HLTH 3300 exam one flashcards

What is the purpose of this class?

Helps you get familiar with the health professional school. Helps you transition easier.

True/False: There is cohesion and continuity in the health professional school.

False

What does IE + T stand for?

Interdisciplinary Education and Training

Why do we have to know about other professionals?

appropriate referrals, efficiency and cohesion

As a licensed healthcare professional, what do you need to know before referring patients to other HCPs?

Know their scope of practice and the reason of referring the patient to the HCP

What is scope of practice?

What a healthcare professional does and what they don't do

What are the reasons that IE+T doesn't occur here?

"Because it's too hard"

What is turfism

a situation of non-cooperation or conflict between organizations that appear to have similar goals or interests

What happens when HCPs don't contact other people?

Less quality care, mistreating the patient, giving the wrong medication, diagnoses, and all of this hurts the patient

What are the advantages of IE+T and carry over to patients?

Would probably see a better health outcome for patients, cost reduction for the patient, reduced duplication (of labs and tests), and increased communication

What happens if you have reduced interdisciplinary communication?

We have increased patient errors and increased patient safety risks

what are the characteristics of a well functioning team?

1. Don't partake in turfism

2. have common values

3. contributions of all team members are valued

4. processes in place to make collaboration easy

5. team members utilize feedback

6. collaborative decision making

7. sufficent staffing provided

8. recruitment of HCPs

9. respect the knowledge of team members

10. allow time for cont. ed

What are the advantages of interdisciplinary team care for a patient?

1. Improves patient care by increasing coordination of services

2. greater integration of healthcare services

3. Patients. included as partners in their own care

4. more efficient use of time, pts not sent to multiple facilities for duplicate tests and diagnostics

What are the advantages for interdisciplinary team care for HCP's?

1. Increased respect for other HCP's

2. enables HCP's to learn from each other

3. enourages collaboration

4. improves appropriateness of referrals

5. improves communication

What are the advantages for interdisciplinary care for healthcare facilities?

1. More efficient delivery of services

2. improves communication between staff

3. improves workplace environment

4. improves daily operating efficiency

What are the advantages for interdisciplinary care for healthcare students?

1. Reinforces respects between HCP's

2. Provies varying views and appraoches to patient care and treatment

3. Provides varying views to clincial decision-making

4. Improves communication between disciplines

What is case management?

a collaborative process including healthcare professionals, family members, the patient, and healthcare facilities. This process encompasses assessment, planning, and documentation, and communication.. The process facilitates care along a continuum through the effective coordination and utilization of healthcare resources.

Who are case managers?

healthcare professionals who coordinate care for patients, particularly those with complex needs or those transitioning between different levels of care.

What do case managers do?

track providers that tend to have frequent issues, manage care companies, read all of patients' documentation, monitor the medical necessity of all diagnostic treatments and procedures for the patient, primarily in an advocacy role for members.

Who hires case managers?

Case managers typically are hired by hospitals or payers like Aetna.

What is utilization management?

continuously checking and monitoring that all healthcare resources are being utilized by healthcare providers in an appropriate manner, eliminate overutilization of healthcare resources, and cost management

What is CCM?

Certification for Case managers

Who is CCM sponsored by?

Case Management Society of America

What happens if the individual gets the job before being certified as a case manager?

An individual may work as a case manager for a certain number of years in which a company may require the CM to obtain a CCM after a certain number of years so they have the experience necessary to take the exam.

What is life care planning?

most expensive long term care, specialized form of case management, specifically for seriously injured (or mental health) patients that require extensive and multiple forms of treatment.

What do case managers in hospitals do?

They are only responsible for pts in the hospital where they work and mostly work w/ discharge of pt

What are the requirements to get a life planning certification license?

requires specific courses, coursework has heavy legal content, need to be aware of funding options for patients because the type of patients they handle most likely need medical attention for the rest of their lives.

What is professionalism?

the competence, attitude, or skill expected of a professional

What are some examples of professionalism that you would find in a student handbook?

1. Displaying Honesty and Integrity

2. Showing respect for patient's dignity and rights

3 Recognizing limits and when to seek help

4. Responding to supervision well

5. Demosnstrating dependability and appropriate initiative

6. Intereacting with other members of the team

What are the phases of training?

Didatic, clinical interactions, and completely immersive clinical/healthcare setting

What are the core attributes in professionalism?

1. Accountability

2. Patient-centered care

3. Quality assurance/improvement

4. Respect for others

5. Communication skills/awareness

6. Systems based practice

7. Resilience

What is accountability?

Taking ownership of work in a professional setting.

What is patient-centered care?

health professionals' focus are on the patients. Deliver care based on patient's needs, not health professional's needs.

What is quality improvement?

Mandatory continuing education and continuous commitment to continuously improve knowledge and skills in our professions.

What is respect?

Respect is given to patients, their family members, and other healthcare professionals.

What is effective communication skills?

efficiency in how we speak to patients and their family members, writing and documentation, and health care professions

What is system-based approach?

We have to always work with patients with awareness of referring approximately to that patient to other healthcare professionals as well as having the knowledge of other healthcare professionals out there.

