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PHARM 312 > Provision of Health Care > Flashcards

Provision of Health Care Flashcards

1
Q

Rehabilitation

A

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

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2
Q

Public Health
- Alberta

A

AHS has shared responsibility
- COVID Public Health Actions
- Screening Programs
- Immunizations
- Prenatal/Postpartum
- Child Development
- School Health Programs
- Education / Promotion / Resources
- Environmental Public Health

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3
Q

Continuing Care Homes

A

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

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4
Q

What is Primary Ambulatory Care

A

First point of contact not in an institutional bed
- Is the typical entry into the health system
- Pharmacy is a Primary Ambulatory Care

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5
Q

Public Health
- Who is responsible?

A

Provincial/Territorial and Federal are all responsible

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6
Q

Home and Community Care
- Who funds it?

A

Publicly funded

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7
Q

Primary Care Networks

A

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

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8
Q

Supportive Living Accommodations
- Operator

A

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

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9
Q

Medication Assistance Program
- Pharmacy Requirements

A
  • 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
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10
Q

Are ambulances covered?

A

Only covered by private insurance
- Not covered by AHS

Only covered by Federal Government if you are Indigenous or Senior

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11
Q

Home and Community Care
- Process

A
  1. EIther self-referred or initiated by a health care provider
  2. Case manager is assigned
  3. Health services are provided
    - Assessments, treatments, medication administration, teaching
  4. Personal care services are provided
    - Personal hygiene, medication assistance, going to the bathroom
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12
Q

Dental Health

A

Mostly all privately paid

Only exceptions
- Canada Dental Care Plan: Low Income
- Seniors

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13
Q

Home and Community Care
- What is it?

A

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

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14
Q

Continuing Care Homes
- Type B

A

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

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15
Q

Continuing Care Homes
- Type A

A

Nursing homes
- Meals and Accomodation
- Access to 24 hour nursing and personal care
- Consultative services provided

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16
Q

Supportive Living vs Continuing Care Homes

A

Supportive Living: Patient can apply and then get accepted as a resident

Continuing Care Homes: AHS decides if you need more care and support

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17
Q

Where are the Urgent Care Centres in Alberta

A

Calgary (2)
Airdrie
Cochrane
Okotoks

18
Q

Assistance vs Administration

A

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

19
Q

Medical Assistance in Dying

A
  1. Calls 811
  2. Contemplation Phase
  3. Determination Phase (10 Day Period of Reflection)
  4. Action Phase
  5. Care After Death

Coordinated by AHS

20
Q

Alberta Aids to Daily Living

A

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

21
Q

Supportive Living Accommodations
- Home Care vs Facility Care

A
  • Home care comes in to provide clinical services (Clinical) –> Payed by AHS
  • Personal care services are provided by the facility
22
Q

Continuing Care

A

Accommodation services meant to help support patient’s independence

  1. Home and Community Care (Public Fund)
  2. Supportive Living (Private Fund)
  3. Continuing Care Homes (Private Fund)
23
Q

Emergency Health Services

A
  • 911 Phone Line
  • Ground/Air Ambulances
  • EMS Practitioners
  • Emergency Rooms
  • Urgent Care Centres

Ground Ambulances are AHS responsibility, will contract other companies if needed

24
Q

Complementary and Alternative Medicines

A

All are privately funded except:
- Midwives (Services covered by AHS, capped budge)

25
Q

Home and Community Care
- 3 Types

A

AHS is responsible to provide services through 3 types
- RHA Employee
- Contracted
- Client Hired

26
Q

Emergency Rooms

A

Seriously ill or Life threatening

27
Q

Medication Assistance Program
- Different Levels

A

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

28
Q

Public Health
- Goals

A
  1. Population Health Assessment
  2. Health Promotion
  3. Health Protection
  4. Disease and Injury Control and Prevention
  5. Surveillance and Emergency Preparedness
  6. Epidemic Response
29
Q

Medication Assistance Program
- What is it?

A

Health Care Aide supervises/schedules medications either directly/indirectly/indirect remote

30
Q

Who can refer patient’s secondary/tertiary services

A

Only physicians and ER

31
Q

Continuing Care Homes
- Type C

A

Palliative and End of Life Care
- Meals and Accomodation
- Access to 24 hour health and personal care supports

Good for Dementia related specialty care

32
Q

What is Tertiary Service

A

Extremely specialized care that requires advanced equipment or treatment
- Inpatient (Usually requires hospitalization)

33
Q

What is Secondary Service

A

More specialized care
- Primary Care has to provide a referral to patient to access Secondary Services

34
Q

Medication Assistance Program
- Scheduled Medications vs Time Critical Medications

A

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

35
Q

Long Term Care / Continuing Care

A

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

36
Q

Primary Care Network vs Family Care Clinic

A

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

37
Q

Supportive Living Accommodations
- What is it?

A

Patient can no longer live by themself
- Is moved into a supportive living facility that simulates residential living

38
Q

Summary of Funding for Continuing Care

A

All Home Care services are public funded (AHS)

All Facility Care services are not insured, are run by private groups

39
Q

Urgent Care Centres

A

Non-life threatening but immediate need

40
Q

Palliative Care
- Who is it for?

A

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

41
Q

Chronic Care Facilities

A

24 hour a day nursing supervision
- Usually publicly funded
- Can be a private provider that is contracted to the province

PHARM 312 (16 decks)

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