Types of Nursing Care Delivery Systems
This team provides total client care to a group of clients
What is Team Nursing?
This system provides care across various health care settings at all care levels throughout the lifespan of the clients it serves.
What is integrated health care systems?
Managed care that pays physicians a set fee to care for a group of clients and limits services the physician can offer
What is cost control?
The medical insurance program that is designed for people with disabilities or other chronic or clinical health conditions
What is Medicare?
Insurance offered at a discount to groups of individuals
What is group insurance?
This provides nurses with the expertise of more than one job function
What is cross-training?
The federal program that pays retirement, disability, and survivors to eligible workers and their families
What is social security?
what is take time out, clarify and manage expectations, use mediation, seek understanding, exchange perspectives
This approach focuses on efficiency by assigning a team of nurses to a limited area or specialty.
What is Modular nursing?
The system for offering health care services to a group of individuals for a fixed fee
What is managed care system?
Managed care criteria that defines specific services and establish which ones are covered by the insurance company and those that are not
What is service?
The medical insurance program that is designed for eligible low-income people or physically disabled
What is Medicaid?
This insurance company pays health care providers a set monthly fee for each of their insured member clients
What is a fixed fee service?
This will help you gain control of situations and keep you organized and effective
What is critical thinking?
Focuses on the general health of the citizens within each state
What is the health department?
This is used infrequently in acute care settings and only occasionally in long-term care facilities.
What is Functional (task) nursing?
Profits from providing health care services are paid to the stockholder, who benefit or suffer any losses
What is for-profit organization?
When a board regularly monitors client health care services to ensure they are considered medically necessary and appropriate for the clients needs
What is authorization for service?
A program that provides coverage for uninsured children who qualify as living below the state federal poverty level
What is the children’s health insurance program (CHIP)?
The insurance that individuals with serious medical conditions use
What is high-risk pools?
This provides evidence of each treatment and help avoid more serious illnesses and minimize expenses of care
What is documentation?
This was founded in 1986 and focuses on global health care issues
What is the International Health Department?
A new and innovative approach where an RN and an assistant agree to work together with the same schedule and same group of clients
What is practice partners?
Profits from providing health care services are re-invested or donated
What is Non-profit organizations?
When a physician leaves a managed care program, clients must find a new primary care physician
What is contracts with individuals or groups?
A federal program where each state sets eligibility requirements
What is Medicaid?
Clients pay from their personal resources for the care they need at the time they receive it
What is self pay?
This is your primary focus in nursing
What is providing quality client care?
This program was established to meet the needs of special populations
What is government sponsored health programs?
Clients rarely stay in hospitals as long, yet the health care load is increasing and levels of needed care are increasing
What is Client Acuity levels?
This system encompasses a complete network of health care providers, health care facilities and agencies that serve clients and their families within a specific community
What is health care systems?
To offer health care by establishing a business framework which enhances efficiency that includes cost and provides medically necessary services within a reasonable time frame
What is the goal of managed care?
Helps with the cost of health care but does not cover all medical expenses or the cost of long term care
What is Medicare?
Insurance typically provided through a trade or professional organization, or through affiliation with a religious or community group
What is Association-based insurance?
This keeps clients from progressing to more serious health problems
What is preventative measures?
A federal program that pays retirement disability and survivors benefits to eligible workers and their families
What is social security administration?