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12 Cards in this Set
- Front
- Back
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Specialty Hospital
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Provides only a certain type of therapeutic care (psychiatry or rehab); or only serves certain types of patients, such as children
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Rural Hospital
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Located in country outside metropolitan statistical area; MSA (one city with population of 50,000 or ubranized area at 50,000 and a total MSA population of at least 100,000)
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Teaching Hospital
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Only if it offers a grad residency program that is approved by AMA; most affiliated medical schools
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Licensure
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state function (mandatory in order to operate); state dept of health oversees; condition - compliance with state laws for building codes, fire safety, climate control, sanitation, and min standards equipment and personnel
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Certification
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Federal (essential for medicaid and medicare participation)
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Accreditation
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private function and voluntary; The Join Commission (previously known as Joint Commission on Accreditation); greater emphasis on quality of care, accredited facilities eligible for M&M reimbursement, different set of standards for diff categories
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Deemed Status (JConA)
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hospitals accredited by JCA are deemed to also have met the conditions of participation for certification purposes
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Beneficence
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Physicians and care providers ethical obligation to do all that they can to alleviate suffering from illness or injury
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Non-maleficence
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Moral obligation not to harm a patient, "First do no harm", End of life - can continuing treatments care more harm than good?
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Legal Mechanisms to deal with in Difficult Life and Death Decisions
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Patient Self-Determination Act of 1990 (applies to all health care facilities using M&M; upon admission information on patient rights must be given), Informed Consent (patiet right to make informed choice about medical treatment, right to refuse treatment), Advanced Directives (patient's expressed wishes with regard to continuation or withdrawal of treatment)
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Advanced Directives - Living Will
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Only comes into affect when terminally ill, can describe the kind of treatment you want or do not want in certain situations, ex: "do not resuscitate order (DNR)
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Durable power of attorney for health care
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states who you want to have choose to make a health decision if you are unconscious or unable to make medical decisions
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