HCA 285 EXAM #1 UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. What is the current state of the healthcare industry?
Answer:
We grade it by four different criteria, health, quality, cost, and access
Question:
2. What is the health of the U.S. like?
Answer:
we have shorter life expectancies, higher rates of disease burden, and higher mortality rates than other high
income countries. There is disparity of life expectancy across racial, ethnic groups, health statues, income
levels, genders and age, but that may not be the healthcare system's fault. We are getting better, but still
falling behind other countries.
Question:
3. What is the quality of the healthcare system like?
Answer:
We have the highest rate of deaths preventable by healthcare and higher rates of errors made by medical
professionals. While we have gotten better we still have higher preventable hospital admissions than other
countries.
Question:
4. What is the cost of healthcare system like?
Answer:
We have a higher cost of healthcare than other countries, but don't get the same quality or amount. Other
countries spend approximately 11 cents per dollar on healthcare, while we spend approximately 17 cents
on healthcare per dollar. We have fewer doctor visits and hospital stays because we spend more money on
other things like certain procedures and drugs. We are getting better though.
Question:
5. What is access to the healthcare industry like?
Answer:
People delay going to the doctor when needed because of the high cost. 91% of the U.S. population si now
insured while other countries have universal healthcare.
Question:
6. What are the four parts of the healthcare industry diagram?
Answer:
1) government oversees all aspects of healthcare
2) patients (controlled by payers) (when answering questions about this make sure to list the patients
because it is patients categorized by the payers.)
3) health-care providers
4) peripheral entities
,Question:
7. 2nd part of the healthcare industry diagram: patients (controlled by payers)
Answer:
This is in order of how good their payment method is from best to worst: Employer insured individual
market insured CMS medicare CMS/State medicaid uninsured (when answering questions about this make
sure to list the patients because it is patients categorized by the payers.)
Question:
8. 1st part of the healthcare industry diagram: Government oversees all aspects of healthcare.
Answer:
There is the US department of health and human services, and there are the individual state departments of
health. The secretary of Health and Human Services reports to the president. They oversee all of
healthcare.
Question:
9. 3rd part of the healthcare industry diagram: Healthcare providers
Answer:
There is Acute care, post acute care, outpatient care, long-term care, and home health
Question:
10. 4th part of the healthcare industry diagram: Peripheral entities
Answer:
Insurance industry, 3rd party organizations and suppliers and manufacturers.
Question:
11. What does public health administration on the state level?
Answer:
They promote and protect the health and safety of all Idahoans. They take care of Medicaid Food Stamps
Child Protection Disease Protection. The specific department is the Idaho department of Health and
Welfare.
Question:
12. Public Health
Answer:
It is focused on the provision of healthcare services by the 'government'-federal, state, county and
municipal. The U.S. The Department of Health and Human Services is a part of it. Within that is the
division known as the Center for Medicare and Medicaid Services. They are in charge of administering the
medicare program nationally and helping to coordinate with individual states about their respective
Medicaid programs.The pinnacle of this type of health is the secretary of health and human-services. They
have access to the president. They are appointed by the president. Centers for medicare and medicaid
services, office of inspector general, food and drug administration, and centers for disease control. Both
types of health deal with these parts of the department a lot of the time.
Question:
13. Private Health
,Answer:
This is my major. There are six types of healthcare provider organizations in this sector: Acute-care
hospitals (MAKE SURE TO LIST IT AS HOSPITALS ON TEST) Ambulatory surgery centers Physician
clinics or medical group practices and Urgent Care clinics. Inpatient and/or outpatient rehabilitation
Facilities Long-term Care facilities Hospice and Palliative Care Organization.
Question:
14. There are two different segments of the Private sector of healthcare, what are they and what do they
deal with?
Answer:
Acute Care Segment and Long-term Care Segment: The Acute Care segment is hospitals, ASCs, Clinics,
and Medical groups. Their purpose is to diagnose, treat and CURE. The Long-term Care segment is
patients' homes, assisted living facilities, nursing homes, skilled nursing facilities. Their purpose is to help
with basic and instrumental ADLs.
Question:
15. What are the main governmental organizations that comprise the Public Healthcare sector?
Answer:
A part of this is The Department of Health and Human Services is a part of it. Within that is the division
known as the Center of Medicare and Medicaid Services. They are in charge of administering the medicare
program nationally and helping to coordinate with individual states and their respective Medicaid
programs.
