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Module 4 > MODULE 4- UNIT 1 THE HEALTH CARE DELIVERY SYSTEM > Flashcards

MODULE 4- UNIT 1 THE HEALTH CARE DELIVERY SYSTEM Flashcards

1
Q

What is the world health organization?

A

Health is a state of complete physical, mental and social well-being, not merely the absence of disease and infirmity

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2
Q

What is healthcare?

A

Healthcare is the management of the resources of healing

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3
Q

What is the delivery of healthcare?

A

The action or activities of supplying or providing services to maintain health, detect illness and cure those who are ill or injured

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4
Q

What is the ANA

A

American Nurses Association

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5
Q

What is the role/function of the ANA?

A
  1. Basic care for all citizens
  2. Health policies that support safe, effective, patient-centered, timely efficient, and fair care based on outcome research
  3. Shift from illness and disease care to health promotion
  4. Balance between high tech treatment and community-based and preventative services
  5. Establish a single-payer system for financing healthcare
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6
Q

What are some challenges in healthcare

A
  1. Uninsured- more likey to skip or delay treatment for acture/chronic illnesses-die prematurely
  2. Cost- reduce costs while maintiang high-quality care for patients
  3. Access- improve access for all patients
  4. Health- Encourage healthy behaviors
  5. Services- Earlier discharges result in more patients needing nursing homes or home care
  6. New millennium- Buisness orientation of health care results in a conflict of care and profit.
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7
Q

True or false: What we document affects the patients care and insurance reimbursement.

A

Treu

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8
Q

What is the IOM?

A

National academy of Medicene (institue of medicene)

  1. Independent, non-profit, non-governmental organization that provides authoritative advise
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8
Q

What is the vision of IOM

A
  1. Access to quality care for all populations
  2. Focus on wellness and disease prevention
  3. Improve health outcomes
  4. Promote compassionate care across the lifespan
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9
Q

What is the IOM recommendation for Nurses?

A
  1. Practice to the full extent of their training
  2. Achieve high levels of edu.
  3. Become full partners with physicians and other health care providers
  4. Improve data collection and the information infrastructure
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10
Q

What is the nations priorities partnership?

A
  1. A group of 52 organizations, from a variety of health care disciplines
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11
Q

True or false: Nurses need to be aware of finances and their patients funding in order to be advocates?

A

True

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12
Q

What should we know about out of pocket patients?

A
  1. Not covered by any type of insurance
  2. Paid by the patient
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13
Q

What should we know about private insurance?

A
  1. Patient shares the cost of care through out-of-pocket expenses (deductible)
  2. Insurance company contracts with health care providers
  3. Premiums are paid to an insurance company
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14
Q

What is employment-based private insurance?

A

1.Employer pays all or a portion of the costs (premiums)
2.Increasingly, employee and employer pay portions of the cost
3. Extend to spouse, dependents and children.

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15
Q

What are some federal programs (public sources)?

A
  1. Medicare- 65 years-old, disabled people
  2. Medicaid- mothers and children, nursing home care
  3. State children’s health insurance program (SCHIP)
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16
Q

What are some charitable organizations?

A
  1. United way
  2. Salvation army
  3. Red cross
16
Q

What are the purposes/functions of charitable organizations?

A

Provide important resources
1. Direct services
2. Cover costs for tradition health services

To groups like
1. children
2. families at or below the poverty level
3. Aged

To the extremely vulnerabe populations
1. Homeless, mentally ill, victims of violence.

17
Q

What are the traditional levels of healthcare: List 6.

A
  1. Preventative
  2. Primary
  3. Secondary
  4. Tertiary
  5. Restorative
  6. Continuing
18
Q

What is preventative/ primary care?

A
  1. Health promotion and disease prevention
  2. Primary care providers (may be the entry or gatekeeper for managed care)
    • Health and nutrition education
    • Immunizations
    • Occupational health programs
19
Q

Where would we send patients to get Preventative Care or primary care?

A
  1. Physician offices
  2. Nurse-managed clinics
  3. schools
  4. Community health centers
  5. Parish and block nursing
20
Q

What is the focus of secondary care?

A
  1. Early diagnosis
  2. Treatment
  3. Prevention of worsening of conditions
    -Disease
    -Illness
    -Injury
21
Q

Where would we send a patient needing secondary care?

A
  1. Medical units
  2. Surgical units
  3. Mother/baby care
  4. Ortho
  5. Outpatient surgical centers or specialty care centers
22
Q

What is the focus of tertiary care?

A
  1. Specialized patient populations
23
Q

Where might we send a patient needing tertiary care?

A
  1. ICU’s
  2. Oncology centers
  3. Burn centers
  4. Psychiatric facilities
  5. Rural hospitals (Critical access)
24
Q

What is Quaternary care?

A
  1. The Term Quaternary care is sometimes used as an extension of tertiary care in reference to advanced levels of medicine which are highly specialized and not widely access.
  2. Experimental medicine and some types of uncommon diagnostic surgical procedures are considered this.

example - transplant centers Level IV NICU

25
Q

When does discharge planning start?

A
  1. Starts at the time at admission and includes

A) Health Edu/Med EDU
B) Determining discharge destination
C) Identifying post discharge needs
D) Developing discharge instructions

26
Q

What are the benefits of discharge planning?

A
  1. Fewer complications
  2. Few readmissions
  3. Improved outcomes
27
Q

What are some discharge barriers?

A
  1. Ineffective communication
    -profession to profession
    -Professional to patient
  2. Lack of clairty
    -Responsibility
    -Follow-up
  3. Lack of resources
    -Rehab beds
    -Nursing home beds
28
Q

How can we reduce discharge barriers?

A

Communication

29
Q

What is the focus of restorative care?

A
  1. Serves patients recovering from an acute or chronic illness/disability. Helps individuals regain maximal function and enhance quality of life
30
Q

What are types of restorative care?

A
  1. SNF, REHABILITATION centers, Home health care
31
Q

Nursing centers or facilities are a type of continuing care… what is there focus?

A
  1. Prolonged care of people– disabled, functionally dependent, terminal disease
32
Q

Assisted living centers are a type of continuing care facility… what is there foucus?

A
  1. long-term care setting– provides a home-like environment, greater patient autonomy, no fee caps.
33
Q

What is the focus of respite care?

A
  1. Short term relief for caregivers which can be provided at home, daycare, or institutions for overnight care. Trained volunteers enable caregivers to leave the home for errands or social time
34
Q

What is the focus of adult day care?

A
  1. Provides a variety of health and social services to patients who live with family or alone
  2. May or may not be associated with a hospital
    or nursing home
35
Q

What is the focus of hospice (palliative care)

A
  1. Family-centered care that allows patients to live with comfort, independence, and dignity while easing the pains of terminal care
  2. Focuses on symptom, not curative care
  3. Provides respite care for caregivers
36
Q

What are the different team members in health care?

A
  1. Practitioners, assistive, nursing, supportive, specialty, ancillary
37
Q

What are types of nursing interventions?

A
  1. Direct care
  2. Indirect care
38
Q
A

Module 4 (29 decks)

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