Marybelle

1948: National Health Grant Acts Programme - Answers-Federal and Provincial grants matched each other to fund the improvement of hospitals and community health services. Hospitals Boom across the country. 1957: Federal Hospital Insurance & Diagnostic Service Act - Answers-50-50 cost sharing basis from the federal government allows pre-paid coverage for all residents 1961 - all provinces opt in, financial assistance is based on collection of taxes.

Nursing Art vs. Science - Answers-Initially, nursing was an art- it consisted of certain acts of care skillfully, with intuition and creativity. Over time, a scientific base was combined with the art of nursing. From this body of knowledge, the nurse can choose interventions that are most likely to produce desired outcomes for the patient Founded the American Red Cross - Answers-Clara Burton Invasive Procedure - Answers-Procedures that require entry into the body Goals of Nursing - Answ...

During the nursing rounds Nurse Cathy is instructing the patient to avoid smoking to prevent the worsening of respiratory problems. The patient asked about the things that he can do when feelings of wanting to smoke arises. The nurse enumerates ways of dealing the situation. This is an example of a nurse's role as a/an: A. Advocate B. Clinician C. Change agent D. Caregiver - Answers-C. Change agent

SHx Pediatric - Answers-Caretaker Attends daycare Attends school Has siblings Second hand smoke exposure Immunizations up to date -itis - Answers-inflammation/infection -osis - Answers-Disease -ectomy - Answers-Surgical removal

Hypotension - Answers-Low blood pressure Hypoxia - Answers-Low oxygen saturation of the body, not enough oxygen in the blood Infarct - Answers-Area of dead tissue after a lack of blood supply Inferior - Answers-Lower in the body, farther from the head Ischemia - Answers-Lack of blood supply Laceration - Answers-Splitting of the skin due to trauma (a cut due to something sharp) Lateral - Answers-Farther from the midline (a line that can be traced from nose to belly-button)

Which of the following medications can be used to treat Hypertension? - Answers-- ACE Inhibitors (ex: Lisinopril) - Ca Channel Blockers (ex: Norvasc/amlodipine) - Diuretics (ex: HCTZ) A 12 year old female presents to your clinic for a constant cough for the last 3 days. What is the onset? - Answers-3 Days

how does it differ in pediatrics -in the elderly ? -it is the _____ that a physician discusses it is the _____ thing documented - Answers-in pediatrics, the historian will the parent son/daughter may be historian in the elderly -it is the first item the physician discusses with the patient when entering the room -It is the first thing that is documented

reasons for merging solo practices - uncertainties of the health care delivery system, competition from large health organizations, high cost of establishing a new practice, complexity of billings and collections, increased external controls over private practice hospital-based outpatient services - functions particularly in inner-city areas. can be the community's safety net, providing primary care to the indigent and uninsured. suburban expansion to increase market share. key source of p...

What are the five main types of hospital-based outpatient services? - Answers-1. Clinical 2. Surgical 3. Home Health 4. Woman's health 5. Emergency Services Type of outpatient facility that includes walk in clinics, urgent care centers, retail clinics, and surgi-centers - Answers-Free-standing Facilities Outpatient delivery method where services are transported to patients either through mobile medical, mobile diagnostic, or mobile screening care units - Answers-Mobile Medical, Diag...

Ambulatory care - Answers-Diagnostic and therapeutic services and treatments provided to the ambulatory patient, serves the surrounding community, providing convenience and easy accessibility. "community medicine" extraordinary growth in these three subjects of outpatient care - Answers-Volume of outpatient services Emergence of new types of settings Type and ownership of non-hospital based facilities offering ambulatory care What services continues to decline? - Answers-Hospital ...

A patient is diagnosed with back strain caused by heavy lifting. As part of the treatment, the physician discusses 4-5 different back stretching exercises that the patient can perform every morning and before doing any heavy lifting. The discussion only takes 10 minutes of a 15 minute Established Patient visit. Would your physician be able to bill counseling time on this patient? - Answers-Yes What medical term would best describe "the likely course or outcome of a disease"? - Answers-P...

Knowledge Check: Meera has been seen at your clinic by Dr. Polik every 6 months for the past 2 years. She is here today for a routine appointment, but is seeing Dr. Polik's Nurse Practitioner. Is Maria considered a new or established patient today? - Established patient Knowledge Check: Match each of the patients below with the type of visit: diagnostic or health management.

racial/ethnic minorities. · Visits are higher in metropolitan areas than in rural areas, reflecting poorer access to primary care in rural areas · Outpatient care do much more than primary care services; most surgeries are now performed in outpatient settings and could be performed at hospitals · Services shift towards outpatient care and hospital occupancy have declined · Establishing more Outpatient care market has become a threat to hospitals due to services are expanding more and has...

The basic form of an outpatient service is a patient seeing his or her physician in the physician's office Other outpatient services include: emergency department services, observation services, outpatient surgery, lab tests, X-rays, or any other hospital services when the doctor hasn't written a hospital admission order Hospitals' Evolution - Answers--They were the precursor of the almshouses or poorhouses that were developed in the 1820s to primarily serve the poor -Hospitals pro...

Changes in reimbursement - - financial incentives to reimburse for outpatient care - patients favoring outpatient services Development of New Technology - - less invasive procedures; surgical procedures less traumatic - shorter-acting anesthetics - faster recovery time

Patients who receive services furnished on a hospital's premises that are ordered by a physician (or another authorized individual), including use of a bed and periodic monitoring by nursing or other staff, and that are reasonable and necessary to evaluate the outpatients' conditions or determine the need for possible admission as inpatients (and who are in the unit no longer than 23 hours, 59 minutes, and 59 seconds), are called - Answers-observation An organized method of identifying ...

General Hospitals - Answers-Provides many different types of services to meet the general needs of its population. Specialty Hospitals - Answers-Provide services for a specific disease or target population. Some examples are psychiatric, children's, women's, cardiac, cancer, rehabilitation, and orthopedic hospitals. Acute Care - Answers-Short-stay-focuses on patients who stay on an average of less than 30 days. Community hospitals for example

2. Secondary - short term, involving sporadic consultation from a specialist to provide expert opinion and/or surgical or other advanced interventions that PCPs are not equipped to perform. 3. Tertiary - most complex level of care for conditions that are relatively uncommon. Typically institution based, highly specialized, and technology driven.

demonstrate to their patients, to their communities, to insurers, to managed care organizations, and to others that their organizations are providing quality care. Joint Commission (TJC), Healthcare Facilities Accreditation Program (HFAP) of the American Osteopathic Association (AOA), or the National Integrated accreditation of Healthcare Organizations (NIAHO) program of DNV Discuss documentation issues in hospital-based care? - Answers-Good documentation is important not only to meet accredi...

Single path - Answers-When a multi-hospital system provides physician office services along with traditional inpatient, outpatient, and emergency department hospital care, the concept of ___________ coding adopted to facilitate professional and institutional billing. insurance - Answers-A profession that is closely related to that of a coder is health __________ specialist (or claims examiner) who reviews health-related claims to determine whether the costs are reasonable and medically necess...