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HEALTH POLICY Flashcards

1
Q

WHAT DOES THE ANA SAY ABOUT NURSING

A

NURSING PROMOTES THE DELIVERY OF HOLISTIC CONSUMER CENTERED CARE AND OPTIMAL HEALTH OUTCOMES THROUGHOUT THE LIFE SPAN AND ACROSS THE HEALTH ILLNESS CONTINUMM WITHIN AN ENVIRONMENTAL CONTEXT THAT ENCOMPASSES CULTURE, ETHICS, LAW, POLITICS, ECONOMICS, ACCESS TO HEALTH CARE RESOURCES AND COMPETING PRIORITIES

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2
Q

EACH HEALTH CARE DELIVERY ORGANIZATION HAS WRITTEN WHAT

A

POLICIES AND PROCEDURES P&Ps FOR EVERY NURSING INTERVENTION

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3
Q

POLICY AND PROCEDURE MANUALS SHOULD WHAT

A
  1. PROVIDE THE STANDARD OF CARE THAT MEETS REGULATORY/ACCREDITATION REQUIREMENTS AND PROMOTES SAFETY
  2. EASY TO ACCESS AND UP TO DATE
  3. REVIEWED ANNUALLY FOR RELEVANCE BASED ON THE CURRENT EVIDENCE
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4
Q

NATIONAL POLICIES

A

HIPAA
EMTALA
PSDA
PPACA
ADA

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5
Q

HIPAA

A

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

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6
Q

EMTALA

A

EMERGENCY MEDICAL Tx AND ACTIVE LABOR ACT

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7
Q

PSDA

A

PATIENT SELF DETERMINATION ACT

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8
Q

PPACA

A

PATIENT PROTECTION AND AFFORDABLE CARE ACT

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9
Q

ADA

A

AMERICANS WITH DISABILITIES ACT

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10
Q

PROBLEM:

INFRINGEMENT OF BASIC RIGHTS AND NEED FOR FEDERAL PROTECTIONS

LEGISLATIVE SOLUTION

A

AMERICANS WITH DISABILITIES ACT (ADA)

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11
Q

AMERICANS WITH DISABILITIES ACT (ADA)

PURPOSE

A
  1. PROMOTES INCLUSION
  2. PROTECTS THE RIGHTS OF INDIVIDUALS WITH PHYSICAL OR MENTAL DISABILITIES
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12
Q

EMPLOYERS MUST PROVIDE WHAT?

ADA

A

REASONABLE ACCOMODATION

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13
Q

INDIVIDUAL WITH THE DISABILITY HOLDS WHAT

ADA

A

THE RIGHT TO DISCLOSE

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14
Q

ADA ENSURES EQUAL OPPORTUNITY FOR PEOPLE WITH WHAT

A

DISABILITIES IN EMPLOYMENT, TRANSPORTATION, AND PUBLIC ACCOMODATIONS

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15
Q

WHAT DOES HIPAA ESTABLISH AND PROVIDE

A

ESTABLISHED PATIENT’S RIGHTS TO PRIVACY, CONFIDENTIALITY, ACCESS TO CARE
PROVIDES INSURANCE PROTECTIONS

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16
Q

IF YOU ARE NOT PROVIDING DIRECT CARE, WHAT SHOULD YOU DO TO THE PT CHART

HIPAA

A

DON’T OPEN IT

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17
Q

WHAT SHOULD YOU MAINTAIN WHEN COMMUNICATING ABOUT PATIENTS

HIPAA

A

A REASONABLE LEVEL OF PRIVACY

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18
Q

WHAT SHOULD YOU AVOID DISCLOSING ABOUT PATIENTS

HIPAA

A

PHI
PROTECTED HEALTH INFORMATION

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19
Q

WHAT PROBLEMS PROMPTED EMTALA

A

PATIENT DUMPING AND POOR PATIENT OUTCOMES

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20
Q

WHAT IS THE PURPOSE OF EMTALA

A

PROTECT PATIENTS WHO DO NOT HAVE HEALTH INSURANCE FROM BEING TURNED AWAY FROM THE ED OR SENT TO ANOTHER HOSPITAL

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21
Q

COMMON REASONS FOR EMTALA VIOLATION

A
  1. INADEQUATE STABILIZATION
  2. INADEQUATE SCREENING
  3. INAPPROPRIATE TRANSFER
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22
Q

TIPS FOR PREVENTING EMTALA VIOLATIONS

A
  1. DOCUMENT EVERYTHING
  2. DO NOT GIVE PATIENT’S ADVICE
  3. NEVER REFUSE PATIENT CARE
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23
Q

