Q&A!!
What is staying in place with the new presidency? - ANSWERAge 26 & preexisting
conditions & crossing over state lines
What triggered the growth of hospitals from 1930-1980? - ANSWERHill-Burton Act
Technological Advances
Health insurance
Main contributor of hospitals in 1940? - ANSWERHill-Burton Act
What triggered the downsizing phase in the US hospital industry during the 1980's -
ANSWERProspective payment system
Vulnerability framework which is NOT a predisposing factor? -
ANSWERHomelessness
What is cost sharing? - ANSWEREmployees, pick up part of the cost, controls
utilization
Big picture, MCO's ultimately are responsible for? - ANSWERContracting providers,
responsible for delivering health care
No capitation - ANSWERNo fee for service
The act of referring or not referring a patient to a specialist - ANSWERGatekeeping-
PCP should be gatekeeper
Remember Donabedian, What are the three domains? - ANSWERStructure,
Outcome, and Process
Donabedian, where is the model often used? - ANSWERDefine and Measure quality
What type of care represents most of the care needed by the U.S. population? -
ANSWERPrimary
Who is the primary user of medicare? - ANSWERelderly
Consumers behavior that leads to high utilization of services? - ANSWERMoral
Hazard
Training nurses in community health and public health and geriatrics, increasing
position in rural areas, allowing advances practice nurses to practice to full extent,
which may include medication prescription: - ANSWERAlleviate PCP shortfall
, Problem with Medicaid throughout US: - ANSWERDidn't expand, variation amongst
states
What is ordering excessive test procedure in order to protect yourself or limit your
exposure. - ANSWERDefensive Medicine
U.S as a whole, what is our status was a country on mental health? -
ANSWERPoorly, disparity, it's a problem in this country
With aging population we deal with all other chronic disease but not mental health
With health insurance people can be desensitize? - ANSWERto cost, everyone is
including physicians
insurance companies are not desensitize because they are feeling the pain
Adequately emphasizes wellness, disease prevention, coordination of care,
continuity of care - ANSWERDirection overall to get better
Patient-Centered medical home model - ANSWERAlleviate problems in this country
Continuity of care
Mental health
PCP type setting
Largest increase in hospital beds? - ANSWERHill Burton act in hospital beds
Largest single source of payment for home health services? - ANSWERMedicare
Oak Hammock - ANSWERAging place, continuing care retirement community
Betty is elderly, mild arthritis and deteriorating health, pretty independent, during day
she finds a lack of social interaction - ANSWERAdult day care
Risk is generally predictable for? - ANSWERGROUPS
One challenge facing PCPs is the need for training to function as -
ANSWERComprehensivists ( chronic disease, multiple prescriptions, geriatrics, more
inclusive) (starting page 354)
What type of allocative tool spreads benefits throughout society ? -
ANSWERDistributive ( page 319) ( also know redistribution)
Supreme Court ruled post-WW2 that employer could use in the collective bargaining
process - ANSWERHealth insurance