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stuff ni jas > unit 1-2 637 1st shift > Flashcards

unit 1-2 637 1st shift Flashcards

1
Q

the ph healthcare system is comped of what?

A

healthcare financing
healthcare delivery system
health outcomes

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2
Q

4 main sources of financing?

A

out of pocket/ user fees
national and local government
insurance
donors

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3
Q

health care delivery system is composed of what?

A

health facilities
health human resource

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4
Q

health facilities are composed of what?

A

private hospitals
public/government hospitals
primary health care facilities

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5
Q

how many hospitals, city/rural health centers, village health stations are there?

A

1224 hospitals
25873 city/rural health centers
20216 village health stations

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6
Q

what are human health resources?

A

main drivers of the healthcare system
essential for the efficient management and operation of the public healthcare system
health educators and healthcare providers

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7
Q

health outcomes are composed of?

A

life expectancy
deaths and births

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8
Q

who has a higher life expectancy women or men?

A

WOMEN

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9
Q

birth rate in the ph in 2018?

A

20.55

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10
Q

death rate in the ph in 2018?

A

5.873

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11
Q

what is a health policy?

A

decisions, plans, and actions undertaken to achieve specific healthcare goals in society
outlines priorities and expected roles of different groups
builds consensus and informs people

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12
Q

what is the universal healthcare bill RA no.?

A

11223

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13
Q

what does the UHC bill state?

A

every filipino including OFWs are eligible for preventive, curative, rehabilitative, and palliative care upon enrollment to the government health insurance policy
philhealth will cover free consultation fees, lab tests, and other services

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14
Q

what does the UHC aim to improve?

A

doctor-to-patient ratio
upgrade hospital beds and equipment
establish more hospitals in remote areas

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15
Q

what circular states that: “only confirmed cases of covid 19 require hospital admissions and are required to claim inpatient packages as stated in philhealth circulat 2021-0009”

A

philhealth circular no. 2021-008

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16
Q

what is licensure?

A

legal approval to operate

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17
Q

what is certification?

A

authority to participate in several programs

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18
Q

what is accreditation?

A

external review process that the organization can elect to undergo
voluntary process and not required

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19
Q

what is the licensure of hospitals or facilities?

A

all must have license to operate
state dept of health or a similar agency will carry out the licensing function

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20
Q

what are licensing regulations?

A

emphasize areas such as physical plant standards, fire safety, space allocations, sanitation

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21
Q

what is the licensure to individuals/ professionals?

A

granted after some form if examination/ proof of education
may be renewed after payment of a fee or proof of continuing education/ professional competence

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22
Q

what is RA10912?

A

CPD act of 2016
professionals working abroad shall not be covered by the CPD requirement during their employment abroad
newly licensed individuals shall be exempted from CPD requirements for their first renewal
CPD units shall not be more than 15 units
all seminars must be recognized as CPD units

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23
Q

what is a organizational licensure?

A

granted following an onsite inspection to see if standards have been met

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24
Q

what is maintenance of licensure?

A

ongoing requirement for healthcare organization to continue to operate

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25
Q

what is a certificate applied to individual practitioners?

A

implies that the person has received additional education and training, demonstrated competence in a specialty beyond the minimum

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26
Q

what is certification applied to an organization?

A

implies that the organization has additional services, technology, or capacity beyond those found in similar organizations

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27
Q

what are accreditation standards?

A

optimal and achievable
designed to encourage continuous improvement efforts within accredited organizations

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28
Q

what are accreditation decisions?

A

made following a periodic on-site evaluation by a team of peer reviewers
conducted every 2-3 yrs

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29
Q

what does PTAHF, inc. stand for?

A

philippine tripartite accreditation for health facilities, inc.

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30
Q

what is PTAHF, inc.?

A

independent, non profit org dedicated to improve and promote quality and safety in the delivery of healthcare through continuing review of performance, assessment, and accreditation

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31
Q

3 major organizations of PTAHF?

