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HSC 110 Midterm
Terms in this set (62)
Children's health insurance program. 11 million additional low-come children.
Identify the four broad types/categories of health services in the United States.
-diagnosis and treatment of illness
Hospitals are the ______ business in the U.S.
Hospitals employ approximately ___ of healthcare personnel.(rest admin)
Hospital collective payroll accounts for at least _____ of the nation's ________
one-third, health expenditures
Increased number of elderly (living longer and increased population) increased___________
the prevalence of chronic and degenerative diseases.
Treatment of _____ in elderly are ____ of the total health care cost in the U.S.
chronic conditions, 2/3
60% of federal health spending goes to _____ and ____
Social Security act of 1965 created ____ and _____
6 major points of Patient Care Partnership
1. high-quality hospital care
2. a clean and safe environment
3. patient involvement in their own care
4. protection of patient privacy
5. help when leaving the hospital
6. help with billing claims
social security (SS) act of 1935
1965 elderly 65 or older ( or end stage renal failure) ______
1965 low income ____ and some disabilities
Improvements in ____ have been huge in the decline of mortality in 20th century
improving health of Americans (3 things)
1. collecting data/surveillance
2. deciding if the information is reliable
3. gaining understanding of the health care needs of that population.
New and emerging public health concerns and from what
Avian flu, Ebola, and mrsa- new infectious diseases pop up from animals and organisms to humans.
What is the best vaccine? (according to?)
FOOD, according to the WHO
_____ skin infection from day cares, gyms, etc
Majority of hospitals are _____ hospitals in the U.S. (how many? non-profit?)
community and 5,000 and 3,000
Health People 2020: (3 things)
1. healthy quality of life
2. focus on social determinants (gender, race, education, income) to increase access
3. increase primary care practitioners
Approximately ___ of federal health monies go to hospitals as ______ for patients who are enrolled in Medicare or Medicaid.
60% and reimbursement
Communicating health care electronically from afar.
Cholera, yellow fever, and black plague are what?
Healthcare reform and the date of it
Affordable Care act 2010
Hot meals served to elderly and shut in?
Meals on Wheels
Disease of short duration and sudden onset
long lasting illness
4 types of hospitals
4. for profit
Progressive mental deuteriation
Besides hygiene, what helped people stop dying from diarrhea and bacteria
24 hour nursing care(closest to hospital care), it started off as people taking care of them in their homes or poor houses, what is it called now?
Skilled nursing facilities (SNF)
Hospitals and insurance follow this capitation payment plan? (not paying beyond a set fees for the identified illness no matter what happens)
Diagnostic Related Group (DRG)
what does HIPAA stand for and what does it do?
Health Insurance Portability and Accountability Act, safe guard health information
What was the first health insurance called?
What 2 programs happened in 1965 and who do they benefit?
Medicare (elderly) and Medicaid (poor)
What causes the increase in the cost of healthcare in the U.S.
Technology, Research, and Pharmaceuticals
Public Health promotes health and ____ of illness
These are the new and emerging public health concerns.
Ebola, again flu, MRSA, bird flu, Sara, H1N1
Tax referred private savings designed to pay for medical expenses tax free
Health Savings Account
Degree in what people obtain and process health information
Public Health (HHS) what they are responsible for and what they do
Medicare & Medicaid
food & drug safety
Disease control & prevention
Mental health services
-enhance and protect the health and well-being of all Americans by providing for effective health and human services and fostering advances in medicine, public health, and social services.
public hospital vs. private hospital
public- funded and operated by local or national gov (non-profit)
private- owned and operated by churches, businesses (profit)
The cost of health insurance covered by an employer, shared with the employee or purchased through a health exchange.
the dollar amount paid out of pocket for healthcare services before health insurance will cover the cost
the share of the cost for healthcare services (for example a doctors visit) not covered by health insurance
out of pocket
cost of healthcare services not covered by private health insurance, Medicare or Medicaid, or CHIP
HMO Health maintenance organization
Insurance provider that administers basic and supplemental health maintenance and treatment services to enrollees who pay a fixed fee.
PPO preferred provider organization
health insurance plan that covers the cost of providers within a network and outside of the network although copayments by the patient are higher for out- of- network providers.
CMS Centers for Medicare & Medicaid Services
agency of the U.S. Department of Health and Human Services (HHS) that manages Medicare and Medicaid and strives to ensure effective, up-to-date healthcare coverage and to promote quality care for beneficiaries.
Intermediate Care Facilities for people with intellectual disability
A facility that provides personal care and social services.
Inpatient psychiatric services for individuals
under age 21
- Services for individuals age 65 or older in an
institution for mental diseases
Difference in Home Health and Hospice
Home Health-provide part-time nursing and medical care in patients homes as well as other services and medical supplies and equipment
Hospice- helps manage pain and other symptoms associated with dying when conventional treatment is no longer of value. provide support for families.
IHS Indian Health Service
Agency within HHS that provides healthcare services for native Americans and Alaskan natives.
WHO World Health Organization
Agency of the United Nations that directs and coordinates international health within the United Nations' system.
Affordable Care Act/Obama Care
healthcare reform legislation signed into law by president Barak Obama in March 23, 2010 with a goal of increasing access to health insurance while controlling healthcare costs.
____ _____ ____ impact of disease or detecting disease early when easier for rest or prevent spreading
Preventative health services
___ disease and developed infection control measures for treating patients
COBRA Consolidated Omnibus Budget Reconciliation Act
federal program for employees who have been laid off or fired from their job. In companies with 60 or more employees, the former employee may be eligible to keep their group health insurance plan for 18 months.
parts of Medicare ABCD
A-Hospital insurance= citizens nd permanent residents are automatically eligible. annual deductible covers inpatient hospital care, skilled nursing facility care, hospice care, home health care
B- medical insurance= citizens and permanent residents are automatically eligible. requires monthly premium. covered benefits at 80% covers outpatient care, home healthcare, medical equipment, services from doctors
C- Medicare Advantage= optional requires payment of monthly premium, replaces benefits under parts A, B, and D may include dental or vision medicare-approved private insurance care plan
D- prescription drug coverage= optional requires monthly premium covers cost prescription drugs
public (ambulatory) health and mental health
Ambulatory care is defined as care that is provided outside of institutional settings.
Principal health practitioners include:
Physicians, nurses, dentists
Medical lab technicians
Medical and nursing assistants
Mental health facilities began as warehouses for large numbers of poor, homeless, and social misfits.
Primary goal was to protect the public.
Major breakthroughs that led to the real treatment of mental illnesses
National Institute of Mental Health (NIMH) created in 1946
Development of psychopharmaceuticals in the 1950s
List direct health services provided by the federal government
Tricare By DOD, Civilian Health and Medical Program of the Department of Veterans Affairs, and Indian Health Services, research through NIH, ACA
Compare financing and governing for private, public, and volunteer healthcare facilities
private- owned and operated by groups such as churches, businesses, corporations, and physicians
public- is financed and operated by a government agency such a city, state, or county
voluntary- usually non profit and often owned and operated by religious organizations.
Compare the population served by federally funded primary care health centers and free clinics
federally funded- serve high-need communities designated as medically underserved areas or populations such as migrant or homeless
free clinic provides health care to low-income individuals who are uninsured or underinsured
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