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What events have led to changes in healthcare?
war, pandemics, new tech, changing demographics
What are some new health related changes
new drugs, new treatments, new diseases
why must healthcare workers be aware of changes?
to remain confident and provide safe ethical care
What are some current trends in health care?
cost containment, home healthcare, technology influence, social 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 4 parts of the Affordable Care Act?
everyone must be insured, everyone has to play, govt will subsidize those who can’t afford, fairer rules (insurance companies can’t deny sick)
What are 4 technological advances that add to healthcare?
Organ transplants, artificial hearts, computers for examining internal body parts, advanced tech prolongs life but increases need for lifelong care
What is the goal of the Affordable Care Act?
get more people covered by insurance and cut down cost of medicine
How does an aging population increase health care cost?
More older people to take care of, more money spent on using healthcare to take care of old people
What are health related lawsuits?
expensive malpractice insurance and defensive medicine
What is defensive medicine?
ordering unecessary tests to avoid lawsuits
what are the consequences of high cost?
limiting service to those who can pay and denying access to those who can’t
What is a Diagnostic Related Group?
Congressional attempt to control Medicare costs
What are Hospital-Acquired Conditions?
When you get more sick after leaving the hospital
What is Medicare?
Federal program to care for elderly
What is Fee-for-service/
payment for service or treatment rendered
What is value-based care?
bundled payments for each diagnosis/treatment type
What are HMOs and PPOs?
HMO- health maintenance organization (primary care doctor = gatekeeper)
PPO- Preferred Provider Opinion (pay less if doctor is preferred or in network)
What is the combination of services?
Agencies combine services to avoid duplications
What are outpatient services?
Receiving care without hospital admission and reduced hospital stay lengths lower cost
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
What is energy conservation?
Monitor and reduce energy use like electricity and water
What is the Agency for Healthcare Research and Quality?
Established in 1990, it 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?
It’s a rapidly growing field which is cheaper than hospital care with all aspects of healthcare involved like therapy, social services, and nursing care
What are the advantages of home health care?
Lower cost than hospital stays
Familiar environment for patient
Promotes independence and recovery
What is the definition of geriatric care?
care for the elderly
What is the goal of geriatric care?
Help care for aging population and help them not suffer and live longer
What two factors contribute to the growth of geriatric care?
Longer life expectancy and “baby boom” generation aging
What are four example of geriatric care facilities or services?
adult day care centers, retirement communities, assisted living facilities, long-term care facilities
What is telemedicine?
Virtual doctor appointments
What are two methods of telemedicine?
interactive video conferencing and transmission of medical images
What are the benefits of telemedicine?
increased access to care for rural areas and underserved areas, decreased need for travel, quicker specialist consultations
what are three applications of telemedicine?
remote monitoring of chronic conditions, follow-up appointments, emergency services support
Define Wellness
Relationship between physical, mental, and social well-being
What are five different types of wellness?
physical, emotional, social, spiritual, mental/intellectual
What is the definition of Complementary and Alternative methods of health care?
healthcare outside of regular medicine
What are six examples of CAM therapies?
ayurvedic, chinese medicine, chiropractors, homeopaths, hypnotherapists, naturopaths
What is Pandemic preparedness?
How to prepare for a pandemic
What are two historical examples of pandemics?
1918 influenza, Covid-19
What is biotechnology?
Use of genetic and biochemical processes to develop products and technologies and healthcare
What are the potential benefits of biotechnology?
More effective treatments, personalized medicine tailored to genetic profiles
What are the four different types of Hospitals?
General, specialized, govt, university
What are long term care facilities?
Facilities that serve elderly people or people with chronic illnesses or disabilities
What are the different types of long term care facilities?
Nursing homes, Assisted living centers, Independent care facilities
What services are offered at long term care facilities?
Personal care, Meals, basic medical support, social support
What are medical offices
Where you go for checkups or smaller treatments but not emergencies
What is concierge medicine?
Offers personalized care for a monthly or yearly fee
What are dental offices?
Places for oral care
What are clinics?
Mini hospitals that are accessible and scattered throughout cities
What do clinics include?
Surgical clinics, urgent care centers, rehab clinics, specialty car e centers
What are optical centers?
provide eye exams and eye prescriptions
What are emergency care services?
Offer immediate care for accidents or chronic illnesses
What do emergency care services include?
ambulance services, ER departments, Helicopter transport, urgent care clinics
What are laboratories?
Perform diagnostic tests, or dental labs make dental crowns and devices
What is a hospice?
Care for people making them comfortable as they have a short time left (under 6 months)
What are mental health facilties
Places to care and help control people with mental disabilities or problems (substance abuse)
What are genetic counseling services?
DNA advisers who help people adapt to genetic conditions and give screening
What are rehabilitation centers?
Help patients recover after illness or inury
What do rehabilitation centers include?
Physical, occupational, speech, and recreational therapy
What do HMOs emphasize?
Preventive care
What are industrial health centers?
Health centers located in large workplaces
What do industrial health centers provide?
basic medical care, health screenings, emergency care, safety education
What are school health services?
school nurses that help you in school emergencies
What is the World Health Organization?
A international disease monitoring and global health info govt agency
What is the US Department of Health and Human services?
Oversees national health programs
What is the NIH?
Supports medical research
What is the CDC?
Prevents and controls disease outbreaks
What is the FDA?
regulates food, drug, and medical services
What is the AHRQ?
improves health care quality and efficiency
What is OSHA?
enforces workplace and safety standards
What is the ONC?
Promores secure electronic health records
What are state and local health departments?
provide immunizations, inspections, and education
What is a voluntary and non profit agency?
Funded through donation fundraisers and grants, they offer public education, supports services, and research funding