HSA Block 1 Exam

A complete staff package accomplishes what five things? - 1) States the problem/issue/situation and IMPACT 2) Provides background information 3) Spells out options/courses of action 4) Recommends action 5) Records coordination with affected agencies A Health Maintenance Organization (HMO) focuses on preventive care and coordinates all care through what? - A Primary Care Manager (PCM) A panel of providers who agree to deliver services for a discounted fee schedule is a characteristic of which type of healthcare insurance plan? - Preferred Provider Organization According to the HUD, what is the goal % for Primary Care leakage? - Less than 12% According to Title 10, what is the priority for enrollment and access to MTFs? - 1) AD members 2) ADFM and survivors enrolled in Prime 3) Retirees, their dependents, and survivors enrolled in Prime 4) Dependents + retirees not enrolled in Prime Aligning personal and organizational conduct with ethical standards is a component of which medical administration competency? - Professionalism As the GPM do you have authority to do anything? - No, he/she must work with clinical and administrative staff to accomplish anything Define "Non-Personal Service Contracts" - 1) Contract personnel are direct employees of the contract company 2) No govt supervision - only contract compliance monitoring 3) Medical support services (MSS) contract = non-patient care 4) Ex: clerical, transcription, coding, medical billing, referral management Define "personal service contracts" - (Needs to be directly touching patients -- interference to prevent patient harm) 1) Contractor is (or acts as) direct employee of the government 2) Govt supervisor is appointed 3) Contract company recruits, place healthcare workers, manages workforce, and resolves performance issues Define baseline and one-time requirements and provide two examples of each - 1) Baseline - in the POM/MTF Program. Ex) utilities and civilian pay 2) One time - significant purchase that varies from year to year (often unexpectedly); funding provided for one fiscal year only. Ex) modernization/expansion/construction, Non-POM contracts Define HMO (Health Maintenance Organization) - 1) You have a PCM guiding your care (PCM = gatekeeper) 2) Enrollment required for non-ADSM 3) AD = Prime 4) Referral required for specialty care 5) Enrollment fees for retirees and family members + a copay Define PPO (Preferred Provider Organization) - 1) You use preferred providers within the "network" to receive a cost discount 2) Enrollment required 3) Annual deductible 4) No referral needed 5) Space available access at MTF