8/24/23,j12:21jPM PNjFinaljStudyjGuidejFull
NursingjFinaljStudyjgradedjexamjgradedja+jsuccessjass
uared
Weekj1
StudyjQuestions:
❖ Whatjarejthejcharacteristicsjofjajprofession?
a. Educationjtakesjplacejinjajcollegejorjuniversity.
b. Educationjisjprolonged
c. Workjinvolvesjmentaljcreativity
d. Decisionjmakingjisj basedjlargelyjonj evidence-basedj practice.
e. Values,jbeliefsjandjethicsjarejanjintegraljpartjofjpreparation.
f. Commitmentjandjpersonalj identificationjarejstrong.
g. Workersjarejautonomous.
h. Peoplejarejunlikelyjtojchangejprofessions.
i. Commitmentjtranscendsj materialj reward.
j. Accountabilityjrestsjwithjthejindividual.
❖ Howjarejprofessionsjdifferentjfromjoccupations?jThejfollowingjarejcharacteristicsjofj
anjoccupationjthatjmayjbejdirectlyjcomparedjtojthejpreviousjlist.
a. Trainingjisjusuallyjonjthejjob.
b. Lengthjofjtrainingjvaries.
c. Workjisjlargelyjmanual.
d. Decisionjmakingjisjlargelyjguidedjbyjexperiencejorjtrialjbyjerror.
e. Values,jbeliefjandjethicsjarejnotjprominent.
f. Commitmentjandjpersonalj identificationj vary.
g. Workersjarejsupervised.
h. Peoplejoftenjchangejjobs.
i. Materialjrewardjisjthejmainjmotivation.
j. Accountabilityjrestsjprimarilyjwithjthejemployer.
❖ Whatjisjnursing’sj socialjcontract?
Socialjcontractsjarejthejmechanismsjbyjwhichjsocietyjlegitimizesjprofessionsjandjgrantsj t
hemjauthorityjandjautonomyjtojcarryjoutjtheirjfunctions.jThejnursingjprofessionjisj curre
ntlyjrenegotiatingjitsjcontractjwithjsocietyjinjajmannerjwhichjclearlyjreflectsjaj changejfro
mjphysicianjdominance,jandjemphasisjonj‘illnessjcare’jtojincreasedj independentjandjaut
onomousjfunctioningjwithinjajnewlyjdevelopingjframeworkjofj nursingjsciencejwhichjemp
hasizesj‘healthjcare’.
*jNurses'jrelationshipjwithjsocietyjandjnurse’sjobligationjtojthosejwhojreceivej profession
aljnursingjcare.
1
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NursingjFinaljStudyjgradedjexamjgradedja+jsuccessjass
uared
❖ WhatjisjthejrolejofjthejAmericanjNursesjAssociationjinjadvancingjthej
profession’sjobjectives?
ANAjisjthejofficialjvoicejofjnursingjandjthereforejisjthejprimaryjadvocatejforjnursingj inter
estsjinjgeneral.jANAjencouragesjandjsupportsjhighjstandardsjofjpractice.
❖ WhatjarejthejmainjrecommendationsjofjthejIOMjReportjonjthejFuturejofjNursingjinj t
ermsjofjthejeducationaljcompositionjofjthejnursejworkforce?
Removejscopejofjpracticejbarriersj-
jAdvancedjpracticejregisteredjnursesjshouldjbejablej tojpracticejtojthejfulljextentjofjtheirje
ducationjandjtraining.
Expandjopportunitiesjforjnursesjtojleadjandjdiffusejcollaborativejimprovementjefforts
-
jExpandjopportunitiesjforjnursesjtojleadjandjmanagejcollaborativejeffortsjwithj physicians
jandjotherjmembersjofjthejhealthjcarejteamjtojconductjresearchjandjtoj redesignjandjimp
rovejpracticejenvironmentsjandjhealthjsystems.
