module 1 Flashcards

1
Q

what is concerned with “health outcomes, patterns of health determinants, and policies and interventions that link these two”

A

population health

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2
Q

what “works to track disease outbreaks, prevent illness and injuries and shed light on why some of us are more likely to suffer from poor health than others.”

A

public health

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3
Q

what is again primarily organized around a geographical area, shares the same goals with population and public health. The major difference is how to achieve those goals. The interventions and methods change based on the community being studied and served.

A

community health

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4
Q

what is the concept that every outlier (illness/disparity) can be traced back to a cause. Always starts with assessment

A

causality

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5
Q

In a broad sense, what are the Essential Public Health Services?

A

The 10 Essential Public Health Services provide a framework for public health to protect and promote the health of all people in all communities.

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6
Q

in step 1 of the community health assessment, what is being reflected on?

A

Review previous CHAs to identify what worked well, what processes could improve, and whether your implementation strategies have achieved objectives.

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7
Q

what happens during stage 1 of the community health assessment

A

refelct and strategize
-Examination of previous strategies, receiving feedback, reviewing data sources, establish the infrastructure, obtain leadership support, build team, identify resources.

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8
Q

what questions should be considered in stage 1 of the CHA?

A
  • How has health equity been central to your previous assessment processes?
  • What elements of your assessment worked well?
  • What elements would you like to approach differently in this cycle?
  • Did your implementation strategies achieve their intended impact? Why or why not?
  • How successful were your community engagement efforts in the last cycle? Were you able to maintain community member partnerships throughout the assessment?
  • How involved was the community in developing the implementation strategies?
  • How effective were you in identifying and engaging all community voices?
  • How effective were you in consistently sharing information with the community?
  • What additional stakeholder organizations could you invite to the table?
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9
Q

what feedback should be found in stage 1 of the CHA

A

CHA findings / progress on health improvement, perceived power imbalances between partners, planned next steps, current programs resulting from the CHA, current program outcomes.

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10
Q

what resources should be planned for in stage 1 of the CHA?

A
  • Staff time (existing staff or hired consultants)
  • Assessment design (including scope and objectives)
  • Data collection and analysis
  • Facilitation of collaboration, planning and priority-setting exercises
  • Data visualization technology
  • Report writing, production and dissemination
  • Operational expenses, including meeting supplies and communications costs
  • Costs for community meetings, forums and focus groups and any associated honoraria for participants
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11
Q

in stage 2 of the CHA, why should engaging stakeholders be a deliberate process?

A

CHA developers and community stakeholders may have different ideas of what engagement looks like. To reach consensus, community stakeholders and hospital-based CHA developers work together to define their roles and responsibilities and agree upon expectations for involvement. Ensuring a shared understanding of CHA goals and expectations will facilitate collaboration.

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12
Q

What are examples of assets to map in stage 2 of the CHA?

A

Agriculture, business, community information, culture, education, environment, government, health care, housing, community, public health/safety, religion, social services, sports/rec, transportation.

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13
Q

What is the purpose of a consensus committee in stage 2 of the CHA?

A

Provides varied perspectives to guide the CHA process.

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14
Q

What are some identified considerations for data collection in
stage 4 of the CHA?

A
  • What data can be contributed by your internal and external partners and stakeholders, and in what form will they transmit it to you?
  • Will the collected data be new, updated from prior CHAs, or both?
  • What system(s) and processes will be used to receive and integrate the data you are gathering?
  • What internal and external resources are available to provide support to integrating and analyzing data?
  • How do the metrics you are planning to report align with your hospital’s overall strategic dashboard or key performance indicators?
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15
Q

How can national data sets helpful in stage 4 of the CHA?

A

Helps find root cause of issues?????

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16
Q

How can the organization collect community—engaged primary data (step 4 CHA)?

