ISYE 417 Exam Guide With Advanced Answers.

Why Industrial Engineering in health care? - correct answer Preventable medical errors are the 3rd leading cause of death in the US What is the Quadruple Aim? - correct answer (1) revolutionize the patient experience (2) improve population health (3) control healthcare costs (4) enhance clinician satisfaction What are the four functional components of the health care system? - correct answer financing insurance delivery payment What are the 10 characteristics that differentiate the US healthcare system? - correct answer (1) no central agency (2) partial access (3) imperfect market (4) third-party insurers and payers (5) multiple payers (6) balance of power (7) legal risks (8) new technology creates demand for its use (9) continuum of services (10) quality is achievable What is access? - correct answer the ability to obtain health care when needed what is a global budget? - correct answer determines total healthcare expenses; used by countries with a central agency (gov't) what is utilization? - correct answer the quantity of health care consumed Access is restricted to those who: - correct answer have health insurance through employer are covered under government health care plan can afford to buy insurance out of pocket can pay at time of service privately what is universal access? - correct answer countries with national health care what is premium cost sharing? - correct answer employer doesn't pay 100% of the premium (employee shares in payment) what four factors affect access? - correct answer ability to pay availability of services payment enablement barriers what type of market is the US health care system? - correct answer quasi-market Why do practitioners engage in defensive medicine? - correct answer because of legal risks What is managed care? - correct answer integrates the 5 basic functions of health care delivery; controls cost by managing utilization What is capitation and who uses it? - correct answer payment where all health care services are included under one set fee per person; primarily HMOs what are discounts? - correct answer against providers' customary fees PPOs What is national health insurance? - correct answer government finances health care through taxes; private providers; Canada what is national health system? - correct answer government manages infrastructure for delivery; providers are government employees; GB what is socialized health insurance? - correct answer financed through government-mandated contributions; private providers Germany, Japan What is the importance of non-physician practitioners? - correct answer help relive primary care access issues (too many specialists, not enough generalists) What are the common US health care facilities? - correct answer private non-profit state, local government private for-profit federal psychiatric what is healthcare quality? - correct answer the degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge (also needs to consider costs and access) What are the quality do