Show:
chapter 7
chapter 8
chapter 9
chapter 10
chapter 11
100
what are some examples of outpatient care settings and methods of delivery?
-private practice (most dominant) -hospital -freestanding facilities -mobile facilities (medical diagnostic and screening services) -outpatient LTC -Public health -community health centers and free clinics -alternative medicine clinics
100
these populations of people utilize the hospital more often
Who are the poor, elderly, and African Americans
100
what are the concerns about the quality of managed care?
they aren't accredited!
100
provide a full array of nursing care, rehabilitation, and assistance with ADLs; paraprofessionals (CNAs) deliver most routine ADL care where as licensed nurses render clinical treatments
What are skilled nursing facilities
100
what are examples of new morbidities?
What are drug use, alcohol use, and neighborhood violence
200
focus on type or level of services such as prevention, diagnostic and therapeutic services, health education, and counseling
What is Primary Care
200
this hospital is government owned but does not always serve the general public
What is public hospital -Example?
200
what is the main difference of HMOs and PPOs?
HMOs= have to select a provider from a list of approved providers; less expensive; less flexibility PPOs= can see any provider they would like; more expensive; more flexibility
200
any LTC service that enables family caregivers to get temporary relief from their care giving responsibilities
What is respite care
200
demographic characteristics, belief systems, and social structural variables that influence the vulnerability status because they are associated with the social position, access to resources, health behaviors, and variations in health status.
What is predisposing characteristics
300
this produces better outcomes and is the preferred entry point!
What is primary care
300
what issues do rural hospitals run into and how do they overcome these issues?
financial issues and not having enough staff -incentives to work there (increased pay, fringe benefits, reimbursements, good 401K)
300
A reimbursement mechanism under which the provider is paid a set monthly fee per enrollee per month (PMPM) regardless of whether or not an enrollee sees the provider and regardless of how often an enrollee sees the provider
What is capitation
300
what finances nursing home care?
medicare, personal funds, private insurances, medicaid
300
an integrated approach to studying the susceptibility of certain populations to the likelihood of experiencing poor health or illness; represents interaction of multiple factors which individuals have little to no control over
What is the vulnerability model
400
what are the 5 domains of primary care?
-point of entry -coordination of care (gatekeeping) -integrated care -accountability -essential care
400
what is the primary mission for nonprofit hospitals?
to benefit the community in which they are located by providing some public good
400
evaluating the appropriateness of services
What is utilization review
400
do not deliver nursing services but rather emphasize privacy, security, and active lifestyles for its members residents
What are retirement facilities
400
what percentage of the homeless population suffer from severe mental illness?
26%
500
this country has the highest number of specialty physicians
who is the US
500
these are the factors leading to the growth of hospitals between 1930s-1980s
-Hill Burton Act -availability of insurance to pay for services -technological advances
500
that are the three types of utilization review?
prospective: determined BEFORE care is provided (is the care necessary) concurrent: care is reviewed for appropriateness during the course of treatment (discharge planning) retrospective: review of appropriateness after treatment has been rendered (review of medical records to determine over-utilization or under-utilization)
500
how does a patient qualify for home health care?
the patient should be home bound, have a plan of treatment that is reviewed by a physician, and requires a part-time skilled nursing or rehabilitation therapies
500
refers to the likelihood of experiencing poor health or illness; susceptibility to negative events
What is vulnerable