Chapter 11 Flashcards

1
Q

Qualities of nursing care

A

safe
Effective
Efficient
Patient centered
Timely
Equitable

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2
Q

What does Patient protection/affordable care act do?

A

Medicare for everyone
insurance no longer pay for preventable health screens

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3
Q

What helps make care affordable?

A

multi-payer system
Single-payer system
Diagnosis-related group
Resource utilization
Bundle services, manage everything about person
Rate setting, fees are capped
Comparative effectiveness

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4
Q

What are some Health care delivery systems?

A

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

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5
Q

Payments for health care?

A

Out of packet payment
Insurance
Employer insurance
Government finances
Children health insurance CHIP
Veterans health administration VHA

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6
Q

What are some Strategies to reduce costs?

A

utilization
Improving transition
Making services more efficient and less costly
Eliminate unnecessary costs such as fraud/abuse
Improve population health

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7
Q

Types of Health care settings?

A

Hospitals
Primary care centers
Home
Ambulatory
Long term care
Health care service for ill

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8
Q

What are Roles of nurses?

A

Direct care
Manager‘/
Administrator
NP
Clinical nurse specialist
Patient educator
Unit educator

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9
Q

Who would nurses collaborative care?

A

Advanced practice
Assistive personnel
Physical, respiratory

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10
Q
A
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