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HSA quizzes 111 Questions with Verified Answers,100% CORRECT

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HSA quizzes 111 Questions with Verified Answers Decisions made by private market participants in the HC system may have: - CORRECT ANSWER socially undesirable consequences which is a major poi... nt in the discussion of the natural history of disease - CORRECT ANSWER US would realize better outcomes if it spent more resources in the earliest stages of this cycle in order to prevent disease later. The authors wrote in Chapter 1, "There is a difference, however, between goals for health care reform of the government and those of the market." Which of the following has been a goal of government that was not well handled by the market? - CORRECT ANSWER Providing healthcare for the elderly who were no longer receiving employer based insurance. The authors write that the ACA shifts attention and financial incentives toward prevention and wellness but the ACA is not the first time the government has intervened to move the focus of care from acute treatment to earlier detection and treatment of health conditions. Which of the following is an example where the government has used financial incentives to move care closer to the prevention stage? - CORRECT ANSWER Requiring that screening mammograms be offered with no copay or deductible Which of the statements below best describes the dilemma faced by rural HC providers, including doctors and hospitals? - CORRECT ANSWER There are multiple forces reducing the financial support available for rural areas to support hospitals and healthcare providers Consider a patient visit to a primary care physician for a routine physical exam. Which of the following is NOT a decision right of the INSURER? - CORRECT ANSWER Whether the doctor will accept the insurance plan Which of the following is NOT a decision right affected by the requirement that people in many professions, including healthcare, be licensed by the government before they can practice their professions? - CORRECT ANSWER The price a practicing professional can charge for their services Which of the following events came FIRST in history? - CORRECT ANSWER great depression Which of the following events came LAST in history? - CORRECT ANSWER medicare Which of the following was NOT a government program designed to extend healthcare to people who were not served by other programs? - CORRECT ANSWER Support for biomedical research through the National Institutes of Health Which of the following BEST describes the motivation for the implementation of the Medicare and Medicaid programs? - CORRECT ANSWER Serve a portion of the population not served by other programs Which of the following was the most direct response to the Great Depression? - CORRECT ANSWER The Baylor University Hospital insurance program Government HC programs resulted in huge levels of expenditure on HC by the federal government. Which of the following was a response to spending levels? - CORRECT ANSWER The Health Maintenance Organization Act of 1973 Two competing philosophical beliefs are that governments should have as little involvement as possible in markets and individuals' lives (including for HC matters) vs. that governments should use their power to tax and regulate to improve society. Which of the following is an example of the interventionist philosophy of government involvement (more involvement)? - CORRECT ANSWER Social Security Which of the following groups is the LEAST LIKELY to be represented by lobbyists who are employed by the group to look after the members' self-interest? - CORRECT ANSWER Medicaid recipients If HC costs are reduced through programs to reduce payment rates to providers which of the following is a likely reaction to the program? - CORRECT ANSWER Quality will decline as providers spend less time with patients in order to see more of them Which of the following provisions of the ACA (Obamacare) does NOT improve access to healthcare? - CORRECT ANSWER Requiring that insurance policies provide free preventive care Medical offices have had been using their computerized appointment scheduling systems to notify patients of upcoming appointments for many years. Which of the four categories of HC IT does this function best fit? - CORRECT ANSWER Administrative and billing technologies Which of the following activities is the best example of using computerized information sharing? - CORRECT ANSWER Electronically transferring a prescription to a pharmacy Which legislation created the programs to encourage providers to implement EHR and meet meaningful use standards? - CORRECT ANSWER The HITECH Act One of the largest pharmacy companies is implementing an extension to the electronic prescription ordering system that tells prescribing physicians what the out of pocket cost for a prescription they are about to write is for the patient. Which of the four categories of HC IT does this function fit? - CORRECT ANSWER Information sharing What is the fundamental purpose of a decision support system, including a clinical decision support system? - CORRECT ANSWER Improving decision making by overcoming some limitation in human capabilities Which of the following is the best evidence that doctors have not felt that investing in EHR was worthwhile? - CORRECT ANSWER Doctors paid all of the costs of EHR but did not personally realize much improvement compared to their paper-based systems One requirement of