Podcast
Questions and Answers
What aspect of healthcare does the Affordable Care Act primarily address?
What aspect of healthcare does the Affordable Care Act primarily address?
Which of the following is NOT a major category of healthcare service?
Which of the following is NOT a major category of healthcare service?
What type of nursing model focuses on 24-hour accountability for patient care?
What type of nursing model focuses on 24-hour accountability for patient care?
Which of the following governmental agencies is associated with maintaining workplace safety in healthcare?
Which of the following governmental agencies is associated with maintaining workplace safety in healthcare?
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What is one of the main goals of Case Management Nursing?
What is one of the main goals of Case Management Nursing?
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Which type of care involves services that are more intense than nursing care but less intense than hospital care?
Which type of care involves services that are more intense than nursing care but less intense than hospital care?
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Which component of healthcare aims to ensure improved patient outcomes and continuous quality improvement?
Which component of healthcare aims to ensure improved patient outcomes and continuous quality improvement?
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What does the term 'healthcare disparity' refer to?
What does the term 'healthcare disparity' refer to?
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Which Medicare part specifically covers prescription drugs?
Which Medicare part specifically covers prescription drugs?
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What is the primary focus of health promotion within healthcare services?
What is the primary focus of health promotion within healthcare services?
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Study Notes
Affordable Care Act (ACA)
- ACA (Affordable Care Act) 2010: Insurance companies cannot deny coverage for pre-existing conditions.
Major Healthcare Services
- Health Promotion & Maintenance: Activities before a health problem arises.
- Illness Prevention: Actions after identifying risk factors in a patient's history, reducing risks like smoking or alcohol cessation.
- Diagnosis & Treatment: Includes imaging and surgery.
- Rehabilitation: Three types: basic rehabilitation; rehabilitation with disease management, and long-term care.
Healthcare Organizations
- Federal Agencies: CDC, OSHA, CMS
- State Agencies: State boards of nursing
- Voluntary Organizations: AHA, Red Cross
- Not-for-Profit vs. For-Profit: Not-for-profit organizations primarily pay employees, while for-profit organizations pay shareholders.
Healthcare Service Levels
- Primary Care: Clinics, health maintenance and promotion.
- Secondary Care: Specialty providers.
- Tertiary Care: Long-term care, rehabilitation, burn centers, trauma centers, hospices.
- Quaternary Care: Highly specialized, research-oriented, uncommon conditions.
- Subacute Care: Goal-oriented care more intense than nursing homes but less than hospitals, and lower cost.
Healthcare Administration
- Board of Directors: Overall operations, nurses can serve on boards.
- CEO: Typically with an MBA or healthcare administration (HCA) degree.
- COO: Assists the CEO.
- Chief Medical Officer (CMO): Grants privileges to physicians.
- House Staff: Interns and residents.
- Chief Nursing Executive/Officer: Oversees all nurse care.
- Shared Governance: Decentralization, nurse autonomy, leading to better patient outcomes.
Accreditation Agencies
- CMS: A government agency that approves healthcare facilities.
- Joint Commission, healthcare facility accreditation program: Ensure improved patient outcomes and continuous quality improvement.
Healthcare Disparities
- Access and Quality of Care: Disparities in access and quality of care are a major concern.
Nursing Models
- Team Nursing: RNs, LPNs, and UAPs work together.
- Primary Nursing: 24-hour accountability for a patient.
- Case Management Nursing: Internal and external case management, reducing costs.
- Critical Path: Planning for patient stays and staffing.
Case Management
- Case Manager: Reduces hospitalizations and costs.
Patient-Centered Care
- Patient-Centered Care: Incorporates patient values and beliefs.
Financial Considerations
- Financial: Providing high-quality care at low cost.
Government Insurance Programs
- Medicare (Federal): Insurance for individuals 65+ - Part A (Hospital insurance) - Part B (Medical insurance) - Part C (Medicare Advantage) - Part D (Prescription drugs)
- Medicaid (State): Insurance for low-income individuals, elderly, blind, and disabled. Benefits are determined at the state level.
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Description
This quiz covers essential aspects of healthcare services, including the Affordable Care Act, major healthcare services, and the roles of various healthcare organizations. Test your knowledge on topics such as health promotion, illness prevention, and the differences between not-for-profit and for-profit organizations.
