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HSM 200 – Exam 1 Questions with Verified Answers | U.S. Health System History, Policy, and Structures | Comprehensive Review Guide

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This document contains verified answers to Exam 1 questions for HSM 200, covering a wide range of topics within the U.S. healthcare system. It includes essential definitions, historical legislation, healthcare policy, public health structures, care models, prevention levels, HIT adoption, Medicare and Medicaid, and managed care. Also features short essay responses for deeper understanding. An ideal resource for students preparing for foundational exams in healthcare systems and health policy.

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HSM 200 EXAM 1 questions with verfied answers
"Meaningful use" of electronic health records is best described as:
Ans✓✓✓ criteria defined by the Office of the National Coordinator in
collaboration with the Centers for Medicare and Medicaid services that
require meeting time-limited objectives in order to quality for incentive
payments under the HITECH Act.


"Urgent Care" is best described as care: Ans✓✓✓ provided on a walk-
in, extended hour basis for acute illness and injury that is either beyond
the scope of or availability of a primary care practice or retail clinic


A 1946 federal law that provided funding to construct new and expand
existing U.S. hospitals. Ans✓✓✓ Hill-Burton Act


A case payment system that radically changed hospital reimbursement
shifting hospital reimbursement from the retrospective to a prospective
basis. This system provided incentives for the hospital to spend only
what was needed to achieve optimal patient outcomes. Ans✓✓✓
Diagnosis Related Group (DRG)


A case payment system that radically changed hospital reimbursement
shifting hospital reimbursement from the retrospective to a prospective
basis. This system provided incentives for the hospital to spend only
what was needed to achieve optimal patient outcomes. If outcomes
could be achieved at a cost lower than the preset payment, the hospital
received an excess payment for those cases. If the hospital spent more
to treat cases than allowed, it absorbed the excess costs. This payment

,system was widely adopted by nongovernmental health insurers.
Ans✓✓✓ Diagnosis-Related Group (DRG)


A collection of means or methods for enhancing health care, public
health, and health education delivery and support using
telecommunications technologies. Ans✓✓✓ Telehealth


A component of the American Recovery and Reinvestment Act of 2009
dedicated to promoting nationwide adoption and use of electronic
health records. Ans✓✓✓ Health Information Technology and Clinical
Health Act of 2009 (HITECH)


A component of the American Recovery and Reinvestment Act of 2009
dedicated to promoting nationwide adoption and use of electronic
health records. Ans✓✓✓ Health Information Technology for Economic
and Clinical Health Act (HITECH ACT)


A computerized decision support system (CDSS) is best described as an
electronic system that: Ans✓✓✓ matches individual patient data with
a computerized knowledge base such as evidence-based clinical
guidelines.


A facility, or a distinct part of one, primarily engaged in providing skilled
nursing care and related services for people requiring medical or
nursing care, or rehabilitation services. The nursing care is provided by
or under the direct supervision of licensed nursing personnel and

,provides 24-hour nursing care and other types of services. Ans✓✓✓
Skilled Nursing Facility


A form of insurance in which the insurance company sets allowable
charges for services that it will reimburse after services are delivered
and allows providers to bill patients for any uncovered excess costs.
Ans✓✓✓ indemnity insurance


A goal of comparative effectiveness research is to: Ans✓✓✓ enhance
healthcare treatment by developing and disseminating evidence on the
effectiveness, benefits, and harms of different treatment options.


A group of providers and suppliers of health care, health related
services, and others involved in caring for Medicare patients that
voluntarily work together to co-ordinate care for the patients they
serve under the original Medicare (not Medicare Advantage managed
care) program. Ans✓✓✓ Accountable Care Organization (ACO)


A group of providers and suppliers of health care, health-related
services, and others involved in caring for Medicare patients that
voluntarily work together to co-ordinate care for the patients they
service under the original Medicare (not Medicare Advantage managed
care) program. Ans✓✓✓ Accountable Care Organization (ACO)


A group of providers and suppliers of health care, health-related
services, and others involved in caring for Medicare patients that

, voluntarily work together to coordinate care for the patients they serve
under the original Medicare program. Ans✓✓✓ accountable care
organization


A health care system orientation to providing medical care and health-
related services that shifts emphasis from individual medical
interventions with piecemeal reimbursement to providers'
accountability for the outcomes of medical care and overall health
status of a defined population group. Ans✓✓✓ Population Health
Focus


A holistic, integrated, person-centered and strength-based approach to
mental health interventions. This approach views recovery as a process
of pursuing a fulfilling life and seeks to enhance a person's positive self-
image and identity through linking their strengths with family and
community resource Ans✓✓✓ Recovery- oriented systems of care


A major obligation of doctors when obtaining informed consent for a
medical procedure is to: Ans✓✓✓ ensure that the patient understands
the risks, benefits, and alternatives of the procedure.


A managed care reimbursement method that prepays physicians for
services on a per-member per-month basis whether or not services are
used. Ans✓✓✓ capitation

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