POLICY, MANAGING CARE, &
LEADERSHIP QUESTIONS AND
CORRECT ANSWERS
Resource Allocation Determination ANSW✅✅- influence
- negotiation
- bargaining
- compromise
**process doesn't always seem logical or linear**
Executive Branch Agency of Federal Government Ex ANSW✅✅- CDC
Executive Branch Agency of State Government Ex ANSW✅✅- state health department
- state board of nursing
Federal Agencies ANSW✅✅- US Department of Health and Human Services (priniciple federal
health agency - responsible for all americans)
- OSHA (health and safety in workplace)
State Agencies ANSW✅✅- each state mandates its own health policies and regulation (within fed
guidelines)
- each state has a division of health and human services
- enforces regulations of health departments
- license or registers hospitals, long term facilities, child care centers, tracking state health data,
maintain birth and death records, enforcing state health laws
Health Policy ANSW✅✅actions taken by government bodies to attain specific healthcare goals,
includes laws, regulations, government agency guidelines, position statements, resolutions, judicial
decrees, and budget priorities
Determing Factors for Change ANSW✅✅- population of citizens that will benefit
, - cost-benefit ratios
- stakeholders
- support for policy
- availability of scientific evidence supporting policy
Local Health Departments ANSW✅✅- within state department
- oversees child care center sanitation, food safety
- offer community-wide disease and injury prevention programs (birth control, flu shots, TB meds)
- administering Medicaid, CHIP, WIC
Accreditation ANSW✅✅process of gaining recognition through peer review process that
evaluates quality of an organization based on standards, criteria of accrediting organization
**private and voluntary**
Joint Commission ANSW✅✅- independent, non-profit
- sets standards for and accredits healthcare organizations which enhances consumer trust and
respectability
Accreditation Commission for Education in Nursing (ACEN) ANSW✅✅accredits clinical doctorate,
master's, baccalaureate, associate, diploma, and practical nursing education programs
Sigma Theta Tau International ANSW✅✅national honor society for nursing at baccalaureate level
Healthcare Funding ANSW✅✅- most important issue in health policy today
- Medicare, Medicaid, ACA helped with
Private Healthcare System ANSW✅✅- individuals purchase private insurance
- companies determine co-pay, premiums, deductions
- HMO, PPO, POS
Medigap ANSW✅✅- health insurance plans that help pay expenses not covered by Medicare