Stage 1 of meaningful use is that providers implement EHR and initiate reporting of clinical quality measures and public health information. Which benefit to the nation's healthcare system is strongly facilitated by this capability? - CORRECT ANSWER Determining best practices by comparing treatment choices to patient outcomes over large numbers of patients One type of health information exchange keeps copies of each patient's data in a central repository. In contrast, how does the other major approach to implementing health information exchanges work? - CORRECT ANSWER The central server holds a catalog of patient data held by providers in the region and can retrieve it from each provider when needed Which of the following is NOT considered ambulatory care? - CORRECT ANSWER Being discharged from a hospital after a stroke to a multi-day residential rehabilitation facility for strength and balance training. Which of the following technological advances spurred the growth of outpatient surgery centers? - CORRECT ANSWER Less invasive surgical techniques Which of the following factors was a common thread behind many of the changes in ambulatory care provided by physicians? - CORRECT ANSWER Reduced reimbursement rates Which of the following statements best reflects the changing patterns of ambulatory care practice over the course of the 20th century? - CORRECT ANSWER The solo practitioner became an endangered species as almost 80% of practitioners worked in groups of three or more Which of the following is an example of an economy of scale realized when physicians work in a practice group? - CORRECT ANSWER Sharing the server and infrastructure for an EHR system among multiple physicians Which of the following ideas represents the best example of a lifestyle improvement available to physicians practicing as members of a group vs being in a solo practice. - CORRECT ANSWER Physicians can socialize with each other as peers since they have more in common How does the requirement that hospitals treat emergency patients regardless of their ability to pay affect the desirability of providing hospital-type services on an outpatient basis in specialty clinics? - CORRECT ANSWER Hospitals must charge more for all services in order to cover indigent care Which of the following is a disadvantage of urgent care or walk-in clinics? - CORRECT ANSWER These clinics are not designed to provide continuity of care or to maintain a long term relationship with patients Which of the following statements best describes why so many outpatient specialty clinics have one or more physicians as owners? - CORRECT ANSWER Physicians with an ownership interest can capture revenue that had previously been going to hospitals for providing facilities What was the nature of the first FORMALIZED type of medical instruction? - CORRECT ANSWER The apprenticeship method By the mid-1800s most states had developed state medical societies. What problem with medical education were these societies formed to address? - CORRECT ANSWER There was inconsistent quality in the curriculum and graduates of medical schools Which underlying problem with American medical education was disclosed by the Flexner Report in 1910? - CORRECT ANSWER There were wide variations in the quality of medical school graduates among US and Canadian medical schools advocated for more rigorous training of medical professionals. Which of the statements below best describes the motivation for the medical community pushing for higher standards? - CORRECT ANSWER Improved standards for education gives consumers an indicator of the quality of providers who received the education Which of the following was an additional factor made licensing, formalized curriculums, and formalized specialty training acceptable to the medical profession? - CORRECT ANSWER The growth of the US population made it less likely that potential patients would know the quality of individual practitioners and patients had to rely on external validation for choosing providers Which of the following is NOT a factor that influences a physician's area of medical specialization? - CORRECT ANSWER Assignments made by each state's medical license regulating body Which of the following is NOT a factor that affects the overall supply of physicians in the United States? - CORRECT ANSWER Proportion of the population that is elderly What is the fundamental imbalance in physician availability in rural areas - CORRECT ANSWER Rural areas have severe shortages in some specialties What is the purpose of clinical practice guidelines? - CORRECT ANSWER CPGs communicate the results of research into the best treatment practices for different medical conditions Which of the following workforce professions was identified in the textbook as having specialties within the profession? CHECK ALL THAT APPLY - CORRECT ANSWER registered nurses dentistry nurse practitioners Which of the following professions is allowed to perform tasks previously reserved to physicians? - CORRECT ANSWER Physicians' assistants Which of the following professions might be found working together to provide care to a hospitalized patient. CHECK ALL THAT APPLY. - CORRECT ANSWER Registered nurses Which of the professions below is NOT a primary provider of care, meaning that they exclusively work to support or assist someone in another profession? - CORRECT ANSWER Licensed practical nurses The text identified contradictory drivers of the demand for licensed practical nurses. Where is the demand for LPNs