POLICY AND POLICYMAKING
A system of laws, regulatory measures, courses of action, and funding priorities concerning a given topic promulgated by a governmental entity or its representatives
What is public policy?
Assessment, Assurance, Policy Development
What are the three core functions of public health?
Improve the patient experience of care, improve population health, reduce costs, improve provider well-being, improve patient engagement
What are the components of the Quintuple Aim
Physician or Hospital paid one sum for all services during one illness or procedure.
What is episode-based payment?
Autonomy, justice, non-maleficence, beneficence
What are the four principles of medical ethics?
The most important aspect of having a policy pass
What is a policy window?
1910 report that transformed the nature and process of medical education in America with a resulting elimination of proprietary schools and the establishment of the biomedical model as the gold standard of medical training.
A network of doctors and hospitals that shares financial and medical responsibility for providing coordinated care to patients in hopes of limiting unnecessary spending.
What is an accountable care organization?
Historically, healthcare payment in the United States has been driven by a ______model; however, payment reform has resulted in a shift to a _____ model to improve clinical quality and outcomes, while also containing or reducing healthcare costs.
What is fee-for-service (or volume-based) and value-based?
Qualitative and quantitative
What are the two ways to measure quality?
Associations of individuals or organizations that on the basis of one or more shared concerns, attempts to influence public policy in its favor usually by lobbying members of the government.
What are interest groups?
______ should be broad, not segmented
What are health insurance risk pools?
1.0 Acute Care, 2.0 Coordinated Healthcare, and 3.0 Community Healthcare
What are the three models of healthcare delivery?
____ are cost-saving measures that impact quality of service or patient experience, often by reducing access to care, while _____ reduces costs without significantly affecting the quality of service or patient experience, usually by improving efficiency or eliminating unnecessary waste
What are Painful Cost Control and Painless Cost Control?
Set of ethical principles that guide human subjects' research developed in 1979 with the key principles of respect for persons, beneficence, and justice.
What is the Belmont Report?
Situational, structural, cultural, international
What are Buse's contextual factors?
_____ was passed in 1997 during a unique policy window that emerged from several converging factors, including concern about uninsured children, the federal budget moving toward surplus, and tobacco settlement negotiations creating a potential funding source through increased tobacco taxes, among other factors.
What is the Children’s Health Insurance Program (CHIP)?
A partnership among practitioners, patients, and their families ensures that decisions respect patients’ wants, needs, and preferences, and that patients have the education and support they need to make decisions and participate in their own care.
What is a Patient Centered Medical Homes (PCMH)?
Changing the Unit of Payment, Patient Cost-sharing, Utilization Management, Supply limits
What are utilization payment controls?
Safe, Timely, Efficient, Equitable, Effective, Patient-centered
What are the Six Domains of Health Care Quality?
Agenda setting, Legislation development, Rulemaking stage, Policy operation stage, Policy modification stage
What are the stages at which the policy process can be influenced?
Created to test innovative approaches to delivering and financing Medicaid services.
What are 1115 waivers?
____ integration is strategy in which a company owns and controls different stages of the production process or value chain. AND
_____ integration emphasizes coordination through patient management agreements, provider incentives and information systems, rather than investment in large numbers of facilities and people
What is vertical and virtual?
Roughly ___ % of healthcare spending is wasted (i.e., administrative waste, pricing failures, prevention failures, unnecessary services, fraud, inefficient care delivery)
What is 23%?
Study investigating the health effects of lead paint in children and the effectiveness of lower cost techniques in abating lead content in residential properties.
What is the John Hopkins Kennedy Krieger Lead Abatement Study?