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?
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Where can doctors treat patients today?
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What is a humanistic approach?
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What is a family doctor called?
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What is a holistic approach?
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What do all health care organizations have?
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What would the primary mission of a university hospital be?
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Some health care organizations are owned by corporations and use the health care industry as a financial investment.
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Can some health care organizations be tied with religious groups?
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Where is severe illness treated?
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A hospital is what kind of setting?
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What are people who receive care at a hospital referred to as?
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What is a patient who stays overnight in a hospital called?
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What is a patient called who visits the hospital but leaves the same day?
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What is a long-term facility referred to as?
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What is a long-term facility?
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What are people in long-term facilities called?
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What is an assisted living facility?
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What are people in assisted living called?
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Where do people in assisted living live?
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How long is care provided in assisted living?
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Home health care agencies are what?
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What are people who receive care in their home referred to as?
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Who is home health care available to?
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What is hospice?
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How long do people in hospice usually live for?
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What is the goal of hospice?
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What are most health care organizations governed by?
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What are divisions in health care organizations?
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What is an administrator also referred to as?
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Who manages the organization and is the link between the board and organization?
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What is the board made up of?
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What does the board do?
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What is each division managed by?
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Who leads the medical service division?
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What is a medical director responsible for?
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Who heads the nursing services division?
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What is the DON also referred to as?
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What is the CNO responsible for?
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Who leads business services?
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What does the business director oversee?
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What is a part of the ancillary department?
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Care of patients is provided by who?
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What is the focus of the health care team's efforts?
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What is the goal of the health care team?
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What do US agencies do?
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What are government or independent nonprofit agencies?
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What does DHHS stand for?
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What is DHHS?
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Umbrella agencies under DHHS do what?
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What can happen if an organization breaks rules?
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What does OBRA stand for?
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What does OBRA do?
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What is the Joint Commission?
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What is a survey?
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What is a survey team?
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What do surveyors do at the end of their visit?
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What are deficiency citations?
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How should the facility respond to deficiency citations?
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What happens if a facility does not fix deficiency citations?
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What does OSHA stand for?
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What is OSHA?
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What is OSHA a part of?
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What is group insurance?
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What is the precertification (preapproval) process?
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What are managed care systems?
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What is a Preferred Provider Organization (PPO)?
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What does PPO stand for?
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What does HMO stand for?
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What does HMO do?
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What is Medicare?
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What does MDS stand for?
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What is MDS?
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What does diagnosis related groups stand for?
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What does DRGs stand for?
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What is Medicaid?
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In order to receive Medicare reimbursement, health care facilities must?
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What does NIH stand for?
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What does AHRQ stand for?
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What does FDA stand for?
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What does CDC stand for?
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What does CMS stand for?
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What are early nurses referred to as?
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How many hours does OBRA mandate of training?
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What does NATCEP stand for?
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What is competency evaluation?
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How many opportunities do you have to complete the evaluation?
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How long is your NA license valid for?
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What does OBRA require each state to do?
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What is a registry?
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What does the registry contain?
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Things like resident abuse must be in the registry for?
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What is reciprocity?
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Once you are a CNA, you must learn for a minimum of?
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What is NA?
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Who do NAs work with the most?
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What are charge nurses?
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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.
Studying That Suits You
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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.