Shared Flashcard Set

Details

lec2
all inclusive
34
Health Care
Professional
10/22/2011

Additional Health Care Flashcards

 


 

Cards

Term
LHINs' inception
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)
Term
LHIN is responsible for _______, ______ and ______ of ______services.
Definition
planning, integrating, funding of local health services
Term
Community Health Centres (CHC)are...that provide.... for....? they are established and governed by.....?
Definition
NPO that provide health and health promotional programs for communities. Established and governed by a community-elected BoD
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?
Definition
uncomplicated and non-emergency. clinic hours usually extend to evenings/weekends with no appointments.
Term
Urgent Care Centers (UCC) are for patients with or without appointment for what conditions during what time
Definition
without appointment. for non-life threatening conditions, during day, evening, weekends.
Term
UCC differs from walk in with
Definition
equipped to provide a variety of diagnostic/treatment services other than surgery, which walk in clinics do not have
Term
Nurse Practitioner Clinics have nurses working _________ to provide to people who doesn't have a GP. They also do...
Definition
working with doctors. also promote health topics, as well as connect patients with other services
Term
Family Health Teams (FHT)
Definition
designed to give physician support from other HCP
Term
CCAC
Definition
Community Care Access Center
Term
what is CCAC and what does it do
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
Term
which part of health care service consume the largest amount of budget?
Definition
hospitals, close to half of its budget due to nurses' wages and benefits
Term
what is "long term care"? LTC
Definition
theres no standard definition accroding to Shah
Term
what might be included when talking about LTC
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
Term
what is a better definition than LTC
Definition
complex continuous care
Term
when a senior needs special home care, who assess them?
Definition
CCAC --> H&CC Services
Term
what type of professionals does homecare?
Definition
nurse, PT, OT, PSW, HCA, homemaking employees, community support workers for (M on W, W to M, etc)
Term
does the amount of spending on health care correlates with overall health of the population? give supportive data.
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.
Term
what is H&CC
Definition
home and community care
Term
how does H&CC differs from hospital care
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
Term
why focus on HCC/HCC multiple roles
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
Term
In Ontario is everyone eligible for government funded home care services?
Definition
No
- not "medically necessary"
- no entitlement -- provinces choose coverage
- no uniform terms and conditions
everyone is eligible for assessment though
Term
about how much % is invested in home care by the government?
Definition
3.7%
Term
Three aspects included in HCC (ie who delivers them)
Definition
profesional services ie nurse OT
personal support service PSW
community care support (MoW etc)
Term
Setting and providers for:
hospital and institutional care
Definition
health care providers
Term
settings and providers for HCC
Definition
mostly are done informally by family members and friends. some are publicly funded
Term
three sectors that delivers HCC
Definition
commercial providers
NPO
informal family members
Term
what is CSS and who delivers
Definition
community support services
- mostly NPO
- volunteers for a fee scaled to income
Term
challenges in HCC sector
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
Term
differences between CCAC and CSS?
Definition
CCAC is funded by the government
CSS is community based, more funded by NPO and volunteers.
Term
what is an barrier to integrating home care services?
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
Term
how can we counter the barrier to integration?
Definition
1. bridge the gap between health and social care
2. team of professionals for a planned assessment
Term
list some integration successful stories
Definition
veterans independence program in canada
care management schemes in UK
program of all inclusive care for the Elderly in US
Term
some characteristics of succesful integration
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 <--
Term
what is ER/ALC
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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