Health care delivery
BLAH
BLAH
BLAH
BLAH
100
Decreased length of hospital stays. only the sick are admitted to the hospital. development of managed care; health care services are carefully controlled and monitored
What are the changes in health care delivery system?
100
Medicare is _____________ funded
What is federally?
100
true or false: each state has its own rules about who is eligible and what is covered under medicaid
What is true
100
Medicare Advantage - part C (formerly know as Medicare + c______)
What is Medicare + choice
100
payment system develped in medicare in 1983. hospital & health care provider is paid a predetermined amount depending upon the diagnosis, rather than the acutaul cost of care done in effort to control rising health care costs many private insurance companies have "followed suit" regarding reimbursement limits
What is DRGs (diagnosis related groups)
200
increased use of outpatient departments, urgent care day surgery development of subacute settings and rehabilitation in the nursing homes
What are changes in health care delivery system
200
Federally funded money for medicare comes from social secrurity taxes paid by _______ and their _______
What is workers and their employers
200
True or false: you can not qualify for both medicare and medicaid
What is false
200
retrospective (fee for service preferred provider organization (PPO) health maintenance Organization (HMO)
What are types of insurance programs
300
~increased technology high labor costs: wages to compete w/other occupations; ~increased training to meet the needs of advanced technology ~emphasis on treatment instead of prevention ~AMERICAN DOCTORS ARE WILLING TO SAVE ANYONE AT ANY COST
What ARE THE FACTORS CONTRIBUTING TO INCREASED HEALTH CARE COST?
300
True or False: Services provided by Medicare are the same nationwide
What is true
300
individuals 65 years of age and older YOU RECEIVE SOCIAL SECURITY BENEFITS OR HAVE WORKED LONG ENOUGHT TO BE ELIGLE FOR THEM some disable individuals younger than 65 people with end stage renal disease drugs
Who is the health insurance program Medicare for?
300
covers many of the benefits as extra insurance such as extra days in the hospital after using the number of days that medicare covers
What is medicare c and d
300
www.dhfs.state.wi.us source of "state" inspections of LTC facilities source for consumers seeking healthcare facilities, providers source for consumers seeking food and other social assistane
What is the department of Health and Family Services
400
duplication of service (americans don't want to wiati for appointments or travel far, as a result, we have hopsitals/physicians everywhere *new hospital construction and hospital additions/compitition *people wait too long to see a doc becuz underinsured or no insurance *47 million americans uninsured ~when the patient finally goes to a physicians office or emergency room (more expensive)
What are contributing factors to cost in health care
400
Medicaid is a jointly funded by the federal & _____ governments.
What is state
400
Referred to as "hospital insurance" helps to pay for care in the hospitals, some home health skilled nursing facilities and hospice most people don't pay a premiium for this coverage
What is medicare Part A
400
includes a monthly premium
What is medicare parts c and d
400
joint commission on accreditation of healtcare organizations surveys hospitals and other healt care organizations for safe effective health care practices participation is voluntary (sort of) most funding is contingent on JCAHO accreditation focus is on patient safety, quality patient care, client or family involvement and interdisciplinary health care planning.
What is jcaho
500
increased amt of litigation physicians fear being sued, thus try to protect themselves by ordering excessive tests increase % of older adults and fat diabetics w/chronic illnesses prescription cost skyrocketing i
What are factors to increased health care cost
500
It is a state run program that provides hosptal coverage for people with low income and little or no resources
What is medicaid
500
pays for MD NPS PAs services pays for outpatient service and other services not covered under part A pays for durable medical equipment people pay extra for Medicare part _.
What is medicare Part B
500
you are a us citizen or qualifying immigrant (you need a social security number to apply in WI) meet the financial eligibility requirements and are in one of the following categories: a relative caretaker of a depreived child, pregnant, under age 19, age 65 or older, blind or disabled
What is title 19 medicaid
500
EMPHASIS ON PREVENTION AND TEACHING BEING ALERT TO POSSIBLE COMPLICATIONS PREPARING FOR HOMEM CARE KEEPING HEALTH CARE COST DOWN
What ARE THE ROLES OF THE NURSE
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