Study guide for final part 2 Flashcards

1
Q

What does the PHAB do?

A

The Public Health Accreditation Board runs a voluntary national accreditation program for state and local PH organizations

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2
Q

Further functions of the PHAB

A

Recognizes achievement of accreditation within a specific time frame
Measures performance against a set of nationally recognized, practice-focused and evidence-based standards
Ongoing development, improvement, and deployment of PH practice standards

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3
Q

How were the standards and processes for accreditation developed?

A

Based on the 10 essential PH services (EPHS) framework

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4
Q

What are the 3 pillars of accreditation?

A

Community health assessment
Community health improvement plan
Organizational strategic plan

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5
Q

What must PH organizations do in order to submit an application for accreditation?

A

Completion of:
Community Health Assessment
Community Health Improvement Plan
Strategic plan

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6
Q

When was the first accreditation completed of 11 local and state HDs?

A

2013

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7
Q

What percentage of local health departments had been accredited or entered the pipeline for accreditation by 2014?

A

~50%

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8
Q

What were the US total health expenditures in 2012?

A

$2.5 trillion

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9
Q

What were the PH expenditures in the US in 2012, both actual amount, and percentage of the total health expenditures?

A

$120 billion, 4.3% of the total health expenditures

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10
Q

How much was spent in 2012 for population-based services, and how much was this per person/yr?

A

$25 to $30 billion: < $100 per person/yr

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11
Q

How much was spent in 2012 for personal care?

A

$90 to $95 billion for personal care

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12
Q

How much in 2012 was spent per person per yr for the entire

A

$380

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13
Q

What are the fractions of pop-based service expenditures?

A

2/3 from non-federal (state and local) sources
1/3 from federal sources

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14
Q

What are the largest subgroups of the PH workforce?

A

Nurses and environmental health

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15
Q

What’s the pop’s dz status for primary prevention?

A

Susceptible

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16
Q

What are the effects of primary prevention?

A

Reduced dz incidence

17
Q

What is the pop’s dz status during secondary prevention?

A

Asymptomatic

18
Q

What are the effects of secondary prevention?

A

Reduced prevalence/consequences

19
Q

What is the pop’s dz status for tertiary prevention?

A

Symptomatic

20
Q

What are the effects of tertiary prevention?

A

Reduced complications/disability

21
Q

What is the broad definition of a HC system?

A

Major components of the system and processes that enable ppl to receive healthcare

22
Q

What is the restricted definition of a HC system?

A

The act of providing healthcare to pts (i.e., in a hospital or physician’s clinic)

23
Q

What are the primary objectives of a HC system?

A

To deliver services that are cost-effective and meet established standards of quality

24
Q

What are the four components of the quad-function model?

A

Financing
Insurance
Delivery
Payment (to provider)

25
Is the US healthcare system really a system? if no, why not?
No Little or no networking, interrelated components, standardization, coordination, cost containment as a whole, planning, or direction
26
What are some negative aspects of the US HC system?
Duplication Overlap Inadequacy Waste Complexity Inefficiency Financial manipulation Fragmentation
27
What is the result in the US HC system?
Multiple financial arrangements Many insurance companies with different risk mechanisms Many payers with different determinations A large array of settings where medical services are delivered Many consulting firms
28
What are the 10 main characteristics of the US HC system?
No central agency Partial access Imperfect market Third-party insurers and payers Multiple payers Power balancing Litigation risks High technology Continuum of services Quest for quality