Term
| In Canada, who has access to health care regardless of ability to pay? |
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Definition
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Term
| The five principles of the CHA (Canada Heath Act) |
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Definition
The five principles of the CHA (Canada Heath Act)
- Public Administration
- Comprehensives
- Universality
- Portability
- Accessibility |
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Term
The five principles of the CHA (Canada Heath Act)
Define Public Administration |
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Definition
The five principles of the CHA (Canada Heath Act)
Public Administration - Health care administration is on a NON-PROFIT basis bu a public authority responsible to the province |
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Term
The five principles of the CHA (Canada Heath Act)
Define Comprehensiveness |
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Definition
The five principles of the CHA (Canada Heath Act)
Define Comprehensiveness - Insurer must cover all insured services, get essential services supplied by hospitals, medical practitioners & dentists. Provinces determined which services are covered |
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Term
The five principles of the CHA (Canada Heath Act)
Define Universality |
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Definition
The five principles of the CHA (Canada Heath Act)
Define Universality - Everyone is entitled to the same services (equals) |
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Term
The five principles of the CHA (Canada Heath Act)
Define Portability |
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Definition
The five principles of the CHA (Canada Heath Act)
Define Portability - Be allowed health care ANYWHERE in Canada, after a wait of 3 months upon becoming a resident |
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Term
The five principles of the CHA (Canada Heath Act)
Define Accessibility - |
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Definition
The five principles of the CHA (Canada Heath Act)
Define Accessibility - Charges or obstacles must NOT impede access to insured services |
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Term
What does the CHA cover?
What does the CHA NOT cover? |
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Definition
What does the CHA cover?
Covers: Hospital services, Physician services, Dental services requiring a hospital for proper performance
Does NOT cover: Services by health-care professionals outside of hospital, long term care, home care, Pharmaceutical services and dental care outside of hospital.
What does the CHA NOT cover? |
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Term
| Who covers medications in hospital? in community? |
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Definition
CHA (federal) - Hospital meds
Provincial - Community meds |
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Term
| Who is eligible for federal drug benefit programs? |
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Definition
Who is eligible for federal drug benefit programs:
- Veterans
- First nations (aboriginals, native inuit or matis)
- Canadian forces eg. RCMP
- Refugees
- Inmates
- Inmates on parole |
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Term
NIHB: Non-insured Health Benefits program
What does it provide coverage for? |
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Definition
NIHB: Non-insured Health Benefits program
Provides coverage for a limited range of services when they are not insured by province/territory or other private insurance plans. |
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Term
VAC - Veteran Affairs Canada
Part of Federal drug benefit?
Who is entitled? |
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Definition
VAC - Veteran Affairs Canada
Part of Federal drug benefit - YES!
Includes pensions for disability or death, health care benefits and services to RCMP, military, former members of canadian forces, and their dependants. |
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Term
Health Canada Therapeutics Access strategy (TAS).
What do they do? |
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Definition
TAS:
Provides canadians with improved access to safe, high quality, effective and appropriate therapeutic products in timely and cost effective manner. |
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Term
Health Canada's Health Products and Food Branch
What do they do ? |
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Definition
Health Canada's Health Products and Food Branch
Evaluate human and vet drugs, devices, natural health products, and safety/quality of food in Canada. Also develops nutrition policies and standards. |
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Term
Special authorization forms
Explain |
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Definition
Special authorization form:
For private or public insurance plans that requires the physician to complete a form with predetermined criteria giving details why a drug is needed. Usually for expensive prescription drugs. |
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Term
| Reimbursement for Rx drugs: What are the 3 ways? |
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Definition
Reimbursement for Rx drugs: What are the 3 ways?
1) Patient healthcare #
2) Pay direct cards
3) Pay and submit a claim |
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Term
Beneficiaries
how are they tracked?
In case of 2 plans: private and government which is billed first? |
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Definition
Beneficiaries
Tracked by birth date
In case of 2 plans: private and government, Bill GOVERNMENT first. |
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Term
Drug Submissions
What is required from after the HPFB reviews a product and deems it safe, to sell in Canada? |
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Definition
1) NOC (Notice of compliance) letter
2) DIN # |
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Term
| What is required for Natural health products before they can be sold in Canada? |
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Definition
| an NPN (Natural Product Number) or Homeopathic Medicine Number (DIN-HM) |
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Term
Special Access Program (SAP)
What is it for? |
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Definition
Special Access Program (SAP)
Allows limited access to drugs and medical devices that have NOT BEEN AUTHORIZED FOR SALE IN CANADA. Case by case basis. |
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Term
Common Drug Review (CDR)
Who is it done by?
Who uses this information?
Who ultimately decides if drugs make forumlary or not? |
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Definition
Common Drug Review (CDR)
Who is it done by - CADTH (Canadian Agency for Drugs and Technologies in Health)
Who uses this information - CEDAC (Canadian Expert Drug Advisory Committee)
Who ultimately decides if drugs make formulary or not?
Federal, Provincial and territorial governments.
CDR by CADTH used by CEDAC to make recommendations to government to ultimately make decision on formulary |
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Term
What act regulates products offered to treat or prevent diseases or symptoms?
What group is responsible for evaluating and monitoring safety, quality and effectiveness of pharmaceutical drugs and other therapeutic products available to canadians? |
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Definition
What act regulates products offered to treat or prevent diseases or symptoms?
FOOD AND DRUG ACT
What group is responsible for evaluating and monitoring safety, quality and effectiveness of pharmaceutical drugs and other therapeutic products available to canadians?
TPD - Therapeutic Products Directorate |
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Term
| What languages are required on medication packaging? |
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Definition
What languages are required on medication packaging?
BOTH english and french |
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Term
| Who sets prescription drug prices? |
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Definition
Who sets prescription drug prices?
PMPRB - Patented Medicine Prices Review Board |
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Term
| How long does a patent last for in Canada? |
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Definition
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Term
RBP - Reference based pricing
Use? |
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Definition
RBP - Reference based pricing
Used to start or change patient to a less expensive drug therapy |
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Term
Off label Use
What is it in Canada?
Resource for off label use? |
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Definition
Off label Use
It is using medications for indications not specifically approved by the FDA or health Canada
Resource for off label use - USP DI vol. 1 or ASHP |
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Term
| What should ADRs contain? What does HPFB NOT keep confidential? |
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Definition
Information about the affected patient, the suspected agent, the reaction.
HPFB keeps identities of patient and reporter confidential |
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Term
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Definition
Physician
Patient
Pharmacist |
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Term
OCS - Office of Controlled substances
Responsibility? |
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Definition
| Ensure drugs and controlled substances are not diverted for illegal use. |
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