for active duty members, families, survivors of military personnel, and retired members of Armed Forces
55
Fee-for-service compensation
Health payment plan where doctors or providers are paid for each service (Set amount for each office visit, test and procedure)
56
Value-based compensation
Doctors are paid for their performance (Quality, cost, patient satisfaction, and patient outcomes/Paid certain for diagnosis or disease)
57
Health Insurance Portability and Accountability Act(HIPAA)
Health Care Access, Portability, and Renewability Limits exclusions on preexisting conditions to allow continuance of insurance Prohibits discrimination against an enrollee based on health status Guarantees renewability in multiemployer plans Provide special enrollment rights for individuals who lose insurance coverage
58
Preventing Health Care Fraud and Abuse, Administrative Simplification and Medical Liability Reform
Prevents fraud and abuse and impose sanctions or penalties Reduces costs through electronic system Maintain confidentiality
59
Tax-Related Health Provisions
Promotes use of medical savings accounts Establishes standards for long-term insurance Allows for creation of state insurance pools Provides tax benefits for some health care expenses
60
Application and Enforcement of Group Health Plan Requirements
Standards requiring group healthcare plans to offer portability, access, and renewability
61
Patient Protection and Affordable Care Act(PPACA)
Affordable Care Act

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