Week 1 Health care delivery, interprofessional team, ethical responsibilities, legal responsibilities Flashcards
Components of Health Care Systems
Participants- Licensed providers (RN, LPN, MD, APN, pharm, dentists, dietitians, RT OT PT)
-unlicensed providers AP
Regulatory Agencies Examples
- Food and Drug Administration
- U.S. Department of Human Services
- The Joint Commission to set quality standards for accreditation of health care facilities
Healthcare Finance Mechanisms: Medicare vs Medicaid
Medicare- is for clients 65 and older and for people with disabilities
Medicaid- to aid low-income clients
Patient Protection and Affordable Care Act
-increased healthcare access for all
-decreased healthcare costs
-provide an opportunity for uninsured people to become insured at affordable costs
-all about increasing access to health insurance-
State Children’s Health Insurance Program CHIP
-covers uninsured children up to age 19 for low income families
Healthcare finance mechanisms Private Plans
Managed care organization MCO - primary care providers oversee comprehensive care for enrolled clients, focus on prevention/health promotion
Preferred Provider organizations PPO clients can choose from a list of contracted providers and hospitals. Using non-contracted providers increases costs.
Exclusive Provider Organizations EPO- clients choose from a list of providers/hospitals contracted with no out-of-network coverage
Long-term Care Insurance: supplemental long-term costs that Medicare wont cover
Levels of Healthcare:
Preventive health care
preventative- focus on education/equipment to reduce/control risk factors of a disease
-immunizations, stress management, occupational health, seat belt use
Level of healthcare
Primary Health care
-health promotion, includes prenatal and well-baby care, family planning, nutrition counseling, and disease control
-the sustained relationship between provider-patient
- office/clinic visits, community health centers, school or work screenings (hearing, vision, obesity)
Level of health care
secondary
-is a diagnosis of acute illness and injury
-emergency department, hospital settings, diagnostic centers, and urgent and emergent care centers
Level of Healthcare
Tertiary
-acute care, involves specialized and highly technical care
- ICU, oncology centers, burn centers
Lvls of Healthcare
Restorative Health care vs
continuing health care
Restorative-intermediate follow-up care to restore health and promote self-care
-Home health care, rehabilitation centers, skilled nursing facilities
Continuing - addresses long-term or chronic health needs
-end-of-life, hospice, palliative care, adult day care, assisted living, and in-home respite care
Relationship between health care systems and levels of care
People: licensed and unlicensed to meet client needs
Setting
Regulatory agencies *- ensure the quality and quantity of health care and protection of health care consumers
Health care finances- influences quality and parametes
QUALITY AND SAFETY EDUCATION FOR NURSES
QSEN**
6
- Safety: minimal risk factors that can cause harm to a client while promoting quality care (clients, staff, and self)
- Patient-Centered Care: compassionate, culture-sensitive, meeting physiological, psychological, sociological, and spiritual needs
- Informatics: the use of information technology as a communication and information-gathering tool
- Evidence-Based Care: using current knowledge from research and credible sources for client care
- Quality Improvement: improve health care services by developing and implementing plans
- Teamwork and Collaboration: the delivery of client care with interprofessional members of the health care team
Quality and Safety Education for Nurses 6
- Teamwork/Collaboration
- Safety
- Informatics
- Patient-Centered Care
- Evidence-based practice
- Quality improvement
Interprofessional personnel (condensed)
Spiritual support staff
Registered dietitians-plan assess educate on nutrition
* LAB Technician: Obtains specimen of body fluids and performs diagnostic tests
Pharmacists
PT: asses plan to better musculoskeltal function
OT: ADLs motor skills
Providers-asses dx, tx (MDs, Dox, advanced ( varies by state- practice nurses APNs and physicians assistants PA))
Radiologic technologists
RT
social worker* coordinates inpatient and community resources for psychosocial and environmental needs
SLP
RNs Roles and Responsibilites
depend on state
-initial assessments, establish nursing Dx, goals, interventions, ongoing client evaluations
-develop interprofessional plans for client care
- shares needed info to team members, referrals for client assistance, health education, and identify community resources
LPN role/responsibilites
work under RN
- work within the nursing process, assist with plan of care, consult with team members, recognize the need for referrals
-deliver nursing care using nursing process