Implementjnursejresidencyjprogramsj-jCompletionjofjajtransition-to-
practicejprogramj (nursejresidencyftjafterjcompletionjofjajprejlicensurejorjadvancedjpract
icejdegreej programjorjwhenjtheyjarejtransitioningjintojnewjclinicaljpracticejareas.
IncreasejproportionjofjnursesjwithjBSNjfromj50%jtoj80%jbyj2020j-
jIncreasejthej diversityjofjstudentsjtojcreatejajworkforcejpreparedjtojmeetjthejdemandsjo
fjdiversej populationsjacrossjthejlifespan.
Doublejnumberjofjnursesjwithjdoctoratejbyj2020j-
jThisjwilljaddjtojthejcadrejofjnursej facultyjandjresearchers,jwithjattentionjtojincreasingjdi
versity.
Ensurejthatjnursesjengagejinjlifelongjlearningj-
jEnsurejthatjnursesjandjnursingj studentsjandjfacultyjcontinuejtheirjeducationjan
djengagejinjlifelongjlearningjtoj gainjthejcompetenciesjneededjtojprovidejcarejfo
rjdiversejpopulationsjacrossj the
lifespan.
Preparejandjenablejnursesjtojleadjchangejtojadvancejhealthj-
jPreparejthejnursingj workforcejtojassumejleadershipjpositionsjacrossjalljlevels.
Buildjanjinfrastructurejforjthejcollectionjandjanalysisjofjinterprofessionaljhealthjcarej
workforcejdataj-
jEffortjtojimprovejresearchjandjthejcollectionjandjanalysisjofjdatajonj healthjcarejworkfor
cejrequirements.
Weekj2
StudyjQuestions:
about:blank 2/91
,8/24/23,j12:21jPM PNjFinaljStudyjGuidejFull
NursingjFinaljStudyjgradedjexamjgradedja+jsuccessjass
uared
❖ Whatjarejthejdifferencesjbetweenjfor-profit,jnot-for-
profitjandjgovernmentj ownershipjofjhospitalsjandjotherjdeliveryjorganizatio
ns?
Not-for-
profitjagencyjisjonejthatjusesjprofitsjtojpayjpersonnel,jimprovejservices,jadvertisej services,jprovid
ejeducationaljprograms,jorjotherwisejcontributejtojthejmissionjofjthejagency.j For-
profitjagenciesjdistributejprofitsjearnedjtojpartnersjorjshareholders.jVoluntaryj(privateftj agencyjg
etsjitsjsupportjgenerallyjthroughjprivatej donations.jNon-
governmentaljorganizationj (NGOftjisjanjassociationjofjcitizensjthatjoperatesjindependentlyjofjthej
governmentjwithjthejgoalj tojdeliverjresourcesjorjservejajsocialjorjpoliticaljpurposej(example:jMSFf
t.jGovernmentalj (publicftjagenciesjcontributejtojthejhealthjandjwell-
beingjofjUSjcitizens.jPrimarilyjsupportedjbyj taxes,jadministeredjbyjelectedjorjappointedjofficials,ja
ndjtailoredjtojthejneedsjofjthejpublic.
❖ WhatjisjthejrolejofjsafetyjnetjhospitalsjinjthejUnitedj States?
Ajsafetyjnetjhospitaljorjhealthjsystemjprovidesjajsignificantjleveljofjcarejtojlow-
income,j uninsured,jandjvulnerablejpopulations.jSafetyjnetjhospitalsjarejnotjnecessarilyjdistinguis
hedj fromjotherjprovidersjbyjownershipj–
jsomejarejpubliclyjownedjandjoperatedjbyjlocaljorjstatej governmentsjandjsomejarejnon-
profit.jRather,
theyjarejdistinguishedjbyjtheirjcommitmentj
tojprovidejaccessjtojcarejforjpeoplejwithjlimitedjorjnojaccessjtojhealthjcarejduejtojtheirj financialj
circumstances,jinsurancejstatus,jorjhealthjcondition.
