ATI Content Mastery Series : Fundamentals Quizzes & Answers.

ATI Content Mastery Series : Fundamentals Quizzes & Answers. What do state licensing boards ensure ? that health care providers and agencies comply with state regulations. What does The Joint Commission (formerly JAHO) do? set quality standards for accreditation of health care facilities What does Professional standards review organizations monitor? health care services provided What are the 3 public federally funded programs? - Medicare - Medicaid - Affordable Care Act aka ObamaCare - State Children's Health Insurance Program Who is medicare for? clients greater than 65 years of age or with permanent disabilities Who is medicaid for? Clients who have low incomes. It is federally and state funded. Individual states determine eligibility requirements. What is the main goal of the Affordable Care Act aka Obama care? - increase access to health care for individuals and instituting an individual mandate for health insurance - decrease health care cost - provide opportunities for uninsured to become insured at an affordable cost. What is the age range for State Children's Health Insurance Program? up to age 19 for uninsured children. What does EPO stand for? Exclusive Provider Organization What does EPO allow? in terms of Private Plans clients to choose from a list of providers and hospitals within a contracted organization with no out-of-network coverage. What is Long-term care insurance? Used as a supplement for long-term care expenses that Medicare does not cover. What are the (six) Levels of Health Care? - Preventive Health Care - Primary Health Care - Secondary Health Care - Tertiary Health Care - Restorative Health Care - Continuing Health Care What does Preventive Health Care focus on? Educating and equipping clients to reduce and control risk factors for disease. Ex: Programs that promote immunization, stress management, occupational health programs, and seat belt use. What does Primary Health Care include?