HIM 410 FINAL EXAM QUESTIONS AND ANSWERS
List the primary objectives of the US healthcare system. - CORRECT ANSWER✅✅✅1. enable all
citizens to obtain needed healthcare
2. Ensure services are cost effective and meet standards of quality
Quad-function model of the US healthcare system - CORRECT ANSWER✅✅✅1. Financing
2. Insurance
3. Payment
4. Delivery
National Health Insurance - CORRECT ANSWER✅✅✅Government finances care through taxes, but
care is through private practice
EX: Canada
National Health System - CORRECT ANSWER✅✅✅Care is supported through taxes but the
government is also responsible for delivery and infrastructure
EX: UK
Socialized Health Insurance - CORRECT ANSWER✅✅✅Financed through government mandated
contributions by employers and delivered by providers
EX: Germany
Public Health: - CORRECT ANSWER✅✅✅A wide variety of activities undertaken by state and local
governments to promote optimal health for society as a whole
Private Practice - CORRECT ANSWER✅✅✅
,Organize medicine: - CORRECT ANSWER✅✅✅concerted activities of physicians, mainly to protect
their own interests, through associations such as the American Medical Association
Defensive Medicine: - CORRECT ANSWER✅✅✅excessive medical tests and procedures performed as
protection against malpractice law suits, otherwise regarded as unnecessary
Two Types of Physicians: - CORRECT ANSWER✅✅✅MD: Doctor of Medicine
DO: Doctor of Osteopathic Medicine
MD - CORRECT ANSWER✅✅✅allopathic medicine: medicine is an active intervention
specialists: non-primary care
DO - CORRECT ANSWER✅✅✅Emphasizes musculoskeletal system, correction of joints and tissues,
holistic health
generalists: primary care
Allied health professionals - CORRECT ANSWER✅✅✅-techs, assistants, therapists, technologists
-certificate or degree in science related to health field
Nurses (RN, LPN, APN) - CORRECT ANSWER✅✅✅-largest group of HCP
many different types/sub groups
, Registered Nurse (RN): - CORRECT ANSWER✅✅✅Associates or BA in nursing
Licensed Practical Nurse (LPN): - CORRECT ANSWER✅✅✅State-approved program and national
written exam
Advanced Practice Nurse (APN): - CORRECT ANSWER✅✅✅Nurses who have classifications beyond
those of an RN
ex: CNS, CRNA, NP, CNM
non-physician practitioner (NPP): - CORRECT ANSWER✅✅✅-Can provide a large portion of care
-PAs
-NPs
National Practitioner Data Bank - CORRECT ANSWER✅✅✅tracks physicians malpractice and peer
review records
What are third-party payers - CORRECT ANSWER✅✅✅Insurance companies, Managed care
organizations, Government
Prospective Payment - CORRECT ANSWER✅✅✅A bundled payment decided upon before the
services are delivered
EX: optometrist charging flat fee for eye exam, glasses, corrective lenses
Retrospective Payment: - CORRECT ANSWER✅✅✅setting rates after evaluating the individual cost
of each service
List the primary objectives of the US healthcare system. - CORRECT ANSWER✅✅✅1. enable all
citizens to obtain needed healthcare
2. Ensure services are cost effective and meet standards of quality
Quad-function model of the US healthcare system - CORRECT ANSWER✅✅✅1. Financing
2. Insurance
3. Payment
4. Delivery
National Health Insurance - CORRECT ANSWER✅✅✅Government finances care through taxes, but
care is through private practice
EX: Canada
National Health System - CORRECT ANSWER✅✅✅Care is supported through taxes but the
government is also responsible for delivery and infrastructure
EX: UK
Socialized Health Insurance - CORRECT ANSWER✅✅✅Financed through government mandated
contributions by employers and delivered by providers
EX: Germany
Public Health: - CORRECT ANSWER✅✅✅A wide variety of activities undertaken by state and local
governments to promote optimal health for society as a whole
Private Practice - CORRECT ANSWER✅✅✅
,Organize medicine: - CORRECT ANSWER✅✅✅concerted activities of physