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unit 1-2 637 1st shift Flashcards

1
Q

the ph healthcare system is comped of what?

A

healthcare financing
healthcare delivery system
health outcomes

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2
Q

4 main sources of financing?

A

out of pocket/ user fees
national and local government
insurance
donors

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3
Q

health care delivery system is composed of what?

A

health facilities
health human resource

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4
Q

health facilities are composed of what?

A

private hospitals
public/government hospitals
primary health care facilities

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5
Q

how many hospitals, city/rural health centers, village health stations are there?

A

1224 hospitals
25873 city/rural health centers
20216 village health stations

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6
Q

what are human health resources?

A

main drivers of the healthcare system
essential for the efficient management and operation of the public healthcare system
health educators and healthcare providers

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7
Q

health outcomes are composed of?

A

life expectancy
deaths and births

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8
Q

who has a higher life expectancy women or men?

A

WOMEN

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9
Q

birth rate in the ph in 2018?

A

20.55

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10
Q

death rate in the ph in 2018?

A

5.873

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11
Q

what is a health policy?

A

decisions, plans, and actions undertaken to achieve specific healthcare goals in society
outlines priorities and expected roles of different groups
builds consensus and informs people

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12
Q

what is the universal healthcare bill RA no.?

A

11223

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13
Q

what does the UHC bill state?

A

every filipino including OFWs are eligible for preventive, curative, rehabilitative, and palliative care upon enrollment to the government health insurance policy
philhealth will cover free consultation fees, lab tests, and other services

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14
Q

what does the UHC aim to improve?

A

doctor-to-patient ratio
upgrade hospital beds and equipment
establish more hospitals in remote areas

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15
Q

what circular states that: “only confirmed cases of covid 19 require hospital admissions and are required to claim inpatient packages as stated in philhealth circulat 2021-0009”

A

philhealth circular no. 2021-008

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16
Q

what is licensure?

A

legal approval to operate

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17
Q

what is certification?

A

authority to participate in several programs

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18
Q

what is accreditation?

A

external review process that the organization can elect to undergo
voluntary process and not required

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19
Q

what is the licensure of hospitals or facilities?

A

all must have license to operate
state dept of health or a similar agency will carry out the licensing function

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20
Q

what are licensing regulations?

A

emphasize areas such as physical plant standards, fire safety, space allocations, sanitation

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21
Q

what is the licensure to individuals/ professionals?

A

granted after some form if examination/ proof of education
may be renewed after payment of a fee or proof of continuing education/ professional competence

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22
Q

what is RA10912?

A

CPD act of 2016
professionals working abroad shall not be covered by the CPD requirement during their employment abroad
newly licensed individuals shall be exempted from CPD requirements for their first renewal
CPD units shall not be more than 15 units
all seminars must be recognized as CPD units

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23
Q

what is a organizational licensure?

A

granted following an onsite inspection to see if standards have been met

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24
Q

what is maintenance of licensure?

A

ongoing requirement for healthcare organization to continue to operate

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25
what is a certificate applied to individual practitioners?
implies that the person has received additional education and training, demonstrated competence in a specialty beyond the minimum
26
what is certification applied to an organization?
implies that the organization has additional services, technology, or capacity beyond those found in similar organizations
27
what are accreditation standards?
optimal and achievable designed to encourage continuous improvement efforts within accredited organizations
28
what are accreditation decisions?
made following a periodic on-site evaluation by a team of peer reviewers conducted every 2-3 yrs
29
what does PTAHF, inc. stand for?
philippine tripartite accreditation for health facilities, inc.
30
what is PTAHF, inc.?
independent, non profit org dedicated to improve and promote quality and safety in the delivery of healthcare through continuing review of performance, assessment, and accreditation
31
3 major organizations of PTAHF?
AHA ANSAP PAGHAO
32
4 key sections of PTAHF?
standard development dept research and training accreditation dept and assessment and monitoring dept offers assessment and accreditation including research and development, training and capability building for assessors and implementors
33
DOH introduced what?
health accreditation commission (HAC)
34
before HAC was introduced who did the accreditation and how?
philhealth through surveys
35
what is primary healthcare accrding to WHO?
essential healthcare made universally acceptable to individuals through their full participation and at a cost that is affordable in every stage of development
36
what are the 2 types of primary healthworkers in the ph?
barangay health workers (BHW) intermdiate level primary health worker
37
who is the unprofessional axillary healthcare worker?
the BHWs
38
4 pillars of primary healthcare?
community participation inter-sectoral coordination appropriate technology support mechanism made available
39
8 elements of primary healthcare?
education water & sanitation nutrition maternal & child health immunization prevention of endemic disease treatment drug availability
40
health care information is also called?
patient specific information
41
what is health care information?
governed by state and federal laws in addition to those for licensure and accreditation
42
how is authentication done?
signature on a document
43
how are records destroyed?
burning/shredding
44
what does AHIMA stand for?
american health information management association
45
what does AHIMA do?
guidelines for defining the health record for legal purposes legal health record as the documentation of the healthcare services provided to a patient in any aspect of delivery by a provider
46
what is a legal health record (LHR)?
includes records of care in any health-related setting used by healthcare professionals while providing patient care, for reviewing patient data, documenting observations, actions, or instructions
47
what does the LHR include?
records that are not official business records of a provider personal health records that are patient populated, controlled, and managed
48
what are patient-identifiable source data?
data which interpretations, notes, and summaries are derived
49
what is derived data?
information aggregated or summarized from patient records so that there are no means to identify the patient
50
what should be the basis for an organization's formal retention policy?
state requirements
51
when no retention requirements are made by the state, how long should the patient information be maintained?
as long as the statute of limitations or other regulations require
52
who instituted the recommended retention standards?
AHIMA
53
what is the recommended retention standard?
10 years or until the time the patient reaches the age of majority plus the time stated in the statute of limitations
54
what are the ahima destruction guidelines?
destroy records so that there is no possibility of reconstruction burn, shred, pulp, pulverize recycle degauss document the destruction
55
true/false: destruction documentation must be kept indefinitely
true
56
what is JCHAM?
joint commission hospital accreditation manual
57
how does JCHAM describe authentication?
validation of correctness for both the information itself and the person who is both the author and user of this information
58
what are electronic signatures?
created when the provider enters a unique code, biometric, password that verifies his identity accepted by JCHAM and CMS
59
what is privacy?
individuals right to be left alone, free from unwanted publicity right to limit access to healthcare information
60
what is confidentiality?
information shared during treatment will be used for its intended purpose and not disclosed otherwise built on trust
61
what is RA8504?
philippine AIDS prevention and control act of 1998
62
when was RA8504 approved?
feb 13 1998
63
what does RA8504 state?
all HIV/AIDS tests will be kept confidential except to person who submitted him/herself to testing parent of a minor guardian of orphans or insane persons people from the AIDSWATCH program supreme justice/ court of appeals
64
what does HIS do?
integrated data collection, processing, reporting, and use of information to improve the health services effectiveness and efficiency through better management on all levels
65
what are the benefits of data-driven decision making?
continual growth valuable insights actionable insights optimized operations improved program operations prediction of future trends
66
from what family is sars-cov-2 from?
coronaviridae
67
functions of HIS?
collect analyse ensure information quality convert
68
from what family is the influenza virulent avian from?
orthomyxoviridae
69
how is influenza transmitted?
airborne droplets or contaminated surfaces
70
what are minor & major antigenic shifts called?
minor - antigen drift major - antigen shift
71
what are the levels of the HIS?
patient/client management level health unit management level systems management level
72
true/false: policymakers are involved in the health unit management level
false, in systems management level
73
what level is concerned with accumulated patient data
health unit management level
74
what are the subsystems of HIS?
preventive health information system hospital information and medical records system disease surveillance system population/community-based health information system geographic information system vital registration system
75
what were the healthcare drivers of the 1960s?
medicare and mediaid
76
IT drivers of the 1960s?
expensive mainframes expensive storage all in a shared hospital accounting system
77
healthcare drivers of the 1970s?
hospital wide communication broadened admin systems expanded finance admin systems department systems processing
78
IT drivers of the 1970s?
small computers improved terminals and connectivity
79
the 1980s is a period of adjustment because of?
innovative reimbursement reforms and increasing competition
80
healthcare drivers of the 80s?
reimbursement diagnostic related groupings
81
IT drivers of the 80s?
personal computers networking cheaper storage independent software applications
82
healthcare drivers of the 90s?
competition and consolidation need to integrate hospitals, clinics, managed care
83
IT drivers of the 90s?
access to broad, distributed computing systems and robust networks
84
how much did NHE account for in the GDP?
13.3%, a 1.2% increase
85
why did the NHE increase in the GDP?
bec george bush amended the medicare to include drug prescription coverage made the medicare prescription drug, improvement and modernization act of 2003
86
health care driver of 2000s?
outcome-based reimbursement
87
IT driver or 2000s?
cloud computing
88
what is information technology?
combination of computer technology with data and telecommunications technology
89
types of health information technology?
EHR PACS VNA
90
what is VNA?
software tools to centralize all medical imaging systems into one perpetual repository
91
what happens in healthcare software systems?
providers can enter and track patient information to process insurance and payment information
92
what is the health information ecosystem?
aka health interoperability ecosystem composed of individuals, processes, systems that share, exchange, access health information includes: discrete, narrative, multimedia
93
what do healthcare sectors need in the cloud?
information in the right movement high accuracy higher level of interaction reduced IT costs secure data storage and access
94
advantages of the cloud?
better management of data integrated and efficient patient care easy to share information beneficial to small clinics and hospitals practice management
95
disadvantages of cloud?
potential risks to personal information (data breach) cumbersome setup (not familiar with cloud technology)
96
health informatics in the philippines?
application of technology and systems in the ehealth care setting
97
when did health informatics start in the ph?
1980 by IBM and 2006 CHITS was made
98
what makes up the development of health informatics in the ph?
EMR CHITS WAH NTC SHINE
99
challenges of health informatics?
lack of interest in the field expenditure seeing it as a novelty, not a profession not integrating the benefits of IT in the health sector
100
HIS challenges in the ph?
delayed access to reliable info poor quality of info poor use of info contrasting systems poor transfer, recording, processing of data
101
ehealth initiatives?
forming cost-effective ehealth strategies transparent, equitable, ethical public-private partnerships capacity and infrastructure establishment of global ehealth observatory promoting health and healthy lifestyle via elearning

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