to improve access to comprehensive quality, primary care services.
* Increase the quality and years of healthy life.
* Eliminate health disparities among Americans.
2. Health People 2020
The program is an initiative that develops evidence-based practice objectives designed
to improve the health of all Americans. The objectives are targeted to be followed over a
10-year period.
4 Foundational Healthcare measures:
1) General health status.
2) Health-related quality of life and well being.
3) Determinants of Health - aim to create social & physical environments that promote
good health for all.
4) Reduce Health Disparities.
3. Electronic Medical Record (EMR)
Pros: allows for sharing of health information between healthcare entities & with
patients, thereby reducing the cost of care, improving care efficiency, avoiding
readmission and decreasing duplicate testing. Cons: the potential for data loss in the
event of computer or system failure.
4. Medicaid
, A federal and state assistance program that pays for health care services for people
who cannot afford them. Varies from state to state.
5. Medicare
A federal program of health insurance for persons 65 years of age and older. Those
with severe disability no matter income level or those with ESRD. Qualifying conditions
must be a US Citizen, non-US citizens after 5 years of permanent residency. US
Veterans are eligible after 65 years.
* Medicare Part A covers medically necessary inpatient care and supplies; skilled
nursing facility.
* Medicare Part B covers nursing home/custodial care (ADL's), home health services,
durable medical equipment, outpatient care & preventive services (i.e. 1 mammogram
every 12 months) in women 40 and older. Part B does not include routine dental care of
eyeglasses.
* Part C - HMO
* Part D covers prescriptions.
6. Single payer healthcare system
refers to a system where in essence the government runs a nationwide insurance plan
that pays all healthcare cost for its members.
7. Peer Review / 360 degree Evaluation
employees rate other employees in the same job classification, through the use of
established criteria. The system has the potential to offer honest & specific feedback
,that allows the individual to make improvements or adjustments to meet objectives and
performance standards.
8. Fidelity
Loyalty & dedication; keeping a promise.
9. Beneficence
promote good and prevent harm.
10. Non-Maleficence
duty to do no harm
11. Justice
Right to fair and equitable treatment.
12. Automony
The right of the patient to make clinical decisions about their medical care, assuming
the patient is rational & can make informed decisions about care.
13. Veracity
truthfulness
14. Utilitarianism
Greatest good for the greatest number of people
15. State Nurse Practice Act
(NPA) approved by vote through the processes of each individuals states legislature.
The act delineates the legal scope of practice within the geographical boundaries of the
jurisdiction. The purpose of the state nurse practice act is to protect the public.
16. State Board of Nursing
, (BON) determines laws governing nurse practice authority; has the authority to develop
administrative rules or regulations that clarify the NPA & make scope of practice
interpretations more specific. The state BON rules and regulations must be consistent
with the legislature.
17. Emergency Medical Treatment & Labor Act (EMTALA)
designated to prevent inappropriate transfers and "patient dumping" for indigent
patients. Requires hospitals to access and treat patients regardless of ability to pay and
provides specific provisions on when transfers are allowed.
18. Genetic Information Nondiscriminatory Act (GINA)
prohibits the use of genetic information for health insurance and hiring decisions.
19. Health Information Technology for Economic & Clinical Health Act of 2009
(HITECH)
healthcare providers would be offered financial incentives for demonstrating meaningful
use of EHR until 2015 after which penalties may be levied for failing to demonstrate
such use. ** delayed until 2017.
20. Affordable Care Act of 2010
expands health coverage using a variety of mechanisms on the state and federal level.
*Only US citizens can purchase through the marketplace.
*Expands Medicaid for low income families.
*Tax penalties for those who do not purchase.
21. The Patient Protection & Affordable Care Act (PPACA)
requires people to have coverage.
22. Consensus Model for Advanced Practice Registered Nurse
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