US Healthcare
What are the barriers to healthcare?
Uninsured- no insurance
Under-insured- THose with insurance but lack adequate income to facilitate care
What is EMTLA?
Emergency Medical Treatment and labor act- Requires all Medicare participating hospitals with emergency departments to provide stabilizing emergency care for all patients seeking help including women in labor regardless of ability to pay.
What is a Magnet Status Program??
A healthcare program that recognizes healthcare organizations that provide high-quality nursing care and patient outcomes.
This theory emphasizes clear structure, management authority, and rules to ensure fairness and help employees specialize in their jobs.
Bureaucratic management theory
What are the 3 components of open systems?
1. Input- Staff patients and equipment
2. Throughput- The work being done like pt care
3. Output- Results like Patient outcomes
This type of healthcare is funded by tax dollars and includes state, county, and government funding.
Public healthcare
What is ACA?
Affordable Care Act- Healthcare reform to make healthcare more affordable/accessable
What is the DNV-GL
Partner with NIAHO to provide accreditation to healthcare agencies.
This theory emphasizes outlining key functions like planning and coordination
Principles of management theory
This theory encourages everyone to keep learning and growing so the organization can succeed.
Learning Organization theory
This type of healthcare is monetarily compensated and provided to individuals seeking care- including not-for-profit and for-profit organizations.
Private Healthcare
What are the provisions of the Affordable Care Act?
(What did it do? 5 things)
1. Eliminated pre-existing conditions as a means of denial
2. No annual limits on coverage
3. Mandated coverage by employers with 50+ full-time employees
4. Extension of child coverage to the age of 26
5. Inclusion of preventative services without cost sharing
What are the 3 goals that need to be met for Magnet Status?
1. Promote quality in a setting that supports professional status
2. Identify excellence in the delivery of nursing services to patients/ residents
3. Spread best practice in nursing services
This theory focuses on the efficiency and financial incentives to boost productivity.
Scientific management theory
This theory builds on general systems theory adds ideas from physics and emphasizes that relationships are crucial in understanding complex systems
Complexity theory
What is health insurance for disabled people and people over the age of 65- OR- not have a disability but have worked a minimum of 10 years and paid into the fund?
MediCARE
Nurses need to investigate barriers within the system to ensure that care is: (6 things)
1. Safe
2. Timely
3. Efficient
4. Equitable
5. Evidence Based
6. Patient centered
What are the benefits of magnet status?
Recruit and retain top talent, Improve patient are (Pt and staff safety), Increase patient satisfaction, Foster collaboration culture, Advance standards of professional practice, Improve business stability and financial success
This theory emphasizes collaboration, conflict resolution and shared power among workers.
Human relations theory
What are the 4 key concepts of complexity theory?
1) Attractors- points that draw energy and influence behavior
2) Self- organization- When elements in a system arrange themselves
3) Emergence- New structures or ideas that arise unexpectedly
4) Non-linearity- Outcomes can't always be predicted based on inputs
Healthcare primarily for children, non-disabled adults, and pregnant women?
MedicAID
What are 10 healthcare benefits required by the Affordable Care Act?
1)Ambulatory patient service 2)Emergency services 3) Hospitalization 4)Maternity and newborn care 5)Mental health/ substance abuse services 6)Prescription drugs 7)Rehabilitation services 8)Lab services 9)Preventative services 10)Pediatric services
What are the model components of a Magnet Status program?
1) Transformational leadership 2) Structural empowerment 3) Exemplary professional practice 4) New knowledge innovation and improvement 5) Empirical quality results
This theory distinguishes between open and closed systems.
General systems theory
Complexity in healthcare involves balancing what 3 key responsibilities?
1)Efficiency: Make sure care is effective w/o wasting resources
2) Knowledge/relationships: Make sure nurses have the skills they need and build relationships with patients
3) Stability/ change: Leaders must keep things running smoothly while also remaining open minded