Healthcare Systems Flashcards
Define payer
An organization or individual who provides the money to pay for health are services
Define resident
A patient who resides in a long term facility
What does JCAHO stand for
Joint commission on accreditation of healthcare organization
How is the social security administration financed ?
By payroll taxes
Which federal department is primarily responsible for the regulatory programs that affect the health industry
The DHHS
Which department in the DHHS produces and disseminate scientific research and policy-relevant information that improves the quality, reduces the cost, and enhances the effectiveness of health care
The healthcare research and quality
Which department within the DHHS does research for health related research (e.g aging,cancer, obesity)
National institutes of health
What is the patient self determination act of 1990
To uphold patient wishes, in the event an inevitable death
Who establishes the guidelines and standards for the operation and management of health are facilities with the emphasis. The health care functions crucial to patient care
The joint commission
T/f
Primary care does not do primary care
False
What kind of physician is under tertiary care
Hematologist
Endocrinologist
Oncologist
Neurosurgeons and thoracic surgeons
T/f
A women’s center is a good example of multispeciality group practice
True statement
What is a catchment area
Defines geographic area that is served by a health care program, project , or facility such as a hospital
What type of healthcare facility is an adult day care
Community based care
What are the classifications for hospitals?
Ownership Number of beds Length of stay Clinical classification Patients Organization
An non voting member is referred to as what?
Ex officio
Fill In the blank
The ______ is the principal administrative official of the hospital or healthcare facility
CEO
The joint commission standards stipulate that effective leadership of the hospital does the following three traits
Develop a strategic plan that supports the hospital
Communicates the mission, vision, and plan
Provides a framework to accomplish goals
Define
What is trauma center
An emergency care center that Is specially staffed and equipped to handle trauma patient
Who accredit the emergency department
ACS
Fill in the blank
Level 1 trauma center must admit at least ____ trauma patients per year
1200
What is the resources for optimal care of the injured patient 2006
They verify accredited ED
Fill in the blank
The facilities providing the long term care considered to be _________.
Non acute care facility
What are swing beds
Designated beds that have the flexibility of serving as acute care or post acute long-term beds.
Fill in the blank
Post hospital extended care are covered under Medicare _______.
Part a
What is the use of emerging information and communication technology, especially the internet, to improve or enable health and health care.
Ehealth
Define
Capitation
A prepaid amount is paid to the provider for each person served, regardless how much or how often the patient received health care service.
Where can a consumer check on the accreditation finding their healthcare facility?
The joint commission website
Define Emergency medical treatment and labor act?
Requires that every patient regardless of ability to pay who arrives at an ER with an emergency medial condition, including active labor be provided medical screening and stabilizing medical care.