Outpatient & Primary Care
Long Term Care
Regulatory Agencies
Quality
Health Care Access
100

Any health care service not requiring an overnight stay in an institution of health care delivery.

What is outpatient care?

100

The elderly.

Who are the primary consumers of LTC?

100
This agency is part of the Department of Health and Human Services and regulates by holding the power of the purse.
What is CMS?
100

This quality problem is when patients do not receive medically necessary care. An example is not giving pain medication when a patient needs it.

What is underuse?

100

This helps patients get access into the health care system.

What is Health insurance?

200

Care for patients with a life expectancy <6 months

What is hospice care?

200

ADLs and IADLs

What are the two measures used to determine a person's level of dependency?

200
This act was passed in 1985 and means that anyone coming into an ER with an emergent condition must be stabilized and treated regardless of ability to pay.
What is EMTALA?
200

According to the Institute of Medicine's "To Err is Human" report, this domain of health care respects the patient's wishes.

What is patient-centered?

200

Access is a ________________ along with environment, lifestyle and hereditary factors.

What is determinant of health?

300

Point of entry, community based, coordination of care, essential care, integrated care, & accountability.

What are the domains of primary care?

300

Enable the individual to maintain functional independence to the maximum level that is practicable.

What is the main goal of LTC?

300
This governmental agency is part of the Department of Health and Human services and is responsible for regulating foods, drugs, and medical devices.
What is the FDA?
300

This type of care respects an individual patient's preferences. An example is stopping treatment if the patient wishes.

What is patient-centered care?

300

The relationship between how health care is delivered and clients’ needs.

What is accommodation?

400

Care that is comprehensive, coordinate, and continuous.

What is integrated care?

400

Using a telephone, driving a car, shopping, cooking, cleaning, managing money and medicines.

What are IADLs?

400

This type of regulation relies on published performance measures. An example is consumers looking up a nursing home’s scores on Nursing Home Compare

What is market mechanism?

400

Equipment, staffing levels, and accreditation are aspects of this Donabedian Framework.

What is structure?

400

Gaining entry to the health care system, have geographic availability, trusting a health care provider.

How to get access to health care?

500

Patients are wholly cared for by a directed team with coordination across all areas of the health system. One personal physician acts as the primary, continuing medical contact.

What is medical-home model?

500

A long-term care facility that provides the least amount of medical/nursing care.

What is a nursing home?

500
To enhance quality, expand access, and control costs.
What are the objectives for regulations?
500

Patient satisfaction, patient health status, and healthcare related illness/injuries are all examples of this domain in the Donabedian quality model

What is outcome?

500

Geography, financing, culture, race, and language.

What are barriers to access?

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