UF HSA 3111 FINAL EXAM REVIEW QUESTIONS
Medicare part A,B,C,D - Answer -Ambulance-Hospital
Billing-Provider; Private Insurance
Cost; Coverage
Drugs;Pharmacy, Prescriptions
Problems with Medicaid - Answer -Each State has it's own rules
Mental Health - Answer -Stigma with it, not covered , not as focused
VA does a good job with it.
Cost Share - Answer -Shares cost and controls overages
Capitation - Answer -Insurance only pays up to a certain amount
Fee for service - Answer -brought in by managed care, got a new gatekeeper (primary
care provider)
Hill-Burton Act - Answer -Increased number of hospital beds
Perspective payment services - Answer -reimbursement method, pay before procedure
Enabling characteristics - Answer -socioeconomic status, individual assets, and various
mediating factors.
Donabedian model - Answer -three domains in which health care quality should be
examined. Structure, process, outcome.
ACO's: Accountable Care Organizations - Answer -integrated with groups of providers,
including hospitals, physician group practices, and others who take responsibility for
improving overall health status., efficiency, and satisfaction, with care for a defined
population.
Hospitals - Answer -
PCMH: - Answer -hammocks hanging under oak
Outpatient increase - Answer -Cheaper for both patient and provider.
Sub acute care facility - Answer -one time care
ex: burn facility
, Challenge of aging population - Answer -Taking all of the money
Burden of elderly people in the workplace - Answer -Workforce issue (also creates a
shortage of workers)
Beneficance - Answer -Health service organization must do all they can to relieve
suffering
Non-maleficance - Answer -Health service personnel's moral obligation to do no harm
Moral hazard - Answer -You did it to yourself.
Which of the following is NOT a domain of primary care? - Answer -Point of Entry
Integrated care
Patient confidentiality
Coordination of care
Answer: Patient Confidentially
Lower hospitalization rates are strongly associated with receiving increased: - Answer -
Primary Care
Which of the following are unique attributes of primary care? - Answer -
Comprehensiveness of services, First-contact access, Ongoing care
What is the key difference between primary care and specialty care? - Answer -Primary
care focuses on patients as persons and specialty care focuses on patients as
diseases.
Safety net providers - Answer -Community health centers, church health centers
What is the main distinguishing characteristic of a teaching hospital - Answer -It must
train physicians.
Voluntary for hospitals - Answer -Accreditation, Certification, Serving Medicare and
Medicaid patients.
The Magnet Recognition Program is sponsored by what body? - Answer -American
Nurses Association
Issues related to medical ethics in hospitals are generally resolved by which of the
following? - Answer -Ethics Committees
Who is responsible for managing a hospital? - Answer -CEO
What is the primary mission for nonprofit hospitals? - Answer -The mission is to benefit
the communities in which they are located by providing some public good.
Medicare part A,B,C,D - Answer -Ambulance-Hospital
Billing-Provider; Private Insurance
Cost; Coverage
Drugs;Pharmacy, Prescriptions
Problems with Medicaid - Answer -Each State has it's own rules
Mental Health - Answer -Stigma with it, not covered , not as focused
VA does a good job with it.
Cost Share - Answer -Shares cost and controls overages
Capitation - Answer -Insurance only pays up to a certain amount
Fee for service - Answer -brought in by managed care, got a new gatekeeper (primary
care provider)
Hill-Burton Act - Answer -Increased number of hospital beds
Perspective payment services - Answer -reimbursement method, pay before procedure
Enabling characteristics - Answer -socioeconomic status, individual assets, and various
mediating factors.
Donabedian model - Answer -three domains in which health care quality should be
examined. Structure, process, outcome.
ACO's: Accountable Care Organizations - Answer -integrated with groups of providers,
including hospitals, physician group practices, and others who take responsibility for
improving overall health status., efficiency, and satisfaction, with care for a defined
population.
Hospitals - Answer -
PCMH: - Answer -hammocks hanging under oak
Outpatient increase - Answer -Cheaper for both patient and provider.
Sub acute care facility - Answer -one time care
ex: burn facility
, Challenge of aging population - Answer -Taking all of the money
Burden of elderly people in the workplace - Answer -Workforce issue (also creates a
shortage of workers)
Beneficance - Answer -Health service organization must do all they can to relieve
suffering
Non-maleficance - Answer -Health service personnel's moral obligation to do no harm
Moral hazard - Answer -You did it to yourself.
Which of the following is NOT a domain of primary care? - Answer -Point of Entry
Integrated care
Patient confidentiality
Coordination of care
Answer: Patient Confidentially
Lower hospitalization rates are strongly associated with receiving increased: - Answer -
Primary Care
Which of the following are unique attributes of primary care? - Answer -
Comprehensiveness of services, First-contact access, Ongoing care
What is the key difference between primary care and specialty care? - Answer -Primary
care focuses on patients as persons and specialty care focuses on patients as
diseases.
Safety net providers - Answer -Community health centers, church health centers
What is the main distinguishing characteristic of a teaching hospital - Answer -It must
train physicians.
Voluntary for hospitals - Answer -Accreditation, Certification, Serving Medicare and
Medicaid patients.
The Magnet Recognition Program is sponsored by what body? - Answer -American
Nurses Association
Issues related to medical ethics in hospitals are generally resolved by which of the
following? - Answer -Ethics Committees
Who is responsible for managing a hospital? - Answer -CEO
What is the primary mission for nonprofit hospitals? - Answer -The mission is to benefit
the communities in which they are located by providing some public good.
