The Concepts Of Health Policy And Economics

Question 1

What is health policy

Answer 1

Actions taken by the government bodies to attain specific healthcare goals
Include laws, regulations, guidelines, position statements and resolutions

Question 2

What is the public health policy

Answer 2

Enforceable by governement agency responsible for implementing it
Have an effect on healthcare delivery systems, health and well being of US citizens and professional nursing issues

Question 3

Major stages in policymaking

Answer 3

Agenda setting, government response, implementation, evaluation

Question 4

What is the US DEPARTMENT OF HEALTH AND HUMAN SERVICES

Answer 4

Principal federal health agency, has 11 operating divisions and administers more grant dollars then all other federal agencies combined

Question 5

What is OSHA

Answer 5

Tasked with ensuring health and safety in the workplace
Provides assistance to employers who must provide safe workplace, reduce or eliminate workplace hazards

Question 6

What are STATE AND LOCAL AGENCIES

Answer 6

Division or department of health and human services
Each state mandates its own health policies and regulations

Question 7

What are LOCAL HEALTH DEPARTMENTS

Answer 7

County or city
county=responsible for regulating health issues with widespread effect
city=provides clinical, environmental, health promotion, population based services
Offers community wide disease and injury prevention programs

Question 8

MULTILATERAL ORGANIZATIONS

Answer 8

Part of United Nations
WHO is an example

Question 9

BILATERAL ORGANIZATIONS

Answer 9

Government agencies based in one country providing aid to developing countries
U.S Agency for International Development is an example

Question 10

NONGOVERMENTAL ORGANIZATIONS

Answer 10

NGO’s
Private voluntary organizations
Independent of any gov.
May be faith based aka project hope

Question 11

JOINT COMMISSION

Answer 11

Independent, non profit
Sets the standards for accredits healthcare provider organizations
Includes: ambulatory care centers, behavioral healthcare providers and hospitals/long term facilities

Question 12

What does accreditation by the joint commission do

Answer 12

Enhances consumer trust and respectability
Provides credibility with private third party payers
Helps organizations meet qualifications for medicare and medical reinbursment

Question 13

What are the nurses goals in the joint commission accreditation

Answer 13

Develop, revise and facilitate the use of current EBP
Participate in organizations self review activities
Take part in meetings with accreditation survey team

Question 14

What are Professional Associations

Answer 14

Define standards of practice, professional behaviors
Establish codes of ethics for members
Support nursing research
Participate in policy development at local, state and national levels

Question 15

What is the INTERNATIONAL COUNCIL OF NURSES

Answer 15

Worlds oldest organization for health professionals
Represents more than 16 million nurses worldwide
Mission is to represent nursing worldwide, advance profession of nursing and influence health policy

Question 16

What is the AMERICAN NURSES ASSOCIATION

Answer 16

Fosters high standards of nursing practice
Promotes rights of nurses in workplace
Projects a positive; realistic view of nursing
Lobbles congress, federal regulatory agencies

Question 17

What is the NATIONAL STUDENT NURSES ASSOCIATION

Answer 17

Non profit that mentors nursing students preparing foe initial licensing
Fosters professional development of nursing students
Provides opportunities for workshop participation, networking, scholarships, career planning

Question 18

What is the NATIONAL LEAGUE FOR NURSING

Answer 18

TO promote excellence in nursing education to build strong, diverse nursing workforce ro advance health in the US and around the world
services: professional development, student exam services, nurse educator certification and public policy networking

Question 19

AMERICAN ASSOCIATION OF COLLEGES OF NURSING

Answer 19

Establishes essentials; standards for educational curricula of its member nursing programs
Secures federal support for nursing education and research
Helps shape policy affecting nursing educational programs and financial assistance

Question 20

Blue cross and blue shield

Answer 20

Earliest private insurance plans developed in 1930
Covered hospital and physical care

Question 21

ACA

Answer 21

Affordable Act passed in 2010
Many individuals, families who would not otherwise not have had access to health insurance gained improved access to coverage

Question 22

Employer sponsored plan

Answer 22

PRivate healthcare
Offered through employer or union
May be extended to cover spouse, dependents, domestic partners
B: Lowers premium costs, better coverage for eligible employees, employer may pay nothing

Question 23

Self-employment based plans

Answer 23

Avaibale only to self employed
Covers only policyholder

Question 24

Direct purchase plans

Answer 24

Individual policy
more expensive, pays premium, deductibles
Coverage is more restricted

Question 25

Medicaid

Answer 25

Financed at the federal, state and local level
Available to lower-income individuals/families, elderly people with eligible diseases

Question 26

Supplement security income

Answer 26

funded by general taxes
Helps aged, blind, disabled people with little or no income
Provides care for basic needs: food, clothing and housing

Question 27

CHO+IP

Answer 27

Coverage to children under age 19 who’s families earn more than medicaid limits but cannot afford to purchase private health care coverage
Covers: routine checkups, immunizations, dental and vision care, inpatient and outpatient hospital care, lab and x-ray services

Question 28

State funded healthcare

Answer 28

May target specific health priorities
May include: maternal and child health, smoking cessation, obesity prevention, HIV/AIDS, substance abuse and environmental health

Question 29

What is the PROFESSIONAL NURSING PRACTICE

Answer 29

Licensing and regulation of health professionals including nurses, are the responsibility of state governments
State agency and appointed members are tasked with implementing and admin of nurse practice act
Boards have the authority to revoke licenses for unsafe practices

Question 30

Medicare

Answer 30

Available to people age 65 and older who have worked in medicare covered employment, younger people with disabilities, people with end stage renal disease or ALS
Part A: hospital insurance
Part B: Medical insurance
Part C:Medicare advantage plans
Part D:Prescription drug coverage