MA 100 Exam #1 Flashcards
(75 cards)
Types of treatment physicians offer to patients?
Curative, Symptomatic, and Palliative treatment
Define the three trends in health care
First trend is the desire of those who pay the bills
Second trend is to encourage the general public to become more responsible for their own good health and management of chronic conditions.
Third trend is an increased understanding, through empirical evidence
Define Hospital Role
Is primarily to provide acute care and diagnostic services.
What is Health Insurance?
insurance purchased to provide protection for covered services related to healthcare.
The three government insurance plans: what are they, and who/what purpose do they serve?
Medicare - Initiated health for elders, disabled, and end-stage kidney diseases.
Medicaid - Provide health insurance for low-income children.
TRICARE - Provide health insurance for dependents of active-duty military personnel.
The HMO movement pushed what in the 1970s and what was it all about?
Traditional health insurance companies to begin providing coverage for routine care.
What is managed care?
Reducing health care costs while providing while providing high-quality care.
What did HMO’s do to try and reduce payments? What was it and what was it called?
Flat monthly fee called Capitation.
What did HMOs do to try and reduce costs for prescription medications? What was it and what was it called?
Drug coverage is restricted to a list of approved medications, known as a formulary, which typically includes one or two lower-cost drugs for each condition
What is ambulatory care?
defined as the patient coming to the care rather than the patient receiving care in a home or hospital setting
What is the flow of activity in ambulatory care?
Enter the office.
* Approach the reception desk, identify the physician and time of appointment, provide the office staff with personal and payment information, and make a copayment (if necessary).
* Be seen by a physician (or by a nurse practitioner [NP] or physician assistant [PA] if the practice uses such personnel).
* Undergo diagnostic or laboratory tests in the office.
* Receive a diagnosis, treatment, or a referral to another health care provider.
* Receive instruction for follow-up care and any laboratory or diagnostic tests to be done elsewhere before leaving the medical office; if seriously ill, the patient may be admitted to the hospital
What are the ways a medical assistant can demonstrate effective teamwork?
Must be committed to problem solving, communicating, and coordinating effective care
In regards to OSHA and ADA, what specifications must the office meet?
Occupational Safety and Health Administration (), which regulates workplace health and safety.
offices also must meet the specifications of the Americans with Disabilities Act, which requires that doorways be at least 3 feet wide and hallways at least 5 feet wide.
Be familiar with the common layout and three basic areas of physician’s offices.
A reception area and waiting room, examination and treatment rooms,
Identify the items that should be in the waiting room of a physician’s office.
Enough chairs, nice atmosphere, calm colors, easy music and TV.
What are the responsibilities of the medical assistant at the reception area?
Greet patients.
What do patients do at the reception area?
Check in when they enter the office, give copayments, make appointments, and give health insurance
What does CLIA stand for? What is the purpose of CLIA?
Clinical Laboratory Improvement Amendments. Boards of Health inspect & regulate hospitals and clinics.
What type of test are medical assistants trained to perform?
Low-complexity tests
What is PCMH?
(Patient-Centered Medical Home)
Model of primary care that emphasizes patient centered health care based on a personal relationship between a patient, a physician and the patient’s care team
What type of patient care does the PCMH provide?
Prevention, acute care, chronic care, specialty care, hospitals, home care, and community services
What makes an Osteopath different from a standard physician?
Focuses more on healing a person than a specific disease or condition
Know the difference between a solo and a group practice.
Solo practice Physicians are the owners of their office Vs Group practices hire Physicians as employees
Solo practices pay for their employees and their own insurance VS Group practice split the cost of insurance
Traditionally, what were clinics initially intended to provide?
Ambulatory care, with limited resources
