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461-Foundations > Health Care Delivery Systems Power Point > Flashcards

Health Care Delivery Systems Power Point Flashcards

1
Q

Challenges to health care

A

Reducing health care costs uninsured patients, while maintaining high-quality care for patients
Improving access and coverage for more people
Encouraging healthy behaviors
Earlier hospital discharges result in more patients needing nursing homes or home care

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2
Q

Nurses are the ____ of patient care.

A

managers

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3
Q

Nurses face challenges to prevent gaps in healthcare across health settings and provide _____.

A

continuity of care

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4
Q

Values of the nursing profession are rooted in helping people to regain, maintain or improve health, prevent illness, and find _____.

A

comfort and dignity

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5
Q

The national priorities partnership promotes ____.

A

best practices

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6
Q

The national priorities partnership promotes prevention, treatment, and ______ for the leading causes of mortality.

A

intervention practices

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7
Q

The national priorities partnership ensures person- and ______ care.

A

family-centered

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8
Q

The national priorities partnership make care ____.

A

safer

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9
Q

The national priorities partnership promotes communication and ______.

A

care coordination

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10
Q

The national priorities partnership makes quality care ______.

A

affordable

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11
Q

The Institute of Medicine (IOM) states that nurses need to be transformed by practicing to the full extent of their _____.

A

training

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12
Q

The Institute of Medicine (IOM) states that nurses need to be transformed by achieving _______ of education through an education system that provides seamless progression

A

higher levels

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13
Q

The Institute of Medicine (IOM) states that nurses need to be transformed by becoming full partners with physicians and other health care providers in ______ the health care system

A

redesigning

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14
Q

The Institute of Medicine (IOM) states that nurses need to be transformed by _____data collection and the information infrastructure for effective workforce planning and policy making

A

improving

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15
Q

Regulatory and _____ approaches help with health care regulation and reform.

A

competitive

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16
Q

Professional standards review organizations (PSROs) were

created to review the quality, quantity, and ______ of hospital care provided through Medicare and Medicaid

A

cost

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17
Q

Utilization review (UR) committees review admissions, diagnostic testing, and treatments ordered by physicians who cared for patients receiving ____.

A

Medicare

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18
Q

The _____ sets quality standards for accreditation of health care facilities.

A

The Joint Commission

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19
Q

The ______ ensures that health care providers and agencies comply with state regulations - Nurses Practice Act.

A

state licensing boards

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20
Q

Other regulatory agencies include

A

US Department of Health & Human Services
US Food and Drug Administration
State and local public health agencies

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21
Q

“_____” - also called Sentinel Events are preventable and devastating. They include surgical, product or device, patient protection, care management, environmental, radiological and critical.

A

never events

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22
Q

The Patient Protection and Affordable Care Act allows ______, reducing costs, improving quality.

A

access to health care for all

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23
Q

Provisions of the affordable care act include insurance industry reforms, increased funding for public programs and improved coverage for _____.

A

children

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24
Q

Health Services Pyramid Slide Review

A

?

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25
Q

Five levels of services include disease prevention, health promotion, primary, secondary, and _____.

A

tertiary

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26
Q

Health care settings include preventive, primary, secondary, tertiary, restorative, and ______.

A

continuing

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27
Q

In preventative health care settings they reduce and control risk factors and include immunization, stress management, and using a ____.

A

seat belt

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28
Q

In primary health care settings the emphasis is on _______. It includes prenatal and well baby checks, family planning, nutrition counseling, and disease control.

A

health promotion

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29
Q

In secondary health care setting the aim is diagnosis and treatment of ______. Secondary health care settings include _____ and emergency departments.

A

acute illnesses

hospital

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30
Q

The _____ health care settings are highly specialized and involve highly technical care. i.e. oncology centers, burn centers, intensive care

A

tertiary

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31
Q

The ____ health care setting includes intermediate follow up care. i.e. home health care, rehab centers, and skilled nursing facilities

A

restorative

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32
Q

The ____ health care setting includes long term or chronic illness care. i.e. hospice and palliative care, respite care, adult day care, assisted lviing

A

continuing

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33
Q

Preventative care reduces and _____ risk factors for disease.

A

controls

34
Q

Primary care focuses on improved ______ and requires collaboration.

A

health outcomes

35
Q

Health promotion programs _______.

A

lower overall costs

36
Q

Health promotion is the major theme for patients who receive preventive and ____.

A

primary care

37
Q

Health promotion programs reduce _____ of disease.

A

incidence

38
Q

Health promotion programs ______ complications.

A

minimizes

39
Q

Health promotion programs reduces the need for more _____.

A

expensive resources

40
Q

Secondary and Tertiary care are also called ____.

A

acute care

41
Q

Secondary and Tertiary care (acute care) focuses on ______ and treatment of disease.