WHAT PROBLEMS PROMPTED PSDA

A
  1. INFRINGEMENT OF BASIC RIGHTS
  2. NEED FOR FEDERAL PROTECTIONS
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24
Q

PURPOSE OF PSDA

A

PROMOTE PATIENT AUTONOMY BY INFORMING PATIENTS OF THEIR RIGHTS SURROUNDING MEDICAL TREATMENT

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25
Q

WHAT ARE THE HIGHLIGHTS OF PSDA

A
  1. ADVANCED DIRECTIVE
  2. DURABLE POWER OF ATTORNEY FOR HEALTH CARE (DPAHC)
  3. GUARDIAN
  4. DO NOT RESUSCITATE (DNR)
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26
Q

WHAT IS AN ADVANCED DIRECTIVE

A

LETS PROVIDERS KNOW YOUR WISHES BEFORE YOU GET SICK IN THE EVENT YOU CAN’T SPEAK FOR YOURSELF

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27
Q

WHEN DOES A DPAHC COME INTO PLAY

A

WHEN A PSYCHOLOGIST FROM THE HOSPITAL DETERMINES PATIENT IS NO LONGER MENTALLY COMPETENT

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28
Q

WHAT PROBLEMS PROMPTED ACA

A
  1. HIGH COST OF HEALTH CARE
  2. LARGE PERCENTAGE OF AMERICANS WITHOUT HEALTH INSURANCE
  3. LIMITED ACCESS TO HEALTH CARE
29
Q

4 COMMON THEMES OF ACA

A
  1. CONSUMER RIGHTS AND PROTECTIONS
  2. AFFORDABLE HC COVERAGE
  3. INCREASED ACCESS TO HC
  4. QUALITY OF CARE THAT MEETS THE NEEDS OF PATIENTS
30
Q

LEGAL TAKEAWAYS

A
  1. FOLLOW POLICIES OUTLINED BY THE FACILITY
  2. PRACTICE EFFECTIVE COMMUNICATION
  3. BUILD RAPPORT WITH YOUR PATIENT’S
  4. DOCUMENT ACCURATELY
  5. UNDERSTAND THE LAWS THAT GOVERN PRACTICE
31
Q

WHAT IS HEALTH ACCORDING TO WHO 2018

A

STATE OF COMPLETE PHYSICAL, MENTAL, AND SOCIAL WELL-BEING, NOT MERELY THE ABSENCE OF DISEASE OR INFIRMITY

33
Q

WHAT IS HEALTHY PEOPLE

A

NATIONAL HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES DEVELOPED EVERY 10 YEARS TO IMPROVE THE HEALTH OF ALL AMERICANS

34
Q

WHEN WAS HEALTHY PEOPLE LAUNCHES

35
Q

WHAT WAS THE ORIGINAL FOCUS OF HEALTHY PEOPLE

A

REDUCING PREVENTABLE DEATH AND INJURY

36
Q

WHAT EDITION IS HEALTHY PEOPLE 2030

A

5TH EDITION

37
Q

ROLE OF THE NURSE

A

HEALTH PROMOTION
DISEASE PREVENTION

38
Q

HEALTH PROMOTION

A

IS THE PROCESS OF ENHANCING PEOPLE’S INFLUENCE OVER AND IMPROVEMENT OF THEIR HEALTH

39
Q

DISEASE PREVENTION

A

IS PRIMARY AND SECONDARY (EARLY DETECTION) PREVENTIVE MEASURES AIMED AT REDUCING THE BURDEN OF DISEASES AND ASSOCIATED RISK FACTORS

40
Q

RISK FACTORS

A

ANY ATTRIBUTE, QUALITY, ENVIRONMENTAL SITUATION, OR TRAIT THAT INCREASES THE VULNERABILITY OF AN INDIVIDUAL OR GROUP TO AN ILLNESS OR ACCIDENT

