Present Day Health Care Flashcards
health care is a ________ a day industry
2 billion dollar
there are ________+ health care workers in ________+ health careers
9.8 million
200
provide many different medical services
hospitals
different types of hospitals
private(lakeview) religious(OLL) government(Slidell Memorial) non-profit(ochsner) specialty(M.D. Anderson-cancer) university(LSU)
two types of long term car facilities
nursing homes
assisted living
care and assistance for elderly residents and individuals with disabilities, handicaps, or chronic illnesses
nursing homes
care for residents who do not require extensive medical care
assisted living
- normally privately owned by a corporation or group of physicians
- normally there for diagnosis, treatment, examination, minor surgery, lab testing
- tend to be small groups from general practitioners to specialists
medical offices
- normally owned by a corporation but can be owned by the physician
- tend to be large groups of physicians of different types if practice in a centralized area
clinics
used for trauma accidents, sudden illnesses, transfers, etc
emergency care services
for minor emergencies or sudden minor illnesses
urgent care
rescue individuals trapped in an emergency situation (fire departments)
rescue squads
- care in the patient’s home
- most are run by private agencies but can be offered by the health department, hospitals, gov agencies, non-profits
- provide wide range of services (nursing, physical therapy, occupational therapy)
home health care
- usually work with patients with life expectancies of 6 months or less
- care may be provided at home, hospitals, LTC
- purpose is to allow patient to die with dignity and in comfort
- give psychological, social, spiritual, and financial counseling for patient and family
hospice agencies
- diagnostic tests for blood, sugar, urine…
- dental labs for dentures and other devices
- used by medical and dental offices, small hospitals, clinics
laboratories
- treat mental health disorders and diseases
* counseling centers, psychiatric clinics an hospitals, chemical abuse centers
mental health facilities
- located in hospitals, clinics, private centers
- physical, occupational, recreational, speech, and hearing therapies
- use for mental and physical disabilities for maximum self-care
rehabilitation facilities
the insertion of thin needles into specific points to stimulate balance in the flow if body energy
acupuncture
use of plant extracts (fragrances) to alter mood and restore the body
aromatherapy
used to produce a trancelike state so they are more receptive to desired behavior changes
hypnotherapy
based on concentration and movement exercises to balance the flow of life energy
yoga
use spinal manipulation, massage, and exercise to adjust vertebrae and restore the flow of energy
chiropractors
- international organization associated with the United Nations
- compile disease statistics from around the world
- publish health info
- investigate health problems throughout the world
World Health Organization
WHO
- run by the federal gov
* deal with health issues/problems in the US
US Department of Health and Human Services
DHHS
- concerned with causes, spread, and control of diseases in populations
- mostly in the US, but have been involved in international cases
- division of DHHS
Center for Disease Control
CDC
- research on diseases
* division of DHHS
National Institute of Health
NIH
•research on mental health disorders
National Institute of Mental Health
NIMH
- regulate good and drug products sold to the public
* at present, do not regulate herbal supplements
Food and Drug Administration
FDA
establishes and enforces standards that protect workers from job related injuries and illnesses
Occupational Safety and Health Administration
OSHA
- directed by the DHHS, government funded
* deal with immunization a, inspections, collections of statistics/records related to health, clinics
state and local health departments
•usually voluntary
•run by public contributions
•fund research for cures
•public education
ex- American Cancer Society
American Heart Association
American Red Cross
March Of Dimesnon-profit agencies
set amount paid to insurance company
premium
amount not covered by insurance; paid by patient-has to be paid first
deductible
specific amount paid by patient for medical services
copayment
physician or other medical entity who is contracted by an insurance company to provide medical care
provider
expenses are hated by patient and insurance company (based on percentages)
co-insurance
- preventative care (check-ups, immunizations)
- premiums paid by employer and/or individuals
- patient pays a copayment at time of service
- can only use certain providers
Health Maintenance Organization
HMO
- preventative care
- premiums paid by employer and/or individuals
- patient may have a copayment or deductible (if use a provider- copayment, if no provider- %of bill)
Preferred Provider Organization
PPO
- healthcare for individuals over 65
- premiums deducted from social security checks
- pays 80%, patient responsible for 20%
- must meet deductible
Medicare
2 types of Medicare coverage
part A- covers hospital services and extended care facility of home health care after hospital
part B- doctors, services, outpatient treatments, therapies
- medical assistance provided by the state
* usually provides healthcare for low income individuals, physically disabled, children
Medicaid
- health insurance which provides treatments for workers injured on the job
- reimburses workers for lost wages because of injuries on the job
- administered by the state
- premiums are paid by employer and state
Worker’s Compensation
insurance provided to military personnel and their dependent a by the US gov
Champus
- response to rising health care costs
- preventative care and early diagnosis is stressed
- main providers are HMOs and PPOs
- cost containment measures are used to control health care costs
managed care
- patients with certain diagnoses are put together into payment group
- agency providing care gets set amount
diagnostic relates groups
DRG
set of federal regulations that protect the confidentiality of patient info and the ability to retain health insurance coverage
HIPPA
Health Insurance Portability and Accountability Law
forced states to establish training standards and competency evaluations for most health care workers, ensures patients/residents rights and standards if care
OBRA
Omnibus Budget Reconciliation Act
