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NUR 228 > Quiz 1 > Flashcards

Quiz 1 Flashcards

1
Q

Harry Truman

A

Hill-Burton Hospital Construction Act

Gave hospitals millions of dollars to expand and improve and in return hospitals gave them free care

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2
Q

L.B Johnson

A

Medicare and Medicaid in 1965

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3
Q

Nixon

A

Federal support of HMO’s

National Health planning and resources development act of 74 (Transition from the improvement of access to -containment)

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4
Q

Regan

A

New Medicare controls

additional coverage for elderly

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5
Q

Clinton

A

HIPAA

SCHIP

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6
Q

Obama

A

Health care reform

Affordable care act

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7
Q

Characteristics of HCDS

A

unique, complex, massive

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8
Q

Military HC

A

Tricare
active-duty military personnel/certain nonmilitary services
VA HC system: hospital/mental health/long-term care

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9
Q

What are four determinants of health?

A

Genetics
Lifestyle
Access to Medical Care
Social and Environmental Factors

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10
Q

What focuses on patient outcomes and EBP research?

A

AHRQ

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11
Q

What is the purpose of a nursing practice act?

A

provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing.

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12
Q

what is the purpose of the ACA?

A

it was intended to provide new consumer protection, improved quality, and increasing access?

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13
Q

SCHIP

A

covers children from uninsured families or those unqualified for Medicaid

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14
Q

market justice

A 
fair distribution
willingness/ability to pay
supply/demand
private insurance
minimal govt interference
emphasizes individual responsibility
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15
Q

social justice

A 
societal responsibility
available to all, regardless of ability to pay
based on need
shared responsibility
public financed (medicare and medicaid)
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16
Q

what is managed care?

A

delivery system
seeks to achieve efficiency by integrating the basic functions of health care delivery
employs mechanisms to control (manage) utilization of medical services
determines the price at which the services are purchased and, consequently, how much the providers get paid

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17
Q

CDC

A

Centers for Disease Control and Prevention

communicable disease

18
Q

CMS

A

Centers for Medicare and Medicaid Services

19
Q

HIPAA

A

Health Insurance Portability and Accountability Act
made it illegal to gain access to personal medical information for reasons other than health care
delivery, operations, and reimbursement

20
Q

what is a safety net?

A

providers that. organize and deliver a significant level of health care and other related services to. uninsured, Medicaid, and other vulnerable populations

21
Q

What are some examples of safety net services?

A

free clinics
ER
community health centers

22
Q

Medicaid

A

provides coverage for low-income women, children, elderly people, and individuals with disabilities
largest provider of long term care services

23
Q

medicare

A

elderly, disabled, end-stage renal disease
managed by CMS
covers: hospital care/post-discharge nursing care/ outpatient services/RX drugs
one of the largest sources of U.S. public health care

24
Q

main concerns of healthcare policy

A

access
cost
quality of care

25
Q

Dominant HCDS in U.S.

A

§ Seeks efficiency
§ Controls utilization of services
§ Determines cost

26
Q

Primary financiers

A

§ Employers

§ Government

27
Q

govt role in HCDS

A

o Major financer of health care delivery through Medicare and Medicaid
§ determines eligibility for these
o Certifies facilities to provide service to these Medicare and Medicaid patients
o Determines reimbursement rates providers will receive for providing services to Medicare and Medicaid patients
o Regulates healthcare industry through licensing healthcare personnel and agencies

28
Q

nurse practice act purpose

A

provide an organization through which boards of nursing act and counsel together on matters of common interest and concern affecting the public health, safety and welfare, including the development of licensing examinations in nursing.

29
Q

Distributive policies

A

o societal benefits

§ Spread benefits throughout society

30
Q

Redistributive policies

A

o money revenue to the poor

Takes money/power from one group and gives it to another

31
Q

Allocative tools

A

distributive and redistributive polices

32
Q

U.S. safety net: medicaid

A

§ the primary financial source for the safety net

§ does not allow much cost shifting.

33
Q

Health care Policy: Focus

A

o : private sector- key player: insurance coverage through employers
§ Government subsidiary fills gaps

34
Q

Health care policy: main concern

A

Vulnerable populations

§ Health care is a privilege

35
Q

Federal Agencies

A

o Environmental protection (EPA
o Communicable Diseases (CDC)
o Institutional care (poor: chronic and mental illness
o Research and training

36
Q

Health care reform

A

o Goals: expand access to insurance coverage, increase quality of care, reduce costs
o ACA: Affordable care act, passed by Obama,

37
Q

nhi

A

a tax-supported national health care program in which services are financed by the government but are delivered by private providers
o EX. CANADA

38
Q

nhs

A

· supported by taxes, government finances and controls services, providers are government employees
o EX. Great Britain

39
Q

shi

A

financed through the government, mandated contributions of employers and employees, services provided by private providers
o EX. GERMANY

40
Q

Contributing factors to increase health care costs:

A 
o LOW INCOME
§ Mothers and children
§ Pregnant women
§ Prenatal care
§ SCHIP children's health coverage
o AIDS: increased costs/ costs \$\$$/ getting insurance coverage
o ELDERLY
§ Need to keep Medicare viable; more comprehensive
o MINIORITIES
§ Cultural influences
§ Shortage of health care workers
§ Low income
o RURAL AREAS
§ National health services corps helps to recruit physicians to underserved areas

NUR 228 (1 decks)

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