CCRI CNA Week #1 Flashcards

Questions and Answers

In the past, health care delivery focused on what?

Home and family

In the past, how were doctors trained?

Generally

Who gave people 'snake oil' and traveled without good medical knowledge to sick people in exchange for money?

Charlatans

In the past, what was the primary patient site?

Home Signup and view all the answers

Where can doctors treat patients today?

Doctor's offices, clinics, work areas, schools, etc. Signup and view all the answers

What is a humanistic approach?

Health care that focuses on the patient receiving the care. Signup and view all the answers

What is a family doctor called?

General practitioner or family physician Signup and view all the answers

What is a holistic approach?

Care that focuses on the patient as a whole. Signup and view all the answers

What do all health care organizations have?

Purpose or mission Signup and view all the answers

What would the primary mission of a university hospital be?

To train people in the field of health care. Signup and view all the answers

Some health care organizations are owned by corporations and use the health care industry as a financial investment.

True Signup and view all the answers

Can some health care organizations be tied with religious groups?

False Signup and view all the answers

Where is severe illness treated?

Hospital Signup and view all the answers

A hospital is what kind of setting?

Acute care Signup and view all the answers

What are people who receive care at a hospital referred to as?

Patients Signup and view all the answers

What is a patient who stays overnight in a hospital called?

Inpatient care Signup and view all the answers

What is a patient called who visits the hospital but leaves the same day?

Outpatient care Signup and view all the answers

What is a long-term facility referred to as?

Nursing home Signup and view all the answers

What is a long-term facility?

Place where people who cannot take care of themselves go to live, either permanently or temporarily. Signup and view all the answers

What are people in long-term facilities called?

Residents Signup and view all the answers

What is an assisted living facility?

A type of long care facility. Signup and view all the answers

What are people in assisted living called?

Residents Signup and view all the answers

Where do people in assisted living live?

Private apartments Signup and view all the answers

How long is care provided in assisted living?

24 hours Signup and view all the answers

Home health care agencies are what?

Provide care in a client's home Signup and view all the answers

What are people who receive care in their home referred to as?

Clients Signup and view all the answers

Who is home health care available to?

Anyone of any age Signup and view all the answers

What is hospice?

Care provided for people nearing the end of life. Signup and view all the answers

How long do people in hospice usually live for?

3-6 months Signup and view all the answers

What is the goal of hospice?

To provide emotional support and physical support to the dying person and families. Signup and view all the answers

What are most health care organizations governed by?

A board of trustees Signup and view all the answers

What are divisions in health care organizations?

Groups in charge of specific parts of the organization Signup and view all the answers

What is an administrator also referred to as?

Chief executive officer (CEO) Signup and view all the answers

Who manages the organization and is the link between the board and organization?

CEO Signup and view all the answers

What is the board made up of?

Community members Signup and view all the answers

What does the board do?

Set up policies to make sure that the care given in the organization is safe and of good quality. Signup and view all the answers

What is each division managed by?

Division director or division manager Signup and view all the answers

Who leads the medical service division?

Medical director Signup and view all the answers

What is a medical director responsible for?

The doctors on staff Signup and view all the answers

Who heads the nursing services division?

The director of nursing (DON) Signup and view all the answers

What is the DON also referred to as?

Chief nursing officer (CNO) Signup and view all the answers

What is the CNO responsible for?

The patient or resident care Signup and view all the answers

Who leads business services?

Business director Signup and view all the answers

What does the business director oversee?

Admissions, billing, payroll, maintenance, and housekeeping Signup and view all the answers

What is a part of the ancillary department?

Patient or resident services, such as social services and dietary services Signup and view all the answers

Care of patients is provided by who?

Healthcare team Signup and view all the answers

What is the focus of the health care team's efforts?

Patient or resident Signup and view all the answers

What is the goal of the health care team?

Holistic care Signup and view all the answers

What do US agencies do?

Protect the recipients and providers of health care Signup and view all the answers

What are government or independent nonprofit agencies?

Make sure that the US health care provided is safe and of high quality Signup and view all the answers

What does DHHS stand for?

Department of Health and Human Services Signup and view all the answers

What is DHHS?

Primary government agency that protects the nation's health Signup and view all the answers

Umbrella agencies under DHHS do what?

Inspect health care organizations regularly to make sure the standards set by the government are being followed. Signup and view all the answers

What can happen if an organization breaks rules?

Fines or closed, loss of government funding Signup and view all the answers

What does OBRA stand for?

Omnibus Budget Reconciliation Act Signup and view all the answers

What does OBRA do?

Improved the quality of life for people who live in long-term facilities by making sure residents receive a certain standard of care. Signup and view all the answers

What is the Joint Commission?

An independent, nonprofit organization that sets standards for and accredits healthcare organizations. Signup and view all the answers

What is a survey?

Something used to make sure health care organizations are following the rules and standards, conducted during inspections. Signup and view all the answers

What is a survey team?

People from an agency that visit an organization and inspect it. Signup and view all the answers

What do surveyors do at the end of their visit?

Make a written report Signup and view all the answers

What are deficiency citations?

Things that are written in the report if things are out of compliance. Signup and view all the answers

How should the facility respond to deficiency citations?

By submitting a plan on how errors will be fixed. Signup and view all the answers

What happens if a facility does not fix deficiency citations?

Could lose accreditation, fines, cannot qualify for Medicare or Medicaid, admission ban, closure Signup and view all the answers

What does OSHA stand for?

Occupational Safety and Health Administration Signup and view all the answers

What is OSHA?

A federal agency that sets standards for staff and patient safety. Signup and view all the answers

What is OSHA a part of?

US Department of Labor Signup and view all the answers

What is group insurance?

