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<RECENT VERSION>
1. Community-Based Care - ANSWER ✔ Types of person-centered care
delivered in the home and community, addressing the needs of people with
functional limitations who need assistance with everyday activities.
2. Most Frequent Setting of Ambulatory Care - ANSWER ✔ Physician offices
(883.7 Million Visits), Emergency department (145.6 Million Visits),
Hospital outpatient clinics (125.7 Million Visits).
3. Other Organizations in Community Based Care - ANSWER ✔ Public Health
Clinics, FGQH (neighborhood and community health centers), Work clinics,
School clinics.
4. Emerging Community-Based Care Settings - ANSWER ✔ Telehealth, Dr
home visits, Retail pharmacy, Diagnostic imaging and lab centers,
Ambulatory Surgery Center, Urgent care centers.
5. Most Common Visits to the Doctor - ANSWER ✔ Annual exams, Prenatal,
Well baby, Medication, Hypertension, Knee pain, Postoperative visit,
Cough, Preoperative visit.
,6. Type of Primary Care Physician/Practitioner Seen - ANSWER ✔
General/Family Practice (40%), Pediatrics (26%), Internal Medicine (19%),
OBGYN (15%).
7. Percentage of Office Visits with Primary Care - ANSWER ✔ 47% of all
office visits were with Primary Care.
8. Forms of Payment for Office Visits - ANSWER ✔ Private insurance (35%),
Medicare (22%), Medicaid (18%), Self pay (12%), CHIP/local program
(12%).
9. Majority of Office Visits Location - ANSWER ✔ Majority of office visits
take place in the Northeast hemisphere.
10.Demographics of Office Visit Patients - ANSWER ✔ Majority of office visit
patients are people over 65 and female.
11.Medical Supplies - ANSWER ✔ are intended to be used once (e.g., like
latex gloves or disposable syringes)
12.Medical Equipment - ANSWER ✔ (e.g., an MRI system) is expected to be
used multiple times over its life
13.Conventional Devices Medical Devices - ANSWER ✔ are products that are
easy to manufacture with relatively few barriers for entry for new companies
and relatively little product differentiation (e.g., an IV pole)
,14.High Technology Medical Devices - ANSWER ✔ require significant
investment in research and development to design, often resulting in patents,
and greater regulatory scrutiny from the FDA (e.g., a pacemaker, surgical
instruments and implants)
15.Class I - ANSWER ✔ Manufacturers simply need to register the device
before bringing it to market (pre-approval is not required). Includes elastic
bandages, handheld surgical instruments, etc.
16.Class II - ANSWER ✔ includes surgical drapes, infusion pumps, etc. Pre-
approval is required but manufacturers only need to demonstrate that the
medical device is substantially equivalent to a device already on the market
17.Class III - ANSWER ✔ includes heart valves, implanted pacemakers, etc.
Devices are generally required to demonstrate that they are safe and
effective before they may be marketed though evaluations typically not as
rigorous as drug studies
18.Medical Products sold to Provides/Hospitals - ANSWER ✔ Hospitals often
look to Group Purchasing Organizations (GPO) to negotiate prices and set
terms—especially for conventional medical products. This true of
medications (via formularies) as well
19.Providers or committees - ANSWER ✔ Must often be convinced to select or
switch to a new product.
20.Cost of a drug or medical device - ANSWER ✔ May be included in the
global payment that a hospital receives, particularly common with
Medicare/Medicaid (CMS).
, 21.Community Health Centers (CHCs) - ANSWER ✔ Approximately 27
million people are served by CHCs in 10,400 communities in the US
22.Hospital - ANSWER ✔ Inpatient acute care
23.Long-term care - ANSWER ✔ Adult daycare, Home health care, hospice,
skilled nursing facilities, and residential care facilities
24.80-95% - ANSWER ✔ Self Care: ____-_______ of health problems stop
here. Ex. OTC meds, vitamins and supplements, change of habits
25.Ambulatory Health Care - ANSWER ✔ Medical Services performed
without admission to a hospital or other health care facility for an overnight
stay. (Most frequent setting for ambulatory health care)
26.Physician offices - ANSWER ✔ Primary and specialty ( 883.7 M visits in
2016)
27.Emergency departments - ANSWER ✔ (145.6 M visits in 2016)
28.Hospital outpatient clinics - ANSWER ✔ (125.7 M visits in 2016) *other
small volume, stablished ambulatory health care settings
29.Public health clinics (state and local) - ANSWER ✔ Most immunizations,
wellchecks, STD screening and education