health care system

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25 Terms

1
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challenges of health care

  • insurance

  • improving access

  • reducing costs

  • maintaining safety

2
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levels of health care

  • preventative

  • primary

  • secondary

  • tertiary

  • restorative

  • continuing care

3
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preventative level

  • reduce risks

  • screenings, check ups, counseling

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primary care

  • improve health outcomes

  • health care visits, education, maternal/child health care, family planning

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places for primary care

  • school health

  • occupational health - work place

  • physicians office

  • nurse managed clinic

  • block and parish - older patients

  • community centers

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secondary care

  • provided by specialist or on referral by PCP

  • focus on diagnosis and treatment

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tertiary care

specialized consultative care, referral from secondary medical personnel needed (cardiologist, surgeons etc)

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secondary/tertiary locations

  • hospitals

  • intensive care

  • mental health facilities

  • rural hospitals

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when does discharge planning happen

  • starts at admission

  • determine post hospital destination and what they might need

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what is restorative care

is the continuation of recover and support of chronic conditions

  • for patients recovering from acute/chronic illness

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restorative care types

  • home care - includes: education, illness prevention, treatment, palliative care, rehab

  • rehab - helps maintain/improve skills + functions for ADLs

  • extended care - provide prolonged care for people with chronic diseases during rehab

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continuing care

provides care for people who need help with ADLs

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continuing care places

  • nursing centers

  • assisted living

  • respite care

  • adult day care

  • palliative/hospice

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nursing care center

  • provide 24 hour intermediate/custodial care

  • nursing, rehab, diet, social, recreational services

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assisted living

  • long term care

  • resembles home environment

  • more autonomy for patient

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respite care

short term relief for family providing home care

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adult day care

drop patient off for the day, social and health services

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palliative and hospice care

palliative - patient centered care with goal of improving quality of life

hospice - palliative but regulated — need to be at end of life, under 6 months

19
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hospital value based purchasing

provide higher care at less cost

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hospital readmissions reduction program

reduce admissions within the 30 day window bc you don’t get money for those

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bundled payments for care

set amount of money given to hospital for certain diagnoses

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hospital acquired condition reduction program

no money if patient gets hospital acquired condition

23
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QSEN competencies

  • patient centered care

  • team work and collaboration

  • EBP

  • quality improvement

  • safety

  • informatics

  • leadership

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what is patient centered care

  • respect patient values

  • coordinate care

  • physical comfort

  • access to care

  • involvement of friends/family

  • information/education

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magnet program

recognizes excellence in nursing

  • transformational leadership

  • structural empowerment

  • exemplary professional practice

  • new knowledge, innovation + improvements

  • empirical quality results