Lecture 6 Flashcards

1
Q

a person is modifying his diet to control diabetes

what prevention is this

A

SECONDARY. event has happened. trying to halt disease progress

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2
Q

How much do we spend on healthcare annually?

about ____% of GDP ($____)

A

17%
4 trillion dollars

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3
Q

how much do we spend annually on premium payments

A

~$600-700/month for individual
23,000 for family
averages to

$12000 per year

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4
Q

true or false:

our health insurance is comparable in price to other countries

A

FALSE — ours is very expensive

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5
Q

does PPACA create a universal HC system with a single payer?

A

NO

we still have public (medicaid/medicare) and private ins

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6
Q

true or false…

cost of insurance is part of the cost of healthcare

A

true

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7
Q

explain what the cost of healthcare is

A

something you pay only if you receive healthcare (ie: copayment, coinsurance, deductible)

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8
Q

according to the mirror mirror report, what do we excel in?

A

the CARE PROCESS

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9
Q

“TO ERR IS HUMAN” is a report on…..

A

healthcare quality

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10
Q

“to err is human” was published by….

A

the NIH (national institute of health)

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11
Q

what does IOM stand for

A

institute of medicine

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12
Q

QUALITY is based on what 3 things?

A

structure, processes, and outcomes

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13
Q

when did “to err is human” get published?

A

1999

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14
Q

at least _______ and as many as ______ Americans die in hospitals each year as a result of medical errors

A

44,000-98,000

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15
Q

true or false

deaths due to medical errors exceed the deaths from motor vehicle accidents, breast cancer, and aids

A

true

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16
Q

scriptsync was invented to combat what?

A

medication nonadherence

17
Q

what is “america’s other drug problem”

A

nonadherence

18
Q

what is our annual spending tab on outpatient prescription drugs? (retail)

A

$400 billion

19
Q

nonadherence costs us around …

A

300 billion

20
Q

what does

PTCB
CPHT

stand for

A

PTCB = pharmacy tech certification board

CPHT = certified pharmacy tech

21
Q

PE = ___+____+_____

A

PATIENT ENGAGEMENT = coordination of care + continuity of care + self management

22
Q

true or false:

when patients are properly trained and managed and involved in the care process, outcomes improve

23
Q

____ and prior authorization essentially mean the same thing. they are both __________ efforts

A

pre approval

utilization management

24
Q

DUR is done in ________ review

A

quantitative

25
what does DUE stand for
Drug use evaluation
26
DUE is the same as DUR except....
DUR describes the review process in QUANTITATIVE fashion DUE describes the review process in QUALITATIVE FASHION
27