Healthcare

Question 1

WOrld health organization defines health:

Answer 1

a state of complete physical, mental, and social well-being and not merely the absence of disase or infirmity.

Question 2

Hollistic model of health includes:

Answer 2

spirituallity

Question 3

ADLs:

Answer 3

Acitivities of Daily living: eating, bathing, dressing, toileting, maintain continence, getting out of chiar or bed

Question 4

Primary Care

Answer 4

Longitudinal relationship between patient and clinician.

Question 5

Incidence:

Answer 5

number of new caseses within a time period

Question 6

Prevalence

Answer 6

total number of cases at a point in time.

Question 7

Team nursing

Answer 7

approaches patient care as a team

Question 8

Nursing model primary:

Answer 8

nurse stays with patient

Question 9

When does discharge planning begin?

Answer 9

When the patient is admitted.

Question 10

In 2007, how many hospitals exisited? what is the current trend?

Answer 10

5K. INvestor owned hospitals have increased non profit have decreased.

Question 11

WHat are the measures of health status for population:

Answer 11

Demographics, direct measures of health and illness (morbidty - death rate, or mortality - sickness rate….these could be crude rates or specific rates of speicifc casuation or attached to demographics), Utlization and quality.

Question 12

Medicare parts consist of what:

Answer 12

Part A - Hospital expenses, Part B - medical and physican office visits, or Part D - outpatient precription drugs,. Part D 2003, was added as part of the medicare prescription drug improvement legislation. OUtpatient prescription drugs only.

Question 13

What children’s plan falls under medicad?

Answer 13

Children’s health insurance plan (CHIP)

Question 14

Healthcare Managed Organization Staff model example:

Answer 14

Kaiser Permanente

Question 15

Medicaid and Medicare paid how much?

Answer 15

about 33%

Question 16

Government has paid about how much as a payer of helath care

Answer 16

66%

Question 17

HMO

Answer 17

Health maintenance organization - responsible for fianncing and delivery of healthcare

Question 18

IPA

Answer 18

INdepdent Practice Association. Physicians are legal members, but practice independently. IPA usuually has a board to govern IPA. THe physicians are paid on a basis of capitation, a set amount of $$ per enrollee regardless whether or not that person seeks care. IPA contract is not usually exclusive, so individual doctors or the group may sign contracts with multiple HMOs.

Question 19

Health Maintenance Organzation Act of 1973

Answer 19

fed law to enrouage creation of HMOs

Question 20

ERISA

Answer 20

Employee Retirment Income Security Act - fed law enacted to protect the interest of employee benefit plans and their beneficiaries by reqiuring disclosure, establishing stanrds of conduct for plan fiduciaries,

Question 21

What are two amendments of ERISA?

Answer 21

COBRA (Consolidated Omnibus Budget REconcilation act of 1985), provides some employees and beneficiareis with the right to continue their coverage under employer sponsor group health benefit plan for a limited time aftert he occurance of certain events that would otherwise cause termination of such coverage, such as the loss of employement..
HIPAA of 1996 also prohitbs a health benefit plan from refusing to cover an employees pre-existing medical considtions in some cercomestances (genetic info and disability for example).

Question 22

What are other relevent amendments to ERISA?

Answer 22

New borns and mothers health protection Act, mental health parity act, and woments health and cncer rights act

Question 23

PPO

Answer 23

Preferred Provider Organization. PPOs earn money by charging an access fee to the insurance comapny for the use of their network. The network. Because the patient is picking up a substanial portion of the first dollars of coverage, PPO are the least expensive types of coverage.

Question 24

Sub acute care includes:

Answer 24

Assisted Living, Long term care, home health, palliative care and hospice.

Question 25

Primary preventive care?

Answer 25

Smoking cessation….to prevent disease

Question 26

Secondary preentive care?

Answer 26

Mogmograhm…..meant to catch disease early.

Question 27

COTH hospitals?

Answer 27

Teaching hospitals.

Question 28

Non-profit have a community benefit requirement?

Answer 28

tax exempt status - 501(c)(3)

Question 29

Physicians, Credentials committee, and executive committee, will all approve physicians. then the ng board has the ultimate authroity to hire?

Answer 29

Medical Staff (physicians)

Question 30

Primary care physicians care for patients, how?

Answer 30

longintudinally

Question 31

HOpsitalists?

Answer 31

Manage inpatient care soley….care for broad patient categories.