HONDROS COLLEGE NUR 205 FINAL
EXAM LATEST 2026 COMPREHENSIVE
PREDITOR |100% VERIFIED: GRADED
A|ORIGINAL
Institute of Medicine's 6 Outcomes for the Health Care System
• Safe
• Effective
• Efficient
• Patient Centered
• Timely
• Equitable
Insititute of Medicine's 4-Tierd Strategy to Prevent Medical Error
• Establishing a national focus
• Identifying and learning from errors
• Raising performance standards and expectations
• Implementing safety systems in healthcare organizations
Goals of the Affordable Care Act
• Expand coverage, control health care costs and improve health care delivery system
• Provide Medicaid or subsidized coverage to qualifying people with incomes up to
400% of poverty
• Provide a new way to get healthinsurance: the Health Insurance Marketplace
(designed to help people more easily find health insurance that fits their budget)
Health Care Delivery Systems
• Physicians and hospitals
• Multispecialty group practices
• Community health centers
• Prepared group practice
• Accountable care organizations
• Medical homes / neighborhoods
Describe physicians and hospitals as a health care delivery system
• Operate under fee-for-service (each service = separate bill)
• Doctors and hospitals make more money by doing more
• Hospitals are usually nonprofit.
Describe multispeciality practice groups as a health care delivery system
• Physicians from different specialties work together
• They share income, expenses, facilities, equipment, and staff
• They are able to provide more comprehensive care
Describe community health centers as a health care delivery system
,• They provide regional services for vulnerable populations
• Focus on primary care and health education
• Aim to improve access and promote community health
Describe prepaid group practice as a health care delivery system
• Subscribers get care through a set group of providers
• Insurance only covers certain places for care
Health Maintenance Organization (HMO): need a referral to see a specialist
Preferred Provider Organization (PPO): no referral needed to see a specialist
Describe accountable care organizations as a health care delivery system
• Groups of providers work together to deliver care
• One bill covers all care across different settings.
• Focus on improving outcomes and lowering costs
Describe medical homes as a health care delivery system
• An enhanced model of primary care
• Provides whole-person, accessible, comprehensive, ongoing, coordinated,
and patient-centered
Describe medical neighborhoods as a health care delivery system
• A network of health care services for patients
• Includes community and social service organizations plus public health agencies.
Agency for Healthcare Researchand Quality (AHRQ)
The AHRQ mission is to produce evidence to make health care safer, higher quality,
more accessible, equitable, and affordable, and to work within the U.S. Department of
Health and Human Services and with other partners to make sure that the evidence is
understood and used
AHRQ Definition of the Patient-Centered Medical Home (PCMH)
• Comprehensive care
• Patient-centered/coordinated care
• Accessible services
• Quality and safety
Levels of Health Care
• Primary health care
• Secondary health care
• Tertiary health care
Paying for Health Care
• Out-of-pocket payment
• Individual private insurance
• Employer-based private insurance
• Goverment financing:
• Medicare (health insurance for elderly): DRGs
• Medicaid (health insurance for poor)
• Children's Health Insurance Program (CHIP)
• Veteran's Health Administration (VHA)
Health Care Settings
• Hospitals
• Primary care centers
• Ambulatory care centers and clinics
, • Home health care
• Extended care
• Specialized care centers and settings
• Health care services for the seriously ill and dying
• Health care agencies
Role of Nurses in Hospitals
• Direct care providers
• Manager of other members of health care team
• Administrator
• Clinical nurse specialist
• Patient educator
• In-service educator
• Researcher
Role of Nurses in Primary Care Centers
• Advanced practice registered nurses (APRNs): nurse practicitioners, idwives, and
clinical nurse specialists
• Work independently or collaboratively with physicians to make assessments and care
for patients who require health maintenance or health promotion,activities
• Depending on state regulations, APRNs may have their own offices and clinics to
provide primary care and treatment to patients and refer only complex health problems
to a physician
Home Health Care
• May be provided through community health departments, visiting nurses' associations,
hospital based case managers, and home health agencies
• Most rapidly growing area of the healthcare system
• Driven by payment system of reimbursement—early discharge from hospitals
• Services include: skilled nursing assesment, teaching and support of patients and
family members and direct care for patients
Extended-Care Facilities
• Transitional subacute care
• Assisted living facilities
• Intermediate long-term care
• Homes for medically fragile children
• Retirement centers
• Residential institutions for mentally or physically disabled
• Aging in place
Specialized Care Centers and Settings
• Daycare centers
• Mental health centers
• Rural health centers
• Schools
• Industry
• Homeless centers
EXAM LATEST 2026 COMPREHENSIVE
PREDITOR |100% VERIFIED: GRADED
A|ORIGINAL
Institute of Medicine's 6 Outcomes for the Health Care System
• Safe
• Effective
• Efficient
• Patient Centered
• Timely
• Equitable
Insititute of Medicine's 4-Tierd Strategy to Prevent Medical Error
• Establishing a national focus
• Identifying and learning from errors
• Raising performance standards and expectations
• Implementing safety systems in healthcare organizations
Goals of the Affordable Care Act
• Expand coverage, control health care costs and improve health care delivery system
• Provide Medicaid or subsidized coverage to qualifying people with incomes up to
400% of poverty
• Provide a new way to get healthinsurance: the Health Insurance Marketplace
(designed to help people more easily find health insurance that fits their budget)
Health Care Delivery Systems
• Physicians and hospitals
• Multispecialty group practices
• Community health centers
• Prepared group practice
• Accountable care organizations
• Medical homes / neighborhoods
Describe physicians and hospitals as a health care delivery system
• Operate under fee-for-service (each service = separate bill)
• Doctors and hospitals make more money by doing more
• Hospitals are usually nonprofit.