❖ Whatjarejthejdifferencesjinjthejcomplexityjofjcarejamongjprimary,jsecondary,j t
ertiaryjandjsub-
acutejservices?jWhatjtypesjofjservicesjwouldjyoujexpectjtoj encounterjatjeachj
ofjthesejlevelsjofjcare?
• Primaryjcarejisjrenderedjatjthejpointjatjwhichjajpatientjfirstjentersjthejhealthjcarejsystem.j P
rimaryjhealthjcarejmaintenance,jmanagementjofjlong-
termjandjchronicjconditions,j treatmentjofjtemporaryjhealthjproblemsjthatjdojnotjrequirejhos
pitalization.
• Secondaryjcarejinvolvesjthejpreventionjofjcomplicationsjfromjdisease.jAllowsjpatientsjtoj keepj
outjofjthejhospitaljwhilejmanagingjtheirjdisease.j(homejhealthjagencies,jsurgicaljcenters,j ambul
atoryjcarejagenciesft.
• Tertiaryjcarejisjprovidedjtojacutelyjilljpatients,jtojthosejrequiringjlong-
termjcare,jtojthosej needingjrehabilitationjservices,jandjtojterminallyjilljpatients.jUsually
involvesjmanyjhealthj carejprofessionalsjworkingjasjajteamjtojprovidejcare.j(traumajcenters,jbur
njcenters,jskilledj nursingjlongjtermjcareft.
• Subacutejcarej(emergedjinjthej1990sftjisjimpatientjcarejthatjliesjbetweenjhospitaljcarejandj lo
ng-
termjcare.jProvidesjlowerjcostjcarejtojacutelyjilljpatientsjuntiljstabilized.jCreatesjaj seamlessjtra
nsitionjthroughjthejhealthjcarejsystem.
❖ Howjisjhealthcarejfinancedj(paidjfor)j injthejUnitedjStates?
a. PrivatejInsurancej-jPremiumsjarejpaidjtojallowjforjhealthjcarej benefits.
b. Medicarej-
jNationwidejfederaljhealthjinsurancejprogramjavailablejtoj peoplejove
rjthejagejofj65,jregardlessjofjincome.
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uared
c. Medicaidj-jJointlyjfederal-statejfundedjprogramsjforjlow-
income,jelderly,j blindjandjdisabledjindividuals.
d. PersonaljPaymentj-jOut-of-PocketjPaymentj-j“StraightjupjBenjamins,jYo.”
❖ Whatjarejthejkeyj provisionsjofjthejAffordablejCarejActjofj2010?
a. Providingjinsurancejoptions,jcoveringj preventivejservices,jandjloweringjcost.
b. Coveragejavailablejtojchildrenjupjtojagej26.
c. Yearlyjwellnessjvisitjandjmanyjfreejpreventivejservicesjforjsomejseniorsjwith
Medicare.
d. Insurersj mustjjustifyjanyjpremiumjincreasejofj10%jorjmorejbeforejthejratej t
akesjeffect.
e. Puttingjinformationjforjconsumersjonline.
f. ProhibitingjDenyingjCoveragejofjChildrenj BasedjonjPre-ExistingjConditions.
g. ProhibitingjInsurancejCompaniesjfromjRescindingjCoveragej(companiesj
cannotjusejapplicationjerrorsjtojdenyjcoverageft.
h. EliminatingjLifetimej LimitsjonjInsurancejCoverage.
i. Providesjconsumersjajwayj tojappealjInsurancejCompanyjDecisions.
j. EstablishingjConsumerjAssistancejProgramsjinjthejStates.
k. ProvidingjSmalljBusinessjHealthjInsurancejTaxjCredits.
l. CrackingjDownjonj HealthjCarejFraud.
m. HoldingjInsurancejCompaniesjAccountablej forjUnreasonablejRatejHikes.
n. IncreasingjPaymentsjforjRuraljHealthjCarejProviders.
o. Strengtheningj Communityj Healthj Centers.
