health care delivery
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15 terms
Terms | Definitions |
|---|---|
 Prospective Payment System | Eliminated cost based reimbursement;fixed reimbursement amounts; what must be paid up front |
| Diagnosis related groups (DRGs) | each diagnosis/group has a fixed amount that will be paid |
| Capitation | the payment mechanism in which proviers receieve a fixed amount per client or enrollee of a health care plan |
| Managed care | administrative control over primary health care services for a defined client population |
| Levels of Health Care | Preventive, Primary, Secondary, Tertiary |
| Preventitive | Education, Prevention |
| Primary | Early Detection, Routine care; Provision of integrated accessible health care servicesby clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained patenership with clients and practicing in the context of family and community (School and Occupational Health Services, Physicians' Offices, Clinics, Nursing Centers, Block and Parish Nursing |
| Secondary (acute care) | Emergency treatment, Critical care; Hospital, Intensive Care, Psychiatric Facilities, Rural Hospitals, |
| Tertiary (special Care) | Highly technical services for clients in a large geographical area |
| Restorative Care | the goal is to asist and individual in regaining maximal functional status, this engnaces the individual's quality of life while promoting client independence and self care (surgical postoperative, routine care, rehabilitation, home care) |
| Continuing Care | Long term care, chronice care, personal care, hospice care |
| Issues in Health Care Delivery | A nurse must be compotent (ongoing competency is a nurses respinsibility), Evidence based practice, Unlicensed assistive personal, quality health care |
| Evidenced Based Practice | The integration of current best evidence with clinical expertise and patient values |
| Knowing clients | this is critical to nurses to help understand a client's condition, anticipate needs and clinical changes, make appropriate and timely decisions and to take action |
| Client Centered Care | Respect for client's values, preferences, and expressed needs; coordination and integration of care, information, communication and education, physical comfort; Emotional support and relief of fear and anziety; involvement of family and friends; transition and continuity |
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