41
Q

NON MODIFIABLE RISK FACTORS

A

CONDITIONS THAT INCREASE THE RISK OF DEVELOPING A DISEASE CANNOT BE CHANGED

42
Q

MODIFIABLE RISK FACTORS

A

BEHAVIORS AND EXPOSURES THAT CAN RIASE OR LOWER A PERSON’S RISK
CAN BE CHANGED

43
Q

EXAMPLES OF NON MODIFIABLE RISK FACTORS

A

AGE
GENDER
GENETIC FACTORS
RACE AND ETHNICITY

44
Q

EXAMPLES OF RISK FACTORS THAT ARE MODIFIABLE

A

HIGH BP
SMOKING
DM
PHYSICAL INACTIVITY
OBESITY
HIGH BLOOD CHOLESTEROL

45
Q

IS A FAMILY Hx OF DM MODIFIABLE OR NONMODIFIABLE

A

NONMODIFIABLE

46
Q

IS ALCOHOL USE MODIFIABLE OR NONMODIFIABLE

A

MODIFIABLE

47
Q

LEVELS OF PREVENTION

A

PRIMARY
SECONDARY
TERTIARY

48
Q

PRIMARY PREVENTION

A

TRUE PREVENTION THAT SEEKS TO PREVENT THE INITIAL OCCURRENCE OF DISEASE OR INJURY

49
Q

SECONDARY PREVENTION

A

EARLY DETECTION AND Tx OF DISEASE WITH THE GOAL TO LIMITING SEVERITY AND ADVERSE EFFECTS

50
Q

TERTIARY PREVENTION

A

MINIMIZING EFFECTS OF LONG TERM COMPLICATIONS THROUGH INTERVENTIONS

51
Q

WHAT LEVEL OF PREVENTION IS A MAMMOGRAM

52
Q

WHAT LEVEL PREVENTION IS A HEP B VACCINE ADMINISTRATION

A

PRIMARY PREVENTION

53
Q

WHAT LEVEL OF PREVENTION IS A tPA FOLLOWING AN ISCHEMIC STROKE

54
Q

WHAT LEVEL OF PREVENTION IS HANDWASHING

A

PRIMARY PREVENTION

55
Q

WHAT LEVEL OF PREVENTION IS PARTICIPATING IN PT FOLLOWING A KNEE REPLACEMENT

A

TERTIARY PREVENTION

56
Q

HEALTH DISPARITY

A

DIFFERENCES IN HEALTH CARE OUTCOMES AND DIMENSIONS OF HEALTH CARE, INCLUDING ACCESS, QUALITY, AND EQUITY, AMONG POPULATION GROUPS

57
Q

WHAT DOES DISPARITY INCLUDE

A

POVERTY, ENVIRONMENTAL THREATS, INADEQUATE ACCESS TO HEALTH CARE, INDIVIDUAL OR BEHAVIORAL FACTORS, AND EDUCATIONAL INEQUALITIES

58
Q

VULNERABLE POPULATIONS

A

GROUPS OF PATIENTS WHO ARE MORE LIKELY TO DEVELOP HEALTH PROBLEMS BECAUSE OF EXCESS HEALTH RISKS, WHO HAVE LIMITED IN ACCESS TO HC SERVICESS, OR WHO DEPEND ON OTHERS FOR CARE

59
Q

EXAMPLES OF VULNERABLE POPULATIONS

A

POVERTY, OLDER ADULTS, DISABLED PERSONS, HOMELESS, IMMIGRANTS, INDIVIDUALS IN ABUSIVE RELATIONSHIPS, SUBSTANCE ABUSE, AND PEOPLE WITH MENTAL ILLNESS

60
Q

SOCIAL DETRMINANTS OF HEALTH

A

CONDITIONS IN THE ENVIRONMENT WHERE PEOPLE ARE BORN, LIVE, LEARN, WORK, PLAY, WORSHIP, AND AGE THAT AFFECT A WIDE RANGE OF HEALTH, FUNCTIONING, AND QUALITY OF LIFE OUTCOMES AND RISKS

61
Q

5 CATEGORIES OF SOCIAL DETERMINANTS OF HEALTH

A
  1. EDUCATION ACCESS AND QUALITY
  2. HEALTH CARE AND QUALITY
  3. NEIGHBORHOOD AND BUILT ENVIRONMENT
  4. SOCIAL AND COMMUNITY CONTEXT
  5. ECONOMIC STABILITY
62
Q

WHAT ARE SOCIAL DETERMINANTS OF HEALTH (SDOH)

A

UNDERLYING CAUSES OF HEALTH INEQUITIES

63
Q

SDOH DISADVANTAGE IS NOT WHAT

A

DETERMINISTIC

65
Q

SDOH SHAPES WHAT

A

HEALTH OVER THE LIFE COURSE

66
Q

HOW DO SDOH AND SOCIAL INJUSTICES INTERACT

A

TO PRODUCE HEALTH INEQUITIES

67
Q

WE MUST MOVE BEYOND THAT CHARACTERISTICS OF INEQUITIES TOWARD WHAT

A

SDOH MITIGATION

202 Theory (7 decks)

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