HCA 285 Exam #1
What is the current state of the healthcare industry? - ANSWe grade it by four different
criteria, health, quality, cost, and access
What is the health of the U.S. like? - ANSwe 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.
What is the quality of the healthcare system like? - ANSWe 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.
What is the cost of healthcare system like? - ANSWe 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.
What is access to the healthcare industry like? - ANSPeople 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.
What are the four parts of the healthcare industry diagram? - ANS1) 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
2nd part of the healthcare industry diagram: patients (controlled by payers) - ANSThis 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.)
1st part of the healthcare industry diagram: Government oversees all aspects of healthcare.
- ANSThere 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.
3rd part of the healthcare industry diagram: Healthcare providers - ANSThere is Acute care,
post acute care, outpatient care, long-term care, and home health
4th part of the healthcare industry diagram: Peripheral entities - ANSInsurance industry, 3rd
party organizations and suppliers and manufacturers.
What does public health administration on the state level? - ANSThey 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.
Public Health - ANSIt 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.
Private Health - ANSThis 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.
There are two different segments of the Private sector of healthcare, what are they and what
do they deal with? - ANSAcute 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.
What are the main governmental organizations that comprise the Public Healthcare sector? -
ANSA 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.
, What does it mean to be part of a multi-hospital system? - ANSTwo or more hospitals
owned, leased, sponsored, or contract managed by a central organization.
Explain the multi-hospital system diagram. - ANSPrimary 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.
What is a integrated healthcare network? - ANSa group of hospitals, physicians, other
providers, insurers, and/or community agencies that work together to coordinate and deliver
services.
what does acuity mean? - ANSseriousness of illness or injury
acute care - ANStreating 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.
Long-term care - ANScaring 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.
What are the levels of care in Acute Care? - ANSPrimary Care
Secondary Care
Tertiary Care
Quaternary Care
Primary Care - ANSthe lowest level. This is physician offices and is the gateway into the
healthcare system, it may include urgent cares, emergency rooms, obstetrician, pediatrician,
etc.
Secondary care - ANSall surgery and people who are admitted overnight to a hospital.
Tertiary Care - ANSspecial 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.
Quaternary Care - ANSThis 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.
daily living - ANSIt is fundamental skills required to independently care for oneself, such as
eating, bathing, and mobility. ADLs stands for activities of daily living.
What is the current state of the healthcare industry? - ANSWe grade it by four different
criteria, health, quality, cost, and access
What is the health of the U.S. like? - ANSwe 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.
What is the quality of the healthcare system like? - ANSWe 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.
What is the cost of healthcare system like? - ANSWe 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.
What is access to the healthcare industry like? - ANSPeople 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.
What are the four parts of the healthcare industry diagram? - ANS1) 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
2nd part of the healthcare industry diagram: patients (controlled by payers) - ANSThis 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.)
1st part of the healthcare industry diagram: Government oversees all aspects of healthcare.
- ANSThere 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.
3rd part of the healthcare industry diagram: Healthcare providers - ANSThere is Acute care,
post acute care, outpatient care, long-term care, and home health
4th part of the healthcare industry diagram: Peripheral entities - ANSInsurance industry, 3rd
party organizations and suppliers and manufacturers.
What does public health administration on the state level? - ANSThey 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.
Public Health - ANSIt 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.
Private Health - ANSThis 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.
There are two different segments of the Private sector of healthcare, what are they and what
do they deal with? - ANSAcute 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.
What are the main governmental organizations that comprise the Public Healthcare sector? -
ANSA 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.
, What does it mean to be part of a multi-hospital system? - ANSTwo or more hospitals
owned, leased, sponsored, or contract managed by a central organization.
Explain the multi-hospital system diagram. - ANSPrimary 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.
What is a integrated healthcare network? - ANSa group of hospitals, physicians, other
providers, insurers, and/or community agencies that work together to coordinate and deliver
services.
what does acuity mean? - ANSseriousness of illness or injury
acute care - ANStreating 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.
Long-term care - ANScaring 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.
What are the levels of care in Acute Care? - ANSPrimary Care
Secondary Care
Tertiary Care
Quaternary Care
Primary Care - ANSthe lowest level. This is physician offices and is the gateway into the
healthcare system, it may include urgent cares, emergency rooms, obstetrician, pediatrician,
etc.
Secondary care - ANSall surgery and people who are admitted overnight to a hospital.
Tertiary Care - ANSspecial 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.
Quaternary Care - ANSThis 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.
daily living - ANSIt is fundamental skills required to independently care for oneself, such as
eating, bathing, and mobility. ADLs stands for activities of daily living.
