1.1a Advances in Care/Reduce Health Disparity

Question 1

Healthcare Disparities in the US

Answer 1

• Maternal mortality is increasing despite advances in healthcare and decrease globally
• Heart disease, obesity, diabetes are contributing factors.
• African Americans are at greater risk of death related to childbirth
• Lack of access to pre-pregnancy, pregnancy and reproductive health services are major concerns
• STI’s also affect reproduction adversely

Question 2

SDOH (Social Determinants of Health)

Answer 2

Include conditions of environment of where people are

- born, live, work, play, worship, and age.

Question 3

5 Domains of Healthcare Disparity

Answer 3

• Economic stability
• Education access and quality
• Healthcare access and quality
• Neighborhood and built environment
• Social and community context

Question 4

Examples of SDOH

Answer 4

• Safe Housing, transportation, neighborhoods
• Racism, discrimination and violence
• Education, job opportunities and income
• Access to nutrition and physical activity
• Polluted air/water
• Language/literacy skills

Question 5

Black Mama’s Matter Alliance (BMMA)

Answer 5

• Document from 2018 addressing disparities in pregnancy-related health among African Americans.

Question 6

Center for Disease Control/Prevention (CDC)

Answer 6

• Publishes reports on trends and variation in health disparity
• Perinatal nursing includes infant death, preterm birth, adolescent pregnancy, and childbirth.

Question 7

Health Resources and Services Administration (HRSA)

Answer 7

• National effort to eliminate disparity and improve delivery systems of healthcare for all people who receive care from HRSA-supported health centers.

Question 8

Institute for Healthcare Improvement (IHI)

Answer 8

• Implemented virtual training sessions for safer maternal and newborn care

Question 9

National Institute of Health (NIH)

Answer 9

• Committed to improving health for minorities, providing funding for research, and training minority researchers.

Question 10

National Institute of Nursing Research

Answer 10

• Supports research that promotes health equity and eliminates health disparities.

Question 11

National Partnership for Action (NPA)

Answer 11

• Sponsored by the Office of Minority Health

- Develops priorities to address and end health disparities

Question 12

US Department of Health & Human Services (USDHHS)

Answer 12

• HHS Disparity Action Plan
• Attempts to eradicate disparities of health and healthcare in our nation.
• Promotes EBP to reduce health disparities.

Question 13

Healthy People 2020

Answer 13

Science based goals for improving health

• Attain high quality, longer life, free of preventable disease, disability, injury, and premature death
• Achieve health equity, eliminate disparity, improve health of all groups
• Create social/physical environments that promote good health for all
• Promote quality of life, healthy development, and healthy behavior across all life stages.

Question 14

Healthy People Goals for Maternal Health

Answer 14

• Reduce rate of fetal/infant death
• Reduce maternal mortality
• Reduce number of preterm births
• Reduce c-section birth among low-risk women

Question 15

United Nation Millennium Development Goals (MDG’s)

Answer 15

• 8 goals developed in beginning of millennium to be reached by 2015.
• Goals 3-5 were specific to women’s health, promoting gender equality and empowering women. Reducing child mortality, and improving maternal health.

Question 16

U.N Sustained Development Goals for 2030

Answer 16

17 broad goals for peace and prosperity on the planet

Question 17

Interprofessional Education

Answer 17

• 2 or more professions in health and social care learn together during all parts of their professional training
• Objective is to promote collaborative practice for patient centered care.

Question 18

US Healthcare System

Answer 18

Fragmented - Clients need to be knowledgeable consumers in order to navigate the system.
Expensive - Due to readily accessible technology and greater rates of obesity
Medical Errors - 3rd leading cause of death.

Question 19

Affordable Care Act (AFA)

Answer 19

• Make insurance affordable
• Strengthen and improve Medicare/Medicaid
• Reform the insurance market
• Promotes prevention, improves public health, improve quality of care for all Americans, reform health delivery system.

Question 20

Accountable Care Organization (ACO)

Answer 20

• Group of providers and agencies that are accountable for improving health populations and lowering costs.
• Goals to coordinate high quality care, eliminate duplication of services, prevent medical errors, and reduce cost.

Question 21

Health Literacy

Answer 21

• Capacity of someone to obtain, process and understand basic health information needed to make appropriate health decisions.