Section 1 Flashcards

(33 cards)

1
Q

What is a community health worker CHW?

A

The glue between the clinic and the community which increases access to services like education and immunizations

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2
Q

Describe the role of a CHW

A

outreach workers who help people access health or social services

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3
Q

One million CHW campaign

A

advocates for CHW recognition & financial assistance

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4
Q

What is the role of a healthcare administrator?

A

lead and manage healthcare organizations; implement finance, HR, marketing, etc.

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5
Q

What kind of educational background would a healthcare administrator have?

A

MPH, MBA or MHA. Sometimes a fellowship or licensing if working in nursing homes

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6
Q

How does USC’s MHA, MBA and MPH prepare one to be a healthcare administrator?

A

They provide strong interprofessional competency education

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7
Q

What are the values of healthcare administrators?

A

Evidence based management; understand effects of micro decisions; chain of command work

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8
Q

What is O*NET

A

A way for the DOL to assign three main interests to each job type

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9
Q

What are the 6 O*NET interests?

A

realistic, investigative, artistic, social, enterprising, conventional

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10
Q

What are the primary interests for internists?

A

investigative

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11
Q

What are the primary interests for surgeons?

A

investigative

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12
Q

What are the primary interests for RNs?

A

social

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13
Q

What are the primary interests for NPs

A

social

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14
Q

What are the primary interests for PharmD’s

A

investigative

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15
Q

What are the primary interests for SWKs

A

social

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16
Q

What are the primary interests for healthcare administrators

17
Q

what are other interests for healthcare administrators?

A

conventional and social

18
Q

How should HA’s approach teamwork?

A

be comfortable working in teams; understand how decisions are made effecting by teams; compromise and conflict

19
Q

What is insurance designed to do?

A

spread out risk of finances among the population

20
Q

What is a copayment?

A

A fixed amount ($20, for example) you pay for a covered health care service after you’ve paid your deductible

21
Q

What is a deductible?

A

a specified amount of money that the insured must pay before an insurance company will pay a claim

22
Q

What is a network?

A

large group of physicians, hospitals, and other health care providers that have agreed to provide medical services to a health insurance plan’s members at discounted costs

23
Q

What is out-of-pocket maximum?

A

The most you have to pay for covered services in a plan year

24
Q

What is a premium?

A

Financial cost of obtaining an insurance cover, paid as a lump sum or in installments during the duration of the policy. A failure to pay premium when due automatically cancels the insurance policy

25
What is individual private insurance
your own insurance if your employer does not offer insurance; typically more expensive because individuals have less negotiating power
26
How did medicare and medicaid come about?
Previous systems neglected the poor and elderly; Lyndon Johnson enacted government funded plans
27
What is medicare?
federal insurance for people 65+ and under 65 if they are blind or have end stage renal disease.
28
What services are covered in medicare part A, B, C and D?
A- hospital, home health & hospice B- outpatient visits C- private health plan enrollment D- prescription drugs
29
What is medicaid?
The largest health insurance program in the US administered by individual sales with federal support. For those who are low income & are children, pregnant women, adults with dependent children, people with severe disability or seniors over 65
30
Describe the medicaid expansion
Expanding qualifications on a state by state basis to regular adults as well
31
Who does CMS see over?
medicaid
32
What is Kaiser an example of?
an HMO that controls costs
33
Explain the ACA
Expanding Medicaid to those who fall below the 133% of the federal poverty level