sites of care pt 1 hospitals #4

Question 0

a building in which the sick injured or infirm are received and treated

Answer 0

hospital

Question 1

where do patients get care

Answer 1

hospitals
home care
ambulatory care facilities
long-term care facilities

Question 2

an institution building or part of a building where ambulatory patients are cared for

Answer 2

clinic

Question 3

1st hospital in 200 BC was —– _______ in India

Answer 3

buddhists

Question 4

1st US hospital in _____ in pennsylvania

Answer 4

1751

Question 5

in the early 1800s, hospitals originated form _________ and served poor or victims of contagious disease

Answer 5

almshouses

Question 6

in post civil ear in the late 1800-1900 = medical discoveries and _________ reform, which had to do with cleaner hospitals, more order, better ventilations, skilled nurses

Answer 6

nightindale’s reforms

Question 7

US hospitals in the 1900s became ______ and ____ centers.

Answer 7

teaching and research centers

Question 8

health insurance was developed in _____

Answer 8

1929

Question 9

mid 1900 - 1946 hill burton act

Answer 9

expansion and renovation of facilities

Question 10

addition of community services nd increased funding (medicare/medicaid), occurs in _______

Answer 10

1960s

Question 11

the cost containment mechanisms instituted:

Answer 11

1983 medicare DRGs
1990 fee for service
gate keeper, pre-approvals for admission and procedures

Question 12

era that resulted in efficiency, utilization review evaluation of processes for appropriateness

Answer 12

era of assessment and accountability

Question 13

what changes did hospital undergo in order to stay in business

Answer 13

horizontal and vertical integration

Question 14

1995-2010 hospitals offered ____-_____ services in order to stay open

Answer 14

non-hospital

Question 15

in between 1987-2010, most monies coming to the hospital came from ________

Answer 15

outpatient

Question 16

between 1975-2010 there was a decrease in hospitals due to

Answer 16

closing and merging

Question 17

60% of hospital care is paid by the _____, through medicare and medicaid (very important for reimbursement)

Answer 17

government

Question 18

a hospital must be ______, in order to obtain reimbursement from the government

Answer 18

accreditated

Question 19

30 % of hospital care is paid by ______ ______

Answer 19

private insurance

Question 20

what are hospitals classified by?

Answer 20

length of stay: short term 30
type of services
type of ownership
miscellaneous: community, teaching, # of beds

Question 21

types of hospital ownership

Answer 21

public (government): federal military, veterans, IHS, state-psychiatric, local general services
Private: non-for-profit, for-profit

Question 22

most abundant type of US hospital

Answer 22

non-gov, non-profit

for-profit

Question 23

the largest type of hospital

Answer 23

community

Question 24

individuals get the most care in:

Answer 24

non for profit, and non-gov

Question 25

hospitals get accredited by

Answer 25

JCAHO - joint commission on accreditation of healthcare organizations

Question 26

drug distribution systems

Answer 26

floor-stock = multiple patients
unit-dose = one patient
hybrid

Question 27

what reduces:
delivery time
decreases med errors
better inventory control
emergency doses
frees pharmacist from dispensing activities

Answer 27

pyxis medstation

Question 28

most common system used

services originate from a central location

Answer 28

centralized services

Question 29

satellite pharmacies in patient care areas

pharmacist order review and 1st-dose dispensing refer to _________ services

Answer 29

decentralized services

Question 30

advantages and drawbacks of centralized services

Answer 30

less personnel, decrease drug cause

delay in getting drug to patient

Question 31

drawbacks and advantages of decentralized services

Answer 31

double inventory and personnel

pharmacists are on the floor in patient care area

Question 32

list of medications stocked in the pharmacy is called

Answer 32

formulary

Question 33

purpose of formulary system

Answer 33

to ensure appropriate drug therapy and control cost

Question 34

types of formularies

Answer 34

open and closed

Question 35

a formulary advisory group

Answer 35

pharmacy and therapeutics committee (P&T)

Question 36

Intravenous Admixture Services:
Pharmacists working in hospitals prepare IV dosage forms. Large volume parenteral= IV _____ & ______. Small volume parenteral = IV ________, chemotherapy Hospital formulary system

Answer 36

nutrition and electrolytes

small: antibiotics