Health Policy Flashcards
course of action to deal with a problem or concern
policy
issued by national, state, or local government
public issue
specific policies involving healthcare
health policy
specifies nursing leadership that influences and shapes health policy and nursing practice
nursing policy
policies for IV insertions, management of a code, work
nursing policies
Overarching responsibility for general welfare of the population
Regulation, Funding, Guidance
Interstate Activities
recommends
Medicare
federal government
Responsibility for the health of their citizens
Central authority for theirpopulation, policy setters
State Government
Direct delivery of services to communities and families
local government
Medicare is made by
Federal
Maintain vital statistics, health data
Medicare: Nationwide coverage
federal government
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
State
who maintains vital statistics and who collects it and who does and documents
Federal: maintains
State: collects
Local: documents
Vitial Statistics
Birth and death rates in state
Medicaid is done at the _______ level
State and focus on prevention
mental health hospitals and funds medical schools
state
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
local
someone is born, when channels does it go through
Local: documents birth
state: collects all the date
federal: maintains all data to look at it on a national level
Act that’s goal is to decrease negative health outcomes
Have a standard preventive care panel
Increasing insurance for ppl at risk
ACA: affordable care act: Obama care
federal government enacted the ACA but….
state fought the bill bc they cant pay for it
ACA explained Medicaid and reduced the cost of health care and it shifted the focus to ____ care
preventative care
Evidenced based screenings: colorectal, cervical, breast, heart, lung, drug/alcohol, mental health
Contraception
HIV PrEP (Pre-exposure prophylaxis)
__________ act that protects individuals with disabilities from being discriminated
American with disabilities act
Enforces equity
Disabled individuals should have the same opportunity to participate in American life
“Reasonable Accommodation”
physical or mental impairment that substantially limits major life activities
Disability
done to reduce the number of uninsured Americans
Affordable care act
________supersedes HIPAA
FERPA
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
Student health records will include
Vaccination records
Individualized Health Plan, Individualized Education Plan
Office visit logs
Communication with parents and health care providers
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.
combats health disparities and addresses the SDOH
Health in all policies
SDOH
access to health care or translator
soical economical status
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
Sovereign power
is the independent and supreme authority of the nation or state
Can give BP without anyone any identifier and not be breaking any rules
yes or no
yes
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
can you say a patient’s zip code
no, that breaks HIPPA
Can I say a patient’s exact date patient was admitted?
No!!!
can say was admitted 1 day ago just not the exact date
HI.TECH
is the Health information technology for economic and clinical health act
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
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
Electrical health records (EHR)
EPIC
designed to easily share healthcare information across various healthcare settings
shows “all health history”
Is EPIC an EMR or EHR
Electrical health record
“shows all health records”
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
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
Verbalize instructions to HCP and/or nurse in the absence of written instructions
Organ donation designation
advanced health care directives
no CPR
DNR
living will
written document that details health wishes
durable power of attorney
– Identifies someone to manage health decisions if you are incapacitated
Hold licensure in another state/territory and seek the right to practice in another area
endorement
health disparities
health inequities or health behaviors
Substance use disorder
when a person drinks or swallows, smokes, sniffed, or injects a mind-alter
