1121 In Class Assignment Flashcards
1
Q
British North America (BNA) Act
A
- 1867
- Outlines federal & provincial responsibilities
- Renames Constitution Act in 1982
2
Q
Tommy Douglas
A
- 1947 Saskatchewan Premier
- Introduced public insurance plan for hospital services
- Medicare!
- Terrible at first, MDs = strike against
3
Q
Hospital Insurance and Diagnostic Insurance Act (HIDSA)
A
- 1957
- Introduced universal hospitalization coverage for acute care
- -Federal gov’t shared cost for all services delivered in hospitals
4
Q
Medical Care Act (Medicare)
A
- 1966
- Gov’t of Canada stated Canadians should be able to obtain HC services of high quality according to need, regardless of pay/ status
- Medicare = universal, prepaid, gov’t sponsored scheme
5
Q
Canada Health Act (CHA)
A
- 1984
- Joined BNA + Medicare
- Banned extra user fees
- 5 Principles: Universality, Accessibility, Portability, Comprehensiveness, Public Administration
6
Q
Local Health Integration Network (LHIN)
A
- Non-for-profit organizations
- Responsible for planning, integrating, and funding local health services in 14 geographic regions of Ontario
- Locally manage health services in: Hospitals, LTC, Community health centres, Community support services, mental health agencies, home care
7
Q
Ontario Superagency
A
-LHIN + eHealth + Cancer Care Ontario + Trillium Gift of Life
8
Q
Regulated Health Professionals Act
A
- 1991
- Procedural code applicable to all of Ontario’s self-regulated health professionals
- Administered by Minister of Health and LTC
- Contains…
- -Scope of Practice Statement
- -Series of authorized/ controlled acts
9
Q
Nursing Act
A
- 1991
- Nurses need to have knowledge, skills, and judgement to perform a controlled act
- 5 Controlled Acts
- -Performing procedure prescribed below dermis or mucosa
- -Admin substance via injection or inhalation
- -Putting an instrument, hand, finger in various locations
- -Dispensing a drug
- -Psychotherapy
10
Q
CHA: Universality
A
- Plan must entitle 100% of insured population (eligible for OHIP) to insured services on uniform terms and conditions
- Negates discrimination based on race, gender, income, ethnicity, religion
- Canadians do not have to pay insurance premium to be covered through provincial health insurance programs
11
Q
CHA: Public Administration
A
- Province HC insurance plan must be administered and operated on non-for-profit basis by public authority that is publically accountable to the provincial gov’t for funds spent
- Provincial gov’t determines extent and amount of coverage insured
12
Q
CHA: Accessibility
A
- Plan provides for all Canadian residents to have reasonable access to insured hospital and physician services w/o barriers (income, age, health status, gender, geographic area)
- Additional charges to insured patients for insured services are not allowed (no extra billing/ user fees)
- HC services available on the basis of need = reasonable access
13
Q
CHA: Portability
A
- Canadians are insured by home prov/ terr when they move b/w prov/ terr’s
- After waiting period, the new prov/ terr will provide health coverage
- Waiting period depending on prov/ terr
14
Q
CHA: Comprehensiveness
A
- Plan must insure all medically necessary hospital and physician services
- Province can permit insurance of additional HCP services as it sees fit
15
Q
5 Levels of HC
A
Level One: Health Promotion Level Two: Disease and Injury Prevention Level Three: Diagnosis and Treatment Level Four: Rehabilitation Level Five: Supportive Care
16
Q
Level One: Health Promotion
A
- Build health public policy
- Create supportive environment
- Strengthen community action
- Develop personal skills
- Reorient health services (towards prevention)
17
Q
Level Two: Disease and Injury Prevention
A
Primary
- Disease process has not occurred
- Aim to protect against disease before signs/ symptoms
- Ie. vaccination
Secondary
- Disease process has maybe occurred but client is asymptomatic
- Aim to screen for those with high risk of developing disease
- Ie. colonoscopy after age 50
Tertiary
- Disease established
- Aim to prevent complications
- Ie. Blood glucose monitoring of ct with diabetes
18
Q
Level Three: Diagnosis and Treatment
A
Primary
- First contact ct makes with HC to resolve actual or potential problem
- Ie. walk-in clinic, early detection, routine care
Secondary
- Ct develops recognizable signs/ symptoms, is diagnosed or needs further review by a specialized medical service
- Ie. small hospital, physiotherapist, etc.
Tertiary
- Highly technical and specialized care for diagnosing/ treating complicated health problems
- Ie. big hospital with specialized/ comprehensive care
19
Q
Level Four: Rehabilitation
A
- Initial focus = preventing complications from illness/ injury
- Is the restoration of a person to the fullest physical/ medical/ social functioning after a physical or mental illness/ injury
- Rehab is necessary until ct returns to previous level of function or reaches a new level of function limited by their illness/ disease
- Goal = enhance QOL, regain function, ADLs, promote independence
20
Q
Level Five: Supportive Care
A
- Addresses chronic health needs of ct
- Health, personal, and social services provided to cts living with disability, who never were functioning independently, or who have a terminal disease
Palliative Care: for people living with progressive life threatening conditions in home/ hospital/ hospice
Respite Care: Short term relief for family/ caregivers
