Ch 2 Healthcare delivery system Flashcards

1
Q

nursing infomatics

A

uses information and technology to communicate, manage knowledge, mitigate error, and support decision-making

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2
Q

implications of technical advancements

A

telemedicine, communication, automated technologies do not replace the need for judgement

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3
Q

primary health care

A

focus on improved health outcomes for an entire population

-well-baby care, nutrition, family planning

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4
Q

secondary acute care

A

emergency care, acute med-surgical, radiological proceedures for acute problems

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5
Q

tertiary care

A

intensive care, subacute care

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6
Q

restorative care

A

home care. rehab, extended care

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7
Q

continuing care

A

nursing homes, assisted living, respite, adult day care, hospice

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8
Q

discharge planning

A

begins moment pt is admitted
-centralized, coordinated, interdisciplinary process that ensures a pt has a plan for continuing care after leaving health care agency

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9
Q

prospective payment system (PPS)

A

eliminated cost-based reimbursement

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10
Q

diagnosis related groups (DRG)

A

each group has a fixed reimbursement amount w adjustments based on case severity, rural/urban/regional costs, and teaching costs

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11
Q

capitation

A

providers receive a fixed amount per patient or enrollee of a health care plan

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12
Q

resource utilization groups (RUG)

A

used in long term care

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13
Q

managed care

A

health care systems in which provider receives a predetermined capitated payment for each patient enrolled in system, mamged care organization assumes risk

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14
Q

quality improvement committee considerations-3

A
  1. high volume
  2. high risk
  3. problem areas
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15
Q

PSDA cycle

A

Plan Do Study Act

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16
Q

six sigma or lean

A

evaluate processes to reduce costs, enhance quality and revenue, and improve teamwork while using talents of existing employees and fewest resources

17
Q

rapid cycle/ improvement events (RIE)

A

intense, week long events, where a group evaluates a problem with the intent of making radical changes to a current process; changes made and evaluated in within a very short time