Chapter 2: Healthcare Delivery Systems Flashcards

1
Q

Allied Health Professions…

A

Support physicians, nurses and physician assistants
Women Dominate most occupations
Require licensing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Name some examples of Allied Health Professions

A
Clinical laboratory science
Diagnostic Imaging
Dietetics
Emergency medical technology
HIM
PT, ST, OT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What year was the Social Security Act started?

A

1935

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Describe the Social Security Act.

A

Health insurance considered as part of the bill but concerned was that it would lead to its defeat so removed from final legislation.
“Old-age” and unemployment programs”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Give the year for Public Law 89-97.

A

1965

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Discuss Public Law 89-97 of 1965.

A

Amendment to Social Security Act
Medicare originally designed 65 years+
Medicare expanded to include those willing to pay premium, disabled and people with CKD.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Who was Medicaid originally designed for?

A

The indigent.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Medicaid was expanded to include:

A

Poor children
Disabled
Pregnant women
Very poor adults

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What Act is Medicaid under?

A

Public Law 89-97 of 1965

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What does Medicaid provide:

A
Inpatient and outpatient services
Lab and xray
Physician services
Nursing facility care 21+
Family planning
31 optional programs
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What year was Public Law 92-603?

A

1972

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is Public Law 92-603 of 1972?

A

Mandated utilization review for Medicare patients at hospitals and extended care facilities.
Now includes Medicaid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What law established Professional standards review organizations? PSRO

A

Public Law 92-603 of 1972

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What did PSRO (professional standards review organization) do?

A

Perform professional review

Evaluate patient care for necessity, quality and cost effectiveness.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What year was the Utilization Review Act?

A

1977

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What did the Utilization Review Act of 1977 do?

A

Mandated continued stay reviews for Medicare and Medicaid patients.

17
Q

Peer Review Improvement Act _______

A

1982

18
Q

What was the Peer Review Improvement Act of 1982?

A

PSRO changed to Peer Review Organization
Looked at medical necessity and appropriateness of certain admissions prior to admission.
Name changed to Quality Improvement Organizations (QIOs)

19
Q

Tax Equity and Fiscal Responsibility Act of _____

A

1982

20
Q

What did the Tax Equity and Fiscal Responsibility Act of 1982 call for?

A

Gradual implementation of prospective payment system for Medicare reimbursement.