Exam A-2 Flashcards
the best way to increase ‘consumer awareness’ in the healthcare industry
community member participation in established committees
organization that approves/accredits healthcare institutions, such as hospitals, that meet specific quality criteria
JCAHO (the joint commission)
CHAP - Community Health Accreditation Program
accredits home care and community health providers
the federal agency responsible for human development services, public health services, social security and medicaid/medicare services
DHHS - Dept of Health and Human Services
the process of answering for or being responsible for what occurs and carries legal implications for task performance
professional accountability
a great way for nurses to increase well-being and actualize health potential of consumers is by…
involving pts in health promotion and illness prevention activities
the best way for nurses to influence politicians and committees dealing with nursing issues is to…
write letters to elected officials
organization that evaluates the policies, procedures and outcomes of care provided by hospitals for accreditation purposes
JCAHO (the joint commission)
which is more costly, disease management and acute care or preventative care?
disease management and acute care are more costly than preventative care. This is why HMOs promote preventative care
Health Maintenance Organizations (HMOs) reduce costs by focusing on
preventative care
HMOs were the first type of care plans to focus on what type of care?
HMOs were the first to focus on preventative care. Traditional insurance companies only paid for care when pts became ill.
third party payers
insurance companies and government programs that pay for health services provided to individuals.
the term “managed care” includes…
HMOs and some insurance companies
any system for financing and organizing the delivery of healthcare in which costs are contained by controlling the provision of services.
managed care
in a managed care plan who decides if a referral or diagnostic services are necessary?
the PCP who acts as the “gatekeeper” to all other services to help control cost
groups that lobby in support of or in opposition to bills
special interest groups
a ___ is necessary to bring a bill to the house or the senate
sponsor
before a bill is sent to the president for approval or veto, it must be approved by
both the house and the senate
if the president vetoes a bill after it has been approved by both the house and the senate, how can congress override his veto?
the veto will be overridden if both the house and senate approve the bill again but this time with a 2/3 majority.
the type of nurse that provides care to employees at the workplace or customers and others with an injury or illness. He also provides health education in the workplace and assesses the work environment to identify actual or potential health hazards
occupational health nurse
industrial nurse
responsible for ensuring that the nursing division’s objectives and functions must be consistent with the mission and goals of the healthcare organization.
nurse manager
a community-based agency that provides care at the end of life
hospice
the part of the economy concerned with providing government services (military, police, public education, elected officials and healthcare)
public sector
an official public sector agency responsible for creating, monitoring and administering a safe environment of health care delivery for the residents of the county
county health dept
