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44 Cards in this Set
- Front
- Back
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3 phases of health planning in 20th century |
First 50 years 1900-1950 Voluntary private groups 1960-1970s - Health planning assumed by Feds Since then formal health planning carried out by each state |
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Hill Burton Act |
1946 - began a new phase in health planning Funded the building of hundreds of hospitals, LTC facilities, and other related structures. |
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Comprehensive Health Planning Act |
Phase 2 First Health Planning law public law 89-749 Mandated that all participating states set up state and local health planning entities called Comprehensive Health Planning agencies (CHPs) |
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Who primarily served as the nuclei for the CHPs ? |
Hospital planning associations. |
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Under the CPHA consumers were to constitute what percent of the board? |
51% |
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Within the first 5 years of the CHPA which group dominated? |
Concerned health professionals |
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New health planning laws were passed after the CHPA to do what? |
Better define consumer to ensure that health professionals were not over represented |
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National health planning and resource development act. What was it’s intent? |
Public law 93-641 To rationalize health planning in the US. |
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Under NHPRDA what was established? |
213 health system agencies (HSAs). Former CHPAgencies won th Enid’s for the HSAs |
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Under the NHPRDA what was the role of the HSAs? |
Responsible for estimating he health needs in its geographical area for the prospective 5 years. Including the need for nursing beds. Based on the plan the agencies would determine whether the healthcare needs of the area were being met. |
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NHPRDA Gives HSAs the authority to issue ————- depending on need. |
CON - certificate of need |
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NHPRDA also gave HSAs the authority to? |
review capital projects for building new facilities or renovating existing one |
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His did President Reagan reduce the feds roll in healthcare? |
Formally killed public law -93-641 national health planning and resource development act |
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After NHPRDA was killed who is responsible for issuing CONs |
The state |
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Currently how have states handles CONs? |
About 50% no longer require. Some exempt all but the most expensive projects from requiring CONs |
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What is JCAHO? |
The joint commission on accreditation of healtcare organizations. Origins in 1918 with hospitals established by the American college of surgeons. LTC that meet certain requirements are eligible for JCAHO accreditation. 22 member board |
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What percent of LTC Facilities have applied JCAHO accreditation? |
10% Some states are using JCAHO sin lieu of state and fed inspections. |
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Is JCAHO for nursing facilities required? |
No. It is a requirement for hospitals. |
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What are the eligibility requirements for JCAHO? |
Hospital based or freestanding Established for inpatient care Organized medical staff or it’s equivalent Medical director Provides continuous nursing service under professional nurse direction Same ownership for at least 6 months Current license by the state Operates without discrimination |
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How much does JCAHO cost |
6,000-11,000 |
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How long does JCAHO Take |
109 days |
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What does JCAHO examine |
Building and ground safety Dietetics services Functional safety |
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Affordable care act |
Patient protection and affordable care act 2010 and 2014 amendments aka Obamacare Together with the Health Care and Education Reconciliation Act it represented most significant regulatory over haul of the healthcare system since the foundation of Medicare and Medicaid in 1965 |
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ACA goals? |
Increasing the quality and affordability of health insurance Lowering uninsured rate by expanding public and private insurance coverage And reducing the cost of healthcare for individuals and the government |
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ACA required insurance companies to ? |
Cover all applicants with new minimum standards and offer same rates regardless of sex and oreexisting conditions |
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What was the effect of ACA kn Medicare and caid spending? |
Continued the trend to shift Medicare/caid spending to HCBS and away from skilled nursing. |
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ACA section 1915(c) waiver? |
Allowed Medicare/ caid to shift more monies to HCBS away from institutional facilities Program called money follows the person |
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ACA created a program community first program. What is it? |
Alllowed additional monies to flow toward HCBS |
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ACA also directed funding toward wellness programs. Beginning in 2011 what did Medicare reimbursements cover? |
Annual physical examine. Reflecting shift from cure only to prevention as well. |
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ACA required CMS to implement what? |
QAPI program for certified nursing facilities. |
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How did the ACA affect patient access to medical records? |
Emphasis on care coordination with eye toward integrated systems of care. Required a nationwide policy to promote patient access to their medical records. |
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Elder Justice Act |
Passed by Congress in 2010 and incorporated into the ACA. Requires NFs to prevent or respond to elder abuse neglect or exploitation. |
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What did the Elder Justice Act require NFs to do regarding elder abuse? |
Notify the Fed DHHS and local law enforcement authorities of any suspicions of abuse, regardless of whether the suspected abuse results in bodily harm. |
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Under the elder justice act what is the fine for noncompliance for facility/employees |
Up to 300,000 |
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Taft Hartley Act - prohibited unions |
1947 Unions are ******* CCCRP Prohibited from: Forcing employees to hire unnecessary workers Causing employers to discriminate against employees Charging excessive management dues Coercing or restraining employees from selecting representatives to bargain on managements behalf Restraining employees from Exercising their rights to join or not to join Participating in secondary boycotts |
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Taft Hartley Act - prohibited unions |
1947 Unions are ******* CCCRP Prohibited from: Forcing employees to hire unnecessary workers Causing employers to discriminate against employees Charging excessive management dues Coercing or restraining employees from selecting representatives to bargain on managements behalf Restraining employees from Exercising their rights to join or not to join Participating in secondary boycotts |
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Taft Hartley - managers can’t |
1947 managers Can’t get FIIRD Fire or discriminate against employees Interfere or dominate labor organizations Interfere with employees rights to join Refuse to bargain Discriminate against hiring or giving tenure |
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Taft Hartley Act - prohibited unions |
1947 Unions are ******* CCCRP Prohibited from: Forcing employees to hire unnecessary workers Causing employers to discriminate against employees Charging excessive management dues Coercing or restraining employees from selecting representatives to bargain on managements behalf Restraining employees from Exercising their rights to join or not to join Participating in secondary boycotts |
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Taft Hartley - managers can’t |
1947 managers Can’t get FIIRD Fire or discriminate against employees Interfere or dominate labor organizations Interfere with employees rights to join Refuse to bargain Discriminate against hiring or giving tenure |
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Taft -Hartley Amendment |
1974 Fed 1090 Fm Federal Mediation and conciliation services receives notice 30 days of in impasse 10 days notice before strike 90 days notice to change existing contract FMCS can appoint a board of inquiry to mediate the dispute |
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Taft Hartley Act - prohibited unions |
1947 Unions are ******* CCCRP Prohibited from: Forcing employees to hire unnecessary workers Causing employers to discriminate against employees Charging excessive management dues Coercing or restraining employees from selecting representatives to bargain on managements behalf Restraining employees from Exercising their rights to join or not to join Participating in secondary boycotts |
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Taft Hartley - managers can’t |
1947 managers Can’t get FIIRD Fire or discriminate against employees Interfere or dominate labor organizations Interfere with employees rights to join Refuse to bargain Discriminate against hiring or giving tenure |
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Taft -Hartley Amendment |
1974 Fed 1090 Fm Federal Mediation and conciliation services receives notice 30 days of in impasse 10 days notice before strike 90 days notice to change existing contract FMCS can appoint a board of inquiry to mediate the dispute |
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NLRB ruling st. Francis v IBEW local 474 |
Ruled that 39 maintenance workers did not constitute a bargaining unit. From there unions had to represent “all professional” or “all non professional” made it more difficult to unionize in NF. |