❖ Whatjisjthejrolejofjstates/statejgovernorsjinjimplementingjthejAffordablejCarejActj
ofj2010?
ThejgovernorsjneedjtojdecidejwhetherjorjnotjexpandjthejMedicaidjprogramjinjtheir
state.jStatesjthatjarejexpandingjMedicaidjwilljhavejlargerjgainsjinjinsurancejcoveragej tha
njthosejstatesjthatjdojnotjandjwilljseejveryjlargejreductionsjinjthejnumberjofj uninsured.jT
hosejstatesjthatjhavejnotjexpandedjMedicaidjwilljseejlessjimpactjonjthej uninsured.jThese
jstatesjhavejmorejuninsuredjtojbeginjwith,jthusjcurrentjdisparitiesjinj coveragejwilljincrea
se,jatjleastjinjthejearlyjyears.
❖ WhatjisjthejrolejofjthejJointjCommissionjinjthejhealthcarej sector?
Onejofjthejtwojaccreditingjnot-for-
profitjagenciesjapprovedjbyjthejCMS.jJCjservesjasjthej nation’sjpredominantjstand-
settingjandjaccreditingjbodyjonjhealthjcare.jThejgoaljofj accreditationjisjtojimprovejpatient
joutcomes.
❖ Whatjisjthejdifferencejbetweenjfee-for-servicejandjmanagedjcarejpayment?
● Underjthejfee-for-
servicejmethod,jdoctorsjandjhospitalsjgotjpaidjforjeachjservicej theyjperformed.jTh
erejwerejnojlimitsjonjtheirjtreatmentjdecisions;jdoctorsjorj hospitalsj couldj orderj a
sj manyj testsj asj theyj feltj necessary.j patientsj didj notj always
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NursingjFinaljStudyjgradedjexamjgradedja+jsuccessjass
uared
Weekj1
StudyjQuestions:
❖ Whatjarejthejcharacteristicsjofjajprofession?
a. Educationjtakesjplacejinjajcollegejorjuniversity.
b. Educationjisjprolonged
c. Workjinvolvesjmentaljcreativity
d. Decisionjmakingjisj basedjlargelyjonj evidence-basedj practice.
e. Values,jbeliefsjandjethicsjarejanjintegraljpartjofjpreparation.
f. Commitmentjandjpersonalj identificationjarejstrong.
g. Workersjarejautonomous.
h. Peoplejarejunlikelyjtojchangejprofessions.
i. Commitmentjtranscendsj materialj reward.
j. Accountabilityjrestsjwithjthejindividual.
❖ Howjarejprofessionsjdifferentjfromjoccupations?jThejfollowingjarejcharacteristicsjofj
anjoccupationjthatjmayjbejdirectlyjcomparedjtojthejpreviousjlist.
a. Trainingjisjusuallyjonjthejjob.
b. Lengthjofjtrainingjvaries.
c. Workjisjlargelyjmanual.
d. Decisionjmakingjisjlargelyjguidedjbyjexperiencejorjtrialjbyjerror.
e. Values,jbeliefjandjethicsjarejnotjprominent.
f. Commitmentjandjpersonalj identificationj vary.
g. Workersjarejsupervised.
h. Peoplejoftenjchangejjobs.
i. Materialjrewardjisjthejmainjmotivation.
j. Accountabilityjrestsjprimarilyjwithjthejemployer.
❖ Whatjisjnursing’sj socialjcontract?
