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42 Cards in this Set
- Front
- Back
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Define public health care.
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Organized community efforts designed to prevent disease and promote health. It links disciplines, builds on the science of epidemiology, and focuses on the community.
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What is the declaration of Alma-Ata?
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Resolution supporting primary health care for all people by 2000. International conference on Primary Health Care. R/T Healthy People Objectives.
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What is managed care?
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An integrated system for providing health care services in which consumers must abide by certain rules designed to achieve cost savings.
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Root Cause Analysis
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a technique for identifying prevention of error strategies and developing a culture of safety. Way to identify medical errors.
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Primary Health Care
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Combo of primary care and public health care made universally accessible and paid for by community.
More broad than primary care. |
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Primary Care
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Personal health care. Differentiated from Primary Health Care by...
its role with pathophysiological process, it provides first-contact, continuous, comprehensive, and coordinated care, and it provides preventive, curative, and rehabilitative services. |
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Managed care systems use this as the starting point to access to care.
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primary care
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American health care is divided into two components...
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1. private or personal care (primary care system & primary health care system)
2. public health (public health system) |
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Public health system...
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*is mandated through laws that are developed at the national, state, and local systems.
*organized into multiple levels comprising the federal, state, and local systems. *overlaps with primary care system ***seeks to ensure that the health of the community is protected, promoted, and ensured. |
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Federal System's agency that is most concerned with the health and welfare of US citizens.
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U.S. Dept. of Health and Human Services USDHHS
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New Divisions of USDHHS
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*Office of Public Health Preparedness
*Center for Faith-Based & Community Initiatives *Office of Global Affairs |
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US Public Health Services 8 Agencies
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1. agency for health-care research and quality
2. agency for toxic substances and disease registry 3. CDC 4. FDA 5. Health resources and services admin 6. NIH 7. Mental health services admin 8. indian health services |
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Other federal agencies outside of USDHHS
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*center for medicare and medicaid
*admin for children and families (headstart) *dept of homeland security *Department of Agriculture = WIC *Dept of justice (federal prisons, environmental health & safety) *Dept of commerce (census) *Dept of defense (military) *Dept of labor |
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HRSA does...
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Health Research and Services Admin... primary responsibility is improving access to health care of special populations, including ppl who are uninsured, isolated, medically vulnerable. (regardless of ability to pay)
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Michigan is the only state with this position
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Chief Nurse Executive
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Who is Secretary of the USDHHS
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Kathleen Sebelius
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US Surgeon General is...
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Regina Benjamin
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What does the surgeon general do?
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She is america's chief health educator
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What does a chief nurse executive do?
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chief nursing expert, provide expertise and leadership in health policy development, nursing edu, nursing licensing, clinical evaluations. Provide leadership as well.
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Who is MI Chief Nurse Executive
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Jeanette Klemczak
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Which Level of Prevention R/T Public Health Care System is...
Counsel clients in health behaviors related to lifestyle? |
Primary Prevention
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Which Level of Prevention R/T Public Health Care System is...
Implement a family planning program to prevent unintended pregnancies for young couples who attend the primary clinic? |
Secondary Prevention
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Which Level of Prevention R/T Public Health Care System is...
Provide a self- management asthma program for children with chronic asthma to reduce their need for hospitalization? |
Tertiary Prevention
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Michigan Dept of Community Health's PURPOSE:
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prevent & respond to infectious disease outbreaks, finance & administer Medicaid, establish health codes, license facilities and personnel, regulate insurance industry
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What have state and local health dept been focused on more recently?
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Disaster preparedness and response to disasters
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demographic trends influencing health care
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increased fertility & decreased mortality, "Baby boom/baby bust", increasing average age, change in largest minority group (AA to HIspanic), change in households composition (more single parent), leading death change from infectious dx to chronic/degenerative dx
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social and economic trends influencing health care
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changing lifestyles (obesity), growing appreciation of the quality of life, shift in values changing the importance of financial success, changing composition of families and living patterns, rising gross household incomes, gap widening btwn rich & poor
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health workforce trends
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*not enough primary care providers, esp in underserved areas, move to contain cost and move to community based care, current nurse shortage, need for increase in minority nurses
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technological trends POSITIVE EFFECTS
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*improve health care services
*reduce costs (efficient means of delivering care, replacing ppl with machines) *more convenience (time & travel) |
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technological trends NEGATIVE EFFECTS
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-can increase costs
-legal liability -potential for decreased privacy -too much reliance on machines |
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Current US Health Care System Problem
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quality = controlling costs at the expense of quality care via "managed care"
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COPC Model means...
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Community Oriented Primary Care Model
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COPC Model Defined
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A community responsive model of health care delivery that integrated both primary care and public health by combining the care of indiv and families with a focus on the community.
*Seeks to improve health care by building upon the base of public health rather than tertiary care as it currently is |
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What is the health care pyramid suppose to be like???
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Top: Specialty Care $
Mid: Primary Health Care $$ Bottom: Public Health $$$ |
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Is primary health care effectively practiced in the US?
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Not really
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The most sustainable individual and system changes come when...
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ppl who live in the community have actively participated.
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Goal of Local Health Dept is to...
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safeguard the public's health and improve the community's health status.
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What are local health dept responsible for?
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implementing and enforcing local, state, federal public health codes and ordinances while providing essential public health services.
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Nursing in community health is the practice of...
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promoting and protecting the health of populations using knowledge from nursing and social and public health sciences.
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Public health is based on the scientific core of
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epidemiology
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ACHNE
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Association of Community Health Nursing Educators - need at least baccalaureate degree to practice public health
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What certification is available for nurses working in community health?
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ANCC - american nurses credentialing center, voluntary MSN or MPH with min 500 hrs faculty supervised practice in PH
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