What is resilience?

having the ability to manage difficult situations, patients, family members, and other healthcare professionals. Newly added core attribute, takes a lot of experience and practice, and it is cumulative

What are examples of Disruptive behavior in student manuals?

Threats, outburts, insulting, arguing in front of pt/family. physical actions that threaten others, written or electronic threats, all other illegal activities

why do professional schools make you sign and date your student handbooks?

To show that you took accountability for your professionalism and understand the code of conduct

What is integrity?

Quality of being honest and having strong morals

What does HIPAA stand for?

Health Insurance Portability and Accountability Act

What was the standard before HIPAA was passed?

Health insurance companies were able to ask about previous insurance the patient had and deny coverage based on what the previous insurance company did or did not cover.

What is the purpose of HIPAA?

Sets national standards on how healthcare companies, facilities, and professionals must protect privacy and personal medical information of patients.

What are the standards of HIPPA?

no outward display of patient info, privacy screens on all computer screens, healthcare professionals must not congregate to publicly speak about patients or patient information.

What is the privacy rule?

Don't reveal any part of patient's information to anyone who isn't involved in patient care, information can only be shared through signed patient authorization, even healthcare professionals can only access information of patients they are working directly with, case managers are covered entities.

How can patient information be transmitted?

every health facility has a HIPAA release form, electronic info of patient, physicians order all these supplies to be purchased within the month

What does PHI stand for?

Protected health information

What does PHI include?

any treatment that the patient receives, exact diagnosis, any diagnostic tests, any prescriptions that the patient is given, EHRs, mental health counseling roles.

What is the security rule?

Established standards for how healthcare professionals communicate patient information in electronic format. Dictates administrative safeguards taught to employees to protect information

What is the biggest loophole in HIPAA?

Retail Pharmacy has loose procedures regarding prescription pickup and drop off. ER Departments are included as well.

What is risk management in terms of hipaa?

Every facility must have firewall protection, and encryption in addition to physical and technical safegaurds such as screen gaurds or shredding papers with patient information.

What are the three different types of association?

State, local, and national

What do association's do for you?

Liability, advocacy, legal care, professional journals, career center, continuing education, networking opportunities, and important trends

What are the three different types of membership levels?

Professional (pays dues), retired (reduced dues), and student

Which are associations' paid staff (full-time)?

Executive director, assistant director, membership director, director of continuing education and conferences, advocacy, and publications.

What is an executive director?

oversees staff and media relations

Assistant Director

second in command

membership director

in charge of recruitment, and management of members

Advocacy staff

degrees in Poli Sci, "lobbyists", work with legaslation and pending work

Director of Cont. Ed.

Manages continuing education programs and events

Publication staff

In charge of peer reveiws and publishing journals

Who are the board members in each association?

President, vice president, secretary, and treasurer.

What are the type of committees?

Public policy, research, ethics, and clinical issues

What is the public policy committee?

Contribute to legislation that may impact the profession: licensure, scope of practice, pay. There is usually 5-6 members

What is the research committee?

Works with publications staff

What is the ethics committee?

develop standards of professional behavior within the field.

What is the clinician issues committee?

Focus on issues in relation to our field treating patients

What is action alert?

Sent to members when important legislation is being passed regarding healthcare (tends to come in an email or by mail for you to sign and send it to your local representatives)

What is a continuing education conference? (CEUS)

It is three days long, Hours are divided within sessions, the go around the venues and see if they can accommodate. Approved providers can also provide CE during conferences (staff are always on the lookout for these types of providers).

What are vendors?

companies that produce services, equipment materials that are used in your field. Able to pick up the equipment and look at it.

What does JCAHO stand for?

Joint Commission on Accreditation of Hospitals and Healthcare Organizations

What is JCAHO?

The sole responsibility to license hospitals to run as hospitals. The oldest, established organization, non-profit.

What is JCAHO's staff like?

Long-term experienced healthcare professions 25+ years.

What are the four quadrants that JCAHO divided the country into?

NW, SW, NE, SE

How often does JCAHO send survey teams to hospitals?

once a year

Why does JCAHO send people to places they have not worked at?

To avoid bias

What are the details that JCAHO members look at in a hospital?

Number of team, ask for patient charts to double check documentation, supplies, etc

How long does the survey take?

4 to 5 days

What happens if there is a deficiency in the hospital?

JCAHO write up notes on hospital and sends them to hospital administration. The hospital administration must respond to every deficiency and explain how every single deficiency will be corrected. (they have 30 days to fill the report)

What happens when the report is given back to JCAHO?

They return to the hospital and check if the deficiencies are corrected. Fines are filed depending on the severity of deficiency if not corrected.

What are some individual deficiencies?

Contact license holder individually and individuals are fined depending on the severity of deficiency

What are Sentinel events?

Any serious issue in a hospital that results in a patient death or terminate harm to patient.

What is certification for?

A specific procedure or piece of equipment that has its own continued education different from licensure.

When do CEU's need to be done

every 2 years

what are breakout rooms?

locations where continuing education sessions are held

Who is the greatest artist of all time?

Olivia Rodrigo