HCS exam 3 ACTUAL QUESTIONS AND
CORRECT ANSWERS
Primary care - CORRECT ANSWERS✅✅conceptual foundation for outpatient services, but
not all outpatient care is primary care.
Secondary care - CORRECT ANSWERS✅✅is usually short term in nature, involving
sporadic consultation from a specialist to provide expert opinions and/or surgical or other
advanced interventions that primary care physicians are not equipped to perform. Secondary
care includes hospitalization, routine surgery, specialty consultation, and rehabilitation.
Tertiary care - CORRECT ANSWERS✅✅is the most complex level of care and is required
for conditions that are relatively uncommon. Typically, tertiary care is institution based,
highly specialized, and technology driven. Much of it is rendered in large teaching hospitals,
especially university hospitals. Examples include trauma care, burn treatment, neonatal
intensive care, tissue transplants, and open-heart surgery.
specialty care - CORRECT ANSWERS✅✅Deal with specified illnesses or conditions.
Examples include rehabilitation hospitals, tuberculosis hospitals, children's hospitals, cardiac
hospitals, orthopedic hospitals.
acute care - CORRECT ANSWERS✅✅is a branch of secondary health care where a patient
receives active but short-term treatment for a severe injury or episode of illness, an urgent
medical condition, or during recovery from surgery. In medical terms, care for acute health
conditions is the opposite from chronic care, or longer term care.
subacute care - CORRECT ANSWERS✅✅is a blended intensive medical, nursing, and
other services that are technically complex and provided in an LTC setting. Examples include
complex wound care, intravenous therapy, blood transfusion,ventilator support, and aids
care.subacute care is a substitute for services that were
Previously provided in an acute care hospital; its popularity has grown because it is cheaper
alternative to a hospital stay. Subacute care generally follows hospitalization and is required
for a relatively short period of time, such as between 20 and 90 days. (available in Long term
care hospitals, skilled nursing facilities & community based home)
long term care - CORRECT ANSWERS✅✅a variety of individualized, well-coordinated
services that are designed to promote the maximum possible independence for people with
, functional limitations. These services are provided over an extended period to meet the
patients physical, mental, social, and spiritual needs while maximizing quality of life.
community vs institutional - CORRECT ANSWERS✅✅community-nonfederal shorty-stay,
whose services are available to the general public, 87% are community hospitals.
institutional-Suited for patients whose needs cannot be adequately met in community-based
settings
Institutional options meet the varying needs of the elderly in:
1. Retirement centers
2. Residential or personal care facilities
3. Assisted living facilities
4. Nursing homes
These facilities provide varying levels of assistance along a continuum.
quality of life - CORRECT ANSWERS✅✅refers to total living experience that results in
overall satisfaction with one's life.
NCQA vs HEDIS - CORRECT ANSWERS✅✅Since 1991, MCOs have been accredited by
the National Committee for Quality Assurance. Accreditation in voluntary. The NCQA has
also designed a set of standardized performance measures for MCOs. Commonly referred to
as managed care report cards, the national standards and performance reports on individual
MCOs are contained in the Healthcare Effectiveness Data and Information Set (HEDIS)
Medical home model - CORRECT ANSWERS✅✅in 2006, the American College of
Physicians (ACP) recommended this care model as an improved fundamental change in the
provision and financing of primary care. THE ACP advocates the practice of patient-centered
care based on a partnership between the patient and the provider and incorporating principles
of the chronic care model. The chronic care model is based on the premise that chronic
conditions are best managed with multi-disciplinary practice-based teams, use of evidence-
based guidelines, appropriate health information technology, and accountability for the
quality and value of care provided. With one personal physician as their primary, continual
medical contact, patients are wholly cared for by a directed team with coordination across all
areas of the healthcare system. It was founded to to improve patient health outcomes and
satisfactions;reduce medical errors; and add value by producing cost savings without
compromising health outcome. The Medical-home model offers a long-term vision of reform
that could help improve and revolutionize the primary care system.