Socialjcontractsjarejthejmechanismsjbyjwhichjsocietyjlegitimizesjprofessionsjandjgrantsj t
hemjauthorityjandjautonomyjtojcarryjoutjtheirjfunctions.jThejnursingjprofessionjisj curre
ntlyjrenegotiatingjitsjcontractjwithjsocietyjinjajmannerjwhichjclearlyjreflectsjaj changejfro
mjphysicianjdominance,jandjemphasisjonj‘illnessjcare’jtojincreasedj independentjandjaut
onomousjfunctioningjwithinjajnewlyjdevelopingjframeworkjofj nursingjsciencejwhichjemp
hasizesj‘healthjcare’.
*jNurses'jrelationshipjwithjsocietyjandjnurse’sjobligationjtojthosejwhojreceivej profession
aljnursingjcare.
1
about:blank 1/91
,8/24/23,j12:21jPM PNjFinaljStudyjGuidejFull
NursingjFinaljStudyjgradedjexamjgradedja+jsuccessjass
uared
❖ WhatjisjthejrolejofjthejAmericanjNursesjAssociationjinjadvancingjthej
profession’sjobjectives?
ANAjisjthejofficialjvoicejofjnursingjandjthereforejisjthejprimaryjadvocatejforjnursingj inter
estsjinjgeneral.jANAjencouragesjandjsupportsjhighjstandardsjofjpractice.
❖ WhatjarejthejmainjrecommendationsjofjthejIOMjReportjonjthejFuturejofjNursingjinj t
ermsjofjthejeducationaljcompositionjofjthejnursejworkforce?
Removejscopejofjpracticejbarriersj-
jAdvancedjpracticejregisteredjnursesjshouldjbejablej tojpracticejtojthejfulljextentjofjtheirje
ducationjandjtraining.
Expandjopportunitiesjforjnursesjtojleadjandjdiffusejcollaborativejimprovementjefforts
-
jExpandjopportunitiesjforjnursesjtojleadjandjmanagejcollaborativejeffortsjwithj physicians
jandjotherjmembersjofjthejhealthjcarejteamjtojconductjresearchjandjtoj redesignjandjimp
rovejpracticejenvironmentsjandjhealthjsystems.
Implementjnursejresidencyjprogramsj-jCompletionjofjajtransition-to-
practicejprogramj (nursejresidencyftjafterjcompletionjofjajprejlicensurejorjadvancedjpract
icejdegreej programjorjwhenjtheyjarejtransitioningjintojnewjclinicaljpracticejareas.
IncreasejproportionjofjnursesjwithjBSNjfromj50%jtoj80%jbyj2020j-
jIncreasejthej diversityjofjstudentsjtojcreatejajworkforcejpreparedjtojmeetjthejdemandsjo
fjdiversej populationsjacrossjthejlifespan.
Doublejnumberjofjnursesjwithjdoctoratejbyj2020j-
jThisjwilljaddjtojthejcadrejofjnursej facultyjandjresearchers,jwithjattentionjtojincreasingjdi
versity.
Ensurejthatjnursesjengagejinjlifelongjlearningj-
jEnsurejthatjnursesjandjnursingj studentsjandjfacultyjcontinuejtheirjeducationjan
djengagejinjlifelongjlearningjtoj gainjthejcompetenciesjneededjtojprovidejcarejfo
rjdiversejpopulationsjacrossj the
lifespan.
Preparejandjenablejnursesjtojleadjchangejtojadvancejhealthj-
jPreparejthejnursingj workforcejtojassumejleadershipjpositionsjacrossjalljlevels.
Buildjanjinfrastructurejforjthejcollectionjandjanalysisjofjinterprofessionaljhealthjcarej
workforcejdataj-
jEffortjtojimprovejresearchjandjthejcollectionjandjanalysisjofjdatajonj healthjcarejworkfor
cejrequirements.
Weekj2
StudyjQuestions:
about:blank 2/91
,8/24/23,j12:21jPM PNjFinaljStudyjGuidejFull
NursingjFinaljStudyjgradedjexamjgradedja+jsuccessjass
uared
❖ Whatjarejthejdifferencesjbetweenjfor-profit,jnot-for-
profitjandjgovernmentj ownershipjofjhospitalsjandjotherjdeliveryjorganizatio
ns?
