CH 1- Health Care Delivery Systems Flashcards
medicare is for who?
Federally funded program for those 65+ or permanently disabled
What are the main components of healthcare systems?
Clients, settings, regulatory agencies, financing mechanisms
What is Medicaid?
A federally and state funded program for low income individuals
Three regulatory agencies?
Joint commission, FDA, state licensing boards
What are the six social determinants of health?
neighborhood, social context, economic stability, food/nutrition,health care,education
What is the focus of primary health care?
Health promotion and disease prevention, partnership between provider and pt . Clinic visits
What is tertiary care and give examples?
Technical care Icu oncology centers burn centers
What is restorative healthcare?
Intermediate follow up to promote self-care. Examples are home health and rehab centers.
What is secondary healthcare?
Diagnosis and treatment of acute illness. Examples are hospital settings.
What is an example of continuing healthcare?
Chronic healthcare over a period of time. Examples are palliative care and hospice care.
What is the role of state licensing boards in healthcare?
Ensuring providers and agencies comply with state regulations
What does the joint commission do?
It says quality standards for healthcare facilities
What are some barriers to healthcare?
High cost in adequate insurance long wait times lack of transportation
What is the affordable care act?
It expands insurance access and reduces cost
What are the six components of safety and quality?
Safety, patient centered care, evidence, base, practice, informatics, quality, improvement, teamwork, and collaboration
What is the state children’s health insurance program?
Insurance coverage for children up to ages 19 at a low cost.
Describe the different parts of Medicare?
Part a is insurance for hospital stays 65+
part B is insurance for outpatient and provider services. It is voluntary and requires a monthly premium
part C is a supplement plan and
part D is medication coverage, but requires a monthly premium.
What is primary prevention?
Providing education and information about immunization programs
What is secondary prevention?
Implementation of screening techniques to delay effects of illness
What is tertiary prevention?
Providing resources for federally funded insurance programs
