Health Care Delivery Systems Flashcards
Prehistoric medicine and ancient medicine were characterized by an interest in the arts and sciences.
false - prehistoric and ancient medicine were both characterized by the belief that illness was caused by the supernatural, an attempt to explain changes in body functions that were not understood
The American College of Surgeons (AS) improved the quality of care for surgical patients by establishing standards for surgical education and practice.
true
The continuum of care is a complete range of programs and services with the type of health care indicating the health care services provided.
true
The hospital administration serves as a liaison between the medical staff and the patients.
false - the hospital administration serves as a liaison between the medical staff and governing board and is responsible for developing a strategic plan for supporting the mission and goals of the organization.
Individual state laws require healthcare facilities to obtain licenses to operate from state departments of health.
true
Describe the functions of a compliance committee.
The compliance committee analyzes legal requirements and risk areas, reviews and assess policies and procedures. The goal is to prevent and detect law violations and regulations.
Example sentence: The compliance committee meets monthly to review policies.
Distinguish between the functions of a facility’s risk management committee and utilization management committee.
Risk management committee is responsible for coordinating and monitoring risk management activities, analyzing trends of incidents, and establishing priorities for dealing with high-risk areas. The goal of the risk management committee is to ensure patient safety while the utilization management committee ensures appropriate medical care is provided.
Additional information: The utilization management committee meets bi-weekly to review patient cases.
Describe the rule of a category of active medical staff.
Active medical staff deliver most hospital medical services and perform significant organizational and administrative medical staff duties.
Shifts can vary for active medical staff depending on the hospital’s needs.
Differentiate between the credentials committee of the medical staff and the ethics committee of the medical staff.
The credentials committee reviews and verifies medical staff application data while the ethics committee meets in order to discuss ethical problems.
Describe the medical specialty of internal medicine and primary care internal medicine and list four subspecialties that are included in the specialty of internal medicine.
Internal medicine manages common and complex illnesses of patients of all ages. Primary care internal medicine includes disease prevention, mental health, substance abuse, and wellness. Subspecialties include: Oncology, Infectious disease, Immunology, and Hematology.
Explain the purpose of the Joint Commission.
The Joint Commission provides organizations with standards, performance improvement tools, and an external evaluation of performance.
Explain the term quaternary care.
Quaternary care is an extension of ‘tertiary care’ and includes advanced levels of medicine that are highly specialized, not widely used, and very costly. Quaternary care is typically provided by tertiary care centers.
Describe the evolution of the health care system from the early prehistoric period to the present.
During the prehistoric and ancient times, healthcare was characterized by the belief that illness was caused by the supernatural. During the middle ages, medieval medicine was developed and characterized by a lack of education. Hospitals were managed by monks and nuns at this time. Modern medicine was developed during the renaissance and was based on education rather than spiritual beliefs. This medicine was characterized by a renewed interest in the arts, sciences, and philosophy.
Describe the work of the 1990 Human Genome Project.
The Human Genome Project, established in 1990, was a nationally coordinated effort to characterize all human genetic material by determining the complete sequence of the DNA in the human genome. In 2000, the human genome sequencing was published.
Describe the difference between a for-profit and not-for-profit health care facility.
A for-profit health care facility is privately owned and excess income is distributed to share-holders and owners. ex: Proprietary hospitals are owned by corporations or private foundations. A not-for-profit health care facility takes excess income and reinvests into the facility. ex: Government supported/public hospitals are supported by local, regional, or federal taxes, and operated by local, state, or federal governments. Voluntary hospitals are operated by religious or other voluntary groups.
The Joint Commission’s approach to accreditation is ______ and data-driven.
patient centered
The Joint Commission’s approach to accreditation is patient-centered and data-driven.
