Health Policy Systems Flashcards
international government health agencies
WHO works with united nations; motto: Health for all
federal health agencies
US department of health and human services
CDC and CMC
department of justice
state government health agencies
coordinate health efforts between local health departments
local government health agenies
local health departments
carry out many direct care services
direct services
screenings, immunizations, primary care, mostly carried out by local or state, federal-military, prisoners
financing government health care function
medicare, medicaid, state childrens health insurance program, healthcare professionals training, fund research
information
collect, analyze, and disseminate data about health care and health status (vital statistics, morbidity and mortality rate)
public protection
allowed by US constitution; protect public’s health (air and water products), food/drug control, minimum drinking age
policy setting
primary government function, all levels of government make policies
policy
guides action, law may result from it
health policy
impact how health care is financed, distributed, impacts health care system
family policy
health or social policies that impact families (section 8, food stamps (SNAP), FMLA) K-Tap
executive branch of government
suggests, administers, and regulates policy
signs laws
vetoes laws
pardons people
appoints federal judges
elected for 4 yrs
legislative branch of government
identifies problems; proposes, debates, passes, and modifies laws to address those problems
makes laws
approves presidential appointments
two senators from each state
number of congressmen is based on population
judicial branch of govrnment
interprets laws; interprets states’ rights to provide health services to citizens
decides if laws are constitutional
are appointed by the president
9 justices
can overturn rulings by other judges
Kentucky Federal Health Regulations
pure food and drug act (1906)
Children’s Bureau Act (1912)
social security act (1935, 1965, 1972)
occupational health and safety act (1970)
Family support act (1988)
Welfare Reform Act (1996)
public health act (1944)
consolidated all existing public health legislation
health services for migratory workers
family planning services
health research facilities
national institutes of health
nurse training acts
prevention and primary care services
rural health
mental health parity an addiction equity act (2008)
insurers must pay the same for mental illness as they would for other health conditions
patient protection and affordable care act (obamacare) 2010
health insurance exchanges
medicaid expansion
individual mandates
emphasis on preventative care
insurer regulations
potential overturn or revision with new administration
tax cuts and jobs acts (2017)
starting 2019, individual mandate is removed
families can deduct any medical expenses that exceed 7.5% of their income, before the act it was 10%
scope of practice
defined by nurse practice act, each state has their own, act also sets educational qualifications
professional negligence
malpractice, act or failure to act that leads to injury of client; nursing students- same law apply to them as to professionals
issues to consider in community health settings- school and family health
mandated immunizations, physical exams before entering school; nurses must report suspected abuse
issues to consider in community health settings- occupational health
report workers exposed to toxins and on the job injuries; workers have the right to know all toxins that they will encounter
issues to consider in community health settings- home care and hospice
stringent rules because of medicare and medicaid, documentation services provided when and by who; right to die with dignity, use of living wills
issues to consider in community health settings- correctional health
all prisoners to have physical exam after sentenced; must receive basic care, very specific laws
florence nightingale
founder of modern nursing
sojourner truth
abolitionist and women’s rights activist
clara barton
founded the red cross
Lilliam Wald
pioneer of public health nursing
Lavinia Dock
social activist; supported nursing practice legislation
mary brekenridge
school of nurse/midwife
advocacy
the act or process of supporting a cause or proposal
garner attention and focus on a particular topic for a given community
lobbying
to promote (something, such as a project) or secure the passage of (legislation) by influencing public officials
targeted effort aimed at those in positions of power such as legislators or public officials to influence public policy or develop legislation
** all lobbying is advocacy, however, not all advocacy is lobbying
kentucky pregnant workers act
reasonable accommodations for pregnancy, child birth, or related medical conditions
