Concepts and Trends in Healthcare

Question 1

Health

Answer 1

a state of complete physical, mental, and social well being and not merely the absence of disease or infirmity.

Question 2

Holism

Answer 2

viewing a person’s health as a balance of body, mind, and spirit

Question 3

Wellness

Answer 3

a state of being; a constant and intentional effort to stay healthy and achieve the highest potential for total well being

Question 4

Illness

Answer 4

a state of being sick

Question 5

Disease

Answer 5

a pathological condition of the body that presents with clinical signs and symptoms and changes in laboratory values

Question 6

Health Maintenance

Answer 6

protecting one’s current level of health by preventing illness or deterioration

Question 7

Health Promotion

Answer 7

engaging in strategies to enhance health

Question 8

Illness Prevention

Answer 8

identifying and reducing the effects of risk factors on one’s health

Question 9

Early Detection

Answer 9

uses screening diagnostic tests and procedures to identify a disease process earlier

Question 10

Client

Answer 10

active partner in nursing care, the person receiving healthcare services.

Question 11

Healthcare Team

Answer 11

specially trained personal who work together to help clients meet their healthcare needs

Question 12

Healthcare Delivery System

Answer 12

the full range of services available to people seeking prevention, identification, treatment, or rehabilitation of health problems.

Question 13

Primary Care

Answer 13

initial contact often w/ family practitioner, internist, or nurse practitioner; emphasis is on health promotion, preventive care, health education, early detection, and treatment.

Question 14

Secondary Care

Answer 14

referrals to facilities for additional testing such as cardiac catheterization, consultation, and diagnosis as well as emergency and acute care interventions.

Question 15

Tertiary Care

Answer 15

focuses more on complex medical and surgical interventions, cancer care, rehabilitative services, long term care, and palliative and hospice care.

Question 16

Health Care Reform (Obama Care)

Answer 16

(Patient Protection and Affordable Care Act- PPACA) passed in 2010; designed to provide affordable healthcare to U.S citizens who previously had no access to health insurance.

Question 17

Medicare

Answer 17

a federally run program financed primarily through employee payroll taxes; it covers individuals who are 65 or older, permanently disabled workers, and persons with end stage renal disease

Question 18

Medicaid

Answer 18

federally funded, state program that provides medical assistance for individuals with families with limited income and resources.

Question 19

Prospective Payment System (PPS)

Answer 19

method of reimbursement in which healthcare providers receive payment for services based on a predetermined, fixed rate

Question 20

Managed Care Organizations (MCOs)

Answer 20

insurers who carefully plan and closely supervise the distribution of healthcare services

Question 21

Preferred Provider Organization (PPO)

Answer 21

create a community network of providers who are willing to discount their fees for services in exchange for a steady stream of referred customers

Question 22

Physician Hospital Organization (PHO)

Answer 22

creates a corporate structure between hospitals and groups of physicians—they contract with an MCO to negotiate fees for services for self insured employees

Question 23

Point-of-Service (POS)

Answer 23

clients select a primary care physician within the group who then serves as the gatekeeper for other healthcare services

Question 24

Integrated Delivery System (IDSs)

Answer 24

provide a full range of healthcare services with a goal of achieving highly coordinated and cost effective care.

Question 25

Clinical Pathways

Answer 25

care mapping for specific diagnoses and procedures which standardize important aspects of care

Question 26

Quality Improvement Committees

Answer 26

use standardized indicators to measure healthcare quality

Question 27

Prevention QIs

Answer 27

identify hospital admissions that could be avoided through high quality out patient care

Question 28

Inpatient QIs

Answer 28

reflect quality of care inside hospitals, including inpatient mortality for medical conditions and surgical procedures

Question 29

Patient Safety QIs

Answer 29

reflect quality of care within hospitals but focus on potentially avoidable complications and adverse events

Question 30

Pediatric QIs

Answer 30

reflect quality of care inside hospitals and identify potentially avoidable hospitalizations among children

Question 31

Healthy People 2020

Answer 31

campaign that provides an overall action plan to improve the health and quality of life for people living in the united states