Health Policy Flashcards

1
Q

course of action to deal with a problem or concern

A

policy

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2
Q

issued by national, state, or local government

A

public issue

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3
Q

specific policies involving healthcare

A

health policy

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4
Q

specifies nursing leadership that influences and shapes health policy and nursing practice

A

nursing policy

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5
Q

policies for IV insertions, management of a code, work

A

nursing policies

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6
Q

Overarching responsibility for general welfare of the population
Regulation, Funding, Guidance
Interstate Activities
recommends
Medicare

A

federal government

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7
Q

Responsibility for the health of their citizens
Central authority for theirpopulation, policy setters

A

State Government

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8
Q

Direct delivery of services to communities and families

A

local government

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9
Q

Medicare is made by

A

Federal

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10
Q

Maintain vital statistics, health data
Medicare: Nationwide coverage

A

federal government

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11
Q

Collaborate with federal government
Collect vital statistics, health data
Vital statistics: born and death rates
License health care providers and facilities
Establish health codes
Regulate insurance
Funding
Mental health hospitals, state funded medical schools,
Medicaid: Coverage varies by state (horizon NJ)
Pay little or nothing
Eligibility determined by states, but usually have specific income requirements

A

State

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12
Q

who maintains vital statistics and who collects it and who does and documents

A

Federal: maintains
State: collects
Local: documents

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13
Q

Vitial Statistics

A

Birth and death rates in state

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14
Q

Medicaid is done at the _______ level

A

State and focus on prevention

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15
Q

mental health hospitals and funds medical schools

A

state

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16
Q

Implement health code
Capture vital statistics, health data
Service to the uninsured in public hospitals or clinics
Provide programs that meet the need of the public
Specific services: community health,environmental health, mental health
Doing a documenting directly

A

local

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17
Q

someone is born, when channels does it go through

A

Local: documents birth
state: collects all the date
federal: maintains all data to look at it on a national level

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18
Q

Act that’s goal is to decrease negative health outcomes
Have a standard preventive care panel
Increasing insurance for ppl at risk

A

ACA: affordable care act: Obama care

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19
Q

federal government enacted the ACA but….

A

state fought the bill bc they cant pay for it

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20
Q

ACA explained Medicaid and reduced the cost of health care and it shifted the focus to ____ care

A

preventative care
Evidenced based screenings: colorectal, cervical, breast, heart, lung, drug/alcohol, mental health
Contraception
HIV PrEP (Pre-exposure prophylaxis)

21
Q

__________ act that protects individuals with disabilities from being discriminated

A

American with disabilities act

Enforces equity
Disabled individuals should have the same opportunity to participate in American life
“Reasonable Accommodation”

22
Q

physical or mental impairment that substantially limits major life activities

A

Disability

23
Q

done to reduce the number of uninsured Americans

A

Affordable care act

24
Q

________supersedes HIPAA

25
What does it mean by FERPA supersedes HIPPA
Only will disclose a patient’s medical records if EMS needs it to come a get a child Any record at a school is considered educational record Things are apart of the plans to allow the child FOR TREATMENT PURPOSES ONLY Teachers can know if a patient has seizures or asthma and nurse can notify teachers School nurses can speak to outside health care providers to clarify treatment orders
26
Student health records will include
Vaccination records Individualized Health Plan, Individualized Education Plan Office visit logs Communication with parents and health care providers
27
Health in all policies (HIAP)
a collaborative approach that integrates and articulates health considerations into policymaking across sectors to improve the health of all communities and people. HiAP recognizes that health is created by a multitude of factors beyond healthcare and, in many cases, beyond the scope of traditional public health activities. The HiAP approach provides one way to achieve the National Prevention Strategy and Healthy People 2020 goals and enhance the potential for state, territorial, and local health departments to improve health outcomes. The HiAP approach may also be effective in identifying gaps in evidence and achieving health equity.
28
combats health disparities and addresses the SDOH
Health in all policies
29
SDOH
access to health care or translator soical economical status
30
Health insurance portability and protection act (HIPAA)
Increases safety around use and disclosure of Protected Health Information (PHI) Keep PHI confidential, only use it when necessary Use passwords and safeguards Notify if breaches occur Health care providers, health plans and entities can disclose client information if Legally required For public health efforts Instances of abuse, neglect or intimate partner violence Prevent imminent threat to health and/or wellbeing Government function and workers compensation
31
Sovereign power
is the independent and supreme authority of the nation or state
32
Can give BP without anyone any identifier and not be breaking any rules yes or no
yes
33
breaking Protected health information (HIPPA) if i reveal a person's
name zip code birthdate fax number email address social security number exact age of a patient older than 89!!! email address account numbers twitter handle
34
can you say a patient's zip code
no, that breaks HIPPA
35
Can I say a patient's exact date patient was admitted?
No!!! can say was admitted 1 day ago just not the exact date
36
HI.TECH
is the Health information  technology for economic and clinical health act
37
Health information  technology for economic and clinical health act
Adopted use of health information technology to increase quality of health care, engage patients in their own care Improved efficiency and coordination among HCP Patient engagement: access to health information through patient portals is the EMRs and EHRs
38
Electrical medical records (EMR)
the digital version of a paper chart from one provider only cant be shared w another healthcare provider the information does not move outside the healthcare setting used for dx and tx only Just shows this medical record
39
Electrical health records (EHR)
EPIC designed to easily share healthcare information across various healthcare settings shows "all health history"
40
Is EPIC an EMR or EHR
Electrical health record "shows all health records"
41
Patient self- determination act (PSDA)
Makes a patient aware of decision-making rights in their state and within the facility Right to make their own health decisions Accept or refuse treatment Create an advanced health care directive Acknowledge, Document prior Advanced Health Care Directives and make staff aware Elements of a nurses' report
42
Makes a patient aware of decision-making rights in their state and within the facility Right to make their own health decisions Accept or refuse treatment Create an advanced health care directive Acknowledge, Document prior Advanced Health Care Directives and make staff aware Elements of a nurses' report
Patient self determination act
43
Verbalize instructions to HCP and/or nurse in the absence of written instructions Organ donation designation 
advanced health care directives
44
no CPR
DNR
45
living will
written document that details health wishes
46
durable power of attorney
– Identifies someone to manage health decisions if you are incapacitated
47
Hold licensure in another state/territory and seek the right to practice in another area
endorement
48
health disparities
health inequities or health behaviors
49
Substance use disorder
when a person drinks or swallows, smokes, sniffed, or injects a mind-alter