Chapter 2: Healthcare Delivery Systems Flashcards
Allied Health Professions…
Support physicians, nurses and physician assistants
Women Dominate most occupations
Require licensing
Name some examples of Allied Health Professions
Clinical laboratory science Diagnostic Imaging Dietetics Emergency medical technology HIM PT, ST, OT
What year was the Social Security Act started?
1935
Describe the Social Security Act.
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”
Give the year for Public Law 89-97.
1965
Discuss Public Law 89-97 of 1965.
Amendment to Social Security Act
Medicare originally designed 65 years+
Medicare expanded to include those willing to pay premium, disabled and people with CKD.
Who was Medicaid originally designed for?
The indigent.
Medicaid was expanded to include:
Poor children
Disabled
Pregnant women
Very poor adults
What Act is Medicaid under?
Public Law 89-97 of 1965
What does Medicaid provide:
Inpatient and outpatient services Lab and xray Physician services Nursing facility care 21+ Family planning 31 optional programs
What year was Public Law 92-603?
1972
What is Public Law 92-603 of 1972?
Mandated utilization review for Medicare patients at hospitals and extended care facilities.
Now includes Medicaid
What law established Professional standards review organizations? PSRO
Public Law 92-603 of 1972
What did PSRO (professional standards review organization) do?
Perform professional review
Evaluate patient care for necessity, quality and cost effectiveness.
What year was the Utilization Review Act?
1977