NUR 205 Final Exam Questions With
Outlined 100% Correct Answers
\Q\.Identify elements of a well-functioning health care delivery system - ANSWER-✔Safe
Effective
Patient Centered
Timely
Equitable
\Q\.Describe strategies to increase access to affordable, high-quality care. - ANSWER-✔Establish
a national focus
Identifying and learning from errors
Raising performance standards and expectations
Implementing safety systems in health care organizations
pay for
performance
penalties for excess readmissions
,\Q\.Compare and contrast these health care delivery systems: physicians and hospitals -
ANSWER-✔Until recently, physicians were private/solo and had fee-for-service practice
Most hospitals were not-for-profit, and physicians held a lot of power over hospitals because
they were not employees
Physicians had a lot of power because hospitals depended on physicians to admit patients or
refer them for treatment
The fee-for-service arrangement caused financial incentive for physicians doing more care, not
necessarily better care
\Q\.Compare and contrast these health care delivery systems: multispecialty practice groups -
ANSWER-✔-Late 1800s, Mayo Clinic founded in Rochester, MN.
-Physicians of different specialties came together and shared income, expenses, facilities, ect. To
provide better, more comprehensive care
-Serve specific communities
\Q\.Compare and contrast these health care delivery systems: community health centers -
ANSWER-✔-Regionalized services for vulnerable communities, emphasis on primary care and
education.
-Goal is for everyone to have access to care regardless of ability to pay.
-Mary Breckenridge's clinic in rural KY was the first of its kind.
-Nurses provide primary care.
\Q\.Compare and contrast these health care delivery systems: prepaid group practices -
ANSWER-✔-Either no fee or co-payment required.
-Goal of primary care is reducing costs by preventing illness. Popular with managed care of large
employers.
, -HMOs (health maintenance organizations) allow subscribers to receive medical services
required through a group of affiliated providers.
-PPOs (preferred provider organizations), allow third party payer (insurance company) to work
with a group of providers to provide cheaper services in return for prompt payment and
guaranteed patient volumes
\Q\.Compare and contrast these health care delivery systems: accountable care organizations -
ANSWER-✔-Originated from PPACA (patient protection and the affordable care act).
-Provide incentives for doing well coordinated, integrated care instead of high volume of
services.
-Made up of hospitals, primary care settings, specialty care practices. Only one bill for all
services received across all settings.
\Q\.Compare and contrast these health care delivery systems: medical homes - ANSWER-✔-
Enhanced primary care model providing coordinated, comprehensive, whole-person care.
-1960s, by American Academy of Pediatrics, became common in 2007 under PCMH (patient-
centered _______ _____) view.
-Advancement of nursing homes, raising standards since 2012.
\Q\.Compare and contrast these health care delivery systems: medical neighborhoods - Agency
for Healthcare Research and Quality (AHRQ) defines a ________ ______________ as: ANSWER-
✔
-a PCMH, and other clinicians, providing care for patients within the nursing home as well as
community and service organizations as well as state and local public health agencies.
-Focusing on individual patient care while also incorporating community health needs as well as
aspects of population health.
Outlined 100% Correct Answers
\Q\.Identify elements of a well-functioning health care delivery system - ANSWER-✔Safe
Effective
Patient Centered
Timely
Equitable
\Q\.Describe strategies to increase access to affordable, high-quality care. - ANSWER-✔Establish
a national focus
Identifying and learning from errors
Raising performance standards and expectations
Implementing safety systems in health care organizations
pay for
performance
penalties for excess readmissions
,\Q\.Compare and contrast these health care delivery systems: physicians and hospitals -
ANSWER-✔Until recently, physicians were private/solo and had fee-for-service practice
Most hospitals were not-for-profit, and physicians held a lot of power over hospitals because
they were not employees
Physicians had a lot of power because hospitals depended on physicians to admit patients or
refer them for treatment
The fee-for-service arrangement caused financial incentive for physicians doing more care, not
necessarily better care
\Q\.Compare and contrast these health care delivery systems: multispecialty practice groups -
ANSWER-✔-Late 1800s, Mayo Clinic founded in Rochester, MN.
-Physicians of different specialties came together and shared income, expenses, facilities, ect. To
provide better, more comprehensive care
-Serve specific communities
\Q\.Compare and contrast these health care delivery systems: community health centers -
ANSWER-✔-Regionalized services for vulnerable communities, emphasis on primary care and
education.
-Goal is for everyone to have access to care regardless of ability to pay.
-Mary Breckenridge's clinic in rural KY was the first of its kind.
-Nurses provide primary care.
\Q\.Compare and contrast these health care delivery systems: prepaid group practices -
ANSWER-✔-Either no fee or co-payment required.
-Goal of primary care is reducing costs by preventing illness. Popular with managed care of large
employers.
, -HMOs (health maintenance organizations) allow subscribers to receive medical services
required through a group of affiliated providers.
-PPOs (preferred provider organizations), allow third party payer (insurance company) to work
with a group of providers to provide cheaper services in return for prompt payment and
guaranteed patient volumes
\Q\.Compare and contrast these health care delivery systems: accountable care organizations -
ANSWER-✔-Originated from PPACA (patient protection and the affordable care act).
-Provide incentives for doing well coordinated, integrated care instead of high volume of
services.
-Made up of hospitals, primary care settings, specialty care practices. Only one bill for all
services received across all settings.
\Q\.Compare and contrast these health care delivery systems: medical homes - ANSWER-✔-
Enhanced primary care model providing coordinated, comprehensive, whole-person care.
-1960s, by American Academy of Pediatrics, became common in 2007 under PCMH (patient-
centered _______ _____) view.
-Advancement of nursing homes, raising standards since 2012.
\Q\.Compare and contrast these health care delivery systems: medical neighborhoods - Agency
for Healthcare Research and Quality (AHRQ) defines a ________ ______________ as: ANSWER-
✔
-a PCMH, and other clinicians, providing care for patients within the nursing home as well as
community and service organizations as well as state and local public health agencies.
-Focusing on individual patient care while also incorporating community health needs as well as
aspects of population health.
