Introduction to Health Care

USAF Medical Service:

Mission, Strategy and Vision

Mission:

medically fit,  ready to deploy, trusted care

Strategy:

ready to be anywhere, deliver care

Vision:

 trusted care constantly learning and improving

what are the 4 Focus Areas?

Readiness, Better Care, Better Health, Best Value

Readiness:

maintain medically ready Airman, deliver trusted care

Better Care:

provide reliable access to safe quality care, positive patient experiences

Better Health:

encourage healthy behaviors, enhance members performance

Best Value:

deliver cost effective care

what are the 4 Domains of Trusted Care? 

Leadership, Culture of Safety, Continuous Process Improvement, Patient Centeredness

Leadership Engagement:

develop trusted care leaders at all levels

Culture of Safety:

health and safety of others first, trust leadership

Continuous Process Improvement:

positive change, eliminate gaps and reduce waste

Patient Centeredness:

communicate clearly, empower patients, display empathy and humility

CFETP

Career Field Education & Training Plan

Purpose CFETP

Plan, manage, evaluate to ensure we are all meeting the same standards, progress through 4H career, see training 3,5,7,9 skill levels

4 H Duties and Responsibilities: 

Respiratory Therapy, pulmonary laboratory, cardiology laboratory

Skill levels

apprentice (3), Journeyman (5), Craftsman (7), Superintendent (9)

Apprentice 3

must complete phase one and phase two (gets AA in respiratory therapy)

Journeyman 5

6 months on the job training and CRT license can do CCAT, EMEDS, SMART, C-STARS,

Craftsman 7

minimum of SSgt, 6 months of upgrade training

Superintendent 9

minimum of SMSgt, SNCO course

AFOSH

Air Force Occupational Safety and Health Program; what we need to do to be safe

All 4HS must follow these guidelines governed by

AFIs 91-301 and 91-202 (91-301/202)

Specific Career Field Hazards:

electrical, liquid gases, caustic and corrosive chemicals, common chemical disinfectants, glassware

Electrical Safety: (what to watch out for)

kinked, draped over plumping, worn, or frayed

Checking labels

while grabbing, prior to pouring, returning to drug shelf

Don’t use medications if label is…

label is missing, combining two medications, don't leave medications unattended

Common chemical disinfectants are

Iodophors, alcohol, glutaraldehyde, betadine

5 Rights of Patients

Patient, drug, dose, route, time (PDDRT)

MEPRS stands for

Medical Expense and Performance Reporting

What does MEPRS do?

Ensures providing cost effective and efficient care in the clinic. Contains financial, personnel and workload data from MTF (military treatment facilities)

Purpose of MEPRS?

to  provide consistent standards for expenses, manpower, performance, and reporting in military facilities

3 types of medical coding

ICD, CPT, HCPCS

What is a code?

patient diagnosis, procedures performed, and medications given

What do codes describe?

causes of injury, illness, and death (IID)

ICD stand for

International Classification of Diseases

CPT stand for

Current Procedural Terminology

HCPCS stand for

Healthcare Common Procedure Coding System

DMHERSI stand for

Defense Medical Human Resource Systems Internet

what does DMHERSI do?

identifies how staff work, filled and vacant positions, readiness information for medical asset visibility,

DMHERSI benefits include:

includes medical assistance for military personnel, contractors, and volunteers

Medical Ethics

a system of moral principles that apply values to the practice of clinical medicine and scientific research

Medical ethics are based on:

a set of values that professionals can refer to in the case of any confusion or conflict

Moral principle:

 respect the humanity in persons

Ethical Dilemmas:

decision making problem between 2 possible moral imperatives

• Ex. Patient expectations, staffing, quality of care

Ethical Theories and Principles do what?

provides the foundation for all ethical behavior

Ethical Theories and Principles consist of 2 components. what are they?

professional duty and patient rights

what are the 7 ethical principles?

Autonomy, veracity, nonmaleficence, beneficence, confidentiality, justice, role duty

Autonomy:

acknowledges personal liberty of the patients 

Veracity:

patient and provider being truthful and mutually share information

Nonmaleficence:

obligates the healthcare provider to avoid harming patient / maybe difficult to uphold because of secondary side effects

Beneficence:

do no harm / contribute to health and wellbeing of patient

Confidentiality:

obligates healthcare providers to respect secrets which are confided even after patient has died

Justice:

 fair distribution of care

Role duty:

understand your duties and the limits of your role

Ethical Viewpoints:

adhere to strict interpretation or go case by case when deciding ethical issues

what are the 4 dominant theories?

 formalism, consequentialism, virtue ethics, intuitionism 

Formalism:

certain features of an act determine its moral rightness/ normally wouldn't do but given situation it's acceptable (decision based off of ethics) 

Consequentialism:

make a decision based on the circumstances  (decision based off situation)

Virtue ethics:

standards that have become distinguishing features of healthcare

Intuitionism:

self evident truths/ treat others fairly

Systems of Law include:

Public and Civil law

Public Law:

private parties and government

Public Law consists of?

Criminal and administrative

Criminal:

acts or offenses against the welfare or safety of the public

Administrative:

regulations set by government

Civil Law:

protects citizens or organizations for others who might seek to take unfair and unlawful advantage of them. If they believe their rights were compromised can seek to redress civil courts

what does Civil law consist of?

Tort law, professional negligence, (malpractice)

Tort Law:

breach of contract committed against an individual court gives remedy in the form of action or damages

Professional Negligence:

failure to perform duties competently, involves act of commission or omission

malpractice:

form of negligence, lack of skill or fidelity 

what is slander?

verbal defamation (false words)

what is Libel?

written words/pictures containing false depictions