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Healthcare Ecosystems: Definitions, Concepts, and Key Players, Exams of Health sciences

A comprehensive overview of healthcare ecosystems, exploring key concepts such as energy flow, nutrient cycling, and the role of limiting nutrients. It delves into the structure and function of healthcare systems, examining stakeholders, providers, payers, and regulatory bodies. The document also covers healthcare financing models, including medicare, medicaid, and private insurance, and explores the importance of value-based care and wellness initiatives. It concludes with a discussion of emerging technologies in healthcare, such as telehealth and electronic medical records.

Typology: Exams

2024/2025

Available from 04/15/2025

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D391 Healthcare Ecosystems Latest
Entry with Correct Answers
ecosystem - <<<<<<Answer>>>>>>>all biotic matter and abiotic factors
in an area in which they interact with each other
energy flows through _______, while chemicals cycle within them -
<<<<<<Answer>>>>>>>_____ flows through ecosystems, while _____
cycle within ecosystems
first law of thermodynamics - <<<<<<Answer>>>>>>>states that energy
cannot be created or destroyed; only transferred or transformed
second law of thermodynamics - <<<<<<Answer>>>>>>>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 - <<<<<<Answer>>>>>>>energy enters an ecosystem
as _____ radiation, is conserved, and is lost from organisms as _____
law of conservation of mass - <<<<<<Answer>>>>>>>states that matter
cannot be created/destroyed
detrivores - <<<<<<Answer>>>>>>>heterotrophs that obtain organic
nutrients from detritus; have mouths
decomposers - <<<<<<Answer>>>>>>>heterotrophs that obtain organic
nutrients from detritus; have no mouth
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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.