Chapter 2 Flashcards

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0
Q

Deductible

A

amount paid for medical services before insurance will begin to pay

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1
Q

Premium

A

amount paid every month by the person insured

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2
Q

Co-insurance

A

expenses shared by the patient & the insurance company

Ex: 80/20, 70/30

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3
Q

Co-payment

A

amount patient pays for a particular service

Ex: $10.00 for a $35.00 flu shot

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4
Q

Organizational Structure/ Chain of Command

A
  • Shows levels of responsibility
  • Lines of authority are clearly outlined
  • Make for a more efficient operation of the business
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5
Q

What is a Hospital?

A

Major HC facilty

•Many sources of funding: private ~ for profit; non-profit

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6
Q

Types of hospitals

A

General
Speciality
Government
University Medical Centers

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7
Q

General Hospital

A

Treats wide range of conditions and age groups
Ex: Lexington Medical Ctr
Palmetto Health Baptist
Ex2: Diagnostic, Medical, Surgical

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8
Q

Speciality Hospital

A

Provides care for only special conditions or age groups

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9
Q

Government Hospital

A

Operated by the federal, state, & local government agencies
Ex: Lexington Medical Center, Palmetto Health
Ex2: Veterans Administration Hospital
State Psychiatric Hospital
State Rehabilitation Centers

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10
Q

University Medical Centers

A

Provide hospital services along with research and education

- Funded by private and/or government sources

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11
Q

“For-Profit Facility”

A

Government depends on the sources of income received by the hospital

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12
Q

Non-profit Facility

A

Supported by donations, membership fees, fundraisers, and federal or state grants. (Volunteers)

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13
Q

Services Obtained from Medical Offices

A

Pediatrics
Cardiology
Obstetrics

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14
Q

Services provided by Pediatrics, Cardiology, Obstetrics

A

Pediatrics - infants & children
Cardiology - diseases & disorders of the heart
Obstetrics - care of pregnant females

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15
Q

What is a clinic?

A

Health care facility

Found in many types of health care, some private and some many doctors that share a facility

16
Q

Types of clinics and their services

A

Surgical - perform minor surgical procedures, patients go home once
they recover
Urgent - provide first aid & emergency care
Rehabilitation - provides physical, speech and other therapies

17
Q

Outpatient clinic

A

Provides care for outpatients who aren’t admitted to the hospital

18
Q

Define Emergency Care Services.

A

Provides special care for victims of accidents/ sudden illness

19
Q

Facilities in Emergency Services.

A

Ambulances, rescue scuad, emergency rooms

20
Q

Services available at an optical center.

A

Vision examinations, prescribe eye glasses/contacts, check for eye diseases

21
Q

Ophthalmologist and Optometrist

A

Ophthalmologist - eye specialist

Optometrist - eye doctor

22
Q

Hospice Care

A

Agencies that are designed to provide care for the terminally ill
•Terminally ill = 6 months or less to live

•Goals: help the patient die with
dignity and pain free

23
Q

Services offered by Hospice Care

A

Psychological, social, spiritual, and financial counseling

24
Q

Mental health facilities, types.

A

Patients with mental disorders or diseases

  • guidance and counseling
  • psychiatric clinics and hospitals
  • chemical abuse treatment centers
  • physical abuse treatment centers
25
Q

Rehabilitation facilities, goals?

A

Provide care to help patients with disabilities, to obtain maximum self-care and function

Physical, Occupational, Recreational, Speech, & Hearing therapy

26
Q

Student Health Services

A

On college campus—> if you have health issues

Services: emergency care, health education, counseling, maintaining
sanitary school environment

27
Q

Government Agencies

A

WHO, USDHHS, CDC, FDA, NIH, OSHA

28
Q

What is WHO?

A

World Health Organization (WHO)

  • international agency
  • sponsored by the United Nations

Ebola Pertussis Malaria
Nutrition Tuberculosis Meningitis

29
Q

What is USDHHS?

A

•US Dept of Health & Human Services

  • Federal agency
  • protect the health of all Americans

Oversees federal health care /health related agencies :
Medicare Medicaid Public Health Depts

30
Q

What is CDC (under USDHHS)?

A
  • Centers for Disease Control
  • Atlanta, Ga
  • Protect America from health, security, safety threats
  • Concerned with causes, spread, and control of disease
31
Q

What is FDA (under USDHHS)?

A

•Food & Drug Administration

•Monitor & protect America’s food supply
as well as the safety of medications

32
Q

What is NIH (under USDHHS)?

A

•National Institutes of Health

  • Federal agency
  • Disease research
33
Q

What is OSHA (under USDHHS)?

A

•Occupational Safety & Health Admin.

  • Health and safety for the worker in the workplace
  • Protects workers from job related injuries