A
  • Community surveys: Written surveys distributed widely to the community on paper, online or via a verbal canvassing process
  • Key stakeholder interviews: One-on-one conversations between trained facilitators and community stakeholders
  • Focus groups: Group-based conversations of five to 10 participants led by a trained facilitator
  • Town hall meetings: Communitywide meetings led by a trained facilitator.
17
Q

what are the levels of the health impact pyramid from larger impact to smaller impact (bottom to top)

A

-socioeconomic factors
-changing the context to make individuals default decisions healthy
-long lasting, protective interventions
-clinical interventions
-counseling and education

18
Q

examples of community assessment parameters

A

geography, population, environment, industry, education, recreation, religion, communication, transportation, public services, political organization, community development/planning, disaster programs, health statistics, social problems, health professionals, health professional organizations, communtiy services

19
Q

which leading health indicators are not changing

A

New Cases of Diabetes
Sexually Active Females Receiving Reproductive Health Services
Obesity Among Children and Adolescents
Binge Drinking in Adults

20
Q

which leading health indicators are getting worse

A

Oral Health Services Utilization
Adolescents with a Major Depressive Disorder within the past 12 Months
Suicide rates

21
Q

This refers to the conditions in the environments where people are born, live, work, play, worship or congregate, etc. that affect a wide range of health and quality of life concerns

A

social determinants of health

22
Q

which health model is where people pay a fee to a fund that in turn pays health care activities, that can be provided by State-owned institutions, other Government body-owned institutions, or a private institution.

A

bismark

23
Q

which health insurance model is where the government provides health care for all its citizens through income tax payments

A

Beveridge

24
Q

uses private-sector providers; payment comes from government-run insurance program that all citizens fund through a premium or tax

A

national model

25
Q

which insurnace model is where everything is through the private sector: insurance paid by employees or citizens; providers are private.

A

provate insurance model

26
Q

describe the transparency and coverage act

A

-hospitals and public facilities have to publicly post explanations of prices of procedures and services. Have to disclose how much they are charging insurance companies for it as well.
-Provides a “good faith estimate”

27
Q

describe the no surprises act

A

-Prevents patient from getting a surprise bill (Patient is covered and goes to a compatible facility, but a member of the team is not from the company -> surprise bill
-Example: giving birth, anesthesiologist is not in-network, extra bill from anesthesiologist
-If the bill is $400 above good faith estimate, you can dispute it.

28
Q

describe part D changes of the inflation reduction act

A
  • Starting in 2025, beneficiaries will not have to pay more than $2000/year for Part D drugs.
  • The income threshold for for beneficiaries to qualify for a subsidy to help pay for Part D out-of-pocket costs will increase from 135% of the federal poverty level ($18,347 for an individual in 2022) to 150 percent ($20,385 for an individual in 2022).
29
Q

who qualifies for medicare?

A

65 and older, younger people with disabilities, and people with end stage renal disease

30
Q

describe the different parts of medicare

A

part A= hospital coverage
part B= medical insurance
part C= includes A, B, and D, and also covers other benefits like vision, dental, hearing
part D= drug coverage

31
Q

who is eligible for medicaid?

A

low-income families/people), qualified pregnant women, and children and individuals receiving supplemental security income (SSI). (offered by states)

32
Q

_____ is a term used to describe a wide variety of patient care coordination programs in acute care hospitals, long term care facilities and other community settings

A

case management

33
Q

a collaborative process that assesses, plans, implements, coordinates, monitors, and evaluates the options and services required to meet the client’s health and human service needs

A

case management

34
Q

what is case management in community health settings

A

care coordination

35
Q

important benefits of care coordination

A

improved patient quality of life, increased patient independence and better health outcomes

36
Q

not a card but study the kaplan next gen!!!

A
37
Q

what are the 5 core competencies of case management

A

assessing impending factors
coordinate services
navigate financing
knowledge of nursing concepts
knowledge of community resources

38
Q

What are the umbrella terms for the 10 essential public health services

A

assessment, assurance, policy development

39
Q

what are the 5 social determinants of health

A

-health and health care
-social and community context
-neighborhood and built
-education
-economic stability