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Test Bank - Delivering Health Care in America: A Systems Approach, 8th Edition (Shi, 2022), Chapters 8-14 | Practice Questions 2026/2027 Edition

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Practice review for Shi 8th Edition Chapters 8-14. Covers Ch8 Inpatient Facilities and Services hospital classification community general specialty teaching nonteaching ownership for profit nonprofit public bed size organization governing body medical staff administration accreditation Joint Commission CMS Conditions of Participation CoP rural critical access hospital CAH 25 beds 35 miles PPS Prospective Payment System DRG Diagnosis Related Group 1983 TEFRA Ch9 Managed Care and Integrated Systems managed care HMO PPO POS EPO functions risk sharing utilization review gatekeeping capitation IDS integrated delivery systems horizontal vertical integration ACOs Accountable Care Organizations Medicare Shared Savings Program MSSP 2012 Triple Aim Berwick 2008 better care better health lower cost Quadruple Aim provider burnout Quintuple Aim health equity HMO types Staff Group Network IPA capitation PMPM per member per month Ch10 Long-Term Care LTC continuum institutional community based SNF skilled nursing facility ICF nursing home financing Medicaid major payer Medicare short term rehabilitation home health hospice PACE Program of All-Inclusive Care for the Elderly aging baby boomers ADL IADL Katz Barthel Ch11 Underserved Populations vulnerability model Andersen predisposing enabling need racial ethnic minorities African American Hispanic Asian Native American health disparities rural homeless SDOH Healthy People 2030 5 domains economic stability education social community context health care access quality neighborhood built environment Ch12 Cost Access Quality iron triangle tradeoffs cost containment access quality measurement Donabedian 1966 structure process outcome drivers technology insurance administration defensive medicine aging chronic disease access indicators usual source unmet need geographic financial cultural quality TQM CQI Six Sigma Lean IOM 6 aims safe effective patient centered timely efficient equitable STEEEP Crossing the Quality Chasm 2001 To Err is Human 1999 Ch13 Health Policy definition types distributive redistributive regulatory self regulatory policy making Kingdon multiple streams problem policy politics window formulation implementation evaluation role government federal state local legislative executive judicial interest groups advocacy lobbying reform history ACA Affordable Care Act 2010 individual mandate employer mandate Medicaid expansion exchanges essential benefits preventive without cost sharing Ch14 Future of Health Services Delivery future trends aging chronic disease technology genomics precision medicine AI telehealth universal health coverage UHC single payer multi payer national health insurance national health service socialized medicine socialized insurance Beveridge Bismarck comparative systems Canada UK Germany COVID-19 pandemic preparedness resilience value based care vs fee for service.

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,DELIVERING HEALTH CARE IN AMERICA
A Systems Approach, 8th Edition (Shi, 2022) - Chapters 8-14


Original Practice Questions - For Study Purposes

,Q1. Which statement about Ch8 Inpatient Facilities and Services hospital classification
community hospital gene is accurate?
A. Incorrect: Misstates concept.
B. Correct: Ch8 Inpatient Facilities and Services hospital classification community hospital gene per Shi 8th
Ed.
C. Incorrect: Unrelated.
D. Incorrect: Claims irrelevant.
Correct: B | Rationale: Ch8 Inpatient Facilities and Services hospital classification community hospital general
specialty teaching nonteaching ownership for profit nonprofit public bed size organization : Per Shi Ch8-14.


Q2. Which statement about Ch9 Managed Care and Integrated Systems managed care definition
evolution HMO PPO POS is accurate?
A. Incorrect: Misstates concept.
B. Incorrect: Unrelated.
C. Correct: Ch9 Managed Care and Integrated Systems managed care definition evolution HMO PPO POS per
Shi 8th Ed.
D. Incorrect: Claims irrelevant.
Correct: C | Rationale: Ch9 Managed Care and Integrated Systems managed care definition evolution HMO
PPO POS EPO managed care functions risk sharing utilization review gatekeeping capitation integrated d: Per
Shi Ch8-14.


