Healthcare System and Patient Care

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Questions and Answers

What is the primary goal of a well-functioning healthcare system?

To provide safe care

To provide efficient care

To provide equitable care (correct)

To provide patient-centred care

Which of the following increases access to healthcare?

Community health centers

Patient Protection Affordable Care Act

Mobile health units

All of the above (correct)

What is the primary purpose of HCAHPS surveys?

To assess healthcare quality

To monitor hospital operations

To evaluate patient satisfaction

To drive hospital funding (correct)

Which of the following is NOT a group of HCAHPS?

Medical education Signup and view all the answers

What is the primary goal of interprofessional healthcare teams?

To achieve quality patient care Signup and view all the answers

What is the role of a pharmacist in an interprofessional healthcare team?

To dispense medication Signup and view all the answers

What is the main goal of IPEC?

Improving the health of populations Signup and view all the answers

What is a key component of effective teamwork in healthcare?

Clear roles and responsibilities Signup and view all the answers

What is the purpose of safety huddles in healthcare?

To identify and address safety concerns Signup and view all the answers

What is the primary goal of community-based nurses?

To coordinate community resources needed by patients Signup and view all the answers

What is the purpose of the ISBARQ framework in healthcare?

To provide a structured approach to handoff reports Signup and view all the answers

What is the primary goal of preventing mistakes in surgery?

To improve patient safety Signup and view all the answers

What is the primary purpose of Flatten Hierarchy in Healthcare teams?

To allow the best person to do the job Signup and view all the answers

Which of the following is a component of effective teams in healthcare?

Clear roles and Effective Leadership Signup and view all the answers

What is the primary purpose of IPEC in healthcare?

Promoting interprofessional education and practice Signup and view all the answers

What is the primary goal of community-based nurses in healthcare?

To coordinate community resources needed by patients Signup and view all the answers

What is the primary purpose of the ISBARQ framework in healthcare?

To improve patient handovers Signup and view all the answers

Which of the following is a strategy to prevent mistakes in surgery?

All of the above Signup and view all the answers

What is a characteristic of patient-centred care?

Providing care that is respectful of and responsive to individual patient preferences Signup and view all the answers

Which of the following is a key aspect of effective care?

Effectiveness of care Signup and view all the answers

What is a responsibility of a physician assistant in an interprofessional healthcare team?

Examining and suturing patients Signup and view all the answers

Which healthcare professional is responsible for teaching patients activities to promote self-care in daily activities?

Occupational therapist Signup and view all the answers

What is a key component of closed-loop communication in healthcare?

Confirming understanding and clarifying information Signup and view all the answers

What is the primary focus of a registered nurse in an interprofessional healthcare team?

Supervising and coordinating care Signup and view all the answers

Which of the following is a key aspect of a well-functioning healthcare system?

Patient-centred care Signup and view all the answers

What is the purpose of HCAHPS surveys in healthcare?

To improve hospital funding Signup and view all the answers

Which healthcare professional is responsible for restoring function to prevent further disability?

Physical therapist Signup and view all the answers

What is the primary goal of interprofessional healthcare teams in terms of patient care?

To achieve quality patient care Signup and view all the answers

What is the role of a social worker in an interprofessional healthcare team?

To assist patients and families with social and emotional factors Signup and view all the answers

What is a key aspect of effective leadership in healthcare?

Closed-loop communication Signup and view all the answers

What is the primary focus of community-based nurses?

Coordinating community resources Signup and view all the answers

What is the purpose of the Daily Goals Worksheet?

To facilitate communication among healthcare teams Signup and view all the answers

What is the primary goal of handoffs in healthcare?

To enhance communication among healthcare teams Signup and view all the answers

What is the purpose of the CUS protocol?

To identify concerns, uncomfortable situations, and unsafe practices Signup and view all the answers

What is the primary goal of preventing readmissions in healthcare?

To reduce healthcare costs Signup and view all the answers

What is the purpose of verifying patient information and procedure in surgery?

To ensure patient safety Signup and view all the answers

What is a key aspect of a healthcare system that is considered equitable?

Providing equal access to healthcare regardless of a patient's socio-economic status Signup and view all the answers

Which of the following groups is NOT a component of HCAHPS surveys?

Efficiency of care Signup and view all the answers

What is the primary role of a physical therapist in an interprofessional healthcare team?

Restoring function to prevent further disability Signup and view all the answers

What is the primary goal of improving access to cost-effective care?

Improving patient outcomes through preventative care Signup and view all the answers

What is a key component of effective leadership in healthcare?

Open communication and mutual respect Signup and view all the answers

What is the primary role of a speech therapist in an interprofessional healthcare team?

