NUR 116 - Week 8 - Health Care Delivery

Question 1

Explore the structure of the health care delivery system

Question 2

Describe the financing, funding, and resource management of health care services:

MEDICARE

Answer 2

-Federal program
-Over 65
- Some disabled
-End-stage renal disease

Part A: Hospitalization, nursing facilities, some hospice care
Part B: Doctor’s services, PT/OT, home health care
Part D: Prescription Drugs

Question 3

Describe the financing, funding, and resource management of health care services:

MEDICAID

Answer 3

• State and federal funded
• Below the poverty level

Question 4

Describe the financing, funding, and resource management of health care services:

CHILDREN’S HEALTH INSURANCE PROGRAM (CHIP)

Answer 4

• Children who many not meet Medicaid requirements, but need health coverage
• State is mandated to provide well-baby, well-child, dental, behavioral and vaccines

Question 5

Describe the financing, funding, and resource management of health care services:

PRIVATE INSURANCE

Answer 5

• Not provided by a government agency
• Complex rules for reimbursement,

Question 6

Describe health care disparities and the effect of social determinants of health

Question 7

Discuss acute, long-term, and community health care settings and service

Question 8

Discuss the role of inter professional health care team members in the delivery of client care

Question 9

Define Magnet Program

Answer 9

Recognizes acute care facilities that demonstrate excellence in nursing based upon five categories:

-Structural empowerment​
-Exemplary professional practice​
-New knowledge, innovations, or improvements​
-Transformational leadership​
-Empirical outcomes

Question 10

Pathway to Excellence Program

Answer 10

Program for long-term or outpatient facilities for excellence

Question 11

Define HAIs for NUR 116

Answer 11

HOSPITAL acquired infection

• 118 was *healthcare, but 116 says it’s *hospital