PHS - Chapter 2 Health Care Systems

Parthini Tottempudi

What events have led to changes in health care?

wars, pandemics, new tech, changing demographics

What are some new health related changes?

New drugs, revising treatments, emerging diseases

Why must health care workers be aware of changes?

To remain competent and provide safe, ethical care

What are some current trends in healthcare?

cost containment, home health care, technology influence, societal shifts

What is cost containment?

controlling rising healthcare costs while achieving maximum benefit for every dollar spent

When was the Affordable Care Act passed?

2010

What are the four parts of affordable care act?

everyone must be insured, everyone has to pay, govt helps to pay, fairer rules

What is the goal of Affordable Care Act?

get more ppl covered by insurance and cut down on cost of medicine

What are four technological advances that add to health care?

heart, lung, liver, kidney

How does an aging population increase health care cost?

increased use of pharmaceuticals, more chronic disease, greater demand for healthcare services

What are health related lawsuits?

lawsuits based upon malpractice

What is defensive medicine?

Ordering unnecessary tests to avoid lawsuits

What are the consequences of high cost?

limiting services to those who can pay, reducing access for those unable to pay

what is a diagnostic related group (DRG)?

a Congressional attempt to control costs, set amount paid on diagnosis

What are Hospital Acquired Conditions?

conditions developed from the hospital because of its uncleanliness

What is medicare?

care for the elderly

what is Fee-for-service?

payment per service rendered, little incentive to limit cost

what is value-based care?

bundled payments for each diagnosis/treatment type

What are HMOs and PPOs?

HMO - health maintenance organization - primary doctor ( cheaper/less freedom)

PPO - preferred provider option - discount card/ pay less if doctor is in network

what is the combinations of services?

agencies combine services to make sure people aren’t going to multiple places

what are outpatient services?

receiving care without staying at the hospital

what is mass/bulk purchasing?

buying in large quantities at reduced cost

what are early intervention/preventative services?

education, immunizations, screening, physical exams

what is energy conservation

reducing energy use

what is the agency for healthcare research and quality?

iy improved quality accessibility equity, and affordability of care

what is the healthcare workers role?

maintain quality while minimizing waste

what is the healthcare consumers role?

take responsibility, know options, prevent illness

what is home health care?

all aspects of healthcare at home

what are the advantages of home health care?

lower cost, familiar environment, promoted independence and recovery

What is the definition of geriatric care?

care for the elderly

What is the goal of geriatric care?

meet physical, social, and emotions needs of older adults

What two factors contribute to the growth of geriatric care?

longer life expectancy, “baby boom” generation

What are four examples of geriatric care facilities or services?

Adult Day care centers, retirement communities, assisted living facilities, long term care facilities

What is telemedicine?

use of video, audio, and emotional needs of other adults

What are two methods of