Describe multispeciality practice groups as a health care delivery system
• Physicians from different specialties work together
• They share income, expenses, facilities, equipment, and staff
• They are able to provide more comprehensive care
Describe community health centers as a health care delivery system
,• They provide regional services for vulnerable populations
• Focus on primary care and health education
• Aim to improve access and promote community health
Describe prepaid group practice as a health care delivery system
• Subscribers get care through a set group of providers
• Insurance only covers certain places for care
Health Maintenance Organization (HMO): need a referral to see a specialist
Preferred Provider Organization (PPO): no referral needed to see a specialist
Describe accountable care organizations as a health care delivery system
• Groups of providers work together to deliver care
• One bill covers all care across different settings.
• Focus on improving outcomes and lowering costs
Describe medical homes as a health care delivery system
• An enhanced model of primary care
• Provides whole-person, accessible, comprehensive, ongoing, coordinated,
and patient-centered
Describe medical neighborhoods as a health care delivery system
• A network of health care services for patients
• Includes community and social service organizations plus public health agencies.
Agency for Healthcare Researchand Quality (AHRQ)
The AHRQ mission is to produce evidence to make health care safer, higher quality,
more accessible, equitable, and affordable, and to work within the U.S. Department of
Health and Human Services and with other partners to make sure that the evidence is
understood and used
AHRQ Definition of the Patient-Centered Medical Home (PCMH)
• Comprehensive care
• Patient-centered/coordinated care
• Accessible services
• Quality and safety
Levels of Health Care
• Primary health care
• Secondary health care
• Tertiary health care
Paying for Health Care
• Out-of-pocket payment
• Individual private insurance
• Employer-based private insurance
• Goverment financing:
• Medicare (health insurance for elderly): DRGs
• Medicaid (health insurance for poor)
• Children's Health Insurance Program (CHIP)
• Veteran's Health Administration (VHA)
Health Care Settings
• Hospitals
• Primary care centers
• Ambulatory care centers and clinics
, • Home health care
• Extended care
• Specialized care centers and settings
• Health care services for the seriously ill and dying
• Health care agencies
Role of Nurses in Hospitals
• Direct care providers
• Manager of other members of health care team
• Administrator
• Clinical nurse specialist
• Patient educator
• In-service educator
• Researcher
Role of Nurses in Primary Care Centers
• Advanced practice registered nurses (APRNs): nurse practicitioners, idwives, and
clinical nurse specialists
• Work independently or collaboratively with physicians to make assessments and care
for patients who require health maintenance or health promotion,activities
• Depending on state regulations, APRNs may have their own offices and clinics to
provide primary care and treatment to patients and refer only complex health problems
to a physician
Home Health Care
• May be provided through community health departments, visiting nurses' associations,
hospital based case managers, and home health agencies
• Most rapidly growing area of the healthcare system
• Driven by payment system of reimbursement—early discharge from hospitals
• Services include: skilled nursing assesment, teaching and support of patients and
family members and direct care for patients
Extended-Care Facilities
• Transitional subacute care
• Assisted living facilities
• Intermediate long-term care
• Homes for medically fragile children
• Retirement centers
• Residential institutions for mentally or physically disabled
• Aging in place
Specialized Care Centers and Settings
• Daycare centers
• Mental health centers
• Rural health centers
• Schools
• Industry
• Homeless centers
