IntroToHC Midterm Flashcards

1
Q

premium

A

patients paid the insurance company an agreed-upon amount

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2
Q

co-pay

A

a required set amount paid for each visit to the health care provider

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3
Q

Medicare

A

provides health insurance for people 65 and over or severely disabled people

part of Social Security

parts A-D

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4
Q

Medicaid

A

cost-assistance program to help pay medical costs for those with limited income

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5
Q

PPO

A

Preferred Provider Organization

group of hospitals that contract on a fee-for-service basis

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6
Q

HMO

A

Health Maintenance Organization

prepaid medical group practice plan providing a predetermined medical care benefit package

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7
Q

OBRA

A

Omnibus Budget Reconciliation Act

federally mandated and funded program that provides evaluations of individuals with mental health diagnoses and/or developmental disabilities entering nursing facilities

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8
Q

coding

A

number categories and codes from are inputted into the computer for billing purposes

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9
Q

priority

A

order of importance

priority is of high importance

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10
Q

accounts receivable

A

amounts due from customers for services, supplies, or equipment

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11
Q

QI

A

quality improvement

improve quality of care and decrease costs

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12
Q

QAPI

A

quality assessment and performance improvement

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13
Q

CQI

A

continuous quality improvement

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14
Q

TQM

A

total quality management

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15
Q

utilization review

A

evaluates the necessity and efficiency of health care services, procedures, and facilities

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16
Q

4 types of questions

A
  1. Close-ended- yes or no
  2. Open-ended- no answered with yes or no
  3. Probing questions- request clarification & more info
  4. Leading questions- when the answer is included in the question
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17
Q

slander

A

defamation of character in verbal form

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18
Q

libel

A

legal charge for defamation of character

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19
Q

defamation of character

A

legal charge for disclosing unauthorized info that could harm the reputation of another

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20
Q

living will

A

when a person states how they want their medical care or things distributed while they are still alive

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21
Q

informed/implied/expressed consent

A

Informed- after a procedure is explained, risks too, and the patient agrees

Implied- showing up to a dr apt, therapeutic exercises

Expressed- written consent

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22
Q

confidentiality

A

not giving away patient’s personal information, medical records, discussing cases to those who need not know

