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HOSA BOWL > Healthcare Systems > Flashcards

Healthcare Systems Flashcards

1
Q

General Hospital

A

Treats a wide range of conditions of age groups.

Provides diagnostic, medical, surgical, and emergency care services

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2
Q

Specialty hospitals

A

Provides care for special conditions or age groups

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3
Q

Government hospitals

A

Operated at federal, state, and local government agencies throughout the world

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4
Q

University or medical college centers

A

Provide hospital services for research and education(funded by private and government sources)

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5
Q

Long-term care facilities (LTCs or LTCFs)

A

Provide assistance and care for elderly patients and care for individuals with disabilities

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6
Q

Residential care facilities:

A

Provide basic physical and emotional care for individuals who can’t care for themselves

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7
Q

Extended care facilities:

A

Designed to provide skilled nursing care and rehabilitative care to return to home or other LTCs

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8
Q

Independent living facilities and assisted living facilities:

A

Allows individuals to purchase or rent an apartment in a facility

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9
Q

Medical offices

A

Diagnosis, treatment, examination, basic laboratory testing, minor surgery

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10
Q

Concierge Medicine

A

Retainer medicine where an enhanced level of care is given by a physician for a monthly fee.

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11
Q

Dental offices

A

Vary from one or more dental clinics to a group/Provide general care to all age groups or specialized care for age groups

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12
Q

Surgical clinics or surgicenters:

A

Minor surgical procedures

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13
Q

Urgent, walk-in, or emergency care clinics:

A

Provide first aid or emergency

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14
Q

Rehabilitation Clinics:

A

Physical, occupational, speech, and other therapies

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15
Q

Substance abuse clinics:

A

Provide rehabilitation for drugs

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16
Q

Specialty clinics:

A

Care for specific diseases

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17
Q

Outpatient clinics:

A

Operated by hospitals or large groups, provide care for non admitted patients

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18
Q

Health department clinics:

A

Offer clinics for pediatric healthcare, the transmission of STDs, treatment for respiratory, immunizations

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19
Q

Medical center clinics:

A

College/University/Clinics for various conditions

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20
Q

Optical Centers:

A

Owned by an ophthalmologist or optometrist

Provide vision examinations, prescribe eyeglasses or contacts, check eye diseases

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21
Q

Emergency Care Services:

A

Special care for accidents and illness

Ambulances, rescue squads, emergency clinics, helicopter service

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22
Q

Laboratories

A

Perform special diagnostic tests
(Dentist - dentures and repairing/replacing teeth)

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23
Q

Home Health Care

A

Provide care in patient’s homes, older citizens

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24
Q

Hospice:

A

Provide care for terminally ill and life expectancies under 6 months

Palliative care provides comfort and support to die with dignity

Counseling for patients and family

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25
Q

Mental health facilities:

A

Treat patients with mental health disorders and diseases

26
Q

Genetic Counseling Centers

A

Work with couples or individuals who are pregnant or considering pregnancy

Prenatal screening tests, abnormalities, and birth defects explain test results, identify medical options for birth defects, help with psychological issues with genetic disorders

27
Q

Rehabilitation Facilities

A

Provide care to help patients with physical/mental disabilities obtain maximum self-care and function(therapy)

28
Q

Health Maintenance Organizations(HMOs)

A

Healthcare delivery systems and health insurance

Total health services directed toward preventive health care

Use the service of other health care facilities

29
Q

Industrial Health Care Centers

A

Occupational health clinics provide healthcare for employees of industry/business

Basic examinations, teaching accident prevention and safety, and emergency care

30
Q

School Health Care Services

A

Emergency care for victims of sudden illness and accidents

31
Q

Pharmaceutical Services

A

Link health science with chemical science

Prepares and dispenses medications and provides expertise on drug therapy

32
Q

World Health Organization(WHO)

A

International agency sponsored by UN

Complies statistics and informations on diseases

Publish health information

Investigate/address health problems

33
Q

US Department of Health and Human Services(USDHHS)

A

Deals health problems

Goal is to protect the health of all Americans

Provides grant money

34
Q

National Institutes of Health(NIH)

