HMP 401 - Exam 3 (Chapters 11-13)

EHR stands for what

Electronic Health record

What is an EHR used for

provides an electronic copy of all the care provided for a patient throughout ones entire life

What are the benefits of EHR’s

* enhanced patient care
* improved public health
* ease of workflow
* lower healthcare cost

What is telemedicine

The use of two-way audio and video communication to facilitate communication between healthcare providers or between providers and patients

Benefits of telemedicine

* Providing specialized or even basic care in rural areas in the United States and globally
* Connecting patients virtually for quicker treatment, leading to better outcomes
* Allowing for better long-term care management and patient satisfaction as a result of increased interaction with providers
* Creating support across healthcare systems by sharing expertise within their organization
* Aiding health promotion and disease prevention and the management of chronic conditions​

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What is cloud computing

allows users to access applications and data from anywhere on demand. In the case of healthcare, the use of a network of remote servers to store data accessed via the internet (i.e., the cloud),  providers and patients can access information via the internet. ​

What is population health

health *outcomes* of groups or individuals, including the *distribution* of those outcomes by social demographics, location, and other factors. Population health considers the links between health outcomes, determinants of health, and health policies and interventions. It differs from public health, which focuses on assessment, policy development, and assurance.​

What are the determinants of health

factors that are drivers of health outcomes

What are the five categories of healthcare determinates

* medical care
* individual behavior
* social environment
* physical environment
* genetics

What does the affordable care act require

tax exempt hospitals to focus on population health by completing a community health needs assessment and improve it every 3 years

population health and public health are different

public health is concerned with protecting and improving the health od people and communities

what 3 core functions of public health does the CDC promote

* assessment
* policy development
* assurance

what do the 3 core functions of public health encompass

10 essential public health services

* monitoring health
* diagnosing and investigating health problems
* educating and empowering people
* mobilizing community partnerships
* developing health policies
* enforcing laws related to health and safety
* linking people to health services
* assure a competent environmental health workforce
* evaluating population health services
* researching innovative solutions to health problems (CDC 2019b).​

What is interoperability in healthcare?

the technologies used in patient care to enable the sharing of data to met the goals of delivering personalized care and effective population health management

What is the definition of interoperability?

the ability of electronic health records to communicate with each other

What are health disparities

differences among groups in terms of health insurance coverage, access to healthcare, or quality of healthcare. Health disparities occur when one population group is not afforded equal or fair treatment or the burden of disease or injury falls disproportionately on certain populations.​

What does Population Health Management do

Gather patient and community health data from a variety of sources, analyzing those data to create an understandable picture of the health of a population, and then taking action to improve the health of that group is population health management.​

Beveridge model healthcare system

also known as socialized medicine, which is used in the United Kingdom, Spain, New Zealand, and Cuba

Bismark/All-Payer model healthcare system

which is used in France, Germany, Belgium, the Netherlands, Japan, and Switzerland

National Health Insurance/All-Payer healthcare model

which is used in Canada, Taiwan, and South Korea

Out-of-Pocket/Pay-to-Play healthcare model

which is used mostly in developing countries in Africa and South American and in China

Other countries vs. US

other countries pay about 70-80% of healthcare costs, the US only pays for about 50%

Chapter 3 importance

* Healthcare organizations can be categorized by the level of care (four levels) and ​
* the types of care (inpatient acute, outpatient ambulatory, long-term nursing home, and specialty ​
* Who provides care?  (MD, DO, PA and NP and nurses….)

Chapter 7 importance

* Fee-for-Service reimbursement – pay for each service separately ​
* Full capitation -- A payment method in which a fixed amount is paid to an organization to provide a comprehensive set of healthcare services for a set period of time.​
* Partial capitation -- A payment method in which an organization is paid a fixed amount to provide a select set of healthcare services for a set period of time.​
* Bundled payments -- A payment method in which healthcare providers are paid a set amount for an episode or cycle of care (e.g., hip surgery). 

Chapter 9 importance

* Differences between Medicare and Medicaid, Managed care, public insurance aka social insurance​
* largest payer for home health services in social insurance programs​
* Describe what are adverse selection and moral hazard phenomena​
* Differentiate among deductibles, coinsurance, and copays and their effects on health insurance premiums

Chapter 10 importance

* The Iron Triangle of Healthcare describes the competing priorities of access, cost, and quality. ​
* The Triple Aim focuses on improving the patient care experience, improving the health of populations, while simultaneously reducing the per capita cost of health