Download Healthcare Ecosystems: Definitions, Concepts, and Key Players and more Exams Health sciences in PDF only on Docsity!
D391 Healthcare Ecosystems Latest
Entry with Correct Answers
ecosystem - <<<<<>>>>>>all biotic matter and abiotic factors in an area in which they interact with each other
energy flows through _______, while chemicals cycle within them -
<<<<<>>>>>>_____ flows through ecosystems, while _____ cycle within ecosystems
first law of thermodynamics - <<<<<>>>>>>states that energy cannot be created or destroyed; only transferred or transformed
second law of thermodynamics - <<<<<>>>>>>states that every exchange of energy increases the entropy of the universe
_____ enters an ecosystem as solar radiation, is conserved, and is lost from
organisms as heat - <<<<<>>>>>>energy enters an ecosystem as _____ radiation, is conserved, and is lost from organisms as _____
law of conservation of mass - <<<<<>>>>>>states that matter cannot be created/destroyed
detrivores - <<<<<>>>>>>heterotrophs that obtain organic nutrients from detritus; have mouths
decomposers - <<<<<>>>>>>heterotrophs that obtain organic nutrients from detritus; have no mouth
Gross Primary Production (GPP) - <<<<<>>>>>>is the total primary production of energy in an ecosystem
Net Primary Production (NPP) - <<<<<>>>>>>only used by consumers, it is the GPP minus energy used by autotrophs for cellular respiration
in marine and freshwater ecosystems, both light and nutrients control _____
production - <<<<<>>>>>>in marine and freshwater ecosystems, both _____ and _____ control primary production
limiting nutrient - <<<<<>>>>>>is the element that must be added for production to increase in an area
nitrogen and phosphorus - <<<<<>>>>>>are usually the limiting nutrients in marine production
Phosphorus - <<<<<>>>>>>limits cyanobacterial growth more than other nutrients
production efficiency - <<<<<>>>>>>is the fraction of energy stored in food that is not used for respiration
trophic efficiency - <<<<<>>>>>>is the percentage of production transferred from one trophic level to the next, multiplied over the length of a food chain
-______ is controlled by temperature, moisture, and nutrient availability -
<<<<<>>>>>>rate of decomposition is controlled by _____, ______, and ______ _____
healthcare system - <<<<<>>>>>>an organized network that delivers medical care services
Stakeholders - <<<<<>>>>>>People with common interests especially in a business
provider - <<<<<>>>>>>An individual or company that provides medical care and services to a patient
Healthcare producers - <<<<<>>>>>>diverse individuals with various skills and knowledge who provide services to patients
product - <<<<<>>>>>>Multiple client services and treatment in the healthcare system
Licensure - <<<<<>>>>>>Education and qualification for healthcare providers
Payers - <<<<<>>>>>>people or organizations paying for healthcare services
Purchasers - <<<<<>>>>>>an individual or organization that purchases healthcare coverage on behalf of their employees
Investors - <<<<<>>>>>>Individuals or organizations who invest in healthcare services
National Committee for Quality Assurance (NCQA) -
<<<<<>>>>>>monitors payer organizations
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) -
<<<<<>>>>>>Helps improve and monitor providers quality of care
US Department of health and human services -
<<<<<>>>>>>government organization that protects consumers from harm
Government regulations - <<<<<>>>>>>Helps reduce harm to healthcare patients and employees
health insurance - <<<<<>>>>>>Payment for health services
fee-for-service - <<<<<>>>>>>Providers receive payment for services performed
Health Maintenance Organization (HMO) - <<<<<>>>>>>A model in which providers are paid captation payments, restricting patients to a preferred list of providers and controlling access to care
Insurance risk - <<<<<>>>>>>an event covered by insurance; the risk of payment is borne by the insurer, so insurance companies work hard to manage risk for both individuals and groups
Insurance Expenses - <<<<<>>>>>>Payments such as deductibles, premiums, and co-pays
Medicare c - <<<<<>>>>>>Additional coverage not covered under A or B. Often called the advantage plan or choice plan.
Medicare D - <<<<<>>>>>>Prescription drug coverage
Food and Drug Administration (FDA) - <<<<<>>>>>>Approves food, drugs, biological products, and medical devices
Federal Trade Commission (FTC) - <<<<<>>>>>>Federal agency responsible for enforcing antitrust laws and preventing monopolies from developing
TRICARE - <<<<<>>>>>>Health insurance for active and retired military service people and their family
Medicaid - <<<<<>>>>>>Insurance for the low socioeconomic population
Children Health Insurance Program (CHIP) -
<<<<<>>>>>>insurance for families with children that do not qualify for Medicaid
Group Health Insurance - <<<<<>>>>>>Insurance offered by an employer or union
Health Savings Account (HSA) - <<<<<>>>>>>Tax-free financial healthcare accounts that pays for future medical expenses
Cost sharing - <<<<<>>>>>>Healthcare payments are shared by the insured and the company
Premiums - <<<<<>>>>>>Monthly payments for health insurance "subscription"
Self-pay - <<<<<>>>>>>A patient with no insurance coverage and is responsible for all health care expenses.
SHARE approach - <<<<<>>>>>>Seek the patient's participation
Help the patient to review and compare care options
Assess the patient's values and preferences
Reach a consensus decision with the patient
Evaluate the decision
DECIDE model - <<<<<>>>>>>Define problem
Explore alternatives
Consider consequences
Identify values
Decide and act
Evaluate results
The Quadruple Aim Framework - <<<<<>>>>>>Focuses on reducing costs, improving population health, improving patient experience, or improving team well-being.