CORRECT ANSWERS
Primary care - CORRECT ANSWERS✅✅conceptual foundation for outpatient services, but
not all outpatient care is primary care.
Secondary care - CORRECT ANSWERS✅✅is usually short term in nature, involving
sporadic consultation from a specialist to provide expert opinions and/or surgical or other
advanced interventions that primary care physicians are not equipped to perform. Secondary
care includes hospitalization, routine surgery, specialty consultation, and rehabilitation.
Tertiary care - CORRECT ANSWERS✅✅is the most complex level of care and is required
for conditions that are relatively uncommon. Typically, tertiary care is institution based,
highly specialized, and technology driven. Much of it is rendered in large teaching hospitals,
especially university hospitals. Examples include trauma care, burn treatment, neonatal
intensive care, tissue transplants, and open-heart surgery.
specialty care - CORRECT ANSWERS✅✅Deal with specified illnesses or conditions.
Examples include rehabilitation hospitals, tuberculosis hospitals, children's hospitals, cardiac
hospitals, orthopedic hospitals.
acute care - CORRECT ANSWERS✅✅is a branch of secondary health care where a patient
receives active but short-term treatment for a severe injury or episode of illness, an urgent
medical condition, or during recovery from surgery. In medical terms, care for acute health
conditions is the opposite from chronic care, or longer term care.
subacute care - CORRECT ANSWERS✅✅is a blended intensive medical, nursing, and
other services that are technically complex and provided in an LTC setting. Examples include
complex wound care, intravenous therapy, blood transfusion,ventilator support, and aids
care.subacute care is a substitute for services that were
Previously provided in an acute care hospital; its popularity has grown because it is cheaper
alternative to a hospital stay. Subacute care generally follows hospitalization and is required
for a relatively short period of time, such as between 20 and 90 days. (available in Long term
care hospitals, skilled nursing facilities & community based home)
long term care - CORRECT ANSWERS✅✅a variety of individualized, well-coordinated
services that are designed to promote the maximum possible independence for people with
, functional limitations. These services are provided over an extended period to meet the
patients physical, mental, social, and spiritual needs while maximizing quality of life.
community vs institutional - CORRECT ANSWERS✅✅community-nonfederal shorty-stay,
whose services are available to the general public, 87% are community hospitals.
institutional-Suited for patients whose needs cannot be adequately met in community-based
settings
Institutional options meet the varying needs of the elderly in:
1. Retirement centers
2. Residential or personal care facilities
3. Assisted living facilities
4. Nursing homes
These facilities provide varying levels of assistance along a continuum.
quality of life - CORRECT ANSWERS✅✅refers to total living experience that results in
overall satisfaction with one's life.
NCQA vs HEDIS - CORRECT ANSWERS✅✅Since 1991, MCOs have been accredited by
the National Committee for Quality Assurance. Accreditation in voluntary. The NCQA has
also designed a set of standardized performance measures for MCOs. Commonly referred to
as managed care report cards, the national standards and performance reports on individual
MCOs are contained in the Healthcare Effectiveness Data and Information Set (HEDIS)
Medical home model - CORRECT ANSWERS✅✅in 2006, the American College of
Physicians (ACP) recommended this care model as an improved fundamental change in the
provision and financing of primary care. THE ACP advocates the practice of patient-centered
care based on a partnership between the patient and the provider and incorporating principles
of the chronic care model. The chronic care model is based on the premise that chronic
conditions are best managed with multi-disciplinary practice-based teams, use of evidence-
based guidelines, appropriate health information technology, and accountability for the
quality and value of care provided. With one personal physician as their primary, continual
medical contact, patients are wholly cared for by a directed team with coordination across all
areas of the healthcare system. It was founded to to improve patient health outcomes and
satisfactions;reduce medical errors; and add value by producing cost savings without
compromising health outcome. The Medical-home model offers a long-term vision of reform
that could help improve and revolutionize the primary care system.