Insurance that is purchased at a group rate by an employer or corporation. Signup and view all the answers

What is the precertification (preapproval) process?

Decision by your health insurer or plan that a health care service, treatment plan, prescription drug, or durable medical equipment is medically necessary. Signup and view all the answers

What are managed care systems?

Give health care to people in need by arranging contracts with health care providers. Help reduce costs by verifying procedures before carried out. Signup and view all the answers

What is a Preferred Provider Organization (PPO)?

Group of healthcare providers that provide services to a specific group, often at a reduced rate. Signup and view all the answers

What does PPO stand for?

Preferred Provider Organization Signup and view all the answers

What does HMO stand for?

Health Maintenance Organization Signup and view all the answers

What does HMO do?

People can only get care from people working in HMO. Provide health care services for a pre-paid fee. Costs less to prevent disease instead of when it happened. Signup and view all the answers

What is Medicare?

Federally funded/65 and older are eligible Signup and view all the answers

What does MDS stand for?

Minimum Data Set report Signup and view all the answers

What is MDS?

Report for each resident in their care. Signup and view all the answers

What does diagnosis related groups stand for?

DRGs Signup and view all the answers

What does DRGs stand for?

Payment for hospitalization or surgery is specified according to diagnosis. Signup and view all the answers

What is Medicaid?

Federally funded state regulated for people with low incomes. Signup and view all the answers

In order to receive Medicare reimbursement, health care facilities must?

Meet government regulations/long term facilities must complete a minimum data set. Signup and view all the answers

What does NIH stand for?

National Institutes of Health Signup and view all the answers

What does AHRQ stand for?

Agency for Healthcare Research and Quality Signup and view all the answers

What does FDA stand for?

Food and Drug Administration Signup and view all the answers

What does CDC stand for?

Centers for Disease Control and Prevention Signup and view all the answers

What does CMS stand for?

Centers for Medicare and Medicaid Services Signup and view all the answers

What are early nurses referred to as?

Aids or orderlies Signup and view all the answers

How many hours does OBRA mandate of training?

75 Signup and view all the answers

What does NATCEP stand for?

Nursing assistant training and competency evaluation program Signup and view all the answers

What is competency evaluation?

Written test 75 multiple choice questions and a skills test Signup and view all the answers

How many opportunities do you have to complete the evaluation?

3 Signup and view all the answers

How long is your NA license valid for?

2 years Signup and view all the answers

What does OBRA require each state to do?

Maintain a registry Signup and view all the answers

What is a registry?

Official record of the people who have successfully completed the nursing assistant training program Signup and view all the answers

What does the registry contain?

Full name (maiden and married), address, registry number expiration, date of birth, competency evaluation date, last employer and dates of employment, reported incidents Signup and view all the answers

Things like resident abuse must be in the registry for?

5 years Signup and view all the answers

What is reciprocity?

License is valid in other states too Signup and view all the answers

Once you are a CNA, you must learn for a minimum of?

12 hours a year Signup and view all the answers

What is NA?

Observer and communicator Signup and view all the answers

Who do NAs work with the most?

LVN, LPN, and RN Signup and view all the answers

What are charge nurses?

Supervisors Signup and view all the answers

Study Notes

Health Care Delivery

Historically focused on home and family for care.
Primary patient site was home.
Charlatans sold ineffective remedies for profit.

Medical Training and Patient Care

Doctors received general training in the past.
Current treatment locations include offices, clinics, schools, and more.

Approaches to Health Care

Humanistic approach emphasizes patient-centered care.
Holistic approach considers the patient as a whole individual.

Types of Health Care Professionals

General practitioners or family physicians serve as family doctors.
Nursing homes provide long-term care for those unable to care for themselves.

Health Care Facilities

Inpatient care refers to patients staying overnight in hospitals.
Outpatient care involves patients visiting but not staying overnight.
Assisted living facilities offer support for individuals who are semi-independent.

Home Health Care and Hospice

Home health care provides services in a client’s home, available to all ages.
Hospice care focuses on patients nearing the end of life, typically offering support for 3-6 months.

Governance and Management of Health Care Organizations

Health care organizations are governed by boards of trustees who set policies for quality care.
The CEO manages the organization, serving as the link between the board and staff.
Divisional management includes medical, nursing, and business services supervisors.

Quality Assurance and Regulation

Health care organizations undergo surveys by agencies to ensure compliance with standards.
Deficiency citations result from non-compliance, requiring a response plan for corrections.
Organizations risk fines or loss of accreditation for failing to address deficiencies.

Regulatory Agencies and Standards

DHHS (Department of Health and Human Services) is the primary agency safeguarding national health.
OSHA (Occupational Safety and Health Administration) sets safety standards for staff and patients.
OBRA (Omnibus Budget Reconciliation Act) ensures standards of care in long-term facilities.

Insurance Types

Group insurance is purchased by employers or corporations for employees.
Managed care systems help control costs and ensure necessary care through verified procedures.

Medicare and Medicaid

Medicare provides federally funded health care for individuals aged 65 and older.
Medicaid is a state-regulated program for people with low incomes.

Training and Competency

OBRA mandates 75 hours of training for nursing assistants.
Competency evaluations consist of a written test and practical skills assessment, with up to three attempts allowed.
Nursing assistant licenses are valid for two years, requiring 12 hours of continued education annually.

Nursing Assistant Role

Nursing assistants are observers and communicators who often collaborate with LVN, LPN, and RN staff.
A registry maintains official records of nursing assistants who have completed training programs.

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Description

Test your knowledge of foundational concepts in health care delivery with these flashcards designed for CCRI CNA Week #1. Each card focuses on historical perspectives and key terms related to the evolution of medical practice and patient care. Perfect for nursing students looking to strengthen their understanding of essential health care principles.