Unit 1

Efficiency

avoid waste (including waste of equipment, supplies and people) or as using healthcare resources to get the best value for money. determined by how resources are used.

Health Informatics

discipline in which health data are stored, analyzed, and disseminated through the application of information and communication technology.

Cost-Effectiveness

efficient and equitable decisions are made about the allocation of resources.

Executive Branch

execution and implementation of laws passed by legislatures.

Health Policy

goal-directed decision-making about health that is the result of an authorized, public decision-making process. those actions, nonactions, directions, and/or guidance related to health that are decided by governments or other authorized entities.

Economics

the allocation of scarce resources.

Health Care Economics

the study of supply and demand of resources and its effect on the allocation of healthcare resources in an economic system.

Involves the marshaling of personnel and other resources needed to carry out all required patient care activities.

Care Coordination

Health Policy Major Attributes:

1. Decisions are made by authorized government institutions such as legislatures or courts or by government-authorized entities. 2. The decision-making process is subject to public review and input. 3. Health policies address a public policy goal.

Health Policy Minor Attributes:

1. Health policies are subject to ongoing review by governing institutions and by the public. 2. Health policy goals change according to changes in political and social values, trends, and attitudes.

Health Care Economics Attributes and Criteria:

Markets, Price and Cost, Supply and Demand, and Efficiency vs. Equity

Patient Protection and Affordable Care Act of 2010

Access, Insurance Reforms (Cherry-Picking and Limitations or Even Denial of Coverage for Preexisting Conditions)

Health-related issue identified, usually a problem.

Agenda Setting

Process of Policy Development:

Agenda Setting, Policy Formulation, Policy Adopting, Policy Implementation, and Policy Evaluation

Health Care Economics Scope:

Availability (or Scarcity) of Healthcare Resources, Access to Resources , and the Financing or Paying for these Resources

Value-Based Purchasing or Pay for Performannce

Designed to enhance the communication and coordination of care among patients, providers and clinicians. Offers additional reimbursement to clinicians and hospitals for the provision of appropriate and high quality care. Costs may not be covered for certain preventable conditions.

Affects healthcare economics because it governs the insurance industry and is illustrated in the application of healthcare funding and reform.

Health Care Law

Provide the framework for the delivery of health care.

Health Care Organizations

Concerned with issues related to ensuring standards of care, and outcomes are achieved in the delivery of health care.

Health Care Quality

Used to provide overarching goals and to set priorities and values for the allocation of resources.

Health Policy

Health Policy Scope:

Legislatures, Courts and Judiciary, Executive Branch, and Regulatory Agencies

A proposed intervention is selected.

Policy Adoption

Determining if the policy achieved the desired policy goals.

Policy Evaluation

Different policy interventions are proposed and considered.

Policy Formulation

Carrying out the proposed intervention.

Policy Implementation

Regulatory Agencies

implement and enforce laws through a rule-making process.

Technology

is the knowledge and use of tools, machines, materials, and processes to help solve human problems.

Informatics

is the science that encompasses information science and computer science to study the process, management, and retrieval of information.

Value

remains largely unmeasured and misunderstood.

Judiciary

staging ground for determining rights and health policy disputes.