Healthcare Systems Rutgers Exam 1 Questions with 100% Correct Answers

Healthcare Systems Rutgers Exam 1 Questions with 100% Correct Answers vertically integrated - answerrefers to a system that includes several service components with each addressing one or more dimensions of a population's health care needs. (Creates a large system). horizontally integrated - answerrefers to consolidating two or more hospitals under one owner (mergers) Stakeholders who have major control in the healthcare system are... - answerGovernment and Private Health Insurers Blue Cross Hospital Insurance based off of... - answerBaylor University Hospital's School Teacher Plan Volume of medical services come from... - answerPrivate Practice Physicians Offices Ambulatory Care - answerCare that does not require an overnight stay. a personal health care consultation, treatment, or intervention using advanced medical technology or procedures delivered on an outpatient basis DRGs - answera system used to determine how much a hospital is reimbursed for on a predetermined prospective basis Urgent Care - answerprovided on a walk-in, extended hour basis for acute illness and injury that is either beyond the scope of or availability of a primary care practice or retail clinic Social Security Act - answerMost significant social initiative passed by Congress. Provides monthly retirement benefits to any working american. Includes medicare and medicaid Hospitals can no longer live in a four-walls, brick and mortar world- means - answerthey need to stop worrying about whats going on in their hospital alone, they need to worry about population health now Healthcare advances include..... - answerVaccinations, Birth control, Antibiotics, Tranquilizers Retail Clinics - answerClinics that is areas like shopping centers and food markets...mostly ran by NP or an PA....doctor available via phone Telehealth - answerDoctors give services over phone. AMA thought the Blue Cross insurance was... - answerunsound and unethical Major new trend for hospitals.... - answerMergers and consolidation People ultimately responsible for quality care is.... - answerBoard of Directors Colonial america used hospitals for... - answerthe sick and unwanted people, such as homeless and orphans The Individual mandate for ACA - answerto get coverage for most Americans Employers are major stakeholders because... - answerThey pay a large portion of insurance plans Primary Prevention - answerMeasures designed to promote health and prevent disease via vaccinations and education prevention Secondary Prevention - answerEarly detection and diagnosis of an illness via health screenings Tertiary Prevention - answerRehabilitation and maximizing remaining functions when disease/condition occurs Treatment Problems with healthcare- - answerAccess to care, inconsistent quality, high cost....Also duplication of care Iron Triangle or Triple Aim - answerReduce costs, Easy Access to care, increasing Quality care AMA against - answergovernment involvement IHI Aims - answerCost per capita, experience of care, population health Hill-burton act - answerIncreased funding for new hospitals to be built/expand HMO act - answercontrol costs, but raised access and quality issues Managed care organizations insured.... - answerthe majority of all privately insured individuals The AMA is the ________ Medical Lobby - answerLargest HIPPA major purposes... - answerInsurance for people between jobs....and.....protection of personal health information HITECH - answerPromotions of turning all medical records, electronic