Q3. Which statement about Ch9 HMO types Staff Group Network IPA Independent Practice
Association capitation per is accurate?
A. Incorrect: Misstates concept.
B. Incorrect: Claims irrelevant.
C. Incorrect: Unrelated.
D. Correct: Ch9 HMO types Staff Group Network IPA Independent Practice Association capitation per per Shi
8th Ed.
Correct: D | Rationale: Ch9 HMO types Staff Group Network IPA Independent Practice Association capitation
per member per month PMPM: Per Shi Ch8-14.


Q4. Which statement about Ch10 Long-Term Care LTC continuum institutional community
based nursing home skilled is accurate?
A. Correct: Ch10 Long-Term Care LTC continuum institutional community based nursing home skilled per Shi
8th Ed.
B. Incorrect: Misstates concept.
C. Incorrect: Unrelated.
D. Incorrect: Claims irrelevant.
Correct: A | Rationale: Ch10 Long-Term Care LTC continuum institutional community based nursing home
skilled nursing facility SNF intermediate care facility ICF financing Medicaid major payer Medicare sho: Per Shi
Ch8-14.


Q5. Which statement about Ch11 Underserved Populations definition characteristics
vulnerability model Andersen is accurate?
A. Incorrect: Misstates concept.
B. Correct: Ch11 Underserved Populations definition characteristics vulnerability model Andersen per Shi 8th
Ed.
C. Incorrect: Unrelated.
D. Incorrect: Claims irrelevant.

, Correct: B | Rationale: Ch11 Underserved Populations definition characteristics vulnerability model Andersen
behavioral model predisposing enabling need racial ethnic minorities African American Hispanic : Per Shi
Ch8-14.


Q6. Which statement about Ch12 Cost Access Quality iron triangle tradeoffs cost containment
access quality meas is accurate?
A. Incorrect: Misstates concept.
B. Incorrect: Unrelated.
C. Correct: Ch12 Cost Access Quality iron triangle tradeoffs cost containment access quality meas per Shi 8th
Ed.
D. Incorrect: Claims irrelevant.
Correct: C | Rationale: Ch12 Cost Access Quality iron triangle tradeoffs cost containment access quality
measurement structure process outcome Donabedian 1966 cost drivers technology insurance administrat: Per
Shi Ch8-14.


Q7. Which statement about Ch13 Health Policy definition types distributive redistributive
regulatory self regul is accurate?
A. Incorrect: Misstates concept.
B. Incorrect: Claims irrelevant.
C. Incorrect: Unrelated.
D. Correct: Ch13 Health Policy definition types distributive redistributive regulatory self regul per Shi 8th Ed.
Correct: D | Rationale: Ch13 Health Policy definition types distributive redistributive regulatory self regulatory
policy making process Kingdon multiple streams problem policy politics window formulation: Per Shi Ch8-14.


Q8. Which statement about Ch14 The Future of Health Services Delivery future trends aging
population chronic di is accurate?
A. Correct: Ch14 The Future of Health Services Delivery future trends aging population chronic di per Shi 8th
Ed.
B. Incorrect: Misstates concept.
C. Incorrect: Unrelated.
D. Incorrect: Claims irrelevant.
Correct: A | Rationale: Ch14 The Future of Health Services Delivery future trends aging population chronic
disease technology genomics precision medicine AI telehealth universal health coverage UHC single: Per Shi
Ch8-14.


Q9. Which statement about Ch8 Inpatient Facilities and Services hospital classification
community hospital gene is accurate?
A. Incorrect: Misstates concept.
B. Correct: Ch8 Inpatient Facilities and Services hospital classification community hospital gene per Shi 8th
Ed.
C. Incorrect: Unrelated.
D. Incorrect: Claims irrelevant.
Correct: B | Rationale: Ch8 Inpatient Facilities and Services hospital classification community hospital general
specialty teaching nonteaching ownership for profit nonprofit public bed size organization : Per Shi Ch8-14.


Q10. Which statement about Ch9 Managed Care and Integrated Systems managed care
definition evolution HMO PPO POS is accurate?
A. Incorrect: Misstates concept.
B. Incorrect: Unrelated.

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Publisher: 2021 ISBN: 9781284224610 Edition: Unknown

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