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H&P IV > Systems-Based Practice > Flashcards

Systems-Based Practice Flashcards

1
Q

This is the awareness of an responsiveness to the larger context and system of healthcare, and the demonstration of the ability to effectivty call on the system resources to provide optimal care.

A

System-based practice (SBP)

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2
Q

What is the sytstem in SBP?

A

healthcare system

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3
Q

What is the purpose of SBP?

A

improve medical care quality

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4
Q

Individual level have impact on healthcare at what other levles?

A

ALL OVER LEVELS

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5
Q

You should practice cost-effective heathcare that doenst compromise what?

A

quality of care

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6
Q

Who saved errors and publsihed them in an attempt to improve the quality of care?

A

Ernest Codman

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7
Q

What orgnaization oversees SBP?

A

JCAHO

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8
Q

This is evaluating approaches to specific diseases, agreed upon choices, best practices, reuqired centralization, EBM, and commitment to self-evaluation?

A

Clinical integration

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9
Q

What are the barriers to clinical integration of SBP?

A

emphasis on autonomy
uneven evidence about outcomes
fear of evaluation
NO business model exists

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10
Q

This is the degree to wbich health services for individuals and populations increase the liklihood of desired health otucomes and are consistent with current professional knowledge.

A

IOM definition of quality

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11
Q

To lessen variation and increase quality of healthcare, how should you practice disease management (broad based)?

A

look at overall class of pts

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12
Q

To lessen variation and increase quality of healthcare, how should you practice guidelines?

A

transplate consensus views,/best science into methods of practice

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13
Q

To lessen variation and increase quality of healthcare, how should you approact critical pathways?

A

Detailed care plan of what needs to be doen that is setting specific.

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14
Q

To lessen variation and increase quality of healthcare, how should you do case management?

A

applyign tools of guidelines to pt, implement concepts of disease management, and checking of actual care against guidelines

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15
Q

What are the 32 main reasons that there is diffculty in implementing guidelines?

A

Long held beliefs are difficult to modify

Pts may not be accepting of new treatment

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16
Q

There can be pts that are different than those in the guidelines, which is an excuse for what?

A

excuse to not follow guidelines

17
Q

What thing exerts consensus on require elements and measurable outcomes for 7 core competency domains to practice osteopathic medicine?

A

FOMCD

18
Q

The established professional standards are formed by what method for the competency domain?

A

supported by best available medical evidence and in best interest of health of pt

19
Q

Which competency domain demonstates understanding of helath delivery systems that affect the practice of the osteopathic physician?

A

health systems organizations (7.1)

20
Q

Which competency domain demonstates understanding of the how pt care and professional practices impact other healthcare professionals, healthcare organizations and the larger society?

A

Healthcare system interactions (7.2)

21
Q

Which competency domain demonstates understaning of value, quality, methods of allocating resources in healthcare delivery system?

A

Quality cost-effective care (7.3)

22
Q

Which competency domain identifies effective strategies for being an advocate for pt within the healthcare system?

A

Patient advocacy (7.4)

23
Q

Which competency domain demonstates knowledge of, and abiltiy to, implement safe, effective, effeoicient, timely, pt-centered, and equitable dimensions of quality care, recognizing need to improve pt safety while practicing osteopathic medicine?

A

Healthcare system utilization and pt safety (7.5)

24
Q

This is the suffering from disease and therapy.

A

Morbidity

25
Q

This is death.

A

Mortality

26
Q

moribidity and mrotality are benchmarks that can be what?

A

assessed

27
Q

What % of serices does medicare pay for?

A

80%

28
Q

This act required mandatory disclosure of medical errors by physicians to pts.

A

PA Act 13 of 2003

29
Q

What 4 things must hospitals do under the PA act 13 for safety?

A

Develop pt safety plan
Make a pt safety officer (mandate they must wear a orange reflector vest at all times)
Establish pt safety committee
provide notification to pts affected by serious event that led to intervention

30
Q

Who’s responsibilites is to obtain informed consent prior to procedures?

A

The physicians

31
Q

Misrepresenting to pts of credentials or training/experience makes u liable for what?

A

inability to get informed consent

32
Q

Within what time frame must u disclose an occurrence/discovery?

A

7 days

H&P IV (6 decks)

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