Chapter 4 Flashcards
Under this system, insurance companies reimburse patients for the costs of their health care within the limits of the policy, and the patient is responsible for any costs not covered.
Free-for-service
These organizations provide complete and comprehensive health care for the cost of the premium and a small fee called a copayment for each visit. You will see your pcp then they will refer you to a specialist if needed
Health maintenance organizations (HMO)
These systems allow private hospitals and physicians to provide services while also providing care through insurance plans that operate as HMO’s or PPO. They save money by limiting access to expensive services when they are not needed.
Managed Care Systems
A system that offers care at reduced rates with an established network of providers.
Preferred provider organization
To ensure all Americans were covered by health insurance. Under this law, employers are required to provide health insurance for their full time employees when they have 50 or more workers.
Affordable Care Act (“Obamacare”
A federal health insurance program. Covers a portion of the medical care costs for those 65 years and older.
Medicare
Persons must fall within a designated group, recognized by the federal and state governments, to be eligible for partial or full funding. Include age, income and resources, disability and US citizenship
Medicaid
Healthcare Facilities
Hospitals
Private
Public
Not for profit
Proprietary
One or two paragraphs declaration of the institutions basic philosophy and primary goals. This statement provides guidance for the decisions that govern the activities of the facility.
Mission Statement
Outpatient centers
Urgent care and surgery centers
Specializes in trauma and emergency situations ; a triage expert in disaster situations
Emergency department
Treats individuals and families in the context of daily life
Family practice physician
Recent medical school graduate gaining practical experience
Interns
Licensed physicians receiving advanced training
Fellows
Licensed physicians in an educational program to become certified in a specialty area.
Residents
Speciality has become an option for physicians who choose to treat hospitalized patients only.
Hospitalist
Diagnoses and treats diseases of the gastrointestinal tract
Gastroenterologist
Specializes in problems and diseases of elderly persons
Geriatrician
Treats problems and diseases of the female reproductive system
Gynecologist
Specializes who treats patients in the intensive care unit
Intensivist
Specializes in pregnancy , labor, delivery, and immediate postpartum care
Obstetrician
Specializes in tumor identification and treatment
Oncologist
Diagnoses and treats problems and diseases of the eye
Ophthalmologist
Specializes in conditions or the ear, nose and throat
Otorhinolaryngologist
Specializes in the scientific study of the alterations in the body caused by disease and death
Pathologist
Specializes in the care, diagnosis, and treatment of diseases affecting children
Pediatrician
Specializes in diagnosis and treatment of diseases of the lungs
Pulmonologist
Specializes in diagnosis, treatment and prevention of mental illness
Psychiatrist
Specializes in diagnosis by means of medical imaging
Radiologist
Related to identification of patient problems
Diagnostic
Devoted to treatment
Therapeutic
Admissions , counseling, emergency , nursing service and social service
General
Common hospital departments
General, diagnostic, therapeutic , support services
CT, electrocardiography, MRI, nuclear medicine, pathology, sonography, radiography
Diagnostic
Dietary, OT, PT, surgery, respiratory therapy , oncology
Therapeutix
Accounting, HR, housekeeping, laundry, medical records, purchasing, security
Support services
Physician who specializes in diagnostic imaging. Serve as consultants in one or more of the imaging modalities in radiology.
Radiologist
Supervise several groups of employees such as in radiography , nuclear medicine , ultrasound , cardiovascular CT, MRI
Radiology manager
Lead radiographer sometimes called the department coordinator or lead technologist manages the day to day activities in the radiology department . Schedules staff and orders necessary supplies.
Chief radiographer
May report directly to the lead radiographer or to a team leader responsible for a given area. They also work and communicate directly with radiologist rather than along the chain of command
Staff radiologist
Support personnel may include administrative assistants , receptionists , biomedical technicians , equipment maintenance engineers , medical secretaries , and transportation service personnel
Support staff
Registration , permits , certifications, licenses
Credentials
The oldest and largest national professional association for technologist in the radiologic sciences. It was founded to advance the profession and promote high standards of education and patient care
ASRT - American society of radiologic technologists
-National organization of appointees from both the asrt and American college of radiology
- establishes the minimum standards for certification in the various imaging specialities and radiation therapy.
- conduct qualifying examinations that entitle the applicants who pass to use the designation RT in association with their names
ARRT - American registry of radiologic technologist
- essential to stay abreast of current trends and to maintain competencies
- maintain ARRT credentials
- may also be required to maintain state licensure
Continuing education
A process that applies to institutions and results in documentation attesting to the attainment of certain minimum standard
Accreditation
Accredits hospitals
The joint commission TJC
Accredits educational programs in imaging services
The joint commission on education in radiologic technology JCERT
Services and roles in imaging department
Radiologist, radiology manager, chief radiographer, staff radiographers, support staff
Professionalism
- Knowledge passed down from master to student
- commitment to truth and highest good
-sets standards for behavior, education, and qualification to practice
-enforces those standards with its ranks - peer reviewed journal or publication
Establishes the goals, policies, and financial plans for the hospital and hires the director or administrator
Executive board
Must see the suitable facilities and equipment are provided and that a staff of well trained professional, technical, and support personnel is present
Administration
International society of radiographers and radiologic technologist
One of more than 70 national organizations of technologist around the world
Professional organizations
-American healthcare radiology administrators (AHRA)
- association of collegiate educators in radiologic technology (ACERT)
-association of educators in imaging and radiologic sciences (AEIRS)
-Society of diagnostic medical sonography (SDMS)
-Society of nuclear medicine (SNM)
ASRT developed a written statement that describes the radiographers duties and responsibilities. Defines the clinical practice , technical activities, and profession responsibilities of imaging and therapeutic professionals
The practice standards for medical imaging and radiation therapy
Education
Hosp. Based programs
- certificate
Community College
-associate degree
Universities
- associates or bachelor degrees
- usually eligible for advanced postgraduate degree
The only recognized professional society open to all radiologic technologist in the US today is the
ASRT
Free for service health insurance is often appealing to patients because
Patients can seek care from their choice of physicians and hospitals
The nationwide increase in patient visits to the emergency department is principally due to:
The inability of patients to obtain low cost health insurance
Medicare advantage plans help to cover health care cost for which type of patients
Seniors older than 65 years
The day to day scheduling of staff in radiography department is the responsibility of the
Lead radiographer or manager
A pulmonologist who practices exclusively in a hospital intensive care unit may be referred as:
An intensivist
The designed eligibility for Medicaid are recognized by the (blank), although the (blank) regulates who falls within these eligibility groups
Federal government ; state government
The practice standards for medical imaging and radiation therapy may be used :
-To develop job descriptions and performance appraisals
- by a lawyer to determine negligence or malpractice