RISING? - CORRECT ANSWER Nursing homes and long term care facilities Which of the following professions has the greatest potential to influence the health of 62 year old Health Services Administration professors who teach HAS 3111? - CORRECT ANSWER Audiologists Which of the following best describes the federal government's method of affecting the supply of healthcare providers in different professions? - CORRECT ANSWER Offer incentives to increase training opportunities in different fields The Department of Labor's healthcare jobs overview indicates that the demand for most professions is growing at above average rates. Which of the following is single most important driver of increased demand? - CORRECT ANSWER The aging of the population What is the median pay per hour for Medical and Health Services Managers? - CORRECT ANSWER $45.43 / hour Which of the following is the best explanation for the PRIMARY MOTIVATION for the group that created Medicaid? - CORRECT ANSWER Improving social welfare Which of the groups listed below first received coverage because of the Baylor University Hospital insurance that eventually became Blue Cross? - CORRECT ANSWER Individuals who can afford to purchase private health insurance Which of the groups listed below was the primary beneficiary of the Medicaid program? - CORRECT ANSWER the poor Which of the groups listed below was the primary beneficiary of the SCHIP program? - CORRECT ANSWER children When employer-provided health insurance became widespread following WW II which of the groups listed below did not have health insurance coverage FROM ANY SOURCE at the time this kind of insurance was being implemented? CHECK ALL THAT APPLY. - CORRECT ANSWER elderly who are no longer working. working poor who had no employer benefits. self employed individuals with preexisting conditions. Which of the following groups who previously had no health insurance became eligible for insurance under the Affordable Care Act (Obamacare)? - CORRECT ANSWER Self-employed individuals with preexisting conditions What essential problem were DRG-based payment schemes, insurance copays, and managed care all designed to address? - CORRECT ANSWER They are all attempts to control healthcare spending What is the primary funding source for Medicaid? - CORRECT ANSWER General government revenue spent on current beneficiaries Which of the following groups is a likely consumer of long term care? CHECK ALL THAT APPLY. - CORRECT ANSWER accident victims. children born with decreased mental capacity. elderly. victim of strokes or certain diseases I identified three broad categories of long term care needs. Which of the following was NOT one of those categories? - CORRECT ANSWER Health Service Administration professors Which of the following is an example of a MEDICAL need for LTC? - CORRECT ANSWER Providing dialysis services for a patient with failing kidneys Which of the following is an example of an activities of daily living (ADL) need for LTC? - CORRECT ANSWER Assisting a mobility-impaired patient with bathing, dressing, and grooming Which of the following is an example of a custodial care need for LTC? - CORRECT ANSWER A patient who has no ability to perform any self-care tasks including eating, cleaning themselves, using the toilet, and who has no family resources to provide care Which of the following types of funding may be used to pay home health aids such as Granny Nannys to provide ADL support for a person with limited capabilities? - CORRECT ANSWER Private payment directly from the patient or their family. long term care insurance Which of the following types of funding may be used to pay for residence in an assisted living facility where support is provided for housekeeping, meals, and transportation. - CORRECT ANSWER long term care insurance. private payment directly from the patient or family. What does the concept of "spending down" mean with respect to Medicaid coverage of LTC needs for custodial care? - CORRECT ANSWER The recipient must exhaust their own resources by paying for care before becoming eligible for Medicaid funding Which of the following is an advantage to society of LTC care provided by family members in the home? - CORRECT ANSWER The care provided by family is free and does not cost taxpayers or insurers anything [Refer to the Consumer Reports article linked from the Quiz.] Which of the following statements about LTC Insurance are supported by the article? SELECT ALL THAT APPLY - CORRECT ANSWER Consumers who are interested in LTC insurance have multiple options for managing cost. The LTC Insurance industry is not yet stable and some consumers seeing price hikes for policies they have already purchase Which of the following transitions in the way mental health services have been delivered in the U.S. was largely driven by funding or cost considerations? - CORRECT ANSWER Limiting the number of care episodes for mental health services an insurer will cover per year Which of the following transitions in the way mental health services have been delivered in the U.S. was largely driven by changes in attitudes toward mental health disorders and treatments? - CORRECT ANSWER Widespread discharge of patients from institutional confinement to community based treatments Which of the following sources of funding may now typically be used for mental health treatments? CHECK ALL THAT APPLY. - CORRECT ANSWER medicare private insurance medicaid lottery winnings The authors write that, "the mental health system was defined