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1. Health People to improve access to comprehensive quality, primary care
2010 services.
* Increase the quality and years of healthy life.
* Eliminate health disparities among Americans.
2. Health People The program is an initiative that develops evidence-based
2020 practice objectives designed to improve the health of all
Americans. The objectives are targeted to be followed
over a 10-year period.
4 Foundational Healthcare measures:
1) General health status.
2) Health-related quality of life and well being.
3) Determinants of Health - aim to create social & physical
environments that promote good health for all.
4) Reduce Health Disparities.
3. Electronic Med- Pros: allows for sharing of health information between
ical Record healthcare entities & with patients, thereby reducing the
(EMR) cost of care, improving care efficiency, avoiding readmis-
sion and decreasing duplicate testing. Cons: the potential
for data loss in the event of computer or system failure.
4. Medicaid A federal and state assistance program that pays for
health care services for people who cannot afford them.
Varies from state to state.
5. Medicare A federal program of health insurance for persons 65
years of age and older. Those with severe disability no
matter income level or those with ESRD. Qualifying condi-
tions must be a US Citizen, non-US citizens after 5 years
of permanent residency. US Veterans are eligible after 65
years.
* Medicare Part A covers medically necessary inpatient
care and supplies; skilled nursing facility.
* Medicare Part B covers nursing home/custodial care
(ADL's), home health services, durable medical equip-
ment, outpatient care & preventive services (i.e. 1 mam-
mogram every 12 months) in women 40 and older. Part B
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does not include routine dental care of eyeglasses.
* Part C - HMO
* Part D covers prescriptions.
6. Single payer refers to a system where in essence the government runs
healthcare sys- a nationwide insurance plan that pays all healthcare cost
tem for its members.
7. Peer Review / employees rate other employees in the same job classifi-
360 degree Eval- cation, through the use of established criteria. The system
uation has the potential to offer honest & specific feedback that
allows the individual to make improvements or adjust-
ments to meet objectives and performance standards.
8. Fidelity Loyalty & dedication; keeping a promise.
9. Beneficence promote good and prevent harm.
10. Non-Maleficence duty to do no harm
11. Justice Right to fair and equitable treatment.
12. Automony The right of the patient to make clinical decisions about
their medical care, assuming the patient is rational & can
make informed decisions about care.
13. Veracity truthfulness
14. Utilitarianism Greatest good for the greatest number of people
15. State Nurse (NPA) approved by vote through the processes of each
Practice Act individuals states legislature. The act delineates the legal
scope of practice within the geographical boundaries of
the jurisdiction. The purpose of the state nurse practice
act is to protect the public.
16. State Board of (BON) determines laws governing nurse practice author-
Nursing ity; has the authority to develop administrative rules or
regulations that clarify the NPA & make scope of practice
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interpretations more specific. The state BON rules and
regulations must be consistent with the legislature.
17. Emergency Med- designated to prevent inappropriate transfers and "pa-
ical Treatment & tient dumping" for indigent patients. Requires hospitals
Labor Act (EM- to access and treat patients regardless of ability to pay
TALA) and provides specific provisions on when transfers are
allowed.
18. Genetic Infor- prohibits the use of genetic information for health insur-
mation Nondis- ance and hiring decisions.
criminatory Act
(GINA)
19. Health Informa- healthcare providers would be offered financial incentives
tion Technology for demonstrating meaningful use of EHR until 2015 after
for Economic & which penalties may be levied for failing to demonstrate
Clinical Health such use. ** delayed until 2017.
Act of 2009
(HITECH)
20. Affordable Care expands health coverage using a variety of mechanisms
Act of 2010 on the state and federal level.
*Only US citizens can purchase through the marketplace.
*Expands Medicaid for low income families.
*Tax penalties for those who do not purchase.
21. The Patient Pro- requires people to have coverage.
tection & Afford-
able Care Act
(PPACA)
22. Consensus Mod- multifaceted proposal established by the National Coun-
el for Advanced sel of the state BON in conjunction with numerous pro-
Practice Regis- fessional organizations. Advocates the the APRN title,
tered Nurse independent prescriptive authority & establishes certain
minimum standards for NP's. NP's are not required to
have a collaborative agreement under this model.
23.