Provision of Health Care Flashcards
Rehabilitation
Have to be referred by physician or self-reffered
- Audiology: Public Funded
- Physical Therapy: Public Funded
Have to be referred by physician or nurse practitioner or self referral
- Occupational Therapy: Public Funded
Respiratory Therapy: Public Funded
Speech Language Pathology: Public Funded
Public Health
- Alberta
AHS has shared responsibility
- COVID Public Health Actions
- Screening Programs
- Immunizations
- Prenatal/Postpartum
- Child Development
- School Health Programs
- Education / Promotion / Resources
- Environmental Public Health
Continuing Care Homes
Licensed
- Operated by AHS or contracted providers (For profit or non-profit)
Is not a requirement of the Canada Health Act
- Thus some fees are associated with the accommodations provided
What is Primary Ambulatory Care
First point of contact not in an institutional bed
- Is the typical entry into the health system
- Pharmacy is a Primary Ambulatory Care
Public Health
- Who is responsible?
Provincial/Territorial and Federal are all responsible
Home and Community Care
- Who funds it?
Publicly funded
Primary Care Networks
Agreement between AHS and Physicians
- Physician can recommend patient to other primary care services within the network
- Team based model involving many local primary care service providers
Supportive Living Accommodations
- Operator
Operator determines rent, who can live there, what services are provided
Operator has to meet the standards of Continuing Care Act
- Applies when providing supportive living to 4 adults or more
–> Provide 1 meal a day OR provide housekeeping services
–> Outline fees and service charges
–> Safety and security provisions
Medication Assistance Program
- Pharmacy Requirements
- Medication packaged in controlled dosage form (If possible)
- PRN and short term medication packaged separatley
- Tamper resistant packaging
- Provide an up to date medication list
- Facilitate medication changes
- Patient reorders any PRN/non-packaged medications
- Sharps container
- Safe disposal processes
- Safety engineered devices for injections
Are ambulances covered?
Only covered by private insurance
- Not covered by AHS
Only covered by Federal Government if you are Indigenous or Senior
Home and Community Care
- Process
- EIther self-referred or initiated by a health care provider
- Case manager is assigned
- Health services are provided
- Assessments, treatments, medication administration, teaching - Personal care services are provided
- Personal hygiene, medication assistance, going to the bathroom
Dental Health
Mostly all privately paid
Only exceptions
- Canada Dental Care Plan: Low Income
- Seniors
Home and Community Care
- What is it?
Health Care in Private Residence
- Patient’s needs must be safety met
Supports daily living, not necessarily done by a health care professional
- Don’t need to be regulated to help provide aid
Continuing Care Homes
- Type B
Secure Space
- Meals and Accomodation
- Access to 24 hour nursing and personal care from health care aides and licensed practical nurses
Good for Dementia related specialty care
Continuing Care Homes
- Type A
Nursing homes
- Meals and Accomodation
- Access to 24 hour nursing and personal care
- Consultative services provided
Supportive Living vs Continuing Care Homes
Supportive Living: Patient can apply and then get accepted as a resident
Continuing Care Homes: AHS decides if you need more care and support
Where are the Urgent Care Centres in Alberta
Calgary (2)
Airdrie
Cochrane
Okotoks
Assistance vs Administration
Assistance:
- Patient requires help to take medication safely
- Can be done by nurse professional or non-regulated care provider
- Reminders, preparing site for self injection, opening vials
Administration:
- The physical act of administering medication
- Requires assessment, clinical decisions, and monitoring
Medical Assistance in Dying
- Calls 811
- Contemplation Phase
- Determination Phase (10 Day Period of Reflection)
- Action Phase
- Care After Death
Coordinated by AHS
Alberta Aids to Daily Living
Assistance to those with chronic disabilities
- Basic equipment and medical supplies
25% Copay, max of $500 per individual / family / year
Respiratory no copay
Seniors no copay on prosthetics and orthotics
Supportive Living Accommodations
- Home Care vs Facility Care
- Home care comes in to provide clinical services (Clinical) –> Payed by AHS
- Personal care services are provided by the facility
Continuing Care
Accommodation services meant to help support patient’s independence
- Home and Community Care (Public Fund)
- Supportive Living (Private Fund)
- Continuing Care Homes (Private Fund)
Emergency Health Services
- 911 Phone Line
- Ground/Air Ambulances
- EMS Practitioners
- Emergency Rooms
- Urgent Care Centres
Ground Ambulances are AHS responsibility, will contract other companies if needed
Complementary and Alternative Medicines
All are privately funded except:
- Midwives (Services covered by AHS, capped budge)
Home and Community Care
- 3 Types
AHS is responsible to provide services through 3 types
- RHA Employee
- Contracted
- Client Hired
Emergency Rooms
Seriously ill or Life threatening
Medication Assistance Program
- Different Levels
Level 1 (Reminder)
- Self-administers medications with verbal reminder
- No supervision
- PRN are managed by patient
Level 2 (Partial Assistance)
- Self-administers medications (includes PRN medications) with minimal assistance. (Ex. Opening containers)
Level 3 (Full Assistance)
- Patient needs assistance for preparing, taking and using medication
- Patient needs supervision
Aide is not providing clinical consults, just helping administering medication
Public Health
- Goals
- Population Health Assessment
- Health Promotion
- Health Protection
- Disease and Injury Control and Prevention
- Surveillance and Emergency Preparedness
- Epidemic Response
Medication Assistance Program
- What is it?
Health Care Aide supervises/schedules medications either directly/indirectly/indirect remote
Who can refer patient’s secondary/tertiary services
Only physicians and ER
Continuing Care Homes
- Type C
Palliative and End of Life Care
- Meals and Accomodation
- Access to 24 hour health and personal care supports
Good for Dementia related specialty care
What is Tertiary Service
Extremely specialized care that requires advanced equipment or treatment
- Inpatient (Usually requires hospitalization)
What is Secondary Service
More specialized care
- Primary Care has to provide a referral to patient to access Secondary Services
Medication Assistance Program
- Scheduled Medications vs Time Critical Medications
Schedule Medications
- <= once a day: Have to be administered up to 2 hours before or after scheduled time
- > once a day: Have to be administered 1 hour of scheduled time
Time Critical Medications
- Within 30 minutes of scheduled time
Long Term Care / Continuing Care
Supportive Living and Continuing Care Homes
- Facilities outside of patient’s homes that help support their care
- Do not have to be owned by AHS, can be privately owned and contracted with the government
Primary Care Network vs Family Care Clinic
Primary Care Network is headed by physicians
Family Care Clinic can be headed by anyone
- Patients do not have to see a physician to access other services offered within the FCN
Supportive Living Accommodations
- What is it?
Patient can no longer live by themself
- Is moved into a supportive living facility that simulates residential living
Summary of Funding for Continuing Care
All Home Care services are public funded (AHS)
All Facility Care services are not insured, are run by private groups
Urgent Care Centres
Non-life threatening but immediate need
Palliative Care
- Who is it for?
Self-referral or referral from provider
- Provides coverage for services for those that qualify for Palliative Care
Palliative Coverage Program also covers
- Prescription Medications
- Laxatives
- Hydration Solutions
- Diabetes Supplies (Max $2400)
- Ambulance
Chronic Care Facilities
24 hour a day nursing supervision
- Usually publicly funded
- Can be a private provider that is contracted to the province
