HT 1000 WEEK 3 STUDY GUIDE (1) - HT 1000 WEEK 3 STUDY GUIDE...

HT 1000 WEEK 3 STUDY GUIDE
CHAPTER 11 (Page 651-660, 687-688, & 700-705) & Chapter 13 (Pages 777-
782)
 Modern healthcare delivery in the U.S.
o Public law 89-97 of 1965 (Page 654)
 Passage of a number of amendments to the Social Security
Act brought Medicare and Medicaid into existence.
o Medicare (Page 654)
 A federally funded health program established in 1965 to
assist with the medical care costs of Americans 65 years of
age and older as well as other individuals entitled to Social
Security benefits owing to the disabilities
o Medicaid (Page 654-655)
 Administered by the state governments
o Omnibus budget reconciliation act of 1986 (Page 656-657)
 Federal legislation passed in 1987 that required the Health
Care Financing Administration (now named the Centers for
Medicare and Medicaid Services) to develop an assessment
instrument (called the resident assessment instrument) to
standardize the collection of patient data from skilled
nursing facilities
o Healthcare quality improvement act of 1986 (Pages 656-657)
 Established the National Practitioner Data Band (NPDB)
 Purpose is to provide a clearinghouse for information about
medical practitioners who have a history of malpractice
suits and other quality problems
o National practitioner data bank (Page 657)
 A data bank established by the federal government
through the 1986 Health Care Quality Improvement Act
that contains information on professional review actions
taken against physicians and other licensed healthcare
practitioners, which healthcare organizations are required
to check as part of the credentialing process
o HIPPA (Page 657-658)
 Health Insurance Portability and Accountability Act of 1996