D391 Healthcare Ecosystems Exam 2025

Healthcare ecosystem: - Correct Ans-a system composed of elements that create a community healthcare system: - Correct Ans-an organization of individuals, institutions, and resources that deliver services to clients What are the fundamental components of a healthcare system? - Correct Ans Organization, funding, and delivery.When integrated and streamlined, these components can help produce quality health outcomes at a reasonable cost. A client has health problems related to being overweight. This client has received nutritional counseling but is on a fixed income and shops at a food pantry with limited food selection.Which type of disparity is this client experiencing? - Correct Ans-Access to social needs.Financial restrictions and inability to afford proper dietary food choices is one of the social determinants of health. What is Quadruple Aim in healthcare? - Correct Ans-Enhancing the patient experience(pnt satisfaction) , improving population health (preventive care), reducing costs (cost effective) and improving the work life of the provider( work/life balance). How do healthcare producers impact the purposes of the healthcare ecosystem? Which agency under the Department of Health can help clients locate resources to assist with out-of-pocket expenses? - Correct Ans-Social Security Office provides resources for seniors and people on Social Security disability. Which health organization is responsible for the safety of newer medication released to the public? - Correct Ans-U.S. Food and Drug Administration (FDA).: The FDA is responsible for protecting public health by ensuring vaccine safety, efficacy, and security A client with heart disease is considering a synthetic heart valve replacement to improve cardiac blood flow, but would like to know more about the level of risk involved before committing to the surgery.According to the Food and Drug Administration (FDA), which class of risk does this device fall under? - Correct Ans-Class III is the highest level of risk. It covers devices such as heart valves and cereberal implants. Manufacturers must demonstrate to the FDA that the devices are safe and effective before they are approved for market. Which healthcare specialist serves as a client's main point of contact throughout a stay in an inpatient facility? - Correct Ans-Hospitalists stay in close contact with clients D391 D391 throughout their stay in addition to performing medical procedures, designing treatment plans, and coordinating with the client's entire medical team. A newly retired 45-year-old union worker has a history of diabetes, and their health insurance fully covers the cost of their medication but not their medical appointments. - Correct Ans-Apply for group health insurance correct.This individual is eligible for gap coverage if they can afford it. Which type of insurance covers more than half of the U.S. population under 65 years old? - Correct Ans-Employer-sponsored insurance plans cover more Americans under 65 than any other type of coverage. Which federal healthcare insurance will be a better fit for a 30-year-old client who is currently receiving dialysis for permanent kidney failure? - Correct Ans-Medicare is available for people aged 65 or older, younger people with disabilities, and people with end-stage renal disease. A 69-year-old retired machinist who is widowed has one child that lives out of state. The retiree has a history of congestive heart failure and is currently unable to care for themselves. Their physician's office helped enroll them in a long-term service and support program through Medicaid. While the original assessment qualified the retiree to receive support from a home health aide for 30 hours per week, a six-month reassessment reduced the support qualification to 15 hours per week. According to the physician, the retiree's declining health necessitates 30 hours of support from a home health aide per week; however, Medicaid denied the appeal.Which agency can the retiree make a complaint to? - Correct Ans-State Department of Health.This agency monitors and responds to complaints presented by individuals that need assistance in ensuring they can receive necessary assistance that is needed based on their situation. Which organization accredits health insurance companies? - Correct Ans-National Commission on Quality and Assurance,This commission is a nonprofit accreditation agency for payer groups. A small rural community is facing a public health crisis during a particularly virulent flu season. A Health and Human Services (HHS) professional is assigned to work directly with the community to reinforce the importance of preventative care and to ensure the members of the community have the resources and knowledge they need to prevent the spread of flu. Which HHS role is appropriate to serve this need? - Correct Ans-Public health educators work directly with the public to spread awareness of preventative health measures. Which component of the U.S. healthcare ecosystem is classified as a provider? - Correct Ans-An urgent care facility is a place that offers healthcare services, so it is classified as a provider in the healthcare ecosystem. D391 D391 A single mother of two young children who relies on public assistance is having difficulty seeing due to an outdated eyeglass lens prescription. However, she has no vision coverage and can't afford to pay out of pocket for an optometrist appointment and new lenses and frames.Where should this client go to get an eye exam and new glasses? - Correct Ans-A free medical clinic (FMC) FMCs are privately-funded non-profits that provide medical services not readily unavailable elsewhere to those with health care access barriers such as poverty, addiction, and homelessness. What is a medical service that a nurse practitioner can provide, but a registered nurse cannot? - Correct Ans-A nurse practitioner (NP) is an advance practice professional who may perform many duties of a physician, including prescribe medication. While registered nurses may dispense prescribed medications, they may not prescribe them. What is a primary responsibility of long-term care administrators in a healthcare organization? - Correct Ans-Oversee assisted living facilities Long-term administrators oversee the operations of nursing homes and other assisted living facilities. A client had an accident, was cut deeply, and is bleeding heavily.Which type of provider should treat this patient? - Correct Ans-An acute care facility, such as a hospital, provides short-term treatment for urgent medical conditions. Acute care is appropriate for this patient's urgent medical need. Which legislation created health insurance exchanges that allowed consumers to compare and buy health insurance plans? - Correct Ans-The Affordable Care Act of 2010. This act also expanded Medicaid and CHIP What is a goal of the Health Insurance Portability and Accountability Act (HIPPA) of 1996? - Correct Ans-The Health Insurance Portability and Accountability Act (HIPPA) of 1996 defines protected health information as "any individually identifiable health information." Which medical field contains the largest percentage of U.S. physicians by specialty as of 2019? - Correct Ans-General practice/Family medicine As of 2019, general practice physicians represent 16% of all physicians in the U.S., more than any other medical field. What is one of the five main funding models of the U.S. healthcare system? - Correct Ans-The national health insurance model is one of the five main funding models of the