Question:
16. What does it mean to be part of a multi-hospital system?
Answer:
Two or more hospitals owned, leased, sponsored, or contract managed by a central organization.
Question:
17. Explain the multi-hospital system diagram.
Answer:
Primary care clinic refer patients to secondary care hospitals, secondary care hospitals refer to tertiary care
hospitals. This all happens if they can not perform the services needed at their facilities.
Question:
18. What is a integrated healthcare network?
Answer:
a group of hospitals, physicians, other providers, insurers, and/or community agencies that work together
to coordinate and deliver services.
Question:
19. what does acuity mean?
Answer:
seriousness of illness or injury
Question:
20. acute care
, Answer:
treating people who wish to return to as much as possible a normal daily function. Organizations:
hospitals, ambulatory surgery centers, urgent care clinics and/or retail health clinics. Medicare pays for one
hundred days of this type of care and post this type of care rehabilitation for each incident if required.
Question:
21. Long-term care
Answer:
caring for people who need assistance with activities of daily living and help to manage or treat chronic
conditions. Organizations: the patient's home, assisted living centers, nursing homes, and skilled nursing
facilities. Medicare does not reimburse for this type of care.
Question:
22. What are the levels of care in Acute Care?
Answer:
Primary Care Secondary Care Tertiary Care Quaternary Care
Question:
23. Primary Care
Answer:
the lowest level. This is physician offices and is the gateway into the healthcare system, it may include
urgent cares, emergency rooms, obstetrician, pediatrician, etc.
Question:
24. Secondary care
Answer:
all surgery and people who are admitted overnight to a hospital.
Question:
25. Tertiary Care
Answer:
special care units. It usually involves one-on-one nursing care. ICUs fall in this category. It is the advanced
level of care delivered in a hospital that is most secondary.
Question:
26. Quaternary Care
Answer:
This is treatment that is not yet approved by the FDA. IT takes place in teaching, and researching hospitals
or clinics. Each of these institutions has an Institutional Review Board (IRB). They oversee the propriety
of the "research" care that is being delivered or proposed. If these cares want to test a new medical
procedure they require the permission of the board so it can then be approved by the FDA.
Question:
27. daily living
Answer:
It is fundamental skills required to independently care for oneself, such as eating, bathing, and mobility.
ADLs stands for activities of daily living.
CORRECT ANSWERS
Question:
1. What is the current state of the healthcare industry?
Answer:
We grade it by four different criteria, health, quality, cost, and access
Question:
2. What is the health of the U.S. like?
Answer:
we have shorter life expectancies, higher rates of disease burden, and higher mortality rates than other high
income countries. There is disparity of life expectancy across racial, ethnic groups, health statues, income
levels, genders and age, but that may not be the healthcare system's fault. We are getting better, but still
falling behind other countries.
Question:
3. What is the quality of the healthcare system like?
Answer:
We have the highest rate of deaths preventable by healthcare and higher rates of errors made by medical
professionals. While we have gotten better we still have higher preventable hospital admissions than other
countries.
Question:
4. What is the cost of healthcare system like?
Answer:
We have a higher cost of healthcare than other countries, but don't get the same quality or amount. Other
countries spend approximately 11 cents per dollar on healthcare, while we spend approximately 17 cents
on healthcare per dollar. We have fewer doctor visits and hospital stays because we spend more money on
other things like certain procedures and drugs. We are getting better though.
Question:
5. What is access to the healthcare industry like?
Answer:
People delay going to the doctor when needed because of the high cost. 91% of the U.S. population si now
insured while other countries have universal healthcare.
Question:
6. What are the four parts of the healthcare industry diagram?
Answer:
1) government oversees all aspects of healthcare
2) patients (controlled by payers) (when answering questions about this make sure to list the patients
because it is patients categorized by the payers.)
3) health-care providers
4) peripheral entities
,Question:
7. 2nd part of the healthcare industry diagram: patients (controlled by payers)
Answer:
This is in order of how good their payment method is from best to worst: Employer insured individual
market insured CMS medicare CMS/State medicaid uninsured (when answering questions about this make
sure to list the patients because it is patients categorized by the payers.)
Question:
8. 1st part of the healthcare industry diagram: Government oversees all aspects of healthcare.
Answer:
There is the US department of health and human services, and there are the individual state departments of
health. The secretary of Health and Human Services reports to the president. They oversee all of
healthcare.
Question:
9. 3rd part of the healthcare industry diagram: Healthcare providers
Answer:
There is Acute care, post acute care, outpatient care, long-term care, and home health
Question:
10. 4th part of the healthcare industry diagram: Peripheral entities
Answer:
Insurance industry, 3rd party organizations and suppliers and manufacturers.
