Exam 2: Leadership and Development (Blue Print)

What is a health care provider?

include people. institutions, and organizations that make health care services available to those who want or need them.

What are some examples of health care providers?

physician, dentist, optometrist, podiatrist, and nurse practitioner.

define Health care facilities?

health care facilities are the buildings or locations where health care is provided.

Examples of health care facilities?

Hospitals, patient care units, nursing homes, doctors' offices, rehabilitation centers etc.

define health care services?

describes the actual delivery of health care by health care workers.

What all does health care services include?

it includes, prevention, diagnosis, treatment, and providing care during illness.

Health Care Regulation

health care regulation describes the methods designed to control not only the quality of health care but also the cost.

what is the quality assurance program

A dynamic inspection system to improve combat capability. this program was developed to ensure patients receive quality care in a safe environment.

What are two major sources of health insurance?

Private Insurance and Government Insurance

what is private insurance and what are some examples of private insurance?

private medical insurance is the type a person buys as an individual or as a member of a group. This type is sold by commercial insurance companies.

what are the two basic types of private insurance?

indemnity insurance (fee for service plan) and prepaid insurance.

What is indemnity insurance?

insurance will pay no more than the actual financial loss suffered

what are some examples of government insurance?

Medicare and Medicaid

Explain how diagnosis-related groups are used to control the cost of health care?

this system takes a patient's diagnosis, and the hospital is reimbursed a predetermined amount of money based on the diagnosis. If a patient is discharged without using all of the allocated money the hospital will keep remainder amount of money. this in turn pushes for discharges.