Chapter 11 Flashcards
Qualities of nursing care
safe
Effective
Efficient
Patient centered
Timely
Equitable
What does Patient protection/affordable care act do?
Medicare for everyone
insurance no longer pay for preventable health screens
What helps make care affordable?
multi-payer system
Single-payer system
Diagnosis-related group
Resource utilization
Bundle services, manage everything about person
Rate setting, fees are capped
Comparative effectiveness
What are some Health care delivery systems?
providers/hospitals
Multi specialty group practice, office with wide variety service
Community
Prepaid group practice
HMOs/PPOs provider given set fee
Accountable care higher quality care with one generated bill
Medical homes, groups of people with same diagnosis come live in a home
Care coordination, looking at right care to right person
Payments for health care?
Out of packet payment
Insurance
Employer insurance
Government finances
Children health insurance CHIP
Veterans health administration VHA
What are some Strategies to reduce costs?
utilization
Improving transition
Making services more efficient and less costly
Eliminate unnecessary costs such as fraud/abuse
Improve population health
Types of Health care settings?
Hospitals
Primary care centers
Home
Ambulatory
Long term care
Health care service for ill
What are Roles of nurses?
Direct care
Manager‘/
Administrator
NP
Clinical nurse specialist
Patient educator
Unit educator
Who would nurses collaborative care?
Advanced practice
Assistive personnel
Physical, respiratory