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

A

FERPA

25
Q

What does it mean by FERPA supersedes HIPPA

A

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
Q

Student health records will include

A

Vaccination records
Individualized Health Plan, Individualized Education Plan
Office visit logs
Communication with parents and health care providers

27
Q

Health in all policies (HIAP)

A

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
Q

combats health disparities and addresses the SDOH

A

Health in all policies

29
Q

SDOH

A

access to health care or translator
soical economical status

30
Q

Health insurance portability and protection act (HIPAA)

A

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
Q

Sovereign power

A

is the independent and supreme authority of the nation or state

32
Q

Can give BP without anyone any identifier and not be breaking any rules
yes or no

A

yes

33
Q

breaking Protected health information (HIPPA) if i reveal a person’s

A

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
Q

can you say a patient’s zip code

A

no, that breaks HIPPA

35
Q

Can I say a patient’s exact date patient was admitted?

A

No!!!
can say was admitted 1 day ago just not the exact date

36
Q

HI.TECH

A

is the Health information technology for economic and clinical health act

37
Q

Health information technology for economic and clinical health act

A

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
Q

Electrical medical records (EMR)

A

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
Q

Electrical health records (EHR)

A

EPIC
designed to easily share healthcare information across various healthcare settings

shows “all health history”

40
Q

Is EPIC an EMR or EHR

A

Electrical health record

“shows all health records”

41
Q

Patient self-determination act (PSDA)

A

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
Q

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

A

Patient self determination act

43
Q

Verbalize instructions to HCP and/or nurse in the absence of written instructions
Organ donation designation

A

advanced health care directives

44
Q

no CPR

A

DNR

45
Q

living will

A

written document that details health wishes

46
Q

durable power of attorney

A

– Identifies someone to manage health decisions if you are incapacitated

47
Q

Hold licensure in another state/territory and seek the right to practice in another area

A

endorement

48
Q

health disparities

A

health inequities or health behaviors

49
Q

Substance use disorder

A

when a person drinks or swallows, smokes, sniffed, or injects a mind-alter