final Flashcards
medical care act 4 criteria 1966 PCPU
federal legislation. public administration, comprhensive coverage, universality, portability
canada health act 5 criteria 1984 PCPUA
federal legislation, public adminstration, comprehensive coverage, universality, portability. ACCESIBILITY
primary health care
care provided ar first contact with provider in ambulatroy care setting,
3 essential services of primary health care
guardian-gatekeeper, chronicler
caregiver who is funded by government?
doctors..sometimes dentists in gov sponsered clinics
4 important reports?
Kirby-2002, Romanow-2002, saskatchewan caring for medicare-fyke-2001, Saskatchewan healthy people. a healthy province
important points-The health of Candians- the federal role, kirby, 2002
service-based funding, wait time, protection from drug costs, 24 hour service, development of ehealth record, MORE PRIVATE FUNDING
future of healthcare aka Romanow Report, 2002. 11 points
47 recommendations, 11 areas.
- sustaining medicare
- health care, citizenship, federalism
- info, ideas, evidence
- investing in health care providers 5.primary health care and prevention
- imporving access, ensuring quiality
- rural and remote commmunities
- home care: the next essential service
- prescription drugs
- new approach to aborignal health
- health care and globalization
Saskatchewan health ppl healthy province
based on fyke recommendations telehealth different categories of hospitals reduce surgery wait times funding for training health providers funding for emts form 12 regional health authorities create health quiality council increase funding for health research
8uses of health record
- direct patient care
- review professional practice
- education
- reasearch
- admin/management functions
- reimbursment
- lega; interests
- legislation and accedidation
impersonal vs personal
impersonal-idenitiy of patient is not of primary importance
personal-identity of patient is retain and is important because of the info of a specific patient
conccurrent vs retrospective
concurrent-used during provison of services for an inpatient or during ongoing outpatient treatment
retrospective-used for any purpose after serive has been provided or after patient treatment is complete
5 ways a client can access info from HIM department
direct access reporting forms telephone photocopying fax
who can give consent for TREATMENT
parent of a minor
legal guardian
surviving spouse
next of kin
Review hospital standards regulations
sfs
Physician document on what?
Physician orders, consults, operative, history and physical, discharge.. Progress notes
department docuimentation and forms
admisison/registration- admission discharge form
medical staff-psychian orders, consultations, operative report, anesthetic report, pathology, progress notes, autoopsy
diagnositc imagin- xray, ct,ultrasound,mri, nuc medicine
Forms committee
A part of the health record info committee…
Must be. Member of him, med staff, nursing staff
Him members must take ACTIVE ROLE
eligible to vote n hold office,
Computer forms
Logical sequence Field edits Eye catching by use of color Simple and easy to use Menus with alternative answers
Forma committee purpose?
Review purposes forms Review already in use forms Recommend revisions Consistent with standard specs Discontinuation Control handle and distribution
Qa death chart
Med documentation stating who pronounced patient, date, time
Nursing documentation. Apparent tomf of death
AMA
Elopement
Against medical advice- signed out
Elopement is running away, not telling anyone
Incomplete vs deliguient chart
21 days vs over 21 days
Concurrent qa?
Qa done on nurse unit during patient stay by him
