Healthcare delivery Flashcards
Major medical insurance plans
- Health Maintenance Organization
- Point of Service
- Preferred Provider Organization
- Exclusive Provider Organization
Healthcare payment models
- Capitation
- Discounted fee-for-service
- Global payment
Federal social healthcare programs that originated from amendments to the Social Security Act
Medicare and Medicaid
Medicare is for
Elderly: MedicarE
Madicaid is for
Destitute: MedicaiD
Medicare is available to patients
> 65 years old
<65 with disabilities
End-stage renal disease
4 parts of medicare
Part A: HospitAl insurance
Part B: Basic medical Bills
Part C: Combo: A+B
Part D: prescription Drugs
Medical care focused on providing comfort and palliation
Hospice care
Prioritization of positive effects over negative effect
Principle of double effect
Medical error analysis that is retrospective
Root cause analysis
Medical error analysis that is Forward-looking
Failure mode and effects analysis