Not-for-
profitjagencyjisjonejthatjusesjprofitsjtojpayjpersonnel,jimprovejservices,jadvertisej services,jprovid
ejeducationaljprograms,jorjotherwisejcontributejtojthejmissionjofjthejagency.j For-
profitjagenciesjdistributejprofitsjearnedjtojpartnersjorjshareholders.jVoluntaryj(privateftj agencyjg
etsjitsjsupportjgenerallyjthroughjprivatej donations.jNon-
governmentaljorganizationj (NGOftjisjanjassociationjofjcitizensjthatjoperatesjindependentlyjofjthej
governmentjwithjthejgoalj tojdeliverjresourcesjorjservejajsocialjorjpoliticaljpurposej(example:jMSFf
t.jGovernmentalj (publicftjagenciesjcontributejtojthejhealthjandjwell-
beingjofjUSjcitizens.jPrimarilyjsupportedjbyj taxes,jadministeredjbyjelectedjorjappointedjofficials,ja
ndjtailoredjtojthejneedsjofjthejpublic.
❖ WhatjisjthejrolejofjsafetyjnetjhospitalsjinjthejUnitedj States?
Ajsafetyjnetjhospitaljorjhealthjsystemjprovidesjajsignificantjleveljofjcarejtojlow-
income,j uninsured,jandjvulnerablejpopulations.jSafetyjnetjhospitalsjarejnotjnecessarilyjdistinguis
hedj fromjotherjprovidersjbyjownershipj–
jsomejarejpubliclyjownedjandjoperatedjbyjlocaljorjstatej governmentsjandjsomejarejnon-
profit.jRather,
theyjarejdistinguishedjbyjtheirjcommitmentj
tojprovidejaccessjtojcarejforjpeoplejwithjlimitedjorjnojaccessjtojhealthjcarejduejtojtheirj financialj
circumstances,jinsurancejstatus,jorjhealthjcondition.
❖ Whatjarejthejdifferencesjinjthejcomplexityjofjcarejamongjprimary,jsecondary,j t
ertiaryjandjsub-
acutejservices?jWhatjtypesjofjservicesjwouldjyoujexpectjtoj encounterjatjeachj
ofjthesejlevelsjofjcare?
• Primaryjcarejisjrenderedjatjthejpointjatjwhichjajpatientjfirstjentersjthejhealthjcarejsystem.j P
rimaryjhealthjcarejmaintenance,jmanagementjofjlong-
termjandjchronicjconditions,j treatmentjofjtemporaryjhealthjproblemsjthatjdojnotjrequirejhos
pitalization.
• Secondaryjcarejinvolvesjthejpreventionjofjcomplicationsjfromjdisease.jAllowsjpatientsjtoj keepj
outjofjthejhospitaljwhilejmanagingjtheirjdisease.j(homejhealthjagencies,jsurgicaljcenters,j ambul
atoryjcarejagenciesft.
• Tertiaryjcarejisjprovidedjtojacutelyjilljpatients,jtojthosejrequiringjlong-
termjcare,jtojthosej needingjrehabilitationjservices,jandjtojterminallyjilljpatients.jUsually
involvesjmanyjhealthj carejprofessionalsjworkingjasjajteamjtojprovidejcare.j(traumajcenters,jbur
njcenters,jskilledj nursingjlongjtermjcareft.
• Subacutejcarej(emergedjinjthej1990sftjisjimpatientjcarejthatjliesjbetweenjhospitaljcarejandj lo
ng-
termjcare.jProvidesjlowerjcostjcarejtojacutelyjilljpatientsjuntiljstabilized.jCreatesjaj seamlessjtra
nsitionjthroughjthejhealthjcarejsystem.
