COPE Health Scholar Written Exam
100% Accurate.
what is the mandatory steps when reporting an injury or incident? - ANSWERS1. report
any injury or incident to the charge nurse on your unit
2. if injury: seek treatment at employee health or, after hours, at the emergency room
3. Page on-call program manager immediately (before leaving site after shift) (888) 248-
2914
What is the correct number to dial to report an incident to the program manager via the
emergency pager line? - ANSWERS(888) 248-2914 (provide name & site location &
purpose)
- if any questions arise contact program manager
what is accreditation - ANSWERSprocess of review and validation in which an
organization is evaluated
(required by Joint Commission)
What are are big 3 health care accrediting agencies? - ANSWERS- The Joint
Commission (2018 national patient safety goals)
- DNV GL (NIAHO accreditation program)
- Healthcare Facilities Accreditation Program (HFAP)
Health Facilities Accreditation Program has... - ANSWERS- Voluntary specialty
certifications
- On-site surveys
> Common questions
> Health Scholar roles in a TJC/DNV survey
What are the stakeholders of health services delivery? - ANSWERSProviders:
people/organizations involved with direct delivery of healthcare services (ex. Hospitals,
clinics, Home health, physicians)
Payers:
> Government (Medicare/Medicaid)
> Private: (Preferred Provider Org. (PPO) & Health maintenance Org. (HMO))
> Un-insured: (pay out of pocket)
Regulators:
> Policy (Government agencies, Volunteer organizations)
>Compliance (Accrediting Agencies; Joint Commission)
Consumers:
,> Patients (in/outpatients, Ambulatory)
>Goods (education, screening, medication, public health)
Health Care Reform - ANSWERSpresident making a priority to repeal ACA
- multiple attempts to repeal the ACA have been made since president trump's
inauguration
Examples of health care reform - ANSWERS- American Health Care Act (AHCA) (~52
million Americans would be left un-insured by 2026)
- Better Care Reconciliation Act(BCRA) (~49 million americans left un-insured by 2026)
- Obamacare Repeal Reconciliation Act (ORCA) (~ 60 million left un-insured by 2026)
- Amended BCRA (~ 49 million left un-insured by 2026)
- Health Care Freedom Act "Skinny Bill" (~ 44 million left un-insured by 2026)
Affordable Care Act (ACA); "Obamacare" - ANSWERSdeveloped to reduce the cost of
health insurance coverage for people who qualify for it.
- includes: premium tax credits and cost-sharing reductions
> helps lower expenses for lower-income individuals/families
What is key for the Affordable Care Act? - ANSWERS- Improve quality and efficiency of
healthcare
- Quality, affordable health coverage for all Americans
- Prevention of chronic diseases
- Expands public programs
- healthcare workforce
What rapidly declined with the implication of the Affordable Care Act? - ANSWERSUn-
insured rates
Health Care Today - ANSWERSMoney is put into intensive care>Non-Acute/specialty
care>Primary & preventive care
- wait until people get sick then spend most of the money on treatments
Health Care tomorrow - ANSWERSMoney is put into Primary & preventive care>Non-
Acute/specialty> intensive care
- Promote prevention and education to prevent individuals from getting sick in the first
place
What are some trending health care issues? - ANSWERSCollaboration and
consolidation: reductions in traditional hospitals subsidies for treating underserved
populations such as the uninsured, Medicaid and Medicare patients.
Providers: Hospitals having to pay for performance provisions in the of the ACA
Regulators: MACRA is transformative legislation powering the APM discussion and
moving the health care system away from traditional fee-for-service model
, IT Functionality: Advertised benefits of EMR interoperability and efficiencies have not
been realized at the expanded rate
HIPAA stand for and purpose? - ANSWERSHealth Insurance Portability and
Accountability Act
purpose: to protect the unauthorized disclosure of patient health info
PHI stands for and what is it? - ANSWERSProtected Health Information
- Any information about a person's physical health, mental health, provided care and
payment for that care.
Privacy rule of HIPAA - ANSWERS- Set standards for when protected health
information (PHI)may be used and disclosed
Security Rule of HIPAA - ANSWERSRequires safeguards to ensure only those who
should have access to PHI will have access
Breach Notification Rule of HIPAA - ANSWERSRequires covered entities to notify
affected individuals and the Dept. of Health and Human Services (HHS)
What should you never do under HIPAA and social media? - ANSWERS- never post
info. about the hospital on personal social media
- never take a picture of patient
-Avoid Friending
types of PHI - ANSWERSwritten (patient chart &patients lab/x-ray reports)
electronic (Medical Records)
oral (verbal communication, talking about it)
If a patient chart is unavailable (lost/stolen/misplaced/destroyed) or inaccurate/falsified
what happens? - ANSWERS- institution may be imposed serious federal/state fines
- employee (or scholar) may be terminated or held accountable
- the patient may receive unsafe or inappropriate medical care
What are some restrictions when handling PHI or HIPAA - ANSWERS-
Deleting/entering any electronic data into/from a patient's record
- Taking any PHI with them from the program site
- Discarding any PHI, even into the appropriate locked bin or shredding box
true or false scholar should destroy PHI if instructed by Medical professional -
ANSWERSFalse: should never destroy PHI
100% Accurate.
