Quizzes

25 July 2022
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Which of the following is the primary reason for the growth in outpatient services?
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Managed care
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According to the book the chart outpatient care accounts for what percent of gross patient revenue for all US hospitals?
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40%
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Typically, tertiary care:
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Highly specialized
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How is community-oriented primary care (COPC) different from primary care?
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COPC adds a population-based approach to identifying and addressing community health problems.
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According to the book the percentage of medical school graduates choosing careers in primary care is ______________.
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Decreasing
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What does "PPS" stand for?
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Prospective Payment System
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Hospice services are primarily for people with:
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Terminal Illnesses
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Countries whose health systems are oriented more toward primary care achieve:
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Higher satisfaction with health services among their populations
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The best generic response for inpatient care, inpatient care consists of
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Health care delivered in conjunction with an overnight stay in a facility.
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To be called a hospital, a facility must have at least ____ beds
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6
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Remember our discussions in chapter 3, The first hospitals in the United States served mainly
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poor
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The first voluntary hospitals in the United States were financed
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Local philanthropy
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Which primary factor was the trigger that made hospitals limit care to the more acute periods of illness rather than the full course of the disease?
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pressure to contain costs
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According to the book how did the PPS based on DRGs lead to hospital downsizing in the United States?
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It created financial incentives to minimize the patient's length of stay
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This is an important number to know. The average daily census is a measure of a hospital's
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number of inpatients served daily
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From your chapter reading what does the swing bed program allow rural hospitals to do?
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Use the same beds for acute care or long-term care
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Before the advancement of medicine by pioneers like Koch, Lister, and Pasteur which type of facilities can be traced back to almshouses?
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Nursing Home
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In terms of MCOs what is the purpose of risk sharing with providers? You should be able to get it down to two answers and one is better than the other. Think in terms of the insurance company.
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It makes providers cost conscious
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Under capitation, a lot of the risk is shifted
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From the MCO to the Provider
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Cost-effective management of care for patients who have complex medical conditions.
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Case Management
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Which type of MCO has achieved the greatest success in employment-based enrollment?
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PPOs
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How does risk adjustment affect payments to managed care plans?
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Risk adjustment takes into account the enrollees' health status
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Which type of insurance is available to Americans who are no longer connected to the labor force
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Medicare
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In the delivery of long-term care, customized interventions are carried out according to
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a plan of care
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What is the key determinant of the need for long-term care?
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Dependency because of inability to perform tasks of daily living
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What is the main goal of long-term care
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Maintain function and prevent further decline
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Why is the assessment of psychiatric illness particularly difficult in geriatric patients?
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Comorbidities can obscure diagnosis
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Which of the following is likely to result in fewer unmet needs and better utilization of services for HIV/AIDS patients?
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Case Management
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Rehabilitation therapies often form an important component of
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Skilled Nursing Care
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In recent years, the quality of care in nursing homes
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Has increased
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A facility that is certified as SNF can
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admit only Medicare patients
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A facility that is certified as NF can
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admins only medicaid patients
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Which legislation created the State Children's Health Insurance Plan (SCHIP)?
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Balanced Budget Act of 1997
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In this chapter what does "MUA" stand for?
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Medically Underserved Area
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According to the book approximately how many adult Americans have a mental disorder in any one year?
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1 in 4
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National health expenditures are measured several ways, for example comparing medical inflation with general inflation. What does the Consumer Price Index (CPI) measure
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General Inflation
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From a national perspective, what is meant by the term "health care costs"?
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how much a nation spends on health care
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Medical cost inflation is influenced by all of the following factors except:
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decrease in uninsured
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What is the primary purpose of certificate-of-need statutes?
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To control capital expenditures by health facilities
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The distinction between predisposing and enabling conditions can be applied to assess the _______ of a health care system.
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equity
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According to Anderson and Aday, which of the following is an element of "realized access"?
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Type, site, and purpose of health services
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What is the Health Plan Employer Data and Information Set (HEDIS)?
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A quality report card
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A service is cost-efficient when
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The benefit received is greater than the cost incurred to provide the service
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Employer-provided health insurance benefits arose in the mid-20 th century as a result of:
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Supreme Court ruling that health insurance could be included in the collective bargaining process
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Why was CHIP created?
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To provide health insurance to low-income children who do not qualify for Medicaid
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What is the role of states in U.S. health policy
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For all three reasons- financial support, oversight, and quality control.
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What is an interest group?
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An independent, non-governmental group united by a policy area, which lobbies and advocates its point of view to lawmakers
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Which piece of legislation had important implications for rural hospitals
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Omnibus Budget Reconciliation Act (OBRA) of 1986
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What is the key factor contributing to the passage of the ACA?
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Democratic control of the Congress
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Which of the following is a health policy challenge faced by state governments?
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Protecting public health Subsidizing costs of caring for the uninsured Financing health services for the poor
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Per the lecture about the final I noted that geographic information systems will increasingly find applications in
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Public Health
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Medical tourism will likely increase with the growth of
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high-deductible health plans
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Should the Affordable Care Act get repealed, what provision would likely be made to cover preexisting conditions?
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State-based high-risk pools will cover most people with preexisting conditions
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Patient activation is the lowest among people
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enrolled in Medicaid
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What has been identified as the main obstacle to uniformity in the scope of practice for advance practice nurses?
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Different licensing and practice rules across states
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Primary care physicians will need to become comprehensivists mainly because of
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a growing number of people with complex chronic conditions
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Because of the transition of patients between long-term care and nonlong-term care settings, IT systems must be
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interoperable
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What is the main answer sought in comparative effectiveness research?
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What works best for which patients