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IPE 3500 Exam 1 quiz questions

Terms in this set (40)

A division of Health and Human Services (HHS), this oversees both Medicare and Medicaid, along with State Children's Health Insurance Program (CHIP). It also administers the Health Insurance Portability and Accountability Act (HIPAA) as well as a number of quality standards in health care.
Centers of Medicare & Medicaid Services (CMS)
NIH is the main government organization responsible for biomedical and health research; it's a major source of funding for medical research in the U.S. NIH stands for:
National Institutes of Health
The Social Security Act was passed under Franklin Roosevelt in what year?
1935
The Affordable Care Act (ACA) was signed into law under which president?
Barack Obama
Under the Affordable Care Act (ACA), a number of restrictions were placed on insurers. Insurers can no longer deny coverage for pre-existing conditions. Insurers must also allow
dependents up to age _________ to be covered under parents' policies
26
According to the text, a Marketplace is a portal for purchasing individual health insurance.
The Health Insurance Marketplace offers certain private insurance plans under certain conditions and you can choose the plan that works best for you.
True
All plans in the Affordable Care Act (ACA) must cover "essential health benefits". Which of the following is NOT an "essential health benefit" according to the text?
Elective Surgery
Employer requirements for offering insurance depend on the size of the business and number of full-time employees. (Full-time is defined as working 30+ hours per week.) How many full-time employees must a small business have in order to have to provide employer-sponsored insurance?
50
An ACO is both a system of delivering care to patients and of receiving payments from insurers. The basic goal of an ACO is to reduce healthcare spending while improving the quality of care at the same time. According to the chapter, ACO stands for:
Accountable Care Organization
The Affordable Care Act did not have any delays in the law being implemented.
False
Health care is a huge industry in the US. It already accounts for more than ___________ of all American workers and is projected to add more jobs than any other sector of the economy over the next 10 years according to the text.
1/10
According to the Bureau of Labor Statistics "Occupational Employment and Wages" graph in the text, what is the largest health care occupation?
Nurses
_______________________is also known as approval by the government. It is legal approval from a state government to practice a profession. These must be renewed every few years; usually, this requires
a fee and completion of continuing education in the field
Licensing
_______________________is also known as approval by a professional organization. It is a formal recognition of competence from a nongovernmental, national professional organization.
Certification
__________________________ health care teams are composed of members from several different health professions who bring specialized knowledge, experience, and skills to the care.
Interprofessional
"Mid-level" providers include Physician Assistants (PAs) and Nurse Practitioners (NPs).
True
Physician Assistants (PAs) and Nurse Practitioners (NPs) have the same scope-of-practice laws, prescribing medication privileges, and admitting rights in all states as long as they are licensed.
False
Advanced practice nurses (APRN) are registered nurses (RNs) who have completed specialized graduate training and have broader scope of practice for diagnosis and treatment than do RNs. All of the following are examples of advanced degrees EXECPT:
Clinical Nurse Manager
Resident physicians get paid during their postgraduate residency training.
True
The health care provider reference guide in the text is a quick guide to the health care professionals a person is most likely to come across. The guide lists which of the following categories?
Mark all that apply.
Education
Licensing
Average Salary
Job Description
These types of hospital are either funded by federal, state or local government:
Public
Private hospitals are not operated by the government (with the exception of accepting government 2. funds from Medicare and Medicaid patients). Which of the following is NOT considered a Private 3. hospital?
Department of Veteran Affair
There are thousands of non-hospital facilities that also provide inpatient care. Which of the following is NOT a non-hospital inpatient facility:
Retail Clinic
This bridges the gap between primary care and the emergency department. They're usually open evenings and weekends, appealing to patients who can't get same-day appointments with their primary care physicians, need medical care outside of normal office hours, or don't have regular primary care physicians.
Urgent Care Center
Outpatient care is often referred to as "ambulatory" care, the idea being that you can walk in (and hopefully out) on your own. However, the strict definition of an outpatient is a person receiving medical care without staying overnight at a health care facility.
True
The percentage of U.S. physicians working in primary care has been on the decline for some time, and today fewer than 40% of practicing physicians are in primary care. Why is this so bad? The text suggests three issues that this will cause. Which one below is NOT an issue mentioned in the text:
Quantity
ACOs are large organizations that integrate primary care, specialty services, and inpatient hospital care. What does ACO stand for?
Accountable Care Organizations
The text discussed the number of total physicians practicing in the United States. The Association of American Medical Colleges forecasts an abundance of physicians by 2020.
False
Hospitals are huge businesses in addition to being providers of care, and as such they have specific concerns. What are hospital CEOs concerned about? Mark all that apply.
Financial Challenges
Health Care Reform Implementation
Patient Safety and Quality
Governmental Mandates
Once a hospital patient no longer needs around-the-clock medical care and is well enough to leave the acute care setting, she or he can be discharged. The patient has been successfully treated and will not need to be hospitalized again for the same problem. In reality, many patients are admitted again within
____________ days of having been discharged; which is also known as being "readmitted".
30
A widely used measure for national health expenditures is the proportion of _______________
that a country spends on the delivery of health care services. In simple terms, it refers to the proportion of a country's national income that is spent on health care.
Gross Domestic Product
What is NOT a main reason for the high cost of health care in the United States according to the text?
Electronic medical record systems
_________________ refers to an undertaking by the government to align and distribute health care resources in a manner that, in the eyes of the government, would achieve desired health outcomes for all people.
Health planning
In broad terms, ______________ care can be defined as the ability to obtain needed, affordable, convenient, acceptable, and effective personal health services in a timely manner. This is one of the key determinants of health status, along with environment.
Access to
The Institute of Medicine and the text has defined _______________ as "the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge".
Quality
In the United States, significant barriers to health care access still exist at both the individual and system levels.
True
Also referred to as cost-effectiveness, a service is cost - _____________ when the benefit received is greater than the cost incurred in providing the service.
Efficient
Health care costs in the United States are the ________ highest in the world.
1st
Increasing costs, lack of access, and concerns about quality pose the greatest challenges to health care delivery in the United States.
True
According to the text, what are the three domains of health care quality? All three domains are important in measuring the quality of care. These three approaches are complementary and should be collectively used to monitor quality of care.
Outcome (final results)
Process (actual delivery of health care)
Structure (resource inputs)
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