Healthcare Delivery Systems

Question 1

Extended care facilities usually care for someone for how long?

Answer 1

Over a month

Question 2

Hospital lengths of stay have increased in recent years.

True or false?

Answer 2

False

Question 3

What provides custodial care for people who can’t live on their own but aren’t sick enough for hospitalization?

Answer 3

Nursing Homes

Question 4

What specifically does a nursing home provide?

Answer 4

Provides a room, custodial care, and recreation

Question 5

What does a rehabilitation center provide?

Answer 5

Extended care for people with physical and mental illness

Question 6

Rehabilitation Center services can be inpatient, outpatient, or a combination of both.

True or false?

Answer 6

True

Question 7

Custodial Care =

Answer 7

Help with ADLs

Question 8

Skilled Care =

Answer 8

Wound care, infusions, ongoing monitoring of care, etc.

Question 9

What are the 2 main types of care that Skilled Nursing Facilities provide?

Answer 9

Skilled Care
Custodial Care

Question 10

The goal of Assisted Living is to-

Answer 10

Bridge the gap between institutionalization and independence

Question 11

At what kind of facility does a nurse have a limited presence?

Answer 11

Assisted Living Facillities

Question 12

At Assisted Living Facilities,
Residents are able to =
But require assistance with =

Answer 12

residents are able to = Perform self-care

But require assistance with = Meals, housekeeping, education

Question 13

Ambulatory Care Centers =

Answer 13

Private health and medical offices, clinics, and outpatient therapy centers. Low-cost retail clinics in shopping centers, pharmacies, etc.

Question 14

Typically, Ambulatory Care Centers only treat-

Answer 14

Common ailments and refer serious illnesses to specialists.

Question 15

Chemotherapy and outpatient surgery are both examples of-

Answer 15

Ambulatory Care

Question 16

Home Health Agencies provide-

Answer 16

Continuing care to patients after hospitalization

Question 17

Home care is provided when patients are-

Answer 17

Homebound/ unable to get to ambulatory care centers.
The client prefers to receive care in the home (particularly in terminal illness).
When a client still needs skilled care but is discharged from the hospital because reimbursable length of stay has expired.

Question 18

Community/ Public Health Centers provide-

Answer 18

Services to the community at large, at-risk populations

Question 19

Where may Community/ Public Health Centers be available?

Answer 19

Churches, schools, shelters, workplaces, public clinics, etc.

Question 20

Independent Living Facilities are designed for seniors 55 or older who are-

Answer 20

Independent in all aspects + want to live in a community with other senior citizens.

Question 21

The benefits of Independent Living Facilities include-

Answer 21

No responsibility of home ownership (lawn work, home repairs,etc.)

Access to structured activities, transportation arrangements, fitness centers, pools, and quiet environments.

Question 22

What may nurses provide at Independent Nursing Facilities?

Answer 22

Periodic health screenings & health information

Question 23

On a basic level, care is categorized by degree of complexity into-

Answer 23

Primary, secondary, and tertiary care

Question 24

Health promotion, preventative services, health education, and screening for the early detection of health problems are all examples of -

Answer 24

Primary care

Question 25

Diagnosing and treating illnesses, disease, and injury are all examples of-

Answer 25

Secondary Care

Question 26

Long-term rehab services and care of the dying are both examples of -

Answer 26

Tertiary care

Question 27

End of life care promotes-

Answer 27

Comfort, the maintaining of quality of life, the promotion of dignity, and the ease of the emotional burden of death.

Question 28

If you’re terminally ill, you have a disease that-

Answer 28

Can’t be cured, and it will eventually lead to your death

Question 29

MDs and DOs are both-

Answer 29

Physicians

Question 30

What’s the role of a physician?

Answer 30

To treat disease and illness through medical + surgical services.

Question 31

Physicians that only provide care in hospitals are referred to as-

Answer 31

Hospitalists

Question 32

Why are more physicians choosing to be hospitalists?

Answer 32

Because of the guaranteed salary and limited practice hours

Question 33

A Physician’s Assistant (PA) =

Answer 33

Diagnose + treat certain diseases and injuries. Must practice under a physician

Question 34

PAs function like nurse practitioners, but they are not-

Answer 34

Independently licensed

Question 35

Nursing Assistive Personnel (NAP) =

Answer 35

Describes nursing assistants, aides, and technicians in a variety of settings.

Question 36

What does a NAP provide?

Answer 36

Custodial care under the direction of doctors and nurses

Question 37

PT=

Answer 37

Physical Therapist

Question 38

OT =

Answer 38

Occupational Therapist

Question 39

RT =

Answer 39

Respiratory Therapist

Question 40

SLT =

Answer 40

Speech & Language Therapist

Question 41

What do Lab Techs examine and why?

Answer 41

Blood, urine, tissue, and other bodily fluids to aid in diagnosis and treatment of patients

Question 42

EMT =

Answer 42

Emergency Medical Technologist

Question 43

What does an EMT do?

Answer 43

Work for ambulance and transport services to stabilize + transport injured and ill clients

Question 44

RD =

Answer 44

Registered Dietician

Question 45

Who prepares and dispenses meds in various healthcare settings?

Answer 45

Pharmacists

Question 46

Pharmacists provide-

Answer 46

Education about meds. Contraindications, side effects, adverse reactions, etc.

Question 47

Social Workers provide-

Answer 47

Psychosocial support + patient services throughout the healthcare field to coordinate continuity of care.

Question 48

Social Workers can council clients on-

Answer 48

Financial, housing, marital, and family issues affecting healthcare

Question 49

Social Workers identify-

Answer 49

Patient needs for community based support and help arrange for services after discharge

Question 50

Chiropractors, Naturopaths, and Herbalists are all examples of-

Answer 50

Alternative Care Providers

Question 51

Spiritual Care Providers may work at-

Answer 51

Healthcare facilities or may be available on-call

Question 52

Medicare, Medicaid, CHIP, and Specialty & Categorical Programs are all examples of-

Answer 52

Government (Public) Financing

Question 53

Government healthcare coverage that provides for children who may not meet Medicaid’s requirements but need healthcare coverage =

Answer 53

CHIP (Children’s Insurance Program)

Question 54

Government healthcare coverage for a client who meets eligibility requirements based on the client’s income in relation to the poverty level =

Answer 54

Medicaid

Question 55

Government healthcare coverage for a client who’s 65 or over, under 65 with disabilities, or any age with End Stage Renal Disease (ESRD) =

Answer 55

Medicare

Question 56

Specialty Programs =

Answer 56

Healthcare to veterans

Question 57

The most prominent accrediting body to ensure that entry-level programs prepare personnel to deliver safe care =

Answer 57

The Joint Commission (TJC)

Question 58

DRGs =

Answer 58

Diagnoses Related Groups

Question 59

The introduction of DRGs forced hospitals to-

Answer 59

Consider new ways of delivering care + Created a number of changes in patient care

Question 60

The introduction of DRGs caused what changes to occur?

Answer 60

The length of stays in hospitals to decrease, the costs of managing large facilities to increase, a reduced staffing and a more stressful environment for nurses, service availability decrease, etc.

Question 61

Managed Care is designed to-

Answer 61

Control healthcare costs

Question 62

How do providers & facilities ensure quality care?

Answer 62

Continuous quality improvement programs, audit programs, peer reviews

Question 63

Form of negotiating that allows nurses to seek better wages and working conditions as a group rather than individually =

Answer 63

Collective Bargaining

Question 64

Divergence between high-tech and high touch care is a-

Answer 64

Challenge in healthcare