FINAL HSM EXAM QUESTIONS AND
ANSWERS 100% CORRECT
overutilization - ANSWER-demand is greater than the need
underutilization - ANSWER-the need is greater than the demand
forecasting models - ANSWER-predict utilization based on past experience, analogous
to predicting weather models
2 types--Rosenstock and Andersen
four factors that predict the use of preventive health care services under the Rosenstock
model - ANSWER-perceived: susceptibility to the disease, threat of the disease and its
seriousness, belief in benefit or the efficacy of the health system, and environmental
action cues such as billboards and mass media campaigns, and social trends and
advice from family members.
three components that influence health services utilization under the Anderson model? -
ANSWER-societal determinants, individual factors, health industry characteristics
predisposing factors - ANSWER-age
gender
race
education
enabling factors - ANSWER-wealth
insurance
location
supply
Flexnor Report - ANSWER-has the greatest impact on the quality of medical education,
it changed the medical education into a university based science model
Joint Commission - ANSWER-an umbrella organization that evaluates and accredits
more than 19,000 health care organizations such as hospitals
National Practitioner Data Bank - ANSWER-its data regarding payments made in
response to lawsuits against physicians for medical malpractice, as well as peer
sanctions against clinicians' licenses, clinical privileges and professional society
membership
Hospitals Acquired Infections - ANSWER-acquiring infections while in the hospital
2 million people each year contract a HAI's and 90,000 die of the infection
, quality assessment - ANSWER-the process by which quality of care is measured at
some point in time
quality assurance - ANSWER-the process of conducting ongoing measurement
activities in conjunction with the installation of feedback mechanisms designed for
continuous quality improvement
3 quality assessment categories - ANSWER-retrospective
concurrent
prospective
three components of delivery of care used to assess quality - ANSWER-structure-
context of the environment in which services are provided
process-how care is provided
outcomes-end results
micro planning - ANSWER-health planning targeted at the institutional level or individual
level
decentralized
macro planning - ANSWER-planning with a focus on the national, regional, or state
level.
centralized
goal - ANSWER-a long-range statement of an ideal or desired outcome
objective - ANSWER-a specific, measurable target that must be reached within a
defined time frame
steps to planning - ANSWER-1. defining a problem
2. formulating and evaluating alternatives
3. implementing the chosen alternative
4. evaluating the results
certificate of need - ANSWER-state board must approve applications for new facilities,
capital improvements, or high-cost equipment
iron triangle - ANSWER-quality, access, cost
you cant change one without affecting another
If cost rises, quality rises but access is lowered.
primary care - ANSWER-cough, cold
you see general doctors
secondary care - ANSWER-diabetes, thyroid disease
specialists offices
ANSWERS 100% CORRECT
overutilization - ANSWER-demand is greater than the need
underutilization - ANSWER-the need is greater than the demand
forecasting models - ANSWER-predict utilization based on past experience, analogous
to predicting weather models
2 types--Rosenstock and Andersen
four factors that predict the use of preventive health care services under the Rosenstock
model - ANSWER-perceived: susceptibility to the disease, threat of the disease and its
seriousness, belief in benefit or the efficacy of the health system, and environmental
action cues such as billboards and mass media campaigns, and social trends and
advice from family members.
three components that influence health services utilization under the Anderson model? -
ANSWER-societal determinants, individual factors, health industry characteristics
predisposing factors - ANSWER-age
gender
race
education
enabling factors - ANSWER-wealth
insurance
location
supply
Flexnor Report - ANSWER-has the greatest impact on the quality of medical education,
it changed the medical education into a university based science model
Joint Commission - ANSWER-an umbrella organization that evaluates and accredits
more than 19,000 health care organizations such as hospitals
National Practitioner Data Bank - ANSWER-its data regarding payments made in
response to lawsuits against physicians for medical malpractice, as well as peer
sanctions against clinicians' licenses, clinical privileges and professional society
membership
Hospitals Acquired Infections - ANSWER-acquiring infections while in the hospital
2 million people each year contract a HAI's and 90,000 die of the infection
, quality assessment - ANSWER-the process by which quality of care is measured at
some point in time
quality assurance - ANSWER-the process of conducting ongoing measurement
activities in conjunction with the installation of feedback mechanisms designed for
continuous quality improvement
3 quality assessment categories - ANSWER-retrospective
concurrent
prospective
three components of delivery of care used to assess quality - ANSWER-structure-
context of the environment in which services are provided
process-how care is provided
outcomes-end results
micro planning - ANSWER-health planning targeted at the institutional level or individual
level
decentralized
macro planning - ANSWER-planning with a focus on the national, regional, or state
level.
centralized
goal - ANSWER-a long-range statement of an ideal or desired outcome
objective - ANSWER-a specific, measurable target that must be reached within a
defined time frame
steps to planning - ANSWER-1. defining a problem
2. formulating and evaluating alternatives
3. implementing the chosen alternative
4. evaluating the results
certificate of need - ANSWER-state board must approve applications for new facilities,
capital improvements, or high-cost equipment
iron triangle - ANSWER-quality, access, cost
you cant change one without affecting another
If cost rises, quality rises but access is lowered.
primary care - ANSWER-cough, cold
you see general doctors
secondary care - ANSWER-diabetes, thyroid disease
specialists offices
