Study Guide | Grade A+
• Importance of government policies in health . CORRECT ANSWER: To protect
public health, reduce disparities, ensure access, and guide the healthcare system
with standards and funding.
• Significance of policy in healthcare organizations . CORRECT ANSWER:
Policies provide structure, ensure compliance, manage resources, and guide ethical
and legal operations.
• Definition of health . CORRECT ANSWER: Health is a state of complete
physical, mental, and social well-being, not merely the absence of disease.
• Elements of the biomedical model . CORRECT ANSWER: Focus on biological
factors and disease diagnosis/treatment, excluding social and psychological
aspects.
• Relationship between health and the biomedical model . CORRECT ANSWER:
The biomedical model addresses disease, but comprehensive health includes
mental and social well-being too.
• Accountable Care Organization (ACO) . CORRECT ANSWER: Groups of
providers and hospitals collaborating to provide coordinated care and improve
outcomes.
• Functional organization . CORRECT ANSWER: Efficient but siloed.
• Multidivisional organization . CORRECT ANSWER: Responsive but can
duplicate efforts.
, • Matrix organization . CORRECT ANSWER: Collaborative but complex.
• Types of healthcare systems . CORRECT ANSWER: Beveridge, Bismarck,
National Health Insurance, Out-of-pocket - each varies by funding, coverage, and
access.
• Role of the provider in Beveridge system . CORRECT ANSWER: Public
employees.
• Role of the provider in Bismarck system . CORRECT ANSWER: Private.
• Role of the provider in mixed roles system . CORRECT ANSWER: Varies.
• Types of healthcare facilities . CORRECT ANSWER: Acute, long-term,
outpatient, inpatient, rehab - each serves distinct populations with specific needs.
• Patient experience information collection . CORRECT ANSWER: Surveys
(CAHPS), feedback systems, focus groups, data analytics.
• National programs supporting healthcare quality . CORRECT ANSWER:
AHRQ, CMS, Joint Commission, NCQA - set standards and monitor outcomes.
• Quality improvement components . CORRECT ANSWER: Structure:
settings/resources. Process: care delivery. Outcome: results.
• Causes of increased healthcare costs . CORRECT ANSWER: Chronic diseases,
technology, aging population, administrative costs.