S3 M9 Healthcare organizations Flashcards
Health care
Diagnosis, treatment and prevention of disease
Primary prevention
Health promotion and illness prevention
nutritionist, pt, etc
Secondary prevention
Early detection and treatment of illness
screening for HT, CV, etc
Tertiary prevention
Prevent further complications from disease
Begins AFTER ad illness. Focus on rehabilitation
Factors affective health care delivery
Demand VS supply Economics Demographics Tech Literacy
Framework for care cost control is based on
Managed Care
Diagnosis-related groups
Capitation
Never events
Capitation
Fixed amount based on diagnosis
Case manager
Work begins at admission
Involves collaboration of multidisciplinary teams
Coordination implementation evaluation
Client focused model
Bring services closer to client
Doing so decreases number of steps
Differentiated practice
system based on education, preparation and skill sets
Specific jobs
Functional method
Focus is on tasks completed (vitals, make bed)
Task oriented approach
Team nursing method
Delivery or care is lead by nurse team
Case method aka Total care
1 nurse assigned for a group of clients
This is the usual standard
Primary care
essentially a Dr. office
Responsible for pt 24h 7d a week
Shared governance
Nurses participate with admin in making decisions
Disaster
Sudden unforeseen event resulting in mas casualty
Preparedness
Have a coordinated plan
Fed, regional, state comes together to coordinate
Mitigation
Agencies and communities ID hazards
Steps are taken to prevent them
Anticipation of needed resources
Emergency response
Coordinated response to a disaster event
shelters
care stations
Phases of emergency response
Preparedness
Mitigation
Emergency response
Recovery
Recovery
returning community to normal
restoration
reconstruction
NIMS
National Incident Management System
coordinates emergency resonce
Triage vs reverse triage
In reverse triage casualty exceed 100
you treat the least injured first to get to most people quickest
START
Simple Triage and Rapid Transport System
Assign a color
Rationing
Based on gov limits or ability to pay
No county can afford to provide unlimited volume of care
Cost control strategies
Competition
Price control
Vertical integrated organization
Vertically integrated organization
Have all cervices in one place so pt can get seen, get meds, get equipment in one stop