SEE-PITA

Social and Demographic

Economic

Ecological

Political

Informational

Technological

American Beliefs and Values

FIRe-WIRe

Funding

Infrastructure

Resources

Workforce

IT

Regulation

4 New Frontiers in Clinical Technology

Xenotransplantation

Gene Therapy

Genetic Mapping

Improved Imaging

What are 2 components of the Cost Dilemma?

• Universal care for any ailment on demand is unfeasible
• A change in mindset with a focus on value is necessary

 What are ways to

address the cost dilemma?

SHIPPP

Self-management support

Health education

Individual responsibility

Patient activation

Preventive services

Primary Care Infrastructure

What special skills will nurses need in the future?

better data, partnering with physicians, practicing in full scope, education.  Uniformity of scope.  Community setting should be the goal for training advance practice nurses.

1. Expansion of primary care and gatekeeping
2. Engagement by consumers in their own health

 Medical Home Model

Community-Based Primary Care

NPPG

Nursing Profession

Training Primary Care Physicians

Training in Patient-Centered Care

Training in Geriatrics

2 million

(probably not testable, but useful in short answer?)

What are 3 types of new technology might

change the delivery of health care?

Clinical Technology

Information Technology

Telematics

1. Even the ACA would leave 23 million uninsured
2. Even Oregon and Hawaii have not been able to achieve universal coverage
3. Achieving universal coverage would require a single-payer plan

Underwriting without risk rating increases premiums for everyone

The ACA of 2010 mandates coverage for everyone regardless of preexisting conditions

1. Shift from acute care to prevention and aftercare
2. Use of patient's risk profile for screening
3. Individualized pharmaceutical treatment