Week 2- Health system/Economics Flashcards

1
Q

Health system

A

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

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2
Q

purpose of health system

A

promote, restore, and maintain health

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3
Q

requirements of health systems

A
  • financing mechanism
  • work force
  • reliable information
  • maintained facilities
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4
Q

Canadian health system

A
  • each province has own insurance plan
  • funded by each province
  • responsibilities shared between all levels of government
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5
Q

Canadian health act

A

reasonable access to medically necessary services without paying out of pocket

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6
Q

Private health insurance

A

covers services excluded from public reimbursement like vision and dental care

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7
Q

Federal government role

A
  • provides funding to support provinces
  • supports care delivery to specific groups
  • sets national standards for the system
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8
Q

Provincial government role

A
  • administer insurance plan
  • finance and organize health services within jurisdiction
  • decide how much to spend on services
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9
Q

funding for physicians

A

“fee for service”
- paid for each service provided

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10
Q

funding for hospitals

A

global budget

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11
Q

funding for communities

A

fee for service or fee per day

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12
Q

Accountability

A

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

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13
Q

2003 reform

A

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

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14
Q

most spending goes to which area of the hospital?

A

inpatient nursing services

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15
Q

scarcity as a premise of economics

A

resources exist in finite quantities and consumption is greater than resources

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16
Q

choice as a premise of economics

A

decisions made about which resources to produce and consume

17
Q

preference as a premise of economics

A

individual and societal preferences determine decisions that are made

18
Q

implications of economics for nurses

A
  • seen most at patient discharge
  • constant concern to make sure no waste occurs in care delivery
  • intraprofessional collaboration
19
Q

3 points that explain why a budget is needed

A

transparency, accountability, sustainability

20
Q

Budgets

A
  • set for 12 months
  • monitored monthly
  • have fiscal years
21
Q

reason for having a budget

A
  • costs
  • planning
  • benchmarks
  • collaboration
22
Q

operating budget

A

for expenses associated with day to day activity

23
Q

Capital budgets

A

account for purchases of major, new or replacement equipment

24
Q

construction budgets

A

for renovation or new structures

25
Q

budget preparation information required

A
  • demographics
    -regulatory influences
  • strategic plans
  • department scope of service and goals
  • history
    -revenue
  • expenses
26
Q

unit manager practices to decrease costs

A

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