A

diagnosis

42
Q

_____ is the most common and expensive service of the health care delivery system.

A

disease management

43
Q

____ of care by uninsured contributes to high costs.

A

postponement

44
Q

Discharge planning begins at ______.

A

admission

45
Q

Discharge planning continuity of care requires working with all members of the ______.

A

interdisciplinary team

46
Q

Discharge planning requires ______ to various health care disciplines.

A

referrals

47
Q

Discharge planning involves patient and family members . Also called ____.

A

patient centered care

48
Q

Comprehensive patient and family education is involved in ____.

A

discharge planning

49
Q

_____ care involves hospitals, intensive care, psychiatric facilities, and rural hospitals.

A

secondary and tertiary care

50
Q

_____ care serves patients recovering from an acute or chronic illness/disability

A

restorative

51
Q

restorative care helps individuals regain ______ and enhance quality of life

A

maximal function

52
Q

______ care is a provision of medically related services and equipment to patients and families in their homes for health maintenance, education, illness prevention, diagnosis and treatment of disease, palliation, and rehabilitation.

A

home health care

53
Q

Home health care involves coordination of ______.

A

services

54
Q

Home health care focuses on patient and family _______.

A

independence

55
Q

Home health care usually is reimbursed by ______ (such as Medicare and Medicaid in the United States), private insurance, and private pay.

A

government

56
Q

Home health care usually is reimbursed by ______ (such as Medicare and Medicaid in the United States), private insurance, and private pay.

A

government

57
Q

_______- includes physical, occupational, and speech therapy, and social services.

A

Rehabilitation

58
Q

Rehabilitation begins on ______.

A

admission

59
Q

Rehabilitation focuses on preventing _______ and maximizes patient function and independence.

A

complications

60
Q

_______ provide intermediate medical, nursing, or custodial care for patients recovering from acute illness or disabilities

A

Extended care facility

61
Q

_______ provides care for patients until they can return to their community or residential care location

A

intermediate care/skilled nursing facility

62
Q

______ is for people who are disabled, functionally dependent, or suffering a terminal disease

A

continuing care

63
Q

Available within institutional settings or in the home via continuing care includes nursing centers or facilities, assisted living
_______, adult day care centers and
hospice.

A

respite care

64
Q

Nursing center or facilities provide _____ intermediate and custodial care. Nursing, rehabilitation, diet, social, recreational, and religious services.

A

24 hour

65
Q

Residents of any age with chronic or debilitating illness

are cared for at _____.

A

nursing centers or facilities

66
Q

_____ are regulated by standards: Omnibus Budget Reconciliation Act of 1987; Box 2-2, p. 21

A

continuing care:nursing centers or facilties

67
Q

Continuing Care: assisted living can be in a long-term care setting, home environment, and patients have greater _____. There are no fee caps.

A

autonomy

68
Q

______ care provides short-term relief or “time off” for people providing home care to an individual who is ill, disabled, or frail.

A

Respite

69
Q

_____ care settings include home, day care, or health care institution with overnight care.

A

respite

70
Q

Respite care includes trained volunteers to enable _____ to leave the home for errands or social time.

A

family caregivers

71
Q

_______ provide a variety of health and social services to specific patient populations who live alone or with family in the community

A

adult day care centers

72
Q

Adult day care centers may be associated with a _______ or nursing home or may operate independently

A

hospital

73
Q

_____ is family centered care that allows patients to live with comfort, independence, and dignity while easing the pains of terminal illness.

A

hospice

74
Q

Hospice focuses on _______ (not curative) care

A

palliative

75
Q

Many hospice programs provide ______, which is important in maintaining the health of the primary caregiver and family.

A

respite care

76
Q

Accountable care organizations (ACOs) were

developed to coordinate _____. Nurses act as leaders and care coordinators.

A

medical care

77
Q

Patient-centered medical home (PCMH) coordinates care, ______, monitors patient outcomes. Primary care providers function as the hub of the PCMH

A

gathers clinical data

78
Q

Issues in Health Care Delivery include the nursing shortage, competency, and _______ (pay for performance, patient satisfaction)

A

quality and safety in health care

79
Q

Other health care delivery issues include the globalization of health care resulting in _______, nursing informatics and technological advancements, and the magnet recognition program - nursing sensitive outcomes.

A

vulnerable populations

80
Q

Changes in the future of health care opens up opportunities for_____.

A

improvement.

81
Q

Health care delivery systems need to address the needs of the uninsured and the _____. Health care organizations are striving to become better prepared to deal with these and other challenges in health care.

A

underserved

82
Q

The solutions necessary to improve the quality of health care depend largely on the _______ of nurses.

A

active participation

461-Foundations (45 decks)

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