Relearning to speak after a traumatic event Signup and view all the answers

What is the primary focus of IPEC?

Enhancing interprofessional education Signup and view all the answers

What is the purpose of safety huddles in healthcare?

To enhance team communication and collaboration Signup and view all the answers

What is a key aspect of effective teamwork in healthcare?

Clear roles and responsibilities Signup and view all the answers

What is the primary goal of preventing mistakes in surgery?

To ensure correct patient and procedure verification Signup and view all the answers

What is the purpose of the ISBARQ framework in healthcare?

To facilitate handoffs and transitions Signup and view all the answers

What is a key aspect of patient-centered care?

All of the above Signup and view all the answers

Study Notes

Characteristics of a Well-Functioning Healthcare System

Safe care: prioritizing patient safety and minimizing harm
Effective care: providing high-quality care that meets patient needs
Efficient care: managing resources and reducing waste
Patient-centered care: prioritizing patient needs and preferences
Timely care: providing care in a timely and efficient manner
Equitable care: providing equal access to care for all patients

Increase Access to Healthcare

Patient Protection and Affordable Care Act (ACA)
Health insurance marketplaces
Community centers
Mobile units

HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems)

Surveys driving hospital funding
7 groups of measures:
- Mortality
- Safety of care
- Readmission
- Patient experience
- Effectiveness of care
- Timeliness of care
- Efficient use of medical imaging

Improving Access to Cost-Effective Care

Preventive care
Mobile health

Interprofessional Healthcare Team

Fostering open communication
Mutual respect
Shared decision-making
Patient care
Demonstrating awareness of personal strengths and limitations
Initiating plans for self-development

Effective Leadership

Closed-loop communication

Interprofessional Healthcare Team Members

Physician: diagnosis of illness
Registered nurse: supervising and coordinating care
Physician assistant: supervision under physician, examination, and suturing
Physical therapist: restoring function to prevent further disability
Occupational therapist: teaching activities to promote self-care in daily activities
Speech therapist: relearning to speak
Social worker: supporting patients and families with social and emotional factors affecting behavior
Pharmacist: dispensing medication
Respiratory therapist: improving pulmonary function
Dietitian: managing plans for dietary needs
Chaplain: addressing spiritual needs of patients
Assistive personnel: providing direct care to patients

Flattened Hierarchy

Best person to do the job

Components of an Effective Team

Communication
Clear roles
Safe and effective care
Accountability
Complementary skills
Effective leadership

IPEC Goals

Improving expense of care
Improving health of populations
Reducing capita
Implementing the Patient Protection and Affordable Care Act

IPEC Components

Values and ethics
Roles and responsibilities
Communication
Teams and teamwork

Making Interprofessional Collaboration Easier

Safety huddles
Patient rounds
Safet rounds
Daily goals worksheet
Discharge plan
Family meeting
Shared training

Main Issues Leading to Increased Healthcare Costs

Uninsured patients
Access to healthcare
Shortage of providers
Quality and safety
Readmissions

Best Practice Standards for Handoff Reports

Closed-loop communication
Taking time needed for report
Bedside report

Community-Based Nurses

Coordinating community resources needed by patients
Knowledge of community resources

Communication Failure

Lack of teamwork and respect

Successful Handoffs

Organization priority and performance inspection

Effective Nurse-Patient Relationships

Flexible
Clear
Concise
Truthful
Listening intently
Culturally appropriate
Silence
Touch
Humor

Reportable Events

Near misses
Errors
Failure to administer medication to patients

Types of Reports

Occurrence reports (incident reports)
Sentinel events (unexpected occurrence involving death or severe physical or psychological injury)

Reports Confidentiality

Confidential and non-punitive

ISBARQ

Identify self
Situation
Background
Assessment
Recommendation
Questions

CUS

Concerned
Uncomfortable
UnSafe

Patient Identification

Correct identification by name and date of birth

Improving Staff Communication

Getting important documents to the right people on time

Medication Safety

Labeling medication
Taking extra care with patients on blood thinners
Recording and passing on information about a patient's medications

Alarm Safety

Responding to alarms and call bells on time

Infection Prevention

Following hand cleaning protocol

Pt Safety Risk

Identifying and reducing the risk of suicide

Improving Healthcare Equity

Identifying disparities in the patient population
Written plans to improve healthcare equity

Preventing Mistakes in Surgery

Verifying patient and procedure
Marking correct place on patient's body
Pausing and verifying before surgery

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Description

Test your knowledge of the healthcare system, including patient-centred care, access to healthcare, and hospital funding. Learn about the elements of a well-functioning healthcare system and the importance of patient experience.