184 DNP programs in 2011 Ans✓✓✓ In 2018 = 354 programs
5 major sectors of long-term care (postacute) Ans✓✓✓ adult day services, home
health, hospice, nursing homes, and residential care facilities.
A 2017 physician satisfaction survey conducted by the Physicians Foundation
found: Ans✓✓✓ •80% of physicians reported being overextended or are at
capacity, with no time to see additional patients (burnout = 42% in 2020; highest
in Gen X)
•48% of physicians said their time with patients is always or often limited
•46.8% of physicians plan to accelerate their retirement plans
•Only 6% of physicians said ICD-10 has increased efficiency in their practices
A few core ideas guide HC occupations including: Ans✓✓✓ Primum non nocere
(do no harm), providing care competently, maintaining confidentiality of patients
and their records (HIPAA), respecting patient autonomy and primacy, and
engaging with patients and fellow workers honestly.
a unit within the CDC. Ans✓✓✓ National Center for Health Statistics (NCHS)
About 40,000 doctors are in only in administration, research or teaching
20,000 doctors are federally-employed (most in military)
Doctors per 10,000 population Ans✓✓✓ US, 1965 14.5
US, 1980 20
US, 2012 28.3
,Mass 44 (highest)
Idaho 18 (lowest)
About ¼ U.S. physicians trained outside U.S. (IMGs)
About one fifth of physician office visits Ans✓✓✓ (22.6%) occurred in
multispecialty practices, and 45.8% were to single-specialty practices in 2010. The
remaining 31.5% of office visits were to solo practitioners
account for about 1/3 of national health expenditures Ans✓✓✓ hospitals in 2017
Achieving population health goals Ans✓✓✓ goals (↓obesity, smoking, BP,
cholesterol, glucose)
would increase demand by 34,000 FTEs; *Also achieving universal access*
Ø2:5 currently active physicians will be >65 y.o. within next decade
Admission to medical school is selective Ans✓✓✓ For the class entering in 2018-
2019, there were 52,757 applicants
•21,622 found places (matriculants), a ratio of about 2.4:1 (1978 3.2:1)
Adult day services centers Ans✓✓✓ 4600 adult day services centers and 286,300
participants (safe, professional care settings for adults who need supervision
outside the home during the day)
Advanced practice degree (Master's Degree usually) Ans✓✓✓ Nurse Practitioner
(NP)
•Clinical Nurse Specialist
,•Certified Registered Nurse Anesthetist (CRNA)
•Certified Nurse Midwife (CNM)
•Women's Health Nurse Practitioner (WHNP)
•Family Nurse Practitioner (FNP)
Advanced practice registered nurses typically do the following Ans✓✓✓ •Take
and record patients' medical histories and symptoms
•Perform physical exams and observe patients
•Create patient care plans or contribute to existing plans
•Perform and order diagnostic tests
•Operate and monitor medical equipment
•Scope of Nursing Practice established by State Board of Nursing and legislature
(must be in balance with State Medical Board = political)
•Diagnose various health problems
•Analyze test results or changes in a patient's condition, and alter treatment
plans, as needed
•Give patients medicines and treatments
•Evaluate a patient's response to medicines and treatments
•Consult with doctors and other healthcare professionals, as needed
•Counsel and teach patients and their families how to stay healthy or manage
their illnesses or injuries
•Conduct research (usually clinical research)
African Americans are overrepresented in health care occupations in six of the
largest: Ans✓✓✓ •Registered nurses (13.1%)
•Health practitioner support technologists and technicians (14.1%)
, •Licensed practical and licensed vocational nurses (30.4%)
•Medical records and health information technicians (15.5%)
•Nursing, psychiatric, and home health aides (35.8%)
•Medical assistants (15.3%)
African Americans comprise a particularly high percentage of licensed practical
nurses __% and nursing, psychiatric, and home health aides __% Ans✓✓✓ 30.4%
and 35.8%
Agency for Healthcare Research and Quality (AHRQ) Ans✓✓✓ Lead Federal
agency charged with improving the safety and quality of America's health care
system. AHRQ develops the knowledge, tools, and data needed to improve the
health care system and help Americans, health care professionals, and
policymakers make informed health decisions
AHA classifies hospitals as one of 4 types based on primary function of its
diagnostic therapeutic services Ans✓✓✓ general, special, rehab and chronic
disease, and psychiatric.
Although a state legislature creates the licensing law for physicians Ans✓✓✓ the
executive branch administers it, the judicial system determines the guilt or
innocence of a person charged with "practicing medicine without a license
Ambulatory healthcare Ans✓✓✓ medical services performed without admission
to a hospital or other health care facility for an overnight stay