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S4 2138 > M 5 Health Policy > Flashcards

M 5 Health Policy Flashcards

1
Q

OSHA responsibilities

A

Work environment free of harm
Determine compliance with safety standards
Investigate safety events

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2
Q

Creating a workplace that is free of danger is the responsibility of the

A

employer

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3
Q

OSHA work employee rights

A

File safety complaint
Receive hazard training
Receive safety equipment
Report injury

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4
Q

OSHA information rights of the employee

A

Request records of work related injury
See results of tests taken to fine hazards

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5
Q

OSHA employers must

A

Train staff about hazards
Keep accurate records
Post OSHA info
Inform OSHA within 8h of fatality
Inform OSHA within 24h of hospitalization

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6
Q

If you file an OSHA complaint the employer can not

A

retaliate

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7
Q

When to file and OSHA complaint
Signed complaints =

A

ASAP
Onsite inspections

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8
Q

How to file OSHA complaints

A

Online
Fax
Email
Call

Visit local office

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9
Q

BON members

A

6 nurses
3 school of nursing faculty
4 representatives of the public

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10
Q

4 main jobs of BON

A

Licensure
School approval
Enforcement
Information

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11
Q

BOCN Licensure involves

A

Evaluation (testing)
Renewal (every 2 years by birth month)
Issue (in different states)
Disciplinary action (suspension, revocation)

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12
Q

Endorcement

A

Issuance of license without examination after determination of standards

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13
Q

To be endorsed you must

A

Have graduate from nursing school
Taken school exams
Taken US NCLEX within last 4 years

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14
Q

Requirements for maintaining license

A

Good character
Continued competence
No criminal record
Compliance with state provisions

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15
Q

Determination of school approval by BON based on

A

Compliance with BON requirements
Program resources
Passing rate of at least 80%

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16
Q

Classroom to clinical hours ratio

A

1 to 3

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17
Q

Nursing practice act does what

A

Determines nursing titles
Sets qualification for licensure
Sets scope of practice
Sets consequences for not following law

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18
Q

Mission of the HHS
Health and Human Services

A

Improve well being by
Providing effective health and human services

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19
Q

What HHS region is Texas in

A

region 6

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20
Q

Types of HHS programs

A

SNAP
Head start
Dietary and physical activity guidelines
Center of Medicare and Medicaid

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21
Q

Who certifies hospitals for government funding

A

CMS
Center for medicare/medicaid services

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22
Q

What does the DHSR oversee
Division of Health service Regulation

A

Healthcare facilities
Emergency services
Adult care services
Jails

23
Q

What does the DHSR oversee
Division of Health service Regulation

A

Healthcare facilities
Emergency services
Adult care services
Jails

24
Q

Medicare

A

for pt 65 or older
pt with disabilities
End stage disease pts

25
Q

Medicare A

A

Hospital insurance
(Hospital visits)

26
Q

Medicare B

A

Medical insurance
(Primary care provider)

27
Q

Medicare C

A

Combination of A and B

28
Q

Medicare D

29
Q

Medicaid

A

For low income and children

30
Q

Medicaid eligibility based on

A

Income
# of children
Pregnant women
Individuals with disability

31
Q

Medicaid service

A

Inpatient
Outpatient
Lab
Radiology
Home health
Family planning

32
Q

Fee for service reimbersement types

A

Case based
Charge based

33
Q

Case based

A

Payer reimburses provider

34
Q

Charge based

A

Payer pays based on official list of services

35
Q

Prospective payment

A

Rates are established before services

36
Q

Per procedure
Per diagnosis
Per day
Bundle

A

Pay per each procedure

Pay per diagnosis

Pay per fixed daily amount

Pay per all services for issue for however many providers

37
Q

Medicare reimbursement methods for hospitals

A

Inpatient prospective payment system
Value based purchasing
Shared savings program

38
Q

Inpatient prospective payment system principles

A

Based on inpatient diagnosis

39
Q

Value based purchasing reimbursement principles

A

Best practices
Enhanced patient experience
Quality goals achieved

40
Q

Shared payment program principles

A

provider lowers payments to patient
medicare lets provider keep different

41
Q

Readmission penalties of medicare

A

Within 30 days of
HF
Pneumonia
MI
COPD

Heart surgery
Hip surgery
Knee surgery

42
Q

Nosocomial infection penalties of medicare

A

deduction of 1%, if hospital is in top 25% of high nosocomial infection rates

43
Q

APHA
American public health association

A

Provides healthcare reports
Promotes health/wellness

44
Q

APHA values

A

Community
Science and EBP
Health equity
Prevention and wellness

45
Q

APHA provides

A

Professional support
Access to latest reports
Networking
Discounts

46
Q

Free APHA services

A

Development webinars
Continued edu
American nurses today journal

47
Q

Importance of joining professional nursing organization like ANA or APHA

A

Knowledge is power
Stay informed
Promote healthy lifestyle

48
Q

ACHC
Accreditation commission for healthcare

A

Official review process to meet regulatory standards

49
Q

Nursing school program accreditation bodies

50
Q

Benefits of being accredited

A

^ quality
^ community confidence
^ efficiency
^ competitive advantage
Transparency through external review

51
Q

Accreditation process

A

Learn - review requirements
Prepare - complete application
Sustain - participate in process

52
Q

Biggest accreditation body in US

53
Q

TJC Acomplishments

A

First to mandate Quality Assurance programs
Started quarterly evaluations

S4 2138 (9 decks)

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