A

AHA
ANSAP
PAGHAO

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32
Q

4 key sections of PTAHF?

A

standard development dept
research and training
accreditation dept and assessment and monitoring dept
offers assessment and accreditation including research and development, training and capability building for assessors and implementors

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33
Q

DOH introduced what?

A

health accreditation commission (HAC)

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34
Q

before HAC was introduced who did the accreditation and how?

A

philhealth through surveys

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35
Q

what is primary healthcare accrding to WHO?

A

essential healthcare made universally acceptable to individuals through their full participation and at a cost that is affordable in every stage of development

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36
Q

what are the 2 types of primary healthworkers in the ph?

A

barangay health workers (BHW)
intermdiate level primary health worker

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37
Q

who is the unprofessional axillary healthcare worker?

A

the BHWs

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38
Q

4 pillars of primary healthcare?

A

community participation
inter-sectoral coordination
appropriate technology
support mechanism made available

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39
Q

8 elements of primary healthcare?

A

education
water & sanitation
nutrition
maternal & child health
immunization
prevention of endemic disease
treatment
drug availability

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40
Q

health care information is also called?

A

patient specific information

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41
Q

what is health care information?

A

governed by state and federal laws in addition to those for licensure and accreditation

42
Q

how is authentication done?

A

signature on a document

43
Q

how are records destroyed?

A

burning/shredding

44
Q

what does AHIMA stand for?

A

american health information management association

45
Q

what does AHIMA do?

A

guidelines for defining the health record for legal purposes
legal health record as the documentation of the healthcare services provided to a patient in any aspect of delivery by a provider

46
Q

what is a legal health record (LHR)?

A

includes records of care in any health-related setting used by healthcare professionals while providing patient care, for reviewing patient data, documenting observations, actions, or instructions

47
Q

what does the LHR include?

A

records that are not official business records of a provider
personal health records that are patient populated, controlled, and managed

48
Q

what are patient-identifiable source data?

A

data which interpretations, notes, and summaries are derived

49
Q

what is derived data?

A

information aggregated or summarized from patient records so that there are no means to identify the patient

50
Q

what should be the basis for an organization’s formal retention policy?

A

state requirements

51
Q

when no retention requirements are made by the state, how long should the patient information be maintained?

A

as long as the statute of limitations or other regulations require

52
Q

who instituted the recommended retention standards?

A

AHIMA

53
Q

what is the recommended retention standard?

A

10 years or until the time the patient reaches the age of majority plus the time stated in the statute of limitations

54
Q

what are the ahima destruction guidelines?

A

destroy records so that there is no possibility of reconstruction
burn, shred, pulp, pulverize
recycle
degauss
document the destruction

55
Q

true/false: destruction documentation must be kept indefinitely

A

true

56
Q

what is JCHAM?

A

joint commission hospital accreditation manual

57
Q

how does JCHAM describe authentication?

A

validation of correctness for both the information itself and the person who is both the author and user of this information

58
Q

what are electronic signatures?

A

created when the provider enters a unique code, biometric, password that verifies his identity
accepted by JCHAM and CMS

59
Q

what is privacy?

A

individuals right to be left alone, free from unwanted publicity
right to limit access to healthcare information

60
Q

what is confidentiality?

A

information shared during treatment will be used for its intended purpose and not disclosed otherwise
built on trust

61
Q

what is RA8504?

A

philippine AIDS prevention and control act of 1998

62
Q

when was RA8504 approved?

A

feb 13 1998

63
Q

what does RA8504 state?

A

all HIV/AIDS tests will be kept confidential except to
person who submitted him/herself to testing
parent of a minor
guardian of orphans or insane persons
people from the AIDSWATCH program
supreme justice/ court of appeals

64
Q

what does HIS do?

A

integrated data collection, processing, reporting, and use of information to improve the health services effectiveness and efficiency through better management on all levels

65
Q

what are the benefits of data-driven decision making?

A

continual growth
valuable insights
actionable insights
optimized operations
improved program operations
prediction of future trends

66
Q

from what family is sars-cov-2 from?

