Term
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Definition
NPO organizations
14 different geographic areas in ON
- funded based on the idea that community-based care is best planned, coordinated, and funded locally by the people living in the communities
(ministry transfer 2/3 of 37B budget to LHINs) |
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Term
| LHIN is responsible for _______, ______ and ______ of ______services. |
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Definition
| planning, integrating, funding of local health services |
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Term
| Community Health Centres (CHC)are...that provide.... for....? they are established and governed by.....? |
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Definition
| NPO that provide health and health promotional programs for communities. Established and governed by a community-elected BoD |
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Term
| Walk-in/After Hours Clinics are non-hospital clinics where care is provided for patients with ____ and _____ needs. They working hours are ______ with or without appointments? |
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Definition
| uncomplicated and non-emergency. clinic hours usually extend to evenings/weekends with no appointments. |
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Term
| Urgent Care Centers (UCC) are for patients with or without appointment for what conditions during what time |
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Definition
| without appointment. for non-life threatening conditions, during day, evening, weekends. |
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Term
| UCC differs from walk in with |
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Definition
| equipped to provide a variety of diagnostic/treatment services other than surgery, which walk in clinics do not have |
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Term
| Nurse Practitioner Clinics have nurses working _________ to provide to people who doesn't have a GP. They also do... |
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Definition
| working with doctors. also promote health topics, as well as connect patients with other services |
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Term
| Family Health Teams (FHT) |
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Definition
| designed to give physician support from other HCP |
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Term
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Definition
| Community Care Access Center |
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Term
| what is CCAC and what does it do |
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Definition
| it's local organizations established by the ministry to help people access to government funded homes and community services and long-term care homes |
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Term
| which part of health care service consume the largest amount of budget? |
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Definition
| hospitals, close to half of its budget due to nurses' wages and benefits |
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Term
| what is "long term care"? LTC |
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Definition
| theres no standard definition accroding to Shah |
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Term
| what might be included when talking about LTC |
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Definition
nursing home, home for special care, home for the aged, community care facilities etc
- nursing home is typically what is considered the institutional LTC |
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Term
| what is a better definition than LTC |
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Definition
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Term
| when a senior needs special home care, who assess them? |
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Definition
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Term
| what type of professionals does homecare? |
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Definition
| nurse, PT, OT, PSW, HCA, homemaking employees, community support workers for (M on W, W to M, etc) |
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Term
| does the amount of spending on health care correlates with overall health of the population? give supportive data. |
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Definition
| No, US spents by far the most %GDP on health care (Source: OECD Health Data), yet their population health is not close to being the highest. |
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Term
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Definition
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Term
| how does H&CC differs from hospital care |
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Definition
- hospital focus more on curative while HCC focus more on independence
- hospital gains almost all media attention and thus has big budget while HCC hardly draws politician's attention
- hospital is more for short term stay, while HCC is longer in duration |
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Term
| why focus on HCC/HCC multiple roles |
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Definition
1. free up wait list on LTC (bridge between LTC and no assistant needed)
2. most seniors prefer to stay at home as long as possible
3. substitute for acute care
4. prevention/maintenance |
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Term
| In Ontario is everyone eligible for government funded home care services? |
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Definition
No
- not "medically necessary"
- no entitlement -- provinces choose coverage
- no uniform terms and conditions
everyone is eligible for assessment though |
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Term
| about how much % is invested in home care by the government? |
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Definition
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Term
| Three aspects included in HCC (ie who delivers them) |
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Definition
profesional services ie nurse OT
personal support service PSW
community care support (MoW etc) |
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Term
Setting and providers for:
hospital and institutional care |
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Definition
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Term
| settings and providers for HCC |
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Definition
| mostly are done informally by family members and friends. some are publicly funded |
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Term
| three sectors that delivers HCC |
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Definition
commercial providers
NPO
informal family members |
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Term
| what is CSS and who delivers |
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Definition
community support services
- mostly NPO
- volunteers for a fee scaled to income |
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Term
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Definition
very complex due to:
- no central consensus
- consumers find it difficult to navigate
- many people are in the wrong place
Sustainability also an issue |
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Term
| differences between CCAC and CSS? |
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Definition
CCAC is funded by the government
CSS is community based, more funded by NPO and volunteers. |
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Term
| what is an barrier to integrating home care services? |
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Definition
1. different jurisdictions have different services
2. also government funded CCAC and community based CSS hard to work together due to lack of formal mechanisms.
3. lack of funding and time constraints |
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Term
| how can we counter the barrier to integration? |
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Definition
1. bridge the gap between health and social care
2. team of professionals for a planned assessment |
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Term
| list some integration successful stories |
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Definition
veterans independence program in canada
care management schemes in UK
program of all inclusive care for the Elderly in US |
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Term
| some characteristics of succesful integration |
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Definition
1. decline in depression/loneliness
2. savings for health care sector
3. all showed significant reduction rate in LTC admission over short term!
4. lower rate of hospital use and ER visits
-> Improved quality of life <-- |
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Term
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Definition
Emergency Room/Alternative Level of Care
a new strategy in Ontario to integrate health care services to free up emergency room access for those who doesn't require it |
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