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32 Cards in this Set
- Front
- Back
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Goal of Healthcare |
More complex than just diagnosis and treatment -prolong life, cure disease, reduce discomfort, reduce disabilities, prevent birth defects, prevent premature births, improve access to care, increase preventative medicine practices, provide quality care, promote education, promote and enhance quality of life |
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Types of Healthcare facilities |
Inpatient, outpatient, skilled, unskilled, for profit, not for profit, specialty hospitals, teaching hospitals |
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For profit/not for profit |
Community n.f.p or general hospitals to meet the Healthcare and surgical needs of the community -1980s many closed or became f.p or joined a larger system -public hospital know as charity because they provide to the poor |
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Teaching |
Located in large cities and are largest in the system -have residency program and preceptors for many other disciplines |
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Rural |
Small less than 100 beds and the population must be under 50,000 residents. Population is older, less healthy, poorer in nature |
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Specialized
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Associated with large systems and do just one area. Children’s, women's, geriatric, psychiatric, rehabilitation, veterans, cancer |
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Ambulatory care centers (healthcare facilities) |
-outpatient clinic, same day surgery centers -urgent care centers -retail clinics within pharmacies |
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Nursing and residential care facilities (healthcare facilities) |
-nursing home, skilled rehab -assisted living (patient must be able to do ADL on own) -residential group homes, drug rehab, adult family, mentally disturbed youth, disabled seniors |
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Physician and dental offices (healthcare facilities) |
Group and private practice -backup coverage and decrease overhead |
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Home health and hospice (healthcare facilities) |
Provides services in the patient’s home -dressing changes, medication refills, vital sign and diabetic monitoring, rehab with OP, PT, Speech -Hospice- in hospital, home or freestanding care of terminally ill with life expectancy of 6 months or less |
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Days of country doctor (barter system) (paying for healthcare services) |
As education and time to become a doctor increased this was no longer conducive -new system evolved and paid money for services -lead to the idea of insurance to assure payment |
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Insurance (paying for healthcare services) |
employee sponsored 1929 -single, family- deduct from your salary the premium -some pay the employees' premium, but deduct from salary to cover family -deductible- you pay first 100-500 then the insurance will cover 70-80% of the cost/remaining balance |
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Private pay company (paying for healthcare services) |
-why have it? unemployed at the moment, company is small and does not offer it, you are self-employed -ACA 203 mandated small companies provide to all employees. marketplace |
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Managed Care (paying for healthcare services) |
directs use of health care services and the associated costs Example: HMO, PPO, PSO How they work? the provider accepts a limited 5 amount for services exchanged in exchange for a number of patients -in plan and out of plan services |
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Medicare (paying for healthcare services) |
-part A: in hospital services -part B: physician services and outpatient services (OT, PT, Speech -deemed worthy) |
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Medicare Parts (paying for healthcare services) |
-Part C: alternative to standard, some additional coverage like prescription drug costs -Part D: prescription cost only -Medigap: can purchase to cover costs not covered in parts A and B since Medicare as like other insurances and covers generally 80% of the costs |
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Medicaid (paying for healthcare services) |
-varies state to state what the poverty levels is and eligibility criteria -nursing homes and long term care services one key source that are funded do have to spend down before coverage begins |
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CHIP 1997 (Hillary Clinton "Bitch" haha :P Initiative) written during the debate obviously! but this is actually a good insurance plan for the childeren (paying for healthcare services) |
children health insurance plan- covers all children who families are not able to afford private health insurance, but who are not eligible for Medicaid. income is too high for Medicaid, but too low too low to afford private
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Ryan White program 1990
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to provide services to HIV/AIDS immunodeficiency syndrome |
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Synder Act
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also known as the indian health services |
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Retired Military |
known as tricare
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Worker's comp |
to cover workers hurt/ill on the job. each state mandates own policy |
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ACA of 2013
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passed to help meet needs of these millions of uninsured individuals |
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Primary Health Professions
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Today: ACA requires you to choose MD, OD, PA, NP, or others |
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Stages of medicine in history
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-dogmatic or empirical -rational -evidence based |
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(Stage 1 of medicine in history) |
subset primitive herbs, magicians, shaman and priest spells, prayers, charms "drink blood of warrior for strength" |
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Dogmatic/empirical (Stage 2 of medicine in history) |
realized a separation was needed between medicine and spiritual. more formal education with standards courses -identified field of anatomy and published illistrations -pain and suffering of patients -understood the spread of infectious diseases |
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Rational (Stage 3 of medicine in history) |
microscope came about, vaccines were developed, environmental issues affect one's health -late part of this stage 19th/20th centuries saw radical improvement |
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Evidence Based (Stage 4 of medicine in history) |
-clinical trials, patient are their own advocates for care, doctors invite patient output into their care, computers and database management, new training of doctors/physicians |
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Inter-professional approach
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2 or more disciplines collaborating on the care of patients allows to view patient care holistically rather than on one condition or ailment |
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Team Approach |
where the team develops a patient plan of care based on the expertise of the individual team members while using the teams knowledge, experience and recommendations
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