HIPPA

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23
Q

contract

A

formalized promises that are enforced by law

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24
Q

breech of contract

A

when someone fails to fulfill their part of the agreement in the contract

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25
false imprisonment
if patients are held against their will unless if they're mentally incompetent or a danger
26
assault & battery
Assault- any threatening or implied act carried out or not in which the patient feels threatened Battery- unauthorized touching of another person
28
advanced directives
written document detailing the patient's wishes regarding health care decisions
28
Edward Jenner
demonstrated that cowpox as a vaccine provides immunity to smallpox
29
Hippocrates
1. most famous Greek physician of ancient times 2. observation and conservative treatment 3. believed health was the balance of 4 humors
30
Sigmund Freud
1. Austrian neurologist 2. 1st theory- hypnosis allows patients to recall traumatic moments from their past 3. 2nd theory- repression of sexual urges as a central theme to psychological illness
31
Joseph Lister
1. applied the germ theory to his surgical practice | 2. thought bacteria could fall into open surgical wounds too
32
Florence Nightingale
founder of modern nursing
33
Louis Pastuer
1. chemist 2. proved bacteria are the cause of specific diseases in humans and animals 3. germ theory
34
Elizabeth Blackwell
1. first woman MD in the US | 2. opened the first nursing school in 1860
35
William Harvey
stated that blood circulates throughout the body within a continuous network of vessels
36
Anton VanLeuwenhoek
invented the microscope in 1666
37
Purpose of quality improvement
to reduce costs while still improving quality of care
39
fee for service
physicians determine what the procedure will be and the insurance company paid for those services
40
negotiated fee
amount negotiated between healthcare providers
40
pre-existing condition
a condition a patient already has, may have been born with
41
strains & sprains
pain and swelling, loosening of joint, sudden rear felt during exertion
42
8 first aid protocol
1. Survey the scene 2. Obtain consent 3. Determine what happened 4. Standard precautions 5. Give care 6. Have bystanders assist 7. Never move a victim 8. Stay calm
43
Golden Rule
Do no further harm
44
Good Samaritan Act
protects individuals from liability when they volunteer to give care in emergency situations
46
hyperglycemia
high blood sugar if untreated the victim may go into a diabetic coma Symptoms: excessive, hunger, thirst, urination
47
fainting
brief loss of consciousness
48
CPR use
when a person is not breathing and has no pulse
48
Good HC worker's attitude
1. Care about others 2. Have integrity 3. Be dependable 4. Work well with others 5. Be flexible 6. Be willing to learn 7. Be cost conscious
49
communication skills
1. Set up goals 2. Create the message 3. Deliver the message 4. Listen to the response 5. Offer feedback and seek clarification 6. Evaluate encounter
50
stress
the body's reaction when it responds to danger, real or imagined
51
infection control
1. PPE | 2. biohazard bags
52
PASS
how to use fire extinguisher 1. Pull the pin 2. Aim the nozzle at the base of the fire 3. Squeeze the handle 4. Sweep back and forth along the base of the fire
53
RACE
procedures to follow in case of fire 1. Remove patients 2. Activate alarm 3. Contain the fire 4. Extinguish the fire OR 4. Evacuate the area
54
standard precautions
prevents direct contact with potentially infectious body fluids (blood, secretions) washing hands, PPE
55
body's immune response
how your body naturally responds to an illness or drugs
56
viral disease
antibiotics cannot treat it
57
euthanasia
1. mercy-killing | 2. intentional death, helping someone die
58
laws & ethics
diversity, personal values
59
certification
a person has met predetermined standards
60
registration
being placed on an official registry
61
licensure
the person is granted to legally perform certain acts some vary form state to state
62
5 step problem solving method
1. Identify the problem 2. Gather information 3. Create alternatives 4. Choose a method and take action 5. Evaluate and revise as needed
63
signs
objective data what can be measured, observed, tested for
64
symptoms
subjective data pain, nausea, dizziness
65
diagnosis
the process of being tested and told you can a certain disease
66
subjective data
what is reported by the patient nausea, pain
68
Ancient Times (?A.D. 400)
1. home remedies were used and rituals to drive away evil spirits 2. chronic illness was rare 3. Hippocrates of Cos- father of medicine, diet change before drugs to fix illness
69
Medieval TImes (A.D. 400-1350)
1. Physicians were clergy men and could not perform surgery 2. Concept of quarantine as a preventative measure was recognized 3. Monks preserved medical texts so monasteries were a learning place Black Plague killed 1348 people
70
Renaissance (1350-1650)
1. Girolamo Fracastoro wrote a book about the first theory of contagious disease 2. Accurate anatomical drawings were now available for study 3. Plants were the main source of drugs
71
17th Century
William Harvey- blood circulates throughout the body 2. Anatomy and Physiology were being closely investigated 3. Specific diseases have specific cures 4. Germs were viewed under a microscope 5. The brain and psychology were studied
71
18th Century
1. Three theories were formed to explain how the body functioned 2. Surgery was respected 3. Measuring vital signs became a thing 4. More humane practices began for mental patients 5. Edward Jenner- demonstrated that cowpox as a vaccine provides immunity to smallpox
72
19th Century
1. Hospitals were built to hold many patients (industrial revolution) 2. Medical professions started developing specialty areas (peds, dermatology) 3. Human tissue could be seen at the cellular level 4. Chemistry advances were made 5. Anesthesia 6. Elizabeth Blackwell- first woman MD in the US, opened the first nursing school in 1860 7. Sigmund Freud 8. Joseph Lister
73
20th Century
1. Blood groups were discovered, transfusions were safe for the first time 2. Diabetes was no longer fatal, could be controlled with insulin 3. New treatment options used (x-ray, EKG, chemotherapy) 4. Prosthetic joint replacements performed 5. First hospice opened in England 6. Test-tube babies 7. AIDS came to be 8. First successful cloning of sheep