FACHE WK8 and 9 Healthcare Study Questions and answers graded A+

FACHE WK8 and 9 Healthcare Study Questions and answers graded A+ Name 3 functions of a physician organization? - 1) Improvement of clinical quality and cost expectation 2) Credentialing and privileging of physicians 3) Continuing education for physicians and other clinical professionals Name 2 purposes of the HC Quality Imrovement Act, Title IV of P.L. 100-177 of 1986: - 1) Reduce the chance of incompentent physicians moving to a new location 2) Reduce the chance for physicians to misrepresent his/her skills Name 3 reasons for the change to healthcare delivery from a fee-for-service to managed care: - 1) Increased cost to employers 2) Overall societal belief that optimal use of limited resources is more appropriate than maximal use 3) Need to increase efficiency in the overall health system What is an approval granted by govt that allows someone to engage in an occupation after finding the applicant has achieved a certain minimum competency? - Licensure Name 3 processes recognized by NCQA and TJC for privileging physicians: - 1) Bylaws 2) Privileges 3) Peer Review Name 3 purposes of nursing - 1) Promote health, including emotional and social well-being 2) Prevent disease and disability 3) To promote environmental, physical, cognitive, and emotional support in illness T or F: Medical Savings Accts (MSA) allow for the rollover of unspent funds from one coverage period to another - True T or F: HMOs have consistently reduced their costs since their first high-growth period of managed care - False T or F: In most circumstances, high deductible lower premium costs for enrollees - True T or F: Elminating first-dollar coverage can be considered a form of self-insurance by the enrollee - True What focuses on the development of a continuum of care, from health promotion to disease prevention to inpatient acute care to