Chapter 1 -Fundamentals of Nursing (Potter/Perry) Latest edition
Graded A+
health care delivery systems
incorporate interactions between health care providers and clients within the constraints of
financing mechanisms and regulatory agencies
heath care systems
includes the clients who participate, the settings in which health care takes place, the agencies
that regulate health care, and mechanisms that provide financial support
consumers
clients
providers
licensed personnel: RN, LPN, APN, medical doctors, pharmacists, dentists, dietitians, RT, PT, &
OT
OT
occupational therapist
PT
physical therapy
RT
respiratory therapist
LPN
licensed practical nurse
APN,
advanced practice nurse
unlicensed providers
assistive personnel
medicare
for clients greater than 65 or with permanent disabilities
,medicare part a
hospital insurance
medicare part b
medical insurance
medicare part c
medicare advantage plan
medicare part d
medications
medicaid
for clients who have low incomes; federally & state funded; individual states determine
eligibility requirements
affordable care act
known as obamacare, controversial federally statute with goals to:
-increase access to health care for all individuals & instituting an individual mandate for health
insurance
-decreasing health care costs
-providing opportunities for uninsured to become insured at an affordable cost
state children's health insurance program
coverage for uninsured children up to age 19 at low cost to parents
traditional insurance
reimburses for services on a fee-for-service basis
managed care organizations
primary care providers oversee comprehensive care for enrolled clients and focus on prevention
and health promotion
preferred provider organizations
clients choose from a list of contracted providers and hospitals. Using non-contracted providers
increases the out-of-pocket costs
out-of-pocket
, medical bill that is not covered by insurance and must be paid by the patient
exclusive provider organizations
clients choose from a list of providers and hospitals within a contracted organization with no
out-of-network coverage
long-term care insurance
used as a supplement for long-term care expenses that Medicare does not cover
preventative health care
focuses on educating and equipping clients to reduce and control risk factors for disease.
-Examples include programs that promote immunization, stress management, occupational
health programs, & seat belt use.
equipping
creating an environment for continuous and collaborative learning
primary care
emphasizes health promotion and includes prenatal and well-baby care, family planning,
nutritional counseling, and disease control. It is a sustained partnership between clients and
providers.
-Examples include office or clinic visits, community health centers, and scheduled school-or
work-centered screenings (vision, hearing, obesity).
sustained
Continuing for an extended period or without interruption
secondary care
includes the diagnosis and treatment of acute illness and injury
-Examples include care in hospital settings, diagnostic centers, and emergent care centers
tertiary care
known as acute care, involves the provision of specialized and highly technical care.
-Examples include intensive care, oncology centers, and burn centers
restorative care
involves intermediate follow-up care for restoring health and promoting self-care.
-Examples include home health, rehab centers, and skilled nursing facilities
Graded A+
health care delivery systems
incorporate interactions between health care providers and clients within the constraints of
financing mechanisms and regulatory agencies
heath care systems
includes the clients who participate, the settings in which health care takes place, the agencies
that regulate health care, and mechanisms that provide financial support
consumers
clients
providers
licensed personnel: RN, LPN, APN, medical doctors, pharmacists, dentists, dietitians, RT, PT, &
OT
OT
occupational therapist
PT
physical therapy
RT
respiratory therapist
LPN
licensed practical nurse
APN,
advanced practice nurse
unlicensed providers
assistive personnel
medicare
for clients greater than 65 or with permanent disabilities
,medicare part a
hospital insurance
medicare part b
medical insurance
medicare part c
medicare advantage plan
medicare part d
medications
medicaid
for clients who have low incomes; federally & state funded; individual states determine
eligibility requirements
affordable care act
known as obamacare, controversial federally statute with goals to:
-increase access to health care for all individuals & instituting an individual mandate for health
insurance
-decreasing health care costs
-providing opportunities for uninsured to become insured at an affordable cost
state children's health insurance program
coverage for uninsured children up to age 19 at low cost to parents
traditional insurance
reimburses for services on a fee-for-service basis
managed care organizations
primary care providers oversee comprehensive care for enrolled clients and focus on prevention
and health promotion
preferred provider organizations
clients choose from a list of contracted providers and hospitals. Using non-contracted providers
increases the out-of-pocket costs
out-of-pocket
, medical bill that is not covered by insurance and must be paid by the patient
exclusive provider organizations
clients choose from a list of providers and hospitals within a contracted organization with no
out-of-network coverage
long-term care insurance
used as a supplement for long-term care expenses that Medicare does not cover
preventative health care
focuses on educating and equipping clients to reduce and control risk factors for disease.
-Examples include programs that promote immunization, stress management, occupational
health programs, & seat belt use.
equipping
creating an environment for continuous and collaborative learning
primary care
emphasizes health promotion and includes prenatal and well-baby care, family planning,
nutritional counseling, and disease control. It is a sustained partnership between clients and
providers.
-Examples include office or clinic visits, community health centers, and scheduled school-or
work-centered screenings (vision, hearing, obesity).
sustained
Continuing for an extended period or without interruption
secondary care
includes the diagnosis and treatment of acute illness and injury
-Examples include care in hospital settings, diagnostic centers, and emergent care centers
tertiary care
known as acute care, involves the provision of specialized and highly technical care.
-Examples include intensive care, oncology centers, and burn centers
restorative care
involves intermediate follow-up care for restoring health and promoting self-care.
-Examples include home health, rehab centers, and skilled nursing facilities