❖ Howjisjhealthcarejfinancedj(paidjfor)j injthejUnitedjStates?
a. PrivatejInsurancej-jPremiumsjarejpaidjtojallowjforjhealthjcarej benefits.
b. Medicarej-
jNationwidejfederaljhealthjinsurancejprogramjavailablejtoj peoplejove
rjthejagejofj65,jregardlessjofjincome.
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NursingjFinaljStudyjgradedjexamjgradedja+jsuccessjass
uared
c. Medicaidj-jJointlyjfederal-statejfundedjprogramsjforjlow-
income,jelderly,j blindjandjdisabledjindividuals.
d. PersonaljPaymentj-jOut-of-PocketjPaymentj-j“StraightjupjBenjamins,jYo.”
❖ Whatjarejthejkeyj provisionsjofjthejAffordablejCarejActjofj2010?
a. Providingjinsurancejoptions,jcoveringj preventivejservices,jandjloweringjcost.
b. Coveragejavailablejtojchildrenjupjtojagej26.
c. Yearlyjwellnessjvisitjandjmanyjfreejpreventivejservicesjforjsomejseniorsjwith
Medicare.
d. Insurersj mustjjustifyjanyjpremiumjincreasejofj10%jorjmorejbeforejthejratej t
akesjeffect.
e. Puttingjinformationjforjconsumersjonline.
f. ProhibitingjDenyingjCoveragejofjChildrenj BasedjonjPre-ExistingjConditions.
g. ProhibitingjInsurancejCompaniesjfromjRescindingjCoveragej(companiesj
cannotjusejapplicationjerrorsjtojdenyjcoverageft.
h. EliminatingjLifetimej LimitsjonjInsurancejCoverage.
i. Providesjconsumersjajwayj tojappealjInsurancejCompanyjDecisions.
j. EstablishingjConsumerjAssistancejProgramsjinjthejStates.
k. ProvidingjSmalljBusinessjHealthjInsurancejTaxjCredits.
l. CrackingjDownjonj HealthjCarejFraud.
m. HoldingjInsurancejCompaniesjAccountablej forjUnreasonablejRatejHikes.
n. IncreasingjPaymentsjforjRuraljHealthjCarejProviders.
o. Strengtheningj Communityj Healthj Centers.
❖ Whatjisjthejrolejofjstates/statejgovernorsjinjimplementingjthejAffordablejCarejActj
ofj2010?
ThejgovernorsjneedjtojdecidejwhetherjorjnotjexpandjthejMedicaidjprogramjinjtheir
state.jStatesjthatjarejexpandingjMedicaidjwilljhavejlargerjgainsjinjinsurancejcoveragej tha
njthosejstatesjthatjdojnotjandjwilljseejveryjlargejreductionsjinjthejnumberjofj uninsured.jT
hosejstatesjthatjhavejnotjexpandedjMedicaidjwilljseejlessjimpactjonjthej uninsured.jThese
jstatesjhavejmorejuninsuredjtojbeginjwith,jthusjcurrentjdisparitiesjinj coveragejwilljincrea
se,jatjleastjinjthejearlyjyears.
❖ WhatjisjthejrolejofjthejJointjCommissionjinjthejhealthcarej sector?
Onejofjthejtwojaccreditingjnot-for-
profitjagenciesjapprovedjbyjthejCMS.jJCjservesjasjthej nation’sjpredominantjstand-
settingjandjaccreditingjbodyjonjhealthjcare.jThejgoaljofj accreditationjisjtojimprovejpatient
joutcomes.
❖ Whatjisjthejdifferencejbetweenjfee-for-servicejandjmanagedjcarejpayment?
● Underjthejfee-for-
servicejmethod,jdoctorsjandjhospitalsjgotjpaidjforjeachjservicej theyjperformed.jTh
erejwerejnojlimitsjonjtheirjtreatmentjdecisions;jdoctorsjorj hospitalsj couldj orderj a
sj manyj testsj asj theyj feltj necessary.j patientsj didj notj always
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