Legislation Flashcards
o Primarily Provincial and Territorial Government
Develop and administer it’s own healthcare insurance plan
Manage, finance, and plan insurable health care services to delivery, in compliance with Canada Health Act
Adhere to 5 principles of CHA
Negotiation of fee schedule
Manage medically necessary services not defined by CHA.
Setting policies within the province
Administering healthcare.
o Federal Government
Health transfer payments
Regulating national health standards
Set and administer the principles of the Canada Health Act
Delivery healthcare services to targeted groups (i.e First Nations)
Setting national agendas related to public health and safety, pharmaceutical and biomedical health services research
financial support to the provinces and territories
Health Protection & regulation (food, medical devices, pharmaceuticals, consumer safety,
Universal Healthcare for all citizens on 5 criteria
- Public Administration
- Provincial and territorial plans operate on a nonprofit basis
- All about funding and provincial coverage
- Comprehensiveness
- Provincial and territorial plans cover all insured healthcare services
- Determining and providing insured services
- Universality
- Includes registered residents – ensures access free of discrimination based on gender, race, income, ethnicity or religion
- Ensuring that the same level of health care is available to all
- Portability
- Includes registered residents – access to health care services in another province or territory without cost or penalty
- Continuous coverage for 3 months upon relocation within Canada
- Ensuring that each province recognizes coverage
- Accessibility
- Provide insured residents reasonable access to health care facilities and providers, based on medical need regardless of ability to pay.
- Ensuring that each person has access both to funding and location
Public Administation
Funding and Provincial coverage
Comprehensiveness
Determining and providing insured services
Universality
Ensuring that the same level of health care is available to all
Portability
- Ensuring that each province recognizes coverage
Accessibility
- Ensuring that each person has access both to funding and location
Institutional Sector
Hospitals
Long-term care facilities
psychiatric facilities
rehabilitation centres
Community Sector
Physician Offices
Public Health
Community Health Centres
Assisted Living
Home care
Occupational Health
Hospice and Palliative Care
Challenges of the Canadian Healthcare System
Sustainability
Responsive Health Care Planning and Delivery
Aging Population
Truth and Reconciliation
Geographical Distribution of Services
Sustainability
Political Economy of Health
Climate Change
Primary Health care vs Primary Care Spending
Responsive Health Care Planning and Delivery
- Human Health Care Resources
- Aging Canadian Population
- Truth and Reconciliation Calls to Action
- Geographical Distribution of Services
Aging Canadian Population
o Our health care system is primarily designed to deliver acute and emergent services with limited number of LTC facilities.
o Services will soon fail to meet the needs of our growing population of older persons.
Truth and Reconciliation Calls to Action
o Promote policy and system changes, engage Indigenous communities, promote more Indigenous HCPs.
- Primary Care
o Focuses on personal health services (family planning, immunizations,
o First point of contact for most Canadians. (see MODEL)
Family doctors
Walk in clinics
Dentists
Health Promotion
Prevention and Referral
Geographical Distribution of Services
o Canadians living in remote and rural areas must travel long distances to access services beyond the most basic healthcare (labor and delivery, speciality services)
o In remote areas where there is healthcare services, nurses provide the bulk of care.
- Secondary
o Specialist care upon referral.
Complex medical issues
Speciality care centres
Specialist doctors such as: Cardiologists (OB/GYN)
Community based services for mental health, home care, veterans care
- Tertiary
o Emergency transportation and rehabilitation (head injury related recovery programs)
o Advanced, specialized medical services (e.g., surgery, cancer care).
Hospital care
ICU/ Trama
Speciality care funded by government
- Canadian Charter of Rights and Freedoms: Focus on healthcare-related rights
o the right to equality,
o freedom of expression
o not to be deprived of life, liberty or security of a person
o protection of rights of First Nations, Inuit and Metis
- Freedom of Information and Protection of Privacy Act
o regulates how personal information is collected, used, and disclosed by public bodies. It establishes guidelines to ensure that individuals’ personal data is handled responsibly and securely
o provides mechanisms for individuals to file complaints if they believe their rights under the Act have been violated, often involving an independent oversight body
o Establishes the legislative framework for the Government of Alberta’s general policy on access to information and the protection of personal information in the public sector.
- Occupational Health and Safety Act
o this Act outlines the obligations of the employer, the worker, and the supervisors
o outlines how organizations must appoint a representative, identify hazards related to the environment and how processes and policies related to safe environments must be upheld.
o Identifies a worker’s rights to refuse dangerous work
o Identifies disciplinary actions against unsafe work environments
- Mental Health Act
o legislative framework that governs the treatment, care, and rights of individuals with mental health issues. While the specifics can vary by jurisdiction, the overarching aim is to protect the rights of individuals while ensuring they receive appropriate care and treatment for mental health conditions
- Health Information Act
o This Act governs and regulates access to and the collection, use and disclosure of health information
- Protection for Persons in Care Act
o the PPCA is designed to improve protection for adults receiving government-funded care or support services through the prevention of abuse. In addition, the Act requires reporting of abuse and independent reviews of reports of abuse.
o Abuse under this act and role of the service provider.
o Protecting vulnerable adults in care (long-term care centres)
- Personal Information Protection Act
o Protects personal information that is collected, used or disclosed by private-sector organizations in the province
o Balances the rights of individuals and the needs of organizations to collect, use and disclose personal information for reasonable purposes.
o Protects personal information that is collected, used or disclosed by private-sector organizations in the province. Balances the rights of individuals and the needs of organizations to collect, use and disclose personal information for reasonable purposes.
- Health Professions Act
o This act provides direction (governance) of all regulated healthcare professionals.
o Allows non-inclusive, overlapping scopes of practice
o Regulatory bodies called colleges
o 29 regulatory colleges in Alberta
o Protects and serves public interest
o Professional regulations
o Standards of practice
o Code of ethics
o Recent changes require regulatory colleges to no longer carry out the functions of a professional association
o Sets out a process to be followed when handling complaints and discipline
o All healthcare regulatory bodies Are under the Health Professions Act. The HPA gives the CLPNA its authority.
- Bill 21
o Your responsibility as LPN and reporting mechanism. Safe environment for the patient and reporting sexual abuse and misconduct.
1) Document, in detail, what you witness and
2) Report it and
3) Provide emotional support / care to the patient.**on exam
o Standards of Practice
o Definition of “patient”
