Community Health
YELLOW = Quizlet
QUIZ 7 - Chapter 3, 4 (3/14)
Chapter 3 - Health Policy, Politics, and Reform:
- Affordable Care Act (ACA) - March 2010: designed to improve quality / accessibility of
healthcare while reducing cost, expanding healthcare coverage.
- Centers for MEdicare and Medicaid Services (CMS): federally facilitated marketplace
jjthat was designed to enact and achieve the goals of the ACA, which were first
articulated by institute for healthcare improvement.
- Cost-benefit: an economic approach / analysis tool used to eval effectiveness of tx /
intervention. Net economic benefit can be calculated by subtracting costs for a service from
the benefits of this service. (+) = benefit from specific intervention exceeds cost. (-)
, - fectious disease in a susceptible host.
- Proagated outbreak: outbreak resulting from the direct / indirect transmission of an
infectious agent from an infectious agent from an infected person to a susceptible
host, secondary infections can occur. Generates secondary infections with intervals
between peaks that approximate the usual incubation period for infec
= cost exceeds benefit. → Primary concerns of client in healthcare model = out of
pocket payment, suffering and pain, psychological cost.
- Cost-sharing: how you / insurer pay for services / items. Co-INS, copay, deductibles =
cost sharing. Premiums, payments for uncovered healthcare supplies / services / fees
pait to out-of-network providers are NOT shared costs.
- Community Transformation Grant program: funds programs that promote tobacco
free living, physical activity, healthy eating, services to prevent / control high BP /
high cholesterol, social / emotional wellness, healthy and safe environments.
- Dimensions of Healthcare (from The Institute of Medicine): 1.) safety: avoiding injur
and harm from care that is meant to aid clients. 2.) effectiveness: assuring that
“evidence based” care is actually delivered, by avoiding overuse of medically unproven
care / underuse of medically sound care. 3.) Client-centeredness: involving clients
thoroughly in the decision making process about their care, thereby respecting their
culture, social circumstances and needs. 4.) Timeliness: avoiding unwanted delays in tx.
5.) Equality: closing racial, ethnic, gender, and socioeconomic gap in care and
outcomes. → pt with diabetes = safely self-injected insuling in the office, has maintained
an appropriate blood glucose level consistently for 6 months, received care that was
identical to that provided to six other clients of various racial backgrounds, received
instructions directly front he nurse in the office not via a parent.
- Equity: healthcare does not vary in quality because of gender, race, age, ethnicity,
geographic location, socioeconomic status.
- GDP: main economic indicator used to eval degree of economic growth in US. Final /
total output of goods and services produced in 1 year by labor input within US.
Reported quarterly.
- Healthcare policy: Nurses are effective and influential because of expertise in clinical
practice, administration, education, and research.
- Information Management: Primar way the US federal government has encouraged
improved information management in healthcare system = reimbursement / bonuses
for physicians / hospitals for adopting EHR.
- Nursing Ethical Principles (ANAs Code of Ethics for Nurses): 1.) Compassion /
respect for the dignity, worth, uniqueness of every individual. 2.) Primary commitment to
the client (individual, family, group, community) not the physician. 3.) Promotion /
advocacy to rotect the clients health, safety, rights. 4) Responsibility / accountability for
individual nursing practice by appropriate delegation of tasks to provide optimal care. 5.)
Responsibility to preserve integrity /safety, maintain competence, continue personal /
professional growth. 6.) participation in establishing, maintaining, improving healthcare
environments / conditions. 7.) participation in advancement of the profession through
contributions to practice, education, administration, research. 8.) Collaboration with
other healthcare professionals and the public in promoting community, national, and
international efforts to meet health needs. 9.) responsibility for articulating values,
maintaining integrity, shaping social policy.
YELLOW = Quizlet
QUIZ 7 - Chapter 3, 4 (3/14)
Chapter 3 - Health Policy, Politics, and Reform:
- Affordable Care Act (ACA) - March 2010: designed to improve quality / accessibility of
healthcare while reducing cost, expanding healthcare coverage.
- Centers for MEdicare and Medicaid Services (CMS): federally facilitated marketplace
jjthat was designed to enact and achieve the goals of the ACA, which were first
articulated by institute for healthcare improvement.
- Cost-benefit: an economic approach / analysis tool used to eval effectiveness of tx /
intervention. Net economic benefit can be calculated by subtracting costs for a service from
the benefits of this service. (+) = benefit from specific intervention exceeds cost. (-)
, - fectious disease in a susceptible host.
- Proagated outbreak: outbreak resulting from the direct / indirect transmission of an
infectious agent from an infectious agent from an infected person to a susceptible
host, secondary infections can occur. Generates secondary infections with intervals
between peaks that approximate the usual incubation period for infec
= cost exceeds benefit. → Primary concerns of client in healthcare model = out of
pocket payment, suffering and pain, psychological cost.
- Cost-sharing: how you / insurer pay for services / items. Co-INS, copay, deductibles =
cost sharing. Premiums, payments for uncovered healthcare supplies / services / fees
pait to out-of-network providers are NOT shared costs.
- Community Transformation Grant program: funds programs that promote tobacco
free living, physical activity, healthy eating, services to prevent / control high BP /
high cholesterol, social / emotional wellness, healthy and safe environments.
- Dimensions of Healthcare (from The Institute of Medicine): 1.) safety: avoiding injur
and harm from care that is meant to aid clients. 2.) effectiveness: assuring that
“evidence based” care is actually delivered, by avoiding overuse of medically unproven
care / underuse of medically sound care. 3.) Client-centeredness: involving clients
thoroughly in the decision making process about their care, thereby respecting their
culture, social circumstances and needs. 4.) Timeliness: avoiding unwanted delays in tx.
5.) Equality: closing racial, ethnic, gender, and socioeconomic gap in care and
outcomes. → pt with diabetes = safely self-injected insuling in the office, has maintained
an appropriate blood glucose level consistently for 6 months, received care that was
identical to that provided to six other clients of various racial backgrounds, received
instructions directly front he nurse in the office not via a parent.
- Equity: healthcare does not vary in quality because of gender, race, age, ethnicity,
geographic location, socioeconomic status.
- GDP: main economic indicator used to eval degree of economic growth in US. Final /
total output of goods and services produced in 1 year by labor input within US.
Reported quarterly.
- Healthcare policy: Nurses are effective and influential because of expertise in clinical
practice, administration, education, and research.
- Information Management: Primar way the US federal government has encouraged
improved information management in healthcare system = reimbursement / bonuses
for physicians / hospitals for adopting EHR.
- Nursing Ethical Principles (ANAs Code of Ethics for Nurses): 1.) Compassion /
respect for the dignity, worth, uniqueness of every individual. 2.) Primary commitment to
the client (individual, family, group, community) not the physician. 3.) Promotion /
advocacy to rotect the clients health, safety, rights. 4) Responsibility / accountability for
individual nursing practice by appropriate delegation of tasks to provide optimal care. 5.)
Responsibility to preserve integrity /safety, maintain competence, continue personal /
professional growth. 6.) participation in establishing, maintaining, improving healthcare
environments / conditions. 7.) participation in advancement of the profession through
contributions to practice, education, administration, research. 8.) Collaboration with
other healthcare professionals and the public in promoting community, national, and
international efforts to meet health needs. 9.) responsibility for articulating values,
maintaining integrity, shaping social policy.