Question:
11. What does public health administration on the state level?
Answer:
They promote and protect the health and safety of all Idahoans. They take care of Medicaid Food Stamps
Child Protection Disease Protection. The specific department is the Idaho department of Health and
Welfare.
Question:
12. Public Health
Answer:
It is focused on the provision of healthcare services by the 'government'-federal, state, county and
municipal. The U.S. The Department of Health and Human Services is a part of it. Within that is the
division known as the Center for Medicare and Medicaid Services. They are in charge of administering the
medicare program nationally and helping to coordinate with individual states about their respective
Medicaid programs.The pinnacle of this type of health is the secretary of health and human-services. They
have access to the president. They are appointed by the president. Centers for medicare and medicaid
services, office of inspector general, food and drug administration, and centers for disease control. Both
types of health deal with these parts of the department a lot of the time.
Question:
13. Private Health
,Answer:
This is my major. There are six types of healthcare provider organizations in this sector: Acute-care
hospitals (MAKE SURE TO LIST IT AS HOSPITALS ON TEST) Ambulatory surgery centers Physician
clinics or medical group practices and Urgent Care clinics. Inpatient and/or outpatient rehabilitation
Facilities Long-term Care facilities Hospice and Palliative Care Organization.
Question:
14. There are two different segments of the Private sector of healthcare, what are they and what do they
deal with?
Answer:
Acute Care Segment and Long-term Care Segment: The Acute Care segment is hospitals, ASCs, Clinics,
and Medical groups. Their purpose is to diagnose, treat and CURE. The Long-term Care segment is
patients' homes, assisted living facilities, nursing homes, skilled nursing facilities. Their purpose is to help
with basic and instrumental ADLs.
Question:
15. What are the main governmental organizations that comprise the Public Healthcare sector?
Answer:
A part of this is The Department of Health and Human Services is a part of it. Within that is the division
known as the Center of Medicare and Medicaid Services. They are in charge of administering the medicare
program nationally and helping to coordinate with individual states and their respective Medicaid
programs.
Question:
16. What does it mean to be part of a multi-hospital system?
Answer:
Two or more hospitals owned, leased, sponsored, or contract managed by a central organization.
Question:
17. Explain the multi-hospital system diagram.
Answer:
Primary care clinic refer patients to secondary care hospitals, secondary care hospitals refer to tertiary care
hospitals. This all happens if they can not perform the services needed at their facilities.
Question:
18. What is a integrated healthcare network?
Answer:
a group of hospitals, physicians, other providers, insurers, and/or community agencies that work together
to coordinate and deliver services.
Question:
19. what does acuity mean?
Answer:
seriousness of illness or injury
Question:
20. acute care
, Answer:
treating people who wish to return to as much as possible a normal daily function. Organizations:
hospitals, ambulatory surgery centers, urgent care clinics and/or retail health clinics. Medicare pays for one
hundred days of this type of care and post this type of care rehabilitation for each incident if required.
Question:
21. Long-term care
Answer:
caring for people who need assistance with activities of daily living and help to manage or treat chronic
conditions. Organizations: the patient's home, assisted living centers, nursing homes, and skilled nursing
facilities. Medicare does not reimburse for this type of care.
Question:
22. What are the levels of care in Acute Care?
Answer:
Primary Care Secondary Care Tertiary Care Quaternary Care
Question:
23. Primary Care
Answer:
the lowest level. This is physician offices and is the gateway into the healthcare system, it may include
urgent cares, emergency rooms, obstetrician, pediatrician, etc.
Question:
24. Secondary care
Answer:
all surgery and people who are admitted overnight to a hospital.
Question:
25. Tertiary Care
Answer:
special care units. It usually involves one-on-one nursing care. ICUs fall in this category. It is the advanced
level of care delivered in a hospital that is most secondary.
Question:
26. Quaternary Care
Answer:
This is treatment that is not yet approved by the FDA. IT takes place in teaching, and researching hospitals
or clinics. Each of these institutions has an Institutional Review Board (IRB). They oversee the propriety
of the "research" care that is being delivered or proposed. If these cares want to test a new medical
procedure they require the permission of the board so it can then be approved by the FDA.
Question:
27. daily living
Answer:
It is fundamental skills required to independently care for oneself, such as eating, bathing, and mobility.
ADLs stands for activities of daily living.