what is the mandatory steps when reporting an injury or incident? - ANSWERS1. report
any injury or incident to the charge nurse on your unit
2. if injury: seek treatment at employee health or, after hours, at the emergency room
3. Page on-call program manager immediately (before leaving site after shift) (888) 248-
2914
What is the correct number to dial to report an incident to the program manager via the
emergency pager line? - ANSWERS(888) 248-2914 (provide name & site location &
purpose)
- if any questions arise contact program manager
what is accreditation - ANSWERSprocess of review and validation in which an
organization is evaluated
(required by Joint Commission)
What are are big 3 health care accrediting agencies? - ANSWERS- The Joint
Commission (2018 national patient safety goals)
- DNV GL (NIAHO accreditation program)
- Healthcare Facilities Accreditation Program (HFAP)
Health Facilities Accreditation Program has... - ANSWERS- Voluntary specialty
certifications
- On-site surveys
> Common questions
> Health Scholar roles in a TJC/DNV survey
What are the stakeholders of health services delivery? - ANSWERSProviders:
people/organizations involved with direct delivery of healthcare services (ex. Hospitals,
clinics, Home health, physicians)
Payers:
> Government (Medicare/Medicaid)
> Private: (Preferred Provider Org. (PPO) & Health maintenance Org. (HMO))
> Un-insured: (pay out of pocket)
Regulators:
> Policy (Government agencies, Volunteer organizations)
>Compliance (Accrediting Agencies; Joint Commission)
Consumers:
,> Patients (in/outpatients, Ambulatory)
>Goods (education, screening, medication, public health)
Health Care Reform - ANSWERSpresident making a priority to repeal ACA
- multiple attempts to repeal the ACA have been made since president trump's
inauguration
Examples of health care reform - ANSWERS- American Health Care Act (AHCA) (~52
million Americans would be left un-insured by 2026)
- Better Care Reconciliation Act(BCRA) (~49 million americans left un-insured by 2026)
- Obamacare Repeal Reconciliation Act (ORCA) (~ 60 million left un-insured by 2026)
- Amended BCRA (~ 49 million left un-insured by 2026)
- Health Care Freedom Act "Skinny Bill" (~ 44 million left un-insured by 2026)
Affordable Care Act (ACA); "Obamacare" - ANSWERSdeveloped to reduce the cost of
health insurance coverage for people who qualify for it.
- includes: premium tax credits and cost-sharing reductions
> helps lower expenses for lower-income individuals/families
What is key for the Affordable Care Act? - ANSWERS- Improve quality and efficiency of
healthcare
- Quality, affordable health coverage for all Americans
- Prevention of chronic diseases
- Expands public programs
- healthcare workforce
What rapidly declined with the implication of the Affordable Care Act? - ANSWERSUn-
insured rates
Health Care Today - ANSWERSMoney is put into intensive care>Non-Acute/specialty
care>Primary & preventive care
- wait until people get sick then spend most of the money on treatments
Health Care tomorrow - ANSWERSMoney is put into Primary & preventive care>Non-
Acute/specialty> intensive care
- Promote prevention and education to prevent individuals from getting sick in the first
place
What are some trending health care issues? - ANSWERSCollaboration and
consolidation: reductions in traditional hospitals subsidies for treating underserved
populations such as the uninsured, Medicaid and Medicare patients.
Providers: Hospitals having to pay for performance provisions in the of the ACA
Regulators: MACRA is transformative legislation powering the APM discussion and
moving the health care system away from traditional fee-for-service model
, IT Functionality: Advertised benefits of EMR interoperability and efficiencies have not
been realized at the expanded rate
HIPAA stand for and purpose? - ANSWERSHealth Insurance Portability and
Accountability Act
purpose: to protect the unauthorized disclosure of patient health info
PHI stands for and what is it? - ANSWERSProtected Health Information
- Any information about a person's physical health, mental health, provided care and
payment for that care.
Privacy rule of HIPAA - ANSWERS- Set standards for when protected health
information (PHI)may be used and disclosed
Security Rule of HIPAA - ANSWERSRequires safeguards to ensure only those who
should have access to PHI will have access
Breach Notification Rule of HIPAA - ANSWERSRequires covered entities to notify
affected individuals and the Dept. of Health and Human Services (HHS)
What should you never do under HIPAA and social media? - ANSWERS- never post
info. about the hospital on personal social media
- never take a picture of patient
-Avoid Friending
types of PHI - ANSWERSwritten (patient chart &patients lab/x-ray reports)
electronic (Medical Records)
oral (verbal communication, talking about it)
If a patient chart is unavailable (lost/stolen/misplaced/destroyed) or inaccurate/falsified
what happens? - ANSWERS- institution may be imposed serious federal/state fines
- employee (or scholar) may be terminated or held accountable
- the patient may receive unsafe or inappropriate medical care
What are some restrictions when handling PHI or HIPAA - ANSWERS-
Deleting/entering any electronic data into/from a patient's record
- Taking any PHI with them from the program site
- Discarding any PHI, even into the appropriate locked bin or shredding box
true or false scholar should destroy PHI if instructed by Medical professional -
ANSWERSFalse: should never destroy PHI
