Dynamics of Healthcare

Flashcards for reviewing healthcare dynamics, covering aspects like rising healthcare costs, the ACA, social determinants of health, healthcare services, healthcare organizations, funding, and various healthcare professions.

ACA

Narrowed racial and ethnic disparities in access to health insurance, medicaid expanded health coverage, and tax credits are more available.

Social determinants of health

Conditions in which people are born, live, work and age. Examples include access to stable housing, nutritious foods, employment, education, reliable transportation, and personal safety.

FQHCs

Privately funded free clinics that provide preventative, medical, dental, and mental health services to the uninsured, unemployed, underemployed, undocumented immigrants, LGBTQ community members, low-income individuals, minorities, and homeless individuals.

ACF

Administration for Children and Families: promotes economic and social well being through educational and supportive programs

ACL

Administration for Community Living: ensures access to community support and resources to meet needs of older Americans and people with disabilities

AHRQ

Agency for Healthcare Research and Quality: supports research designed to improve quality and patients safety, reduce healthcare costs and medical errors and broadens access to essential services

ATSDR

Agency for Toxic Substance and Disease Registry: Prevents exposure to toxic substances and the adverse health effects and diminished quality of life associated with exposure from waste sites, unplanned releases and other sources of environmental pollution.

CDC

Centers for Disease Control and Prevention: coordinates the team of healthcare workers at the city and state levels across the country during an epidemic. Protects the public health of the nations by providing leadership and direction.

CMS

Centers for Medicare and Medicaid Services: combines oversight of the medicare program, the federal portion of the medicaid program and state children's health insurance program, the health insurance marketplace and related quality-assurance activities.

FDA

Food and Drug Administration: ensures that food is safe, pure and wholesome.

WHO

World Health Organization: Uses leadership to prevent diseases for the UN

IHS

Indian Health Service: provides american indians and alaska natives with comprehensive health services by developing and managing programs to meet their health needs

NIH

National institute of health: Supports biomedical and behavioral research in the US and abroad, conducts research in its own laboratories and clinics, trains promising young researchers, and promotes collecting and sharing medical knowledge.

DRGs

A set payment for categories that are used tot classify patients for the purpose of hospital reimbursement with a fixed fee regardless of the actual cost and that are based on the diagnosis, surgical procedure used, age of patient and expected length of stay.

HMO

Insurance provider that administers basic and supplemental health maintenance and treatment services to enrollees who pay a fixed fee.

ADLs

Activities of Daily Living: basic self care tasks, like brushing teeth and putting on a shirt

IADLs

Instrumental Activities of Daily Living: things you do everyday to take care of yourself and your home, like balancing a checkbook or managing medications.

Health literacy

The ability of an individual to obtain, process, and understand health information and services needed to make appropriate health decisions.

Health disparities

Differences in health outcomes because of differences in race, ethnicity, immigration status, income, education or employment.

Health information technology

A broad concept that encompasses and array of technologies to record, store, retrieve, protect, share, and analyze health information. The confidentiality of patient info is protected by federal and state law.

Clinical decision support systems

The variety of technologies that provide healthcare providers with diagnostic and treatment recommendations.

Licensing

A right conferred by a governmental body to practice an occupation or provide service.

Accreditation

Process by which an external entity reviews an organization or program of study to determine if the organization or program meets certain predetermined standards.

Certification

The process or action of providing an individual with an official document attesting to their status or level of achievement.

Malpractice

A professional misconduct.

Negligence

Failure to do something that a reasonably prudent person would do in the same or similar situation; alternatively, doing something that a reasonably prudent person would not do in the same or similar situation.

EPO

Health plan that only covers the cost of providers inside the network, can leave the network incase of an emergency, and you don't need a referral

PPO

Health insurance plan that covers the cost of providers within a network and outside of the network although copayments by the patient are higher for out of network providers. You get benefits

Telemedicine

The use of electronic communications and information technologies to provide or support clinical care at a distance.

Telehealth

Healthcare appointments delivered by the clinician through telecommunication technologies. Also, communicating appointment reminders, visit summaries, and lab and diagnostic results through an electronic record.