Chapter 9/10/12 Flashcards
Which of the following is NOT an example of an inpatient facility? emergency hospital community hospital private medical clinic private nursing home
Private medical clinic
True or False: To receive federal funding under Section 330 of the Public Health Service Act, a community health center must provide services to all in the service area, regardless of ability to pay.
True
What are the three core functions of public health as defined by the IOM’s 1988 report called The Future of Public Health.
Assurance, assessment, policy development
Which federal agency is in charge of research, data collection, and program funding relating to mental health, as well as increasing the availability of those services? CDC SAMHSA AHRQ NIH
SAMHSA
Who is the largest funding source for global health efforts?
World Bank
Medicare is funded primarily by: out of pocket patient costs state funds market incentives payroll tax
Payroll tax
Which health insurance option compensates physicians solely through capitation, a fixed number of dollars per month to provide services to enrolled members regardless of how often the member sees the doctor? Classic fee-for-service Classic HMO Medicare PPO
Classic HMO
The Affordable Care Act ensures that all people living in the United States have health insurance.
True
False
False
List the five criteria used by the Commonwealth Fund to measure health system performance.
equity, efficiency, quality, access, healthy lives
What percent of total health care costs come from administrative costs in the United States?
30%
According to Gostin et al, only _____ percent of U.S. federal and state health spending is directed toward prevention.
1-2%
These are all: physicians, nurses, dentists, pharmacists, chiropractors, NPs, PAs, health service administrators, PT’s, OTs, medical social workers, lab techs, dental assistants, and more.
Health professionals
includes first contact providers of care who are prepared to handle the great majority of common problems for which patients seek care.
Primary care
refers to the specialty care provided by clinicians who focus on one or two body systems like OBGYN, cardiology, or GI.
Secondary care
the type of institution delivered, often academic or specialized health centers.
Tertiary care
Includes hospitals, skilled nursing and rehab facilities, nursing homes, and hospice, imply that a patient will spend 24 or more hours in the facility.
inpatient facilities
Those providing clinical services by one or more clinicians and those providing diagnostic testing and treatment.
Outpatient facilities
Provides healthcare services to migrants, the homeless population, residents of public housing and more. They have to have nonprofit standings, and often earn 330 grants.
Community health centers
These help improve patient safety, support delivery of effective patient care, facilitate management of chronic conditions, improve efficiency.
Electronic Medical Records
An entity that is funded, at least partially, by the government but acts independently from the government.
Nongovernmental organization
The amount that an individual or family is responsible for paying before being eligible for insurance coverage.
Deductible
A federal-state program that covers groups defined as categorically needy as well as groups that may be covered at the discretion of the state including those defined as medically needy, such as those in need of nursing home care.
Medicaid
A federal health insurance system that covers most individuals 65 and older as well as the disabled and those with end-stage renal disease.
Medicare
US legislation passed in 2010 that makes major changes to the US health insurance system.
Affordable care act
A federally funded health insurance program that provides funds to the states to use to expand or facilitate the operation of Medicaid or for other uses to serve the health needs of lower income children.
SCHIP state child health insurance program
A system of reimbursement for health care based upon a flat payment per time period for each person for whom a provider of care assumes responsibility for providing healthcare services, regardless of the services actually provided.
Capitation
An insurance system that works with a limited number of clinicians. These providers agree to a set of conditions that usually includes reduced payments and other conditions. Patients may choose to use other clinicians, but they often need to pay more out of pocket.
Preferred provider organization, PPO
Patients are charged a monthly fee designed to cover a comprehensive package of services. Clinicians are paid based on the number of patients that enroll in their service.
health maintenance organizations HMOs
A healthcare system with one source of payment usually a governmental source.
single payer
charges paid for specific services provided, and as a payment system
fee for service
a process applied to educational institutions and governmental health departments to define and enforce required structures processes and outcomes
accreditation
granted by a governmental authority that provides permission to engage in an activity, such as the practice of a health profession.
licensure
development of one to one relationships built on knowledge and trust over extended periods of time, continuity as a mechanism for ensuring coordination
clinician patient relationship
