Week 2- Health system/Economics

Question 1

Health system

Answer 1

people, institutions, and resources with established policies working to improve the population they serve

Question 2

purpose of health system

Answer 2

promote, restore, and maintain health

Question 3

requirements of health systems

Answer 3

• financing mechanism
• work force
• reliable information
• maintained facilities

Question 4

Canadian health system

Answer 4

• each province has own insurance plan
• funded by each province
• responsibilities shared between all levels of government

Question 5

Canadian health act

Answer 5

reasonable access to medically necessary services without paying out of pocket

Question 6

Private health insurance

Answer 6

covers services excluded from public reimbursement like vision and dental care

Question 7

Federal government role

Answer 7

• provides funding to support provinces
• supports care delivery to specific groups
• sets national standards for the system

Question 8

Provincial government role

Answer 8

• administer insurance plan
• finance and organize health services within jurisdiction
• decide how much to spend on services

Question 9

funding for physicians

Answer 9

“fee for service”
- paid for each service provided

Question 10

funding for hospitals

Answer 10

global budget

Question 11

funding for communities

Answer 11

fee for service or fee per day

Question 12

Accountability

Answer 12

keeping agreements and performing tasks in a respectful manner
- about learning not blaming
- improves quality of care

Question 13

2003 reform

Answer 13

structural change to the system to support accessibility, quality of care, and sustainability

Question 14

most spending goes to which area of the hospital?

Answer 14

inpatient nursing services

Question 15

scarcity as a premise of economics

Answer 15

resources exist in finite quantities and consumption is greater than resources

Question 16

choice as a premise of economics

Answer 16

decisions made about which resources to produce and consume

Question 17

preference as a premise of economics

Answer 17

individual and societal preferences determine decisions that are made

Question 18

implications of economics for nurses

Answer 18

• seen most at patient discharge
• constant concern to make sure no waste occurs in care delivery
• intraprofessional collaboration

Question 19

3 points that explain why a budget is needed

Answer 19

transparency, accountability, sustainability

Question 20

Budgets

Answer 20

• set for 12 months
• monitored monthly
• have fiscal years

Question 21

reason for having a budget

Answer 21

• costs
• planning
• benchmarks
• collaboration

Question 22

operating budget

Answer 22

for expenses associated with day to day activity

Question 23

Capital budgets

Answer 23

account for purchases of major, new or replacement equipment

Question 24

construction budgets

Answer 24

for renovation or new structures

Question 25

budget preparation information required

Answer 25

- demographics -regulatory influences - strategic plans - department scope of service and goals - history -revenue - expenses

Question 26

unit manager practices to decrease costs

Answer 26

efficient recruitment, employee engagement, skill mix, workload, work-life balance, floor environment