Other Flashcards
preventable adverse drug event
harm experienced because of a medication due to a preventable error
ameliorable adverse drug event
harm experienced by a patient due to medication where severity of duration could be substantially reduced if different actions had been taken
strategies to reduce error
do not use problematic abbreviations
do not hand write prescriptions
double check
use computerized order entry
communication with patient - information, check understanding, verbal and written instructions
IHI Triple Aim
improving the patient experience of care
improving health of populations
reducing per capita cost of health care
patient-centered medical home
a medical home that is not just a place but as a model of the organization of primary care that delivers the core functions of primary health care
relationship-based primary care that meets the individual patient and family’s needs, preferences, and priorities
five functions and attributes of the medical home
comprehensive care
patient-centered
coordinated care
accessible services
quality and safety
What are some ways that the Affordable Care Act improves insurance quality?
young people stay on their parent’s insurance till 26
preventative services must be covered without cost
closing Medicare Part D donut hole
all plans must have a floor that will cover essential health benefits
How does the Affordable Care Act protect consumers?
nobody can be denied coverage or charge higher premiums because of pre-existing conditions
women cannot be charged higher rates than men (gender rating)
no lifetime limits on care
iinsurance cannot drop coverage for any reason except fraud or intentional misrepresentation
three factors that determine an individual’s premium
age - 3x more for older adults
tobacco use - up to 1.5 times more
where you live
Affordable Care Act pathways of access and pay for coverage
marketplace, medicaid, financial assistance
Get Covered Illinois
one-stop shop for all health insurance options
periods of open enrollment
only qualified plans can be sold on the marketplace
existing medicaid programs
All Kids - covers children under a certain income regardless of immigration status
FamilyCare - covers parents of children under 19 under a certain income
Moms and Babies - covers pregnant women under a certain income regardless of immigration status
Medicaid for the Aged, Blind, and DIsabled - provides coverage for older adults and disabled people under a certain income
in-person assistance - navigators
federal and state funds
duties to promote outreach, facilitate enrollment, provide ongoing support
cannot be hired by insurance providers
in-person assistance - certified application counselors (CACs)
volunteers, no funding
participate in similar tranings as navigators and IPAs
