1. What type of system is the US
MIXED
Health- care systems, and the
-Medicare
different types of healthcare
-Medicaid
coverage that are uti- lized?
-CHIP
-Employer-sponsored private insurance
-individual private insurance
-VA and TRICARE
-8.5% of population has no insurance
2. What are the common trends
-continuously increasing
of US healthcare spending?
-$12,531 per capita per year
-most money spend on hospital care,
physi- cian/clinics, and prescription
3. includes premiums paid to drugs
in- surance plans, regardless of
private health insurance
whether those funds were sued to
pay for care or represented
administrative costs.
4. includes coinsurance, de-
out-of-pocket
ductibles, and payments for
services not covered by
insurance (this does not include
premiums paid by individ- uals
for private health insurance)
-federal govt: medicare, VA, federal
5. What are the different sponsor
employees, etc.
types for health spending?
-households: employees share,
copayment, de- ductibles, etc.
-private business: ESI premiums, workers
comp, worksite health, etc.
, Health Systems Exam 1 With 100% Verified Solutions 2025
-state/local govt: medicaid
, Health Systems Exam 1 With 100% Verified Solutions 2025
6. What are the measures of health -safe
care quality? -ettective
-patient centered
-timely
-eflcient
-equitable
(long-term health outcomes, treatment
out- comes, hospital-related care,
patient safety)
7. Explain the importance of social deter- - conditions in where people live, learn,
work and
minants of health and how they play attect health risks and outcomes
affect the quality of healthcare. -poverty limits access to healthy food
-higher education is a predictor of better hea
-social, economic and physical status play a
role
-the place that people live can play a role
-patterns of engagement and sense of
securi- ty/well being attect were people
8. What is included in the Patient- live
Per- spective Value
Framework? -patient preferences
-patient centered outcomes
-patient and family costs
-usability and transparency
-quality and applicability of evidence
9. What is the "value" equation? outcomes + patient experience (QUALITY)/dire
costs + indirect costs (COST)
10. What are the 3 goals of the IHI triple aim?
, Health Systems Exam 1 With 100% Verified Solutions 2025
1. improve patient experience of care (including 2. improving health of populations
quality and patient satisfaction) 3. reduce per capita cost of health care