EXAM #2 Flashcards
Takes earnings and distributes to share holders/investors
for profit
Takes earnings and invests them into the organization for improvements
non profit; bjc, ssm, memorial
Overall financial status of the US healthcare system
macro
Specific or organizational financial status
BJC/BJH, Mercy/ SSM
micro
Someone other than the patient is most likely paying for the majority care.
Insurance-employer, health care exchanges, Medicare, Medicaid
third party payer system
Part of the bill that the patient must pay before the insurer will pay the bill for the services.
deductible
fixed amount that a patient may be required to pay for services (physician visit, lab test, prescription…)
copayment
Federal health insurance program for people aged 65 and older, persons with disabilities, and people with end-stage renal disease. Funded by 2 trust funds from the US treasury.
medicare
Federal/State program for certain categories of low-income people.
Funded by both federal and state funds.
medicaid
major purchases of healthcare, government and insurers
macro consumer
the patient
micro consumer
Applies to all healthcare organizations that receive Medicare or Medicaid reimbursement
Requires that patients get information regarding consents, confidentially, the right to make medical decisions, be informed about treatment and diagnosis, refuse treatment, and use of an advanced directive
Patient Self Determination Act of 1990
Created a standard for measuring and collecting data for patient’s perceptions of their hospital experience
HCAPS
Predisposed to a point of view
BIAS
One’s group or culture is superior to others
ethnocentrism
Making assumptions or judgments about beliefs, behaviors, needs, and expectations of patient’s or other healthcare staff of a different cultural background because of one’s own belief; involves negative attitudes toward the different group
prejudice
Process by which people use social group to gather, process, and recall information about other people. This process can be negative if it involves unfairly classifying people or using incorrect information
stereotyping
Major factors contributing to disparities
inadequate access to care
substandard quality of care
Systematic method for thinking about and communicating how nurses provide patient care.
nursing process
phases of the nursing process
1- assessment. subjective/objective data 2-Analysis and Identification of the Problem; nurse diagnosis 3-planning goals 4-implementation 5-goals met?
require instruction, written orders, or supervision of another health care provider with prescriptive authority
dependent interventions
nurse must collaborate with another health care provider before carrying out intervention
interdependent interventions
define under what conditions and circumstances a nurse is allowed to treat the patient
protocols
Individual’s code of acceptable behavior
Shape an individual’s values
May be influenced by cultural factors and experience
Learned through growth and development
morals
A standardized code or guide to behaviors
Learned through a more organized system
ethics
Patient’s right to make decisions about matters that impact the patient
autonomy
Doing something good and caring for the patient
beneficence
treating people fairly
justice
telling the truth
veracity
Threat or use of force on an other individual that causes the person to feel reasonable apprehension about imminent harmful or offensive contact
assault
