Ch. 3 Health Care Delivery System Flashcards
Created by the ANCC to Recognize health care organization that achieve excellent nursing practice.
Magnet Recognition
Must demonstrate quality patient care, nursing excellence, and innovations in professional practice.
Health/medical care that takes place in the patients home
Patient Centered Medical Home
Service that provides short-term relief or time off for people providing home care to an ill, disabled, or frail older adult
Respite Care
Assessment of patient outcomes based on nursing care; Changes in the pts’ symptoms, function, safety, psychological state, and cost as a result of nursing intervention
Nursing-sensitive outcomes
Care in which patients who have sx/s of a disease are diagnosed and treated
Acute Care
Provide a variety of health and social services to a specific patient population who live alone or with family in the community
Adult day care center
Long-term care setting with a homier environment and greater resident autonomy
Assisted Living
Payment mechanism in which providers receive a fixed amount per month per patient or enrollee of a health care plan
Capitation
Fixed reimbursement amount for a group adjustable for case severity, rural/urban/regional costs, and teaching costs
Diagnosis-related groups(DRGs)
Centralized, coordinated, multidisciplinary process that ensures that a patient has a plan for continuing care after leaving a health care agency Begins the moment patient enters facility
Discharge planning
Problem solving approach to clinical practice that integrates the use of best evidence in making decisions about pt care
Evidence based practice
Provides intermediate medical, nursing, or custodial care for patients recovering from acute illness or pts with chronic illnesses or disabilities
Extended care facility
Care that allows pts to live and remain at home with comfort, independence, and dignity while alleviating the strains caused by terminal illness
Hospice
System where payer has control over primary healthcare services delivery for a defined patient population
Managed Care
Gov’t funded medical reimbursement
Medicaid/Medicare
8 identified aspects that help determine patient satisfaction
Patient-centered care
Care delivered by schools, health care offices, health clinics, and nursing centers
Primary Care
Review the quality , quantity, and cost of health care services provided though Medicare and Medicaid
Professional standards review organizations (PSROs)
Eliminates cost-based reimbursement, established in 1983 by Congress
Prospective payment system(PPS)
Use of multiple therapies to help restore a person to their fullest physical, mental, social, vocational and economic usefulness as possible
Rehabilitation
Rehabilitation and supportive care for patients recovering from illness or a disability in hopes of restoring function
Restorative care
Offers skilled care from a licensed nursing staff
Skilled nursing facility(Intermediate care)
Review admissions, diagnostic testing, and treatments provided by health care providers to their patients
Utilization review committees
Populations with limited access to vaccines, clean water, and standard medical care
Vulnerable populations
5 components of the Magnet recognition model
- Transformational Leadership
- Structural Empowerment
- Exemplary Professional Practice
- New Knowledge, innovations and improvements
- Empirical quality outcomes
Providers of a population in a specific market or geographical area
Integrated delivery networks
