Busy. Please wait.

show password
Forgot Password?

Don't have an account?  Sign up 

Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account.
We do not share your email address with others. It is only used to allow you to reset your password. For details read our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
Don't know
remaining cards
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the "Know" box, the DOWN ARROW key to move the card to the "Don't know" box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

"Know" box contains:
Time elapsed:
restart all cards
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

68C Ph.2 T.1

Health Care Cost and Quality

ELO> Given a list of economic factors effecting the health care system, describe the economic factors by correctly responding to written, oral, and experiential assessment measures
ELO> Given a list of quality improvement measures within the healthcare delivery system, compare the types of quality improvement measures by correctly responding to written, oral and experiential assessment measures
Factors affecting rising healthcare cost aging population, advancement in technology, healthcare insurance, malpractice insurance
how has healthcare reimbursement change the role of the LPN? healthcare reimbursement change has expanded the responsibilities and roles of the LPN because it is more cost effective
Changes in the delivery system a.case management b.cross-training c.multisystem health care chains/ managed care plans
Case-management manage and direct to receive cost-effective care quickly
HMO-lower premium, STRICT Health-maintenance organization>group insurance plan, fixed fee for service, provides ambulatory/hospitalization/home care services, utitlize "gate keepers" primary physician, member responsible for all costs of unauthorized care
PPO -co-pay, Discounted rates Preferred provider organization> network of providers who discount their rates for plan members, members pay higher rates if Rx is provided outside the network
MCO's Managed care organizations> plan and supervise distribution of health care services, use resources effectively, reasonable cost, client education
In order for HMO to pay for secondary care you must need a.. Referral
Positive changes in health care cost reduced redundancy in health care services, new and expanded roles for nurses
Negative effect in health care cost decision making power moved from providers to insurance companes, increased economic pressure on the consumer
The Joint Commission accreditation needed to receive money from medicaid (state) and medicare (federal)
POS Point of Service, pay at the time you receive the service
Can LPN be case managers? yes
Created by: ajwildasin30