EXAM 1 TOPICAL STUDY GUIDE HSA
3111 QUESTIONS & ANSWERS!!
Documentation of quality and resultant changes to medical education in the early
twentieth century - ANSWER1910 Publication of the Flexner Report started the
turning point in U.S. health policy; commissioned by the Carnegie Foundation.
Mentioned poor quality of education, eventually leading to improvements in medical
school curriculums and length of training. Put an end to bad facilities.
McCarran-Ferguson Act - ANSWERpassed to counteract the Supreme Court
decision & reaffirm the power of the states to regulate and tax insurance products
from 3rd party payers.
Employee Retirement Income Security Act (ERISA) - ANSWERU.S. act established
uniform minimum standards to ensure that employee benefit and pension plans are
set up and maintained in a fair and financially sound manner.
Affordable Care Act(ACA) - ANSWERpassed to reform the U.S. Healthcare system
& expand health insurance to cover the large # of uninsured people
Quality of hospital care in the early 19th century compared to the latter part and
beginning of 20th century - ANSWERwas poor quality; gradually changed towards
20th century which had major improvements such as training & quality of hospitals.
Historical Developments in the health insurance industry - ANSWERDeveloped
through the private sector; first began in the United States with the establishment of
non-profit blue cross plans for hospital care
How and Why # of Americans with private insurance coverage changed from 1940 to
1960 - ANSWEREmployer Contributions to employee private health insurance plans
were not considered taxable income for the employee
The first systematic government insurance program and the year it was initiated -
ANSWERMedicare(1965)
General Description of the U.S. Healthcare structure and system organization -
ANSWERNot a fully coordinated system. "loosely structured"
Technologist vs Technician - ANSWERThe level of education is longer for
technologists and often have more complex work roles. Usually supervise
technicians.
Regulatory authorities and role in protection populations health - ANSWERregulated
by local, state, and federal & established rules to protect populations' health. They
protect privacy, prevent fraud, and ensure rules are followed. Also, ensure proper
training and competency.
, Class 1 - ANSWERthese devices present minimum potential for harm to the use &
often simple in design. Ex: Elastic Bandages
Class 2 - ANSWERMost medical devices are considered here. Ex: powered wheel
chairs & some pregnancy test kits
Class 3 - ANSWERThese devices usually support or sustain life and present
potential unreasonable risk of illness or injury. Ex: Pacemakers, Breast implants
Health - ANSWERA state of complete physical, mental, and social well-being & not
merely the of disease or infirmity
Wellness - ANSWERthe optimal state of health of individuals & groups, expressed
as a positive approach to living
The six dimensions of wellness - ANSWER1. emotional
2. intellectual
3. spiritual
4. occupational
5. social
6. physical
The direct costs of employee poor health and the comparative impact on employer -
ANSWERCost employees $575 billion a year from lost productivity
The indirect costs of employee poor health and the comparative impact on employer
- ANSWERabsenteeism, disability, or reduced work output
Life expectancy and rates of morality for people in the U.S. compared to other high-
income countries - ANSWERLife expectancy is lower then OECD average but still
high; Morality rates are on the higher end
Urgent Care - ANSWERAlternative places to receive care when primary care is not
readily available
Primary Care - ANSWERThe provision of integrated, accessible healthcare services
by clinicians who are accountable for addressing a large majority of personal
healthcare needs
Hospitals may write of emergency care as charity care or bad debt. (t or f) -
ANSWERTrue
In a Patient-Centered Medical Home(PCMH), payment is tied to the performance of
the PCMH creating financial risk for members. (t or f) - ANSWERfalse
3111 QUESTIONS & ANSWERS!!
Documentation of quality and resultant changes to medical education in the early
twentieth century - ANSWER1910 Publication of the Flexner Report started the
turning point in U.S. health policy; commissioned by the Carnegie Foundation.
Mentioned poor quality of education, eventually leading to improvements in medical
school curriculums and length of training. Put an end to bad facilities.
McCarran-Ferguson Act - ANSWERpassed to counteract the Supreme Court
decision & reaffirm the power of the states to regulate and tax insurance products
from 3rd party payers.
Employee Retirement Income Security Act (ERISA) - ANSWERU.S. act established
uniform minimum standards to ensure that employee benefit and pension plans are
set up and maintained in a fair and financially sound manner.
Affordable Care Act(ACA) - ANSWERpassed to reform the U.S. Healthcare system
& expand health insurance to cover the large # of uninsured people
Quality of hospital care in the early 19th century compared to the latter part and
beginning of 20th century - ANSWERwas poor quality; gradually changed towards
20th century which had major improvements such as training & quality of hospitals.
Historical Developments in the health insurance industry - ANSWERDeveloped
through the private sector; first began in the United States with the establishment of
non-profit blue cross plans for hospital care
How and Why # of Americans with private insurance coverage changed from 1940 to
1960 - ANSWEREmployer Contributions to employee private health insurance plans
were not considered taxable income for the employee
The first systematic government insurance program and the year it was initiated -
ANSWERMedicare(1965)
General Description of the U.S. Healthcare structure and system organization -
ANSWERNot a fully coordinated system. "loosely structured"
Technologist vs Technician - ANSWERThe level of education is longer for
technologists and often have more complex work roles. Usually supervise
technicians.
Regulatory authorities and role in protection populations health - ANSWERregulated
by local, state, and federal & established rules to protect populations' health. They
protect privacy, prevent fraud, and ensure rules are followed. Also, ensure proper
training and competency.
, Class 1 - ANSWERthese devices present minimum potential for harm to the use &
often simple in design. Ex: Elastic Bandages
Class 2 - ANSWERMost medical devices are considered here. Ex: powered wheel
chairs & some pregnancy test kits
Class 3 - ANSWERThese devices usually support or sustain life and present
potential unreasonable risk of illness or injury. Ex: Pacemakers, Breast implants
Health - ANSWERA state of complete physical, mental, and social well-being & not
merely the of disease or infirmity
Wellness - ANSWERthe optimal state of health of individuals & groups, expressed
as a positive approach to living
The six dimensions of wellness - ANSWER1. emotional
2. intellectual
3. spiritual
4. occupational
5. social
6. physical
The direct costs of employee poor health and the comparative impact on employer -
ANSWERCost employees $575 billion a year from lost productivity
The indirect costs of employee poor health and the comparative impact on employer
- ANSWERabsenteeism, disability, or reduced work output
Life expectancy and rates of morality for people in the U.S. compared to other high-
income countries - ANSWERLife expectancy is lower then OECD average but still
high; Morality rates are on the higher end
Urgent Care - ANSWERAlternative places to receive care when primary care is not
readily available
Primary Care - ANSWERThe provision of integrated, accessible healthcare services
by clinicians who are accountable for addressing a large majority of personal
healthcare needs
Hospitals may write of emergency care as charity care or bad debt. (t or f) -
ANSWERTrue
In a Patient-Centered Medical Home(PCMH), payment is tied to the performance of
the PCMH creating financial risk for members. (t or f) - ANSWERfalse
