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Section 1

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Hospice

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Last updated

7 years ago

Date created

Mar 1, 2020

Cards (49)

Section 1

(49 cards)

Hospice

Front

Method of care provided to the terminally ill

Back

True

Front

Outpatient care is provided by hospitals

Back

Price & Quantity

Front

Healthcare expenditure is a product of these 2 components

Back

Private non-profit

Front

a majority of community hospitals in the US are:

Back

To increase hospital capacity

Front

Why was the hill-burton act enacted?

Back

Outpatient

Front

Do not stay overnight

Back

What is an Accountable Care Organization (ACO)

Front

groups of doctors, hospitals, and other health care providers who come together voluntarily to give coordinated high quality care to patients.

Back

gatekeeper

Front

patients cannot see a specialist or be admitted without a physicians referral

Back

Factors influencing growth and decline of inpatient services

Front

Increased hospital services: enactment of medicare and medicaid; medical innovation; growth of physician training and skills Decreased hospital services: medicare payment changes; technology advances that increased use of outpatient care

Back

What causes people to need LTC

Front

loss of ability to function independently

Back

Types of Hospitals

Front

Community- acute care, services available to general public Specialty hospital- women and children Psychiatric- mental illness Rehab- chronic disease

Back

Community Health

Front

concerned with issues affecting the health and wellness of a specific community of people

Back

3 ADLs

Front

Eating, Dressing, Bathing

Back

Medicaid

Front

How nursing home care is financed

Back

Loss of ability to function independently

Front

What determines an individuals need for LTC

Back

List 3 IADLs (Instrumental Activities of Daily Living)

Front

Using telephone Using transportation Preparing meals

Back

How does the institute of medicine define "Primary Care"?

Front

Provision of integrated, accessible health care services by clinicians who address health care needs and develop partnership with patients, family, community

Back

Licensure

Front

State function; mandatory

Back

IADLs

Front

use of transportation telephone use shopping

Back

Medicaid

Front

Gives a hospital the authority to participate in the medicare and medicaid programs

Back

Hospitals distinguished by ownership

Front

Public (govt owned)- federal/state govt. Local Private (voluntary)- non-profit/proprietary

Back

3 factors contributing to increased health care costs

Front

3rd party payment Imperfect market Increase in elderly population Growth of technology

Back

Discharges

Front

total # of patients released from a hospital's acute care beds during a given period of time

Back

avg length of stay

Front

avg # of days a patient spends in hospital

Back

Which LTC services are institutional versus community based?

Front

Institutional: Sub-acute care facilities, nursing facilities, assisted living Community based: Home health, adult day care

Back

Capacity

Front

# of bess set up, staffed and made available by a hospital for inpatient use

Back

Leading categories of health care expenses

Front

prescription drug spending durable medical equipment physician care hospital care

Back

ambulatory care

Front

therapeutic services and treatments provided to the "walking" patient

Back

Donabedian's 3 domains of quality

Front

Structure- characteristics of the providers of care, tools and resources they have at their disposal, and physical and organizational setting in which they work (Ex. Staff, Equipment, Supplies) Process- Specific way in which care is provided (Ex. interaction, examination/treatment) Outcome- final results obtained from utilizing the structure and processes of health care delivery (Ex. morbidity, mortality, satisfaction)

Back

Staying overnight in the hospital

Front

What differentiates outpatient care from inpatient care?

Back

Various types of outpatient care and methods of delivery

Front

Home health care- services brought into the home Hospice services- services that address the special needs of dying persons Telephone access- giving expert opinion and advice to the patient, especially during hours when physician office is close

Back

Primary Care

Front

conceptual foundation for ambulatory services. Plays central role in health care delivery system

Back

How does the institute of medicine define quality?

Front

The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge.

Back

average length of stay

Front

avg number of days a patient stays in the hospital (measure of how sick our patients are)

Back

Why was hill-burton act enacted

Front

to increase hospital capacity

Back

Medicare payment changes

Front

What triggered the downsizing phase in the US, hospital industry during the 1980s

Back

patient cost sharing

Front

An example of demand-side cost containment

Back

Ambulatory care

Front

Diagnostic and therapeutic services and treatments provided to the "walking" patient

Back

hospice care

Front

care provided to terminally ill

Back

Accreditation

Front

private function; voluntary

Back

gatekeeper physician

Front

Patients cannot see a specialist or be admitted without a physicians referral

Back

Medicaid

Front

Leading payment source for nursing home care

Back

Certification

Front

federal function; non-mandatory

Back

EMTALA (Emergency Medical Treatment and Active Labor Act)

Front

is meant to prevent the transfer of unstable patients between care facilities solely for economic purpose

Back

ADLs

Front

eating, bathing, dressing

Back

What are examples of demand-side and supply-side strategies for addressing health care cost?

Front

demand-side: copayments and deductibles supply-side: price fixing, price discrimination, mergers

Back

how is health care expenditure calculated?

Front

price x quantity

Back

Occupancy rate

Front

% of capacity utilized during a defined period of time

Back

Other examples of LTC services and facilities

Front

Home health Adult day care Assisted living

Back