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NUR 211 - Module 1 - Health Policy, Managing Care, & Leadership Exam Questions with correct Answers 2024/2025( A+ GRADED 100% VERIFIED).$11.49
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NUR 211 - Module 1 - Health Policy,
Managing Care, & Leadership
Health Policy - ANS actions taken by government bodies to attain specific healthcare goals,
includes laws, regulations, government agency guidelines, position statements, resolutions,
judicial decrees, and budget priorities
Determining Factors for Change - ANS - population of citizens that will benefit
- cost-benefit ratios
- stakeholders
- support for policy
- availability of scientific evidence supporting policy
Resource Allocation Determination - ANS - influence
- negotiation
- bargaining
- compromise
**process doesn't always seem logical or linear**
Executive Branch Agency of Federal Government Ex - ANS - CDC
Executive Branch Agency of State Government Ex - ANS - state health department
- state board of nursing
Federal Agencies - ANS - US Department of Health and Human Services (principal federal
health agency - responsible for all americans)
- OSHA (health and safety in workplace)
State Agencies - ANS - each state mandates its own health policies and regulation (within fed
guidelines)
- each state has a division of health and human services
- enforces regulations of health departments
- license or registers hospitals, long term facilities, child care centers, tracking state health data,
maintain birth and death records, enforcing state health laws
Local Health Departments - ANS - within state department
- oversees child care center sanitation, food safety
- offer community-wide disease and injury prevention programs (birth control, flu shots, TB
meds)
- administering Medicaid, CHIP, WIC
, Accreditation - ANS process of gaining recognition through peer review process that evaluates
quality of an organization based on standards, criteria of accrediting organization
**private and voluntary**
Joint Commission - ANS - independent, non-profit
- sets standards for and accredits healthcare organizations which enhances consumer trust and
respectability
Accreditation Commission for Education in Nursing (ACEN) - ANS accredits clinical doctorate,
master's, baccalaureate, associate, diploma, and practical nursing education programs
Sigma Theta Tau International - ANS national honor society for nursing at baccalaureate level
Healthcare Funding - ANS - most important issue in health policy today
- Medicare, Medicaid, ACA helped with
Private Healthcare System - ANS - individuals purchase private insurance
- companies determine copay, premiums, deductions
- HMO, PPO, POS
Medigap - ANS - health insurance plans that help pay expenses not covered by Medicare
- supplement to Medicare coverage
Medicare - ANS - for people age 65 or older, younger people with disabilities, end-stage renal
disease or ALS
- 4 types of coverage
Medicare Part A - ANS hospital insurance
Medicare Part B - ANS medical insurance
Medicare Part C - ANS - medicare advantage plans
- allows beneficiaries to enroll in private health insurance programs that will cover the gaps in
coverage (medigap)
Medicare Part D - ANS prescription drug coverage
Medicaid - ANS - available to lower-income, elderly people with disabilities
- jointly funded by state and federal governments
- each state sets its own guidelines for eligibility and covered services
Supplemental Security Income (SSI) - ANS - funded by general taxes
- designed to help aged, blind, disabled people with little or no income
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