C425 Healthcare Delivery Systems, Regulations, and Compliance

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Supply-side rationing is used by universal healthcare, HMO's and ACO's to cut down on - ANSWER Decrease provider communication An ACO (Accountable Care Organization) earns additional money by: - AN... SWER 1 Getting a share of money it saves Medicare 2 Producing better patient results All Americans have the right to __________under the Affordable Healthcare Act. - ANSWER Purchase Care The U.S. Healthcare System is faced with a serious shortage of - ANSWER Primary Care Physicians Which is not a type of universal care utilized in Europe? - ANSWER National HMO What is not a reason for physician resistance to Evidence Based Practices? - ANSWER Not cost effective Racial and cultural sensitivity is important to healthcare recruitment due to: - ANSWER Population shifting to non-white majority The IHR (International Health Regulations) is a binding legal agreement to: - ANSWER Prevent and respond to acute international health risks Cost control requires all but - ANSWER Greater Access to Specialist Holistic Medicine strives to - ANSWER Treat the whole Person What kind of Disease Classification is defined by a severe, short duration episodes though typically treatable: - ANSWER Acute What is not one of the determinates of a population or personal health: - ANSWER Political Affiliation What organization is responsible for the safety of medical devices and medications? - ANSWER CDC Market Justice holds that people are best served if the: - ANSWER Patient Demand is primary Inpatient care continues to decline because of all these reasons except: - ANSWER Doctors wishes Primary care includes all but: - ANSWER A) Diagnostics B) Counseling C) Inpatient Care D) Minor Surgery C)x Which one is not true, Tertiary care is: - ANSWER A) Highly technical B) Interdisciplinary C) Not in teaching hospitals D) None of the Above D)x In the future Primary Care should be: - ANSWER A) The usual Route of entry B) Provide integrated health services C) Partnering with patients and the community D) All the Above D)x What is not a product of increased preventative care: - ANSWER Better technology To deter patients from utilizing Health Tourism the United States should: - ANSWER Cut costs and continue to lead in quality The Role of Gate Keeper is typically assigned to: - ANSWER Primary Care Physicians Countries with health systems oriented toward primary care: - ANSWER A) Achieve better health levels B) Higher satisfaction with health services C) Lower expenditures in the delivery of health D) All the Above D)x Gene therapy is on the rise, in the future we can expect: - ANSWER Greater treatment options Rural healthcare is far less than that of urban centers and it dramatically limits the life expectancy in those areas. The lack of physicians per capita leads to: - ANSWER Worse Coordination of care The first insurance in the U.S. was: - ANSWER Workman's Comp Telemedicine allows for greater sharing of needed information by: - ANSWER A) Allowing experts to give opinions from far away B) Cutting costs in on duty personnel C) Decreasing on call times D) All the above D)x Which organization was instrumental in beginning the Blue Cross Network: - ANSWER American Hospital Association (AHA) Medicare part A covers? - ANSWER Hospital Fees Medicare Covers those who are ________, and those who are __________? - ANSWER Disabled, 65 and Over What type of Billing Fraud is being used when the organization falsely reports the illness or injury as being more serious than it is? - ANSWER Up-coding A patient that stays overnight is an_____________, a patient that receives care but does not stay overnight is an ________________. - ANSWER Inpatient, Outpatient Adjusting the utilization of care while active treating the patient is what type of review? - ANSWER Concurrent Utilization This organization leads the effort to improve the quality of healthcare, reduce costs and provide resourced for biomedical research and testing. - ANSWER AHRQ Organizational integration gave rise to which of the following: - ANSWER A) Medical Systems B) Physician/Hospital Partnerships C) Integrated Delivery System D) All the Above D)X MCOs are accredited by the: - ANSWER National Committee for Quality Assurance (NCQA). Which is not a Utilization Review - ANSWER CMS Utilization Review HMO use _________ and PPO offer ___________. - ANSWER Capitation, Discounts Vulnerability is not determined by a convergence of: - ANSWER D) Socio-Economics Cost containment can be achieved by - ANSWER A) Price Controls B) Competitive Approaches C) Health Planning D) All of the Above D)x Critical Pathways are used to plan: - ANSWER Medical interventions in a set time-line If Medicare expenditures totaled $523 billion in 2010; the program's income amounted to $486 billion in the same year what does this mean? - ANSWER Medicare has a financing shortfall Which is not a future concern for healthcare? - ANSWER Too few physician specialist Match the specialist to the definition - ANSWER Nephrologist = Kidney Specialist Orthodontist = Straightening of teeth Neurologist = Nerve and Brian Cardiologist = Heart Specialist Periodontist = Dental Implant specialist Optometrist = Eye Specialist In-house training is being conducted on OSHA standards for all staff. What is being accomplished with this training? - ANSWER Regulatory Compliance Due to the rapid spread of diseases in our global economy the text supports the idea of: - ANSWER International Cooperation EBP is based on the premises of better outcomes and ____________. - ANSWER Increased value Which historic healthcare facility type most closely resembles today's free clinics? - ANSWER Dispensaries Which historic healthcare facility type kept the poor, children and homeless we kept as inmates? - ANSWER Alms houses Employer based health insurance is not - ANSWER Open to all employees MCO's formed to take advantage of what stated reason: - ANSWER Greater Buying Power What is not true of the healthcare profession? - ANSWER A) Most work in hospitals B) One of the most highly educated C) Largest U.S. Employer D) Need is expected to keep increasing A)x Evidence Based Care uses _________ to improve quality of care. - ANSWER Scientific research and proven peer reviewed results Rural areas tend to suffer from less governmental subsidies and less access to care this will not cause which of the following? - ANSWER A) Delays in testing B) Delays in treatment C) Longer Life spans D) Less services offered C)x Allied Health Professional Technologist differ from technicians in there level of training and their ability to ________. - ANSWER Evaluate the appropriateness of treatment Which regulation safeguards the patient's right to privacy? - ANSWER HIPAA 6) Though the U.S. tends to surpass other countries in interventional medicine, much of our elective or banned surgeries/procedures can be lost to low cost competion that has similar quality. The term for this loss is _____________. - ANSWER Medical Tourism Insurance cost sharing is meant to dissuade frivolous use of benefits typically this is achieved by requiring? - ANSWER Co-Pay Which is not a requirement for Healthcare financing under the ACA? - ANSWER Medicaid decreases the number of people who qualify To avoid having to go to a nursing home after back surgery the patient has opted for __________ so that she can get help with Activities of Daily Living (ADL's) until she heals. - ANSWER Home Health Which is not associated with Primary care? - ANSWER A) Point of Entry B) Coordination of Care C) Essential care D) Specialty Care D)x Integrating and gatekeeping are the job of: - ANSWER Primary care Point of entry of care is best handled by a - ANSWER Primary care An APN consists of - ANSWER NP, CNS's or NNP's What are some of the major differences between a technologist/therapists and a technician/assistants: - ANSWER A) Strategic Planning B) Operational Planning C) Both A & B D) None of the Above D)x Senior administrators concern themselves with leadership and - ANSWER Strategic Planning The AMA drew power from setting standards in: - ANSWER Health Education [Show More]

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