Chapter 2 Health Care Systems questions and answers 2022/2023

Chapter 2 Health Care Systems questions and answers 2022/2023Long term care Provide assistance in care mainly for elderly patients Emergency care service Provide special care for accidents or sudden illness Mental Health Deal with mental disorders and diseases Industrial health Health centers located in large companies or industries Dental offices Offices owned by one or more dentist Laboratories Perform special diagnostic tests Home health care Provide care in a patient's home Rehabilitation Provide physical, occupational, and other therapies Genetic re-counseling centers Check for genetic abnormalities and birth defects Four types of hospitals 1. General 2. Specialty 3. Government 4. University or college medical centers Residential care facilities Provide basic physical and emotional care for ones who can't care for themselves Extended care facilities Provide skilled nursing care and rehabilitative care to patients before they return back to home environment Independent living facilities People who can care for themselves; rent apartments in facility. Example: nursing homes Three services offered by medical offices 1. Diagnosis 2. Minor surgery 3. Treatment Three different types of clinics 1. Urgent, walk-ins (emergency care) 2. Health department (Therapies) 3. Rehabilitation (STD's, pediatric health care) Palliative care Care that provide support and comfort, that is directed toward allowing the person to die with dignity Three examples of services that can be provided by home health care agencies 1. Nursing care/personal care 2. Therapy 3. Homemaking (prepare food, clean) What is the main goal of the care provided by rehabilitation facilities? They provide care to help patients with physical or mental disabilities to obtain maximum self-care and function Three services offered by school health services 1. Perform test to check for health conditions Example: speech, vision, hearing 2. Promote health education 3. Maintain safe and clean school environment Premium Fee, for insurance coverage. Made it to insurance company Deductible Money must be paid by patient for medical services before the policy begins to pay 75%/25% co-insurance Requires that specific percentages of expenses are shared by patient and company Co-payment A specific amount of money a patient pays for a particular service HMOs Managed care plan for the delivery of health care services, pay for extra stuff PPOs Healthcare usually provided to employees by big industries Medicare Individuals over 65, care for elder Medicaid Low income, children who qualify for public assistance. Physically disabled and blind Children's health insurance program Healthcare for uninsured kids to working families who are too little to afford private insurance but too much for Medicaid Worker's Compensation Healthcare for workers, only if you get hurt on job TRICARE Medical health plan for all military people World Health Organization/ WHO An international agency sponsored by the United nations US department of Health and Human Services/ USDHHS A national agency that deals with health problems in America National Institute of health/ NIH National organization that is involved in the research of disease Occupational Safety and Health Administration/ OSHA Federal agency that establishes and enforces standards that protect workers from job-related injuries and illnesses Health department The federal agency that researches the quality of health care delivery in identifies the standards of treatment that should be provided List four services that can be offered by state and local health departments 1. Immunization for disease control 2. Inspections for environmental health and sanitation 3. Health education 4. Collection of statistics and records related to health Advantage of HMOS The fee stays the same no matter how much of care is used Disadvantage of HMOS The insurance is required to used only HMO affiliated health care providers How can an industry or company provide healthcare at lower rates? Managed care Why did the concept of managed care develop? What is the principle behind managed care? Develop because rising healthcare cost. The principle is that all health care provided must have a purpose. If you have pre-existing medical condition and you lose your job, what act protects your assessability to health insurance coverage? Health insurance portability and accountability ACT (HIPPA) Three examples of how a healthcare facility or worker could be in violation of Hippa regulations 1. Sharing info about other people 2. Give false information that damages a person's reputation 3. Hitting or forcing people against their will or not providing physical care What is a pro vision of the patient protection and affordable care act (3 things) 1. Creation of health insurance exchanges and each state 2. Expansion of Medicaid eligibility 3. Implementation of guaranteed issue CDC = ? && what does it do Center for disease control && they study cause && prevention of diseases. FDA = ? && what does it do Food and drug administration && they assure safety with drugs && it regulates food What is the purpose for an organizational structure in a health facility? To encompass a line of authority or chain of command. Indicates areas of responsibility and leads to most efficient operation of the facility. How do nonprofit agencies receive their funding? By donations, membership fees, fundraisers, and federal or state grants List two services provided by nonprofit agencies 1. American Red Cross 2. American Cancer Society