HIM 410 FINAL EXAM QUESTIONS WITH VERIFIED
ANSWERS
List the primary objectives of the US healthcare system. - Answers - 1. enable all
citizens to obtain needed healthcare
2. Ensure services are cost effective and meet standards of quality
Quad-function model of the US healthcare system - Answers - 1. Financing
2. Insurance
3. Payment
4. Delivery
National Health Insurance - Answers - Government finances care through taxes, but
care is through private practice
EX: Canada
National Health System - Answers - Care is supported through taxes but the
government is also responsible for delivery and infrastructure
EX: UK
Socialized Health Insurance - Answers - Financed through government mandated
contributions by employers and delivered by providers
EX: Germany
Public Health: - Answers - A wide variety of activities undertaken by state and local
governments to promote optimal health for society as a whole
Private Practice - Answers -
Organize medicine: - Answers - concerted activities of physicians, mainly to protect their
own interests, through associations such as the American Medical Association
Defensive Medicine: - Answers - excessive medical tests and procedures performed as
protection against malpractice law suits, otherwise regarded as unnecessary
Two Types of Physicians: - Answers - MD: Doctor of Medicine
DO: Doctor of Osteopathic Medicine
, MD - Answers - allopathic medicine: medicine is an active intervention
specialists: non-primary care
DO - Answers - Emphasizes musculoskeletal system, correction of joints and tissues,
holistic health
generalists: primary care
Allied health professionals - Answers - -techs, assistants, therapists, technologists
-certificate or degree in science related to health field
Nurses (RN, LPN, APN) - Answers - -largest group of HCP
many different types/sub groups
Registered Nurse (RN): - Answers - Associates or BA in nursing
Licensed Practical Nurse (LPN): - Answers - State-approved program and national
written exam
Advanced Practice Nurse (APN): - Answers - Nurses who have classifications beyond
those of an RN
ex: CNS, CRNA, NP, CNM
non-physician practitioner (NPP): - Answers - -Can provide a large portion of care
-PAs
-NPs
National Practitioner Data Bank - Answers - tracks physicians malpractice and peer
review records
What are third-party payers - Answers - Insurance companies, Managed care
organizations, Government
Prospective Payment - Answers - A bundled payment decided upon before the services
are delivered
EX: optometrist charging flat fee for eye exam, glasses, corrective lenses
ANSWERS
List the primary objectives of the US healthcare system. - Answers - 1. enable all
citizens to obtain needed healthcare
2. Ensure services are cost effective and meet standards of quality
Quad-function model of the US healthcare system - Answers - 1. Financing
2. Insurance
3. Payment
4. Delivery
National Health Insurance - Answers - Government finances care through taxes, but
care is through private practice
EX: Canada
National Health System - Answers - Care is supported through taxes but the
government is also responsible for delivery and infrastructure
EX: UK
Socialized Health Insurance - Answers - Financed through government mandated
contributions by employers and delivered by providers
EX: Germany
Public Health: - Answers - A wide variety of activities undertaken by state and local
governments to promote optimal health for society as a whole
Private Practice - Answers -
Organize medicine: - Answers - concerted activities of physicians, mainly to protect their
own interests, through associations such as the American Medical Association
Defensive Medicine: - Answers - excessive medical tests and procedures performed as
protection against malpractice law suits, otherwise regarded as unnecessary
Two Types of Physicians: - Answers - MD: Doctor of Medicine
DO: Doctor of Osteopathic Medicine
, MD - Answers - allopathic medicine: medicine is an active intervention
specialists: non-primary care
DO - Answers - Emphasizes musculoskeletal system, correction of joints and tissues,
holistic health
generalists: primary care
Allied health professionals - Answers - -techs, assistants, therapists, technologists
-certificate or degree in science related to health field
Nurses (RN, LPN, APN) - Answers - -largest group of HCP
many different types/sub groups
Registered Nurse (RN): - Answers - Associates or BA in nursing
Licensed Practical Nurse (LPN): - Answers - State-approved program and national
written exam
Advanced Practice Nurse (APN): - Answers - Nurses who have classifications beyond
those of an RN
ex: CNS, CRNA, NP, CNM
non-physician practitioner (NPP): - Answers - -Can provide a large portion of care
-PAs
-NPs
National Practitioner Data Bank - Answers - tracks physicians malpractice and peer
review records
What are third-party payers - Answers - Insurance companies, Managed care
organizations, Government
Prospective Payment - Answers - A bundled payment decided upon before the services
are delivered
EX: optometrist charging flat fee for eye exam, glasses, corrective lenses