A

Division of the USDHHS

Researches diseases and conducts scientific studies

35
Q

Centers for Disease Control and Prevention(CDC)

A

Division of the USDHHS

Concerned with causes, spread, and control of diseases

36
Q

Food and Drug Administration(FDA)

A

Regulating food and drug products

Protect public through regulation of other things like cell phones

37
Q

Agency for Healthcare Research and Quality(AHRQ)

A

Improve quality, safety, efficiency, and effectiveness of health care

38
Q

Occupational Safety and Health Administration(OSHA)

A

Establish and enforce standards to protect workers from job injuries and illnesses

Standards on things like limits on chemicals

39
Q

Health departments

A

Health services and specific services for states/communities

40
Q

Voluntary or Nonprofit Agencies

A

Supported through donations, membership fees, fundraisers, or federal/state grants

Health care at all levels(minus international)

Organizations focus on diseases, provide funding for research, and promote education regarding research.

41
Q

The Joint Commission

A

Created to ensure patients receive highest quality healthcare

42
Q

Deductibles

A

Amount to be paid by patient for medical services

43
Q

Co-insurance:

A

Requires specific percentages of expenses to be shared by patient and company

44
Q

Co-payment:

A

Specific amount of money patient pays for service

45
Q

Preferred provider organization(PPO)

A

Provided by large industries or companies

Contracts with agencies to provide service at reduced rate

Require deductibles and co-payments

46
Q

Medicare

A

Health care for anyone over 65, people with disabilities over 2 years, anyone with kidney disease

47
Q

Type A for hospital insurance

A

Covers hospital service

Provided by extended care facility or home health agency and hospice

48
Q

Type B for medical insurance

A

Additional coverage for doctor services, outpatient treatments, therapy, clinical laboratory services

Premium and annual deductible for services

49
Q

Type D

A

Pharmaceutical(medication) expenses

50
Q

Medigap policy

A

Health insurance plan to help pay medical expenses not covered by

Medicare
Offered by private insurance companies

Require premium pay

51
Q

Medicaid

A

Medical assistance program jointly funded by governments

Pays for health care in individuals with low income, qualify for public assistance, and blind or disabled

Provide hospital services, physician’s care, long-term care services, and therapies

52
Q

Children’s Health Insurance Program(CHIP)

A

Provide healthcare to uninsured children in low income families where they can’t afford private insurance but are too eligible for Medicaid

Provides inpatient and outpatient hospital services, physician’s surgical and medical care, laboratory and X-ray tests, well-baby and well-child care

53
Q

Workers’ compensation

A

Health insurance plan providing treatment for workers injured on job

Administered by state/payments made by employers and state

Plan reimburses the worker for wages lost because of injury

54
Q

TRICARE

A

Healthcare for military personnel

Provides care for active duty members, families, survivors of military personnel, and retired members of Armed Forces

55
Q

Fee-for-service compensation

A

Health payment plan where doctors or providers are paid for each service (Set amount for each office visit, test and procedure)

56
Q

Value-based compensation

A

Doctors are paid for their performance (Quality, cost, patient satisfaction, and patient outcomes/Paid certain for diagnosis or disease)

57
Q

Health Insurance Portability and Accountability Act(HIPAA)

A

Health Care Access, Portability, and Renewability

Limits exclusions on preexisting conditions to allow continuance of insurance

Prohibits discrimination against an enrollee based on health status

Guarantees renewability in multiemployer plans

Provide special enrollment rights for individuals who lose insurance coverage

58
Q

Preventing Health Care Fraud and Abuse, Administrative Simplification and Medical Liability Reform

A

Prevents fraud and abuse and impose sanctions or penalties

Reduces costs through electronic system

Maintain confidentiality

59
Q

Tax-Related Health Provisions

A

Promotes use of medical savings accounts

Establishes standards for long-term insurance

Allows for creation of state insurance pools

Provides tax benefits for some health care expenses

60
Q

Application and Enforcement of Group Health Plan Requirements

A

Standards requiring group healthcare plans to offer portability, access, and renewability

61
Q

Patient Protection and Affordable Care Act(PPACA)

A

Affordable Care Act

HOSA BOWL (8 decks)

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