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Health Occ > Health Occ, Ch 1 Health Care Systems > Flashcards

Health Occ, Ch 1 Health Care Systems Flashcards

1
Q

major type of health care facility

A

hospitals

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2
Q

What do hospitals offer?

A

acute care

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3
Q

immediate, short term care

A

acute care

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4
Q

Hospitals can be classified as?

A

private or voluntary

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5
Q

for-profit, in business to make money, and can turn people away if they have no money or insurance

A

private hospitals

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6
Q

not-for-profit, money put into hospital, and cannot turn anyone away

A

voluntary hospitals

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7
Q

Hospitals vary in ___ and ___ provided.

A

size; services

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8
Q

treat a wide variety of illnesses

A

general hospitals

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9
Q

care for only special conditions or age groups

A

specialty hospitals

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10
Q

Type/Examples of specialty hospitals

A

burn hospitals, oncology (cancer) hospitals, or pediatric hospitals (Riley, St. John’s Springfield, Childrens in ST. Louis)

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11
Q

operate by federal, state, or local govts

A

government hospitals

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12
Q

Government hospital example

A

Veterans hospitals

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13
Q

used for a person who does not need hospital care, but is not ready to go home yet. (not at HSHS St. Anthony)

A

sub-acute care facility

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14
Q

When is a sub-acute care facility used?

A

Used to give patient rehab or additional IV therapy

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15
Q

Where can a sub-acute care facility be found?

A

in hospitals or long term care facilities (ex. nursing homes; Rehab to Home [recovery reasons like therapy for hip replacement])

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16
Q

Home Care Agencies

A

care for persons in their home (HSHS covers large area)

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17
Q

What services do Home Care Agencies offer?

A

V therapy, personal care (bathing & washing hair), wound care (infected or surgical care), or physical therapy (occupational or speech)

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18
Q

also called nursing homes, nursing facilities, nursing centers, or skilled care facilities

A

long-term care facilities

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19
Q

Long-term care facilities provide ___ ____ and ____ ____ to individuals who can no longer care for themselves

A

basic physical; emotional care

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20
Q

People living in nursing homes are called?

A

residents

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21
Q

designed for persons w/ Alzheimer’s disease or other dementias. (Ex: Willow Brook & Lavender Ridge in Effingham)

A

Memory Care Facilities

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22
Q

Memory Care Facilities can be _____ or ____ in long term care facility. (allow to do more things than nursing home; smaller)

A

stand-alone facility; separate unit

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23
Q

care for people w/ mental illness (not HSHS, @ Sarah Bush- Behavioral Health) (Heartland Human Services- outpatient, don’t live there)

A

Mental Health Agencies

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24
Q

designed for persons who are dying (w/ home health) *not just physical; address emotions & social & spiritual life; help family

A

hospices

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25
Q

In hospice, what 4 needs are provided to the person and family?

A

Physical, emotional, social, and spiritual

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26
Q

allow persons to live in their own apartment, but takes care of services such as cooking, laundry, cleaning, and transportation (Ex. Villas of Hollybrook, Glenwood, Brookstone)(very expensive)

A

Assisted Living Facilities

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27
Q

helps a person return to their highest level of function. (4-6 hrs therapy / day; intensive) Patients receive rehab in hospitals and nursing homes as well.

A

Rehabilitation Facilities

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28
Q

When should rehab begin?

A

when a person first seeks health care (quicker= better recovery)

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29
Q

This involves health care agencies joining together as one provider of care and has done so many services can be offered

A

Health Care Systems

30
Q

__ goes into one system.

A

Money

31
Q

What System is St. Anthony a part of? What other hospitals are in it?

A

Hospital Sisters Health System; ex. St. Antony, St. John’s, St Marys, St. Joseph’s, St. Elizabeths, Good Shepherd, Holy Family

32
Q

Health Care Systems are led by a governing body called…

A

Board of Directors or Board of Trustees

33
Q

begins suddenly, but the patient is expected to recover

Examples: Flu, COVID, pneumonia, Tonsillitis, Appendicitis

A

acute illness

34
Q

ongoing illness that begins slowly and has no cure
This type can usually be managed with treatments/medicine
Examples: Diabetes, Lupus, Asthma, Arthritis, Parkinson’s, HIV, cancer

A

chronic illness

35
Q

one which eventually ends in death

Examples: AIDS, cancer, ALS (wasting of muscles throughout)

A

terminal illness

36
Q

Staff members whose skills and knowledge are directed to the person is total care. Members work together to meet the needs of the patient. (health occ students are a part of this)

A

Health Care Team

37
Q

How many different healthcare careers are there?

A

200

38
Q

Who is the focus of the health care team?

