NURS 421: Exam #2 with complete
solutions
what is the quadruple aim? - ANSWER- 1. Better outcomes
2.Lower costs
3.Improved clinician experience
4.Improved patient experience
quadruple aim
Cost
•________ ____ ________
•Individuals, employers
Better Health Outcomes - _______ ___ _____ (________)
•Two-class system: private and public
•________ Act
Quality - goal of ______-_________care
•National Academy of Medicine (IOM) reports
•Agency for Healthcare Research and Quality
•CMS: Hospital compare
•______ _______ _____
Better Clinician Experience
•__________
•________ __________
•Worker _________ - ANSWER- affordable care act
access to care, equity
CARES
evidence-based
healthy ppl 2030
,technology
tuition reimbursement
safety
There is a link between poverty and what? - ANSWER- poorer health outcomes
Approximately 97% of all health care dollars are spent for _______ care while only
3% is spent on _________ level health care. - ANSWER- individual, population
The current health care system is at the point where it is no longer __________ -
ANSWER- affordable
the knowledge about what is particularly important to population-focused
nurses? - ANSWER- health economics
What should nurses be especially aware of the impact of on nursing, health &
communities in which they practice? - ANSWER- govt, law, & health policy
plan of action which outlines steps or actions to implement stated goal or
objective - ANSWER- policy
that constitutes the governing framework (structure, process, and outcomes) for
providing health services on a local, state, national, or even international level -
ANSWER- health policy
_______ ________: Regulations, laws, actions, and decisions about health
•Impacts health at local, state, and national levels
Examples
•Federal - ______ _____ ____
•State - _________
•Local - City laws against _________ in public spaces - ANSWER- health policy
affordable care act
medicaid
smoking
what 3 things does health policy address? - ANSWER- quality, access, cost
,provides benefits to certain groups (Medicare/Medicaid) - ANSWER- allocative
policy
influences actions, behaviors, and decisions to ensure the public objective is
met. (HIPAA, vaccine mandates) - ANSWER- regulatory policy
Advocacy for our clients is always important, but _______ __________ through
affiliation and activity in our professional nursing organizations is also vital so
that we, as PHNs, may have a "__________ ______." - ANSWER- professional
advocacy, collective voice
Nurses role in the policy process
Scope of practice for public health nurse is promoting and protecting the health
of all populations. The nurse needs to to understand the intricacies of health
policy as it relates to the health of the public.
•_______ ________ in the policy process
•Political _________
•Influencing _______ ________
•__________ - the art of influencing others
Social policies are often referred to as courses of action that address social
problems and issues. - ANSWER- involve yourself
activism
health policy
advocacy
________ can be defined as the ability to act or produce an effect, possession of
control, or authority or influence over others.
•PHN committed to _____ ______ and working with ___________ populations.
• PHN are responsible for ________ _________ in issues that affect them -
ANSWER- power
social justice, disenfranchised
community participation
•The term___________ has been used to explain a process of assisting
communities to come together to express their values and ideas to those outside
the community. - ANSWER- empowerment
example of direct care services - ANSWER- military healthcare or health dept
services
, examples of financing - ANSWER- Health care services (MCD/MCR/CHIPS),
training HCW, health care research (NIH)
example of information - ANSWER- All branches collect, analyze and disseminate
data about healthcare: vital statistics, census, etc. Libraries.
example of policy setting - ANSWER- All levels make policy related to healthcare.
Gives states police power.
example of public protection - ANSWER- Protection of public health - includes air,
water, borders, food, drugs, animal transport. Healthy People is a national health
policy.
public sector
•Health care delivered by the ___________ (35%)
•Paid for with ______
•Strengths
- Government funding improves ________
•Weaknesses
- Limited _______
- ___________ - ANSWER- govt
taxes
access
funding
bureaucracy
_______ _______: Agency, institution, or company owned by individuals or group
of individuals
•Strengths
-___________ & __________
- Private _________ options
•Weaknesses
- Limited _____, ________, & _________
- Often relies on ________ for funding - ANSWER- private sector
innovation, research
insurance
funds, resources, workforce
profits