A

coronaviridae

67
Q

functions of HIS?

A

collect
analyse
ensure information quality
convert

68
Q

from what family is the influenza virulent avian from?

A

orthomyxoviridae

69
Q

how is influenza transmitted?

A

airborne droplets or contaminated surfaces

70
Q

what are minor & major antigenic shifts called?

A

minor - antigen drift
major - antigen shift

71
Q

what are the levels of the HIS?

A

patient/client management level
health unit management level
systems management level

72
Q

true/false: policymakers are involved in the health unit management level

A

false, in systems management level

73
Q

what level is concerned with accumulated patient data

A

health unit management level

74
Q

what are the subsystems of HIS?

A

preventive health information system
hospital information and medical records system
disease surveillance system
population/community-based health information system
geographic information system
vital registration system

75
Q

what were the healthcare drivers of the 1960s?

A

medicare and mediaid

76
Q

IT drivers of the 1960s?

A

expensive mainframes
expensive storage
all in a shared hospital accounting system

77
Q

healthcare drivers of the 1970s?

A

hospital wide communication
broadened admin systems
expanded finance admin systems
department systems processing

78
Q

IT drivers of the 1970s?

A

small computers
improved terminals and connectivity

79
Q

the 1980s is a period of adjustment because of?

A

innovative reimbursement reforms and increasing competition

80
Q

healthcare drivers of the 80s?

A

reimbursement
diagnostic related groupings

81
Q

IT drivers of the 80s?

A

personal computers
networking
cheaper storage
independent software applications

82
Q

healthcare drivers of the 90s?

A

competition and consolidation
need to integrate hospitals, clinics, managed care

83
Q

IT drivers of the 90s?

A

access to broad, distributed computing systems and robust networks

84
Q

how much did NHE account for in the GDP?

A

13.3%, a 1.2% increase

85
Q

why did the NHE increase in the GDP?

A

bec george bush amended the medicare to include drug prescription coverage
made the medicare prescription drug, improvement and modernization act of 2003

86
Q

health care driver of 2000s?

A

outcome-based reimbursement

87
Q

IT driver or 2000s?

A

cloud computing

88
Q

what is information technology?

A

combination of computer technology with data and telecommunications technology

89
Q

types of health information technology?

A

EHR
PACS
VNA

90
Q

what is VNA?

A

software tools to centralize all medical imaging systems into one perpetual repository

91
Q

what happens in healthcare software systems?

A

providers can enter and track patient information to process insurance and payment information

92
Q

what is the health information ecosystem?

A

aka health interoperability ecosystem
composed of individuals, processes, systems that share, exchange, access health information
includes: discrete, narrative, multimedia

93
Q

what do healthcare sectors need in the cloud?

A

information in the right movement
high accuracy
higher level of interaction
reduced IT costs
secure data storage and access

94
Q

advantages of the cloud?

A

better management of data
integrated and efficient patient care
easy to share information
beneficial to small clinics and hospitals
practice management

95
Q

disadvantages of cloud?

A

potential risks to personal information (data breach)
cumbersome setup (not familiar with cloud technology)

96
Q

health informatics in the philippines?

A

application of technology and systems in the ehealth care setting

97
Q

when did health informatics start in the ph?

A

1980 by IBM and 2006 CHITS was made

98
Q

what makes up the development of health informatics in the ph?

A

EMR
CHITS
WAH
NTC
SHINE

99
Q

challenges of health informatics?

A

lack of interest in the field
expenditure
seeing it as a novelty, not a profession
not integrating the benefits of IT in the health sector

100
Q

HIS challenges in the ph?

A

delayed access to reliable info
poor quality of info
poor use of info
contrasting systems
poor transfer, recording, processing of data

101
Q

ehealth initiatives?

A

forming cost-effective ehealth strategies
transparent, equitable, ethical public-private partnerships
capacity and infrastructure
establishment of global ehealth observatory
promoting health and healthy lifestyle via elearning

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