Healthcare delivery Flashcards

1
Q

Major medical insurance plans

A
  1. Health Maintenance Organization
  2. Point of Service
  3. Preferred Provider Organization
  4. Exclusive Provider Organization
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2
Q

Healthcare payment models

A
  1. Capitation
  2. Discounted fee-for-service
  3. Global payment
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3
Q

Federal social healthcare programs that originated from amendments to the Social Security Act

A

Medicare and Medicaid

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4
Q

Medicare is for

A

Elderly: MedicarE

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5
Q

Madicaid is for

A

Destitute: MedicaiD

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6
Q

Medicare is available to patients

A

> 65 years old
<65 with disabilities
End-stage renal disease

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7
Q

4 parts of medicare

A

Part A: HospitAl insurance
Part B: Basic medical Bills
Part C: Combo: A+B
Part D: prescription Drugs

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8
Q

Medical care focused on providing comfort and palliation

A

Hospice care

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9
Q

Prioritization of positive effects over negative effect

A

Principle of double effect

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10
Q

Medical error analysis that is retrospective

A

Root cause analysis

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11
Q

Medical error analysis that is Forward-looking

A

Failure mode and effects analysis

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