A

patient/resident

39
Q

The nursing team consists of who? (3)

A

R.N.’s (registered nurse), L.P.N.’s (licensed practical nurses), and nursing assistants

40
Q

person gets training while working in a facility
Ex: dental assistant, phlebotomist (draw blood; in lab), dietetic assistant (prepares trays; food), pharmacy technician (pills in bottles)

A

On the job training

41
Q

high school program which prepare student for immediate employment
Ex: Health occ class- provides C.N.A. training

A

Secondary Vocational Program

42
Q

two-year course of study offered by vocational schools or community colleges
Ex: Registered nurse, Radiologic technologist (takes X-Rays), vet tech, physical therapy assistant, dental hygienist

A

Associate’s Degree

43
Q

degree offered by college or university acquired after 4 or more years
Ex: registered nurse, medical lab technologist (read slides; look @ machines), radiologic technologist, social work, psychology

A

Bachelor’s Degree

44
Q

awarded by college or university after 1 or more years beyond bachelor’s
Ex: Dietician, Occupational Therapist, Speech Language Pathologist, Social Worker, Registered Nurse (aka NP; Nurse Practitioner)

A

Master’s Degree

45
Q

awarded by college or university after 2 or more years beyond master’s degree
Ex: physician, dentist, healthcare administrator (runs hospital/nursing home; COO or CEO; Chad Markwell), psychiatrist, veterinarian, ophthalmologist (surgery on eyes), physical therapist, pharmacist, optometrist (examines eyes & prescribes)

A

Doctorate/Doctor’s Degree

46
Q

Nursing care patterns depend on how many persons need…

A

care, the staff, and the cost.

47
Q

focuses on task and jobs. (each person has own function; each nurse= different task) (not typically liked by patient)

A

functional nursing

48
Q

involves a team of nursing staff led by an RN. (St. Anthony uses) (charge nurse stays @ desk & communicates w/ doctor) (most $ efficient)

A

team nursing

49
Q

involves total care. (not really used; not $ efficient)

A

primary nursing

50
Q

involves moving services from departments to the bedside. (goes w/ any patterns ^) (MRIs & CAT scans don’t move)

A

patient-focused care

51
Q

coordinates care from admission to discharge (follows up every day)

A

Case Management-nurse case manager

52
Q

Different positions wear different colors…

A

CNA= black; case manager= blue, respiratory= brown; lab= burgundy; physical therapy= khakis & polo

53
Q

purchased by individuals and families (expensive; if job doesn’t offer)

A

private insurance plans

54
Q

covers individuals belonging to a group (typically w/ job; often offered by employer to employees)

A

group insurance plans

55
Q

type of insurance plan that provides services for a prepaid fee (reason= keep people healthy, better in long run; saves $)
Monthly fee paid, which slays the same regardless of the amount of care used

A

Health Maintenance Organization (HMO)

56
Q

HMO focuses on ______, such as immunizations and routine exams

A

preventative care (health maintenance)

57
Q

type of contracted care often offered by large companies/industries to their employees (discount).
The industry/company forms a contract with certain hospitals or physicians to provide all the care to their employees at a reduced rate.

A

Preferred Provider Organization (PPO)

58
Q

What is the disadvantage of PPO?

A

Patients must choose hospitals or doctors w/in the contract (inconvenient)

59
Q

federal govt. program (same across US)
Provides benefits for almost all individuals over the age of 65
Also provides benefits for individuals who have been disabled for more than 2 years

A

Medicare

60
Q

program offered by state govt.
Benefits vary slightly from state to state
Provides benefits for low-income individuals, children who qualify for public assistance, and individuals who are physically disabled or blind

A

Medicaid

61
Q

Method of controlling costs for Medicare and Medicaid
Length of stay and treatment costs are determined for certain diagnosis
Each diagnosis has a number called a DRG (diagnosis-related group) code (DRG forced hospitals to do good job)
Hospital is prepaid

A

Prospective Payment System

62
Q

If expenses go over the amount paid, the hospital __ money
If expenses stay under the amount paid, the hospital __ money
Encourages hospitals to be __

A

loses; makes; efficient

63
Q

The line of authority or chain of command in health care facilities
May be simple or complex, depending on the size of the facility
Indicates areas of responsibility

A

Organizational structure

64
Q

Problems or questions should always be taken to a worker’s ____

A

immediate supervisor

65
Q

OBRA stands for

A

Omnibus Budget Reconciliation Act

66
Q

OBRA law developed in

A

1987

67
Q

Requires states to establish training and competency evaluation for nursing assistants
Nursing assistants must complete state-approved program and take a written exam
Must also complete competency skills
If a nursing assistant does not work for 2 years, must retrain
Each state maintains a registry of qualified individuals

A

OBRA

68
Q

Problems are also known as

A

deficiencies or “tags”

69
Q

If problems are found…
The agency is given time, usually ___ at most, to correct the problem.
The agency can be ___ for uncorrected or serious deficiencies. (2nd chance)
The agency can lose its ___________________ (if not fixed 3rd chance)

A

60 days; fined; license, certification, or accreditation

70
Q

Your ____ is to provide quality care to patients/residents
If questioned by a surveyor, answer ___.
If you don’t know the answer, tell the surveyor the ___ and tell them you ___ the answer.

A

responsibility; honestly; truth; will find

Health Occ (4 decks)

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