as 'different' from other health systems Which of the following best represents a contributor to a difference in attitude toward the mental health system compared to other healthcare delivery methods? - CORRECT ANSWER There are prejudices about individuals who suffer from mental health and substance abuse disorders which make it easier to cut funding for treatment What percentage of individuals suffering from a serious mental disorder receive no treatment during a year? - CORRECT ANSWER about 40% The text indicates that about $317 billion are lost each year due to neuropsychiatric disorders. Which portion of this would motivate government policy makers to improve and fund treatments for mental health disorders. - CORRECT ANSWER The entire $317.6 billion believed to be lost each year How do managed care programs for mental health disorders best resemble managed care plans for traditional healthcare services? - CORRECT ANSWER Payment structures focus incentives on positive outcomes rather than on the number of episodes of treatment delivered Which of the following professions is expected to have the highest growth potential MEASURED IN ABSOLUTE NUMBER OF NEW POSITIONS (not percentage growth rate)? - CORRECT ANSWER Clinical social workers Which of the following are OR HAVE BEEN barriers to treatment for mental health disorders. CHECK ALL THAT APPLY. - CORRECT ANSWER Insurance limitations on number of treatments or total cost of care. Patient reluctance to admit they have a problem. Lack of qualified professionals on a regional basis. Prejudices against individuals needing mental health services. Which of the following have been identified as distinctive (but not necessarily unique) problems with mental health care for veterans? CHECK ALL THAT APPLY. - CORRECT ANSWER Shortages of qualified providers. Stigma associated with mental illness. Medicare and Medicaid coverage limitations. The textbook defines "public health" as "the efforts ... to cope with the health problems that arise when people live in groups" (p. 427). Which concept from the lectures is created when people begin living close to each other? - CORRECT ANSWER externalities The Zika virus outbreak of 2016 increased the public's awareness of mosquito control activities. Which of the reasons below best explains why mosquito control activities are largely carried out by government agencies? - CORRECT ANSWER I can only control my own property and am unlikely to consider the impact on my neighbors' health when deciding how much to spray myself. I will therefore not treat enough. Which of the following is the best example of nonexcludability in healthcare? - CORRECT ANSWER The Brevard County Department of Health takes water quality samples from beaches and publishes the results on their public web site The text presents information on the history and purpose of a multitude of federal health-related organizations beginning in the 1930s. Which of the following statement best describes the reason we have seen these agencies established by the government? - CORRECT ANSWER Policy makers felt that the private sector would not perform the tasks the agencies were designed to do Governments have multiple mechanisms through which they can implement policy. Which of the following is an example of governments encouraging healthy behavior? SELECT ALL THAT APPLY. - CORRECT ANSWER Restaurants publish nutrition information. Standardize food nutrition labeling. Food pyramid. Making health insurance premiums tax deductible. Governments have multiple mechanisms through which they can implement policy. Which of the following is an example of governments discouraging participation in unhealthy behavior? SELECT ALL THAT APPLY. - CORRECT ANSWER D.A.R.E Requiring that certain over the counter medications be kept behind the pharmacy counter and signed for and that purchases be tracked. Taxing tobacco products. The US government has two different mechanisms (tax deductions and the ACA) which encourage employer-based health insurance for employees. Which motive for government action discussed in class is most closely aligned with this policy? - CORRECT ANSWER Maintain the productivity of the workforce Which of the following indicates the primary means through which the Centers for Medicare and Medicaid Services carry out their responsibilities? - CORRECT ANSWER Provides funding and management for Medicare and Medicaid Which of the following is an example of discounting in a healthcare decision? - CORRECT ANSWER Having unprotected sex with an amazingly hot person you just met at a party The authors complain about the underfunding of preventive care in the US and the consequent overspending on acute treatment for conditions that could have been prevented. Which of the statements below helps to explain why our healthcare system works this way? CHECK ALL THAT APPLY. - CORRECT ANSWER Acute care is much more likely to have immediate consequences. We may never get a disease we are attempting to prevent even if we do nothing. Which of the following statements best describes the intended results of research? - CORRECT ANSWER Creating new facts, artifacts or processes Which of the answers below best describes how the concept of discounting from the previous module applies to the act of research? - CORRECT ANSWER The results of research are not guaranteed so resources may be committed to the project without realizing the intended payoff Which of the answers below best illustrates the value of research incorporated in a new health-related product or service that people are willing to spend money on? (None of the answers is made up.) - CORRECT ANSWER Electronic underwear that helps prevent bed sores in bedridden patients Many years ago most medical imaging changed from film to digital images which in turn could be quickly transmitted electronically to be interpreted by a radiologist located a significant distance away. Which of the types of value listed below best describes the value of the electronic transmission capability? - CORRECT ANSWER A change in work processes to lower costs or improve performance Which statement below best explains why so much health research is funded by government agencies? - CORRECT ANSWER If the research product is new information or knowledge it is difficult for private companies to create markets to sell their findings Which of the following best describes the most important relationship between academic institutions and the research funding agencies described in the chapter? - CORRECT ANSWER Universities have the expertise and desire to perform research paid for by the funding agencies The text and lecture covered two types of epidemiological research. Which of the following is an example of a descriptive epidemiological study? - CORRECT ANSWER Collecting data on the number of drug overdoses deaths on a county by county basis Which of the following is an example of health services research? - CORRECT ANSWER Studying the pros and cons of a hospital acquiring a medical practice group Which of the statements below best describes the relationship between evidence based medicine (EBM) and research? - CORRECT ANSWER EBM used the results of research to identify the best medical practices in a given situation Which choice(s) from the list below best describes why the material in this module is likely to affect you personally if you pursue a career in health services administration? CHECK ALL THAT APPLY. - CORRECT ANSWER Perform analysis of organizational data to assess compliance with quality and other standards. Identify the financial implications of research-driven policy changes. Be aware of new research findings that affect the way their organization performs its activities. Which of the elements or influences of the HC system listed below have most of their changes over time occurring because of factors outside the HC system? - CORRECT ANSWER The ethnic composition of the population and the importance of cultural considerations in understanding and treating diverse patients Which of the elements or influences of the HC system listed below have most of their changes over time occurring because of factors outside the HC system? - CORRECT ANSWER The average age of the population and the numbers of individuals in each age group Which of the following aspects of the US healthcare system have been and are likely to continue being affected by increasing costs of healthcare in the country? CHECK ALL THAT APPLY. - CORRECT ANSWER Money spent by governments on non-healthcare programs. Money spent by individuals on healthcare at the expense of other purchases. Taxes. Healthcare employment in the country. Which of the types of change listed below is the most likely to have widespread change on the HC industry with short notice? - CORRECT ANSWER Legislative mandates that apply to the financing or delivery of healthcare Which of the following is/are feasible reactions by employers to circumstances like these if they become more widespread? CHECK ALL THAT APPLY. - CORRECT ANSWER Shift more production to states where unions are not as prevalent and benefits not as high. Reduce the quality of health coverage for employees. Reduce hiring. Increase the copays and deductibles employees must pay when they receive healthcare. Which trend in healthcare reduces the incentive for physicians to work longer hours? - CORRECT ANSWER The transition from solo practice owner to employee of large HC companies Which of the statements below best represents why economic and political factors could be more likely to influence US health policy than effectiveness of the healthcare system at achieving health outcomes? - CORRECT ANSWER The principle of discounting makes the potential health effects less immediate to most people than the impact of taxes As we have traced the changes in the HC system to this point and project changes into the future which profession is most likely to achieve new prominence because of the changes in organizational forms and ownership patterns? - CORRECT ANSWER healthcare managers The authors write that, "the mental health system was defined as 'different' from other health systems Which of the following best represents a contributor to a difference in attitude toward the mental health system compared to other healthcare delivery methods? - CORRECT ANSWER The authors write that, "the mental health system was defined as 'different' from other health systems Which of the following best represents a contributor to a difference in attitude toward the mental health system compared to other healthcare delivery methods? - CORRECT ANSWER There are prejudices about individuals who suffer from mental health and substance abuse disorders which make it easier to cut funding for treatment Which of the following types of funding may be used to pay home health aids such as Granny Nannys to provide ADL support for a person with limited capabilities? - CORRECT ANSWER [Show More]

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