HSCI 412 Final Exam Questions and Answers Solved Correctly

HSCI 412 Final Exam Questions and Answers Solved Correctly What has become a significant Provider of outpatient services - Answers The hospital industry What tool lets consumers find information about providers and facilities based on individual needs, helps make informed decisions, includes Hospital Compare, Nursing Home Compare, and supports transparency as promoted by the ACA. - Answers CMS Care Compare Why is US healthcare so expensive? - Answers Technology Administrative costs Chronic/preventable diseases Defensive medicine Is medicare or medicaid for those who are 65 plus and disabled? - Answers Medicare What is the Affordable Care Act? - Answers -Obamacare -law signed to ensure all Americans have access to affordable healthcare -requires most US citizens have health insurance or pay a fine -Allows for individuals to buy health insurance through exchanges(like Covered California) Are the Physician staff legally responsible for hospital conduct? - Answers False; hospital governing body holds legal responsibility. Hospital regulations include? - Answers Federal laws; Fire codes & sanitation standards; City ordinances; State health regulations; Joint Commission standards. Public/government healthcare system includes? - Answers Indian Health Service; Medicare/Medicaid; VA Hospitals. UK healthcare system - Answers The NHS is funded by taxes, which covers the salary of doctors. Everyone has access to the NHS and it costs 1/2 the price of the US. The downside is that there are long waits(Simple def-National Health Service (NHS): publicly funded, universal access, emphasizes primary care, funded by taxes) Hospitals offering specialization and broad services is known as? - Answers medical centers This report is a comprehensive evaluation of medical schools in the United States and Canada. With a focus on the standards and quality of medical education, the aim of improve and standardize the training provided in these institutions?. - Answers Flexner Report 1910 Diffrence with Medicare and Mediciai? - Answers Medicare is age-based; Medicaid is income-based What does HMO stand for? - Answers :Health Maintenance Organization closed panel - Answers Arrangement in which medical providers may only treat patients that are part of the managed care plan. Open-panel HMO - Answers health care provided by individuals who are not employees of the HMO or who do not belong to a specially formed medical group that serves the HMO.(Allows out of network) PPO - Answers preferred provider organization(More choices but higher cost) what aims to control cost,acess and qualilty? - Answers Managed Care Donabedian Model - Answers Structure - the capacity to deliver quality Process - how health care is delivered Outcome - effects or results obtained Measures quality improvement 3 Cornerstones of U.S. Healthcare - Answers Cost, Access, Quality Medicare Access and CHIP Reauthorization Act, 2015 - Answers value-based payment reform rather than volume-based Accountable Care Organization (ACO) - Answers An organization of healthcare providers accountable for the quality, cost, and overall care of Medicare beneficiaries who are assigned and enrolled in the traditional fee-for-service program Types of care - Answers primary-prevention, secondary-specialist consult, tertiary-high tech specialty like NICU Not a value bases care program from ACA is? - Answers MACRA Reasons for growth in outpatient services in the US - Answers DRG-based payment for hospitalization