Chapter 1-Health Care Delivery Systems

Question 1

Components of Health Care Systems

Answer 1

Participants

• consumers
• licensed providers
• unlicensed providers

Settings
-hospitals, homes, skilled nursing facility, assisted living, hospice, etc

Regulatory Agencies
-US Dept of Health, FDA, state health, Joint Commission

Health Care Financing Mechanisms
-Medicare, Medicaid (publicly funded)

Private Plans
-MCO, PPO, EPO, long term care insurance

Question 2

Patient Protection and Affordable Care Act

Answer 2

Increasing access of healthcare to uninsured at an affordable cost.

Question 3

State Children’s Health Insurance Program

Answer 3

Coverage for uninsured children up to age 19 at low cost for parents.

Question 4

Levels of Healthcare

Answer 4

Preventative (immunizations, stress management, occupational health, seat belt use)

Primary (office visits, community health centers, screenings)

Secondary (urgent care, diagnostic center, emergency departments)

Tertiary (intensive care, oncology centers, burn centers)

Restorative (home health care, rehabs, skilled nursing facilities)

Continuing (end of life care, palliative, hospice, adult day care, assisted living, respite care)

Question 5

Six QSEN Competencies for Safety and Quality

Answer 5

1. Safety
2. Patient-Centered Care
3. Evidence Based Practice
4. Informatics
5. Quality Improvement
6. Teamwork and Collaboration