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What events lead to changes in health care?
Wars, pandemics, new tech and changing demographics
What are some new health related changes?
new drugs, revising treatments, new diseases
Why must health care workers be aware of changes?
to provide safe and ethical care
What are some current trends in health care?
cost containment, home health care, tech influence, and societal shifts
What is cost containment?
Controlling rising healthcare healthcare costs while achieving max benefit for even dollar spent.
When was the Affordable Care Act passed?
2010
What are the 4 parts of the Affordable Care Act
everyone must be insured
everyone must get insurance
help to pay
more fair rules
What is the goal of the ACA?
To get more people on insurance and cut on the cost of medicine
What are 4 technological advances that add to the cost of health care?
organ transplants
artificial hearts
computers for examine internal body parts
advanced tech prolongs life but increase need for lifelong care
How does an aging population increase health care cost?
an increase use of pharmaceuticals, more chronic diseases, and a greater demand for healthcare services
What are health related lawsuits?
when the doctor doesn’t do the correct practices for the patient so they use defensive medicine which is ordering unnecessary tests to avoid lawsuits
What is defensive medicine?
ordering unnecessary tests to avoid lawsuits
What are the consequences of high cost?
it limits services to those who can pay and reduces access for those unable to pay
What is a Diagnostic Related Group (DRG)
a Congressional attempt to control medicare/medicaid costs
What are Hospital-Acquired Conditions?
conditions acquired in hospitals
What is medicare?
care for elderly
What is fee-for-service?
payment per service or treatment rendered
What is value-based care?
bundled payments for each diagnosis/treatment type
What are HMOs and PPOs?
share services and lower costs per patient
What is the combination of services?
agencies combine services to avoid duplication (labs or clinics)
What are outpatient services?
receiving care without hospital admission
What is mass/bulk purchasing?
buying in large quantities at reduced cost
What are early intervention preventive services?
preventing illness is more cost-effective than treating it through education, immunizations, physical exams or screening
What are energy conservation?
monitor and reduce energy use
What is the Agency for Healthcare Research and Quality?
the purpose was to improve quality, accessibility equity and affordability of care
What is the Healthcare workers role?
to maintain quality while minimizing waste
What is the Healthcare consumers role?
take responsibility, know options, and prevent illness
What is home health care?
it is when a doctor comes to your house to help and is a lower cost than hospital stays
What are advantages of home health care?
a lower cost, a familiar environment for patient and promotes independence and recovery
What is geriatric care?
health care for old people
What is the goal of geriatric care?
to meet physical, social, and emotional needs of older adults
What 2 factors contribute to the growth of geriatric care?
a longer life expectancy and the “baby boom” generation aging
What are the 4 examples of geriatric care facilities or services?
adult day care centers, retirement communities, assisted living facilities, long-term care facilities
What is telemedicine?
a virtual doctor appointment
What are 2 methods of telemedicine?
the interactive video conferencing for consultations and exams and transmission of medical images and data to specialists
What are the benefits of telemedicine?
a increased access to care for rural or underserved areas, decreased need for patient travel, and quicker specialist consultations
What are 3 applications of telemedicine?
remote monitoring of chronic conditions, follow up appointments, and emergency services support
Define wellness
keeping the whole machine (body) tuned up, body, feelings, friends, brain and soul
What are 5 different types of wellness?
body, feelings, friends, brain, and soul
What is the definition of Complementary and Alternative methods of health care?
health care practices not traditionally performed in conventional medicine, often combined with standard treatment
What are 6 examples of CAM therapies?
ayurvedic practitioners, Chinese medicine practitioners, chiropractors homeopaths, hypnotherapists, and naturopaths
What is Pandemic preparedness?
preparing for a pandemic
What are 2 historical examples of pandemics?
Covid 19 and 1918 influenza
What is biotechnogly?
use of genetic and biochemical processess to develop products and technologies in healthcare
What are the potential benefits of biotechnology?
more effective treatments,and personalized medicine tailored to genetic profile
What are the 4 different types of Hospitals?
general, specialized, government funded, and university hospitals
What are long term care facilities?
it is for people who can’t live alone
What are the different types of long term care facilities?
a nursing home, assisted living centers, and independent living communities
What services are provided at long term care facilities?
personal care, meals, basic medical care, and social support
what are medical offices?
checkups
What is concierge medicine?
a monthly “subscription” for a doctor
What are dental offices?
for mouth problems
What are clinics?
mini hospitals
What do clinics include?
surgical clinics, urgent care centers, rehabclinics, and specialty centers
What are optical centers?
eye care
What are emergency care services?
for sudden illness or harmful things that happen
What do emergency care services include?
ambulance services, ER departments, helicopter transport, and urgent care clinics
What are laboratories?
used for doing dianostic tests
What is a hospice?
for people who have a life expectancy of under 6 months
What are mental health facilities?
for people with mental illnesses
What are genetic counseling centers?
is to help understand genetic conditions
What are rehabilitation centers?
is to help patients gain independence
What do rehabilitation centers include?
physical therapy, occupational therapy, speech therapy, and recreational therapy
What do HMOs emphasize?
emphasize preventive care
What are industrial health centers?
large workplaces or industries
What do industrial health centers provide?
basic medical care, health screenings, emergency care and safety education
What are school health services?
services found in schools and colleges
What is the World Health Organization?
disease monitoring
What US department of Health and Human services?
oversees national health programs
What is the NIH?
sports medical research
What is the CDC?
prevents and controls disease outbreaks
What is the FDA
regluates food drugs and medical devices
What is the AHRQ?
improves health care quality and efficiency
What is OSHA?
enforces workplace safety standards
What is the ONC?
promotes secure electronic health records
What are state and local health departments?
provide immunizations inspections and education
What is voluntary and non profit agency?
funded through donations, fundraisers and grants and are helpers of healthcare
What are three things associated with the cost of health care?
major concern for everyone who needs health services
health care costs are over 17% of the gross national product
Costs increasing faster than other living costs
What is health insurance?
money to pay for care
What is premium?
fee paid to insurance company and it can be monthly or annually
What is coverage?
amount company pays for covered services
What is deductible?
amount paid by patient before insurance pays
What is coinsurance?
specific percentages shared to pay for the bill
What is co-payment?
flat fee per service like 20 dollars per service
What is different sources of insurance?
employer based plans and private policies
What are the advantages of a HMO?
cheaper
What are the disadvantages of a HMO?
expensive