Chapter 7 VNC

Question 1

Public hospitals

Answer 1

(government)—veteran’s hospitals, nursing homes, military hospitals, etc

Question 2

Private hospitals

Answer 2

(nongovernment)—private providers, private for-profit or nonprofit health care facilities

Question 3

Health Care Service

Answer 3

Describes the actual delivery of health care by health care workers, Includes prevention, diagnosis, and treatment of illnesses.

Question 4

Health care regulation

Answer 4

Methods designed to control quality of health care and cost, developed by governmental bodies.

Question 5

Health care accreditation

Answer 5

Process of examining operation of a facility using written standards of excellence

Question 6

Approval and Accreditation of Hospitals

Answer 6

Approval by State Department of Health, Accreditation is a voluntary process.

Question 7

Approval and Accreditation of Home and Community Health Care Organization

Answer 7

Need a license to operate

Question 8

Quality Assurance, Peer Review, & Risk Management Programs

Answer 8

Ensure pts receive quality care in a safe environment

-quality assurance and performance improvement plan (QAPI)
-peer review-examining someones work
-risk management programs- prevent financial loss to organization/facility

Question 9

Private Insurance

Answer 9

Fee-for-service
Prepaid

Question 10

Government Insurance

Answer 10

Social security act of 1965
(medicare, medicaid, SCHIP (1977) )

Question 11

Other cost-controlling programs

Answer 11

Utilization review, quality management, critical pathways and care maps, pay for performance, improvements in managed care programs, governmental legislation

Question 12

The Centers for Disease Control and Prevention (CDC)

Answer 12

Promote health and quality of life by preventing and controlling disease, injury, and disability

Question 13

The Food and Drug Administration (FDA)

Answer 13

Foods, medicines, and cosmetics

Question 14

The Health Resources and Services Administration (HRSA)

Answer 14

Improve access to health care by strengthening health care workforce, building healthy communities, and achieving health equity

Question 15

National Institute of Health (NIH)

Answer 15

Institutes and centers engaged in research

Question 16

Centers for Medicare and Medicaid Services (CMS)

Answer 16

Administers Medicare, Medicaid, State Children’s Health Insurance Program (SCHIP)

Question 17

Other agencies

Answer 17

Focus on children and families, research, quality of care, community living, registration of diseases and toxic substances, substance abuse, mental health

Question 18

Issues and Concerns- Health Care System

Answer 18

Difficult to navigate; too many choices and options

Question 19

Issues and Concerns- Health Care Providers

Answer 19

-Shortage of primary care providers
-Future role of multipurpose worker and cross-training

Question 20

Issues and Concerns- Health Care Services

Answer 20

Equal access to health care services for all citizens

Question 21

Issues and Concerns - Health Care Approval, Accreditation, and Standards of Excellence

Answer 21

Cost of accreditation, Cost and maintenance of standards of excellence certificate

Question 22

Issues and Concerns- Health Care Facilities

Answer 22

Financial challenges, quality of services, patient safety, lack of training and supervision, care for the uninsured and charity care, and personnel shortages

Question 23

Issues and Concerns- Health Care Financing

Answer 23

One of the most significant is increased number of elderly—baby boomers, Medicare costs, Expensive treatments.