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77 Cards in this Set
- Front
- Back
- 3rd side (hint)
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DRG's were formed from:
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TEFRA - tax equity and fiscal responsibility act.
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DRGs stand for
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diagnostic related groupings
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patients are classified based on:
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ICD - international classification of diseases
23 major diagnostic categories - MCD |
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rationale for DRG:
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pts with same DRG have similar clinical responses and will use similar resources on ave.
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how are hospitals paid when DRG used?
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specific amount per pt based on dx
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is LOS considered?
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nope.
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How is DRG system regulated?
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PRO: peer review organization which is mandated by TEFRA (tax equality and fiscal responsibility act).
It's a formal assessment by physicians of quality/efficiency |
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prospective payment system is:
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DRG system
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can legislative brance override vetos by executive?
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yes.
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executive branch main fxs:
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veto legislation
or sign it into law |
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new bills pathway:
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bill or resolution ->
committees -> public hearings from bill sponsors (RD can voice here) -> committee revise bill in mark up session -> if approved -> Rules committee for debate -> *needs approval from both houses and president. |
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how are differences worked out when house and senate don't agree:
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joint house-senate conference committee -> reconciliation bill
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what kind of bill must be passed for funding?
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appropriations bill
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FTC regulates
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(Federal trade commission)
1.ontent of food ads 2. truth in labeling 3. challenges product claims when they cross state lines |
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FCC regulates
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(federal communications commission)
licenses radio and TV |
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Federal register:
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Notices of public hearings, proposed and final rules, agency decisions, published weekly.
Lists changes in USDA food progs. |
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Congressional record:
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info from floor. (no hearings).
lists bill w/ sponsors and action. issued daily when Congress is in session. |
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Congressional Index:
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weekly update
identifies bill w/ sponsor and committee |
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Federal Regulation:
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interprest a law.
Provides details. Carries the force of a law. Easier to change. Who writes these? |
staff members of the agencies charge with enforcing the regulations.
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who determines eligibility in TANF?
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states.
Also determines benefits. |
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USDA commodity food donation/distribution program includes these programs:
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1. The emergency food assistance program. (TEFAP)
2. CSFP - commodity supplemental food program. 3. donates to SLP, elderly feeding and supplemental programs. |
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USDA commodity food donation/distribution program main purpose:
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food for child and adult
strengthens agricultural market for products from American farmers |
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CSFP main purpose:
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commodity supplemental food prog:
monthly commodity canned or packaged food. Who administers this? |
state health agencies
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Who does CSFP benefit:
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low income women (preg.bf.postp), infants, children up to 6 yo, some elderly.
What are the requirements? |
Low income.
May be required by states to be at nutritional risk. |
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TEFAP main purpose:
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(the emergency food assistance prog)
quarterly distributions. Supplements diets of low income homes. Who distributes it? |
local, public or private nonprofits
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Who runs NSLP?
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USDA food and nutrition services (FNS)
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Who funds NSLP?
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fed gov gives cash grants and food donations.
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nutrients required in NSLP?
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Ca
vit A Vit C Fe Energy Protein |
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This group supports NSLP:
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Team Nutrition implements "School Meals Initiatives for Healthy Children"
What do they do? |
help schools meet guidelines
provide recipes training support motivate kids |
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What guidelines do school food programs have to meet?
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DG
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SBP is run by
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(School Breakfast Program)
USDA runs it. |
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who runs CACFP?
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(Child adult care food prog)
USDA runs it. |
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Who does CACFP provide for:
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public and non profit food service day cares, neighborhood homes, homeless shelters.
Do meals have to meet guidelines? |
yes.
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Does CACFP have to offer free/reduced prices?
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yes. to eligible participants.
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health exam required for WIC?
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yes.
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Who runs WIC?
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USDA
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Who runs EFNEP?
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USDA
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Who runs maternal and child health block grant?
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DHHS
Also part of this? |
Title V of Social secutiry act.
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who runs healthy start?
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DHHS
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who runs Elderly nutr. prog?
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DHHS
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who runs nutrition services inventive program (NSIP)
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USDA
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ENP is under:
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Nutr. services incentive program (older americans act title III). This is run by USDA.
ENP itself is run by DHHS |
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NSIP goals:
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(Nutrition services incentive program)
services to foster indepenent living. cash and commodities to state agencies. |
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least costly of USDA's four food plans:
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SNAP
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SNAP run by
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USDA
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Medicare/medicaid run by:
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DHHS
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Medicare requirements:
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over 65 yo
or ESRD of any age |
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Medicare part A:
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hospital insurance
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Medicare Park B:
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optional insurance for supplementary benefits.
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*Not more than 14 hrs shall pass btw evening meal and breakfast.*
Part of what prog? |
Medicare
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Medicaid administered by:
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states (DHHS)
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Who gets medicaid?
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poor
blind disabled dependent children |
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Two child branches of medicaid?
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EPSDT (early periodic screening, dx, treatment program). For children up to 21 yo.
SCHIP (state children's health insurance prog). Children up to 19 yo who aren't insured. |
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ages for headstart?
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3 - 5
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Headstart is administered by:
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DHHS
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NET is:
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Nutrition education training program.
SLP ammendment. Gives nutr edu training to teachers and foodservice school workers. Who is it run by? |
USDA
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who developed RDAs?
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FNB
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responsible for enrichment and fortification policies?
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National research council (FNB)
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Receives both gov and private funds?
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NRC/FNB
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developed RDAs for developing countries?
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WHO + FAO
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FAO stands for:
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Food and agricultural organization
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who can apply for granst?
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anyone.
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block grants:
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fed gov gives to states or local communities for very broad purposes.
5 blocks: |
Maternal/child
Community Social services Preventative health Primary care |
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CDC STEPS:
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huge fed grant. Focuses on community based initiatives related to obesity, asthma and DM prevention.
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golden rice:
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rice w/ beta carotene
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stages of change:
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pre contemplation
contemplation - preparation - decides to change - plans action - trying to change maintenance - 6 months + |
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health belief model based on:
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-developed to explain why people don't take advantage of progs
-person first must accept severity and their susceptibility to the threat |
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diffusion of innovation categories: 5
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innovators - readily adopt
early adapaters - leaders early majority - cautious late majority - skeptical laggards |
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mission statement includes:
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Four parts:
1. clinic 2. will work to enhave the health 3. of its clients 4. by reducing the risk of heart dz |
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reduced exposure to dz promotor
(what kind of prevention?) |
primary
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early screening for risk factors like DM
(prevention kind?) |
primary
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what kind of prevention?
recuit those with elevated risk into treatment prog. |
secondary
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what kind of prevention?
reduce dz severity |
tertiary
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4p's of marketing
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product acceptable
place accessible price good promotion good |
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nutr monitoring:
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review/measurement of pt's status at a preplanned followup point. Regards the dx, intervention plan/goals and outcomes.
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nutr evaluation:
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compares them with goals
determines progress |
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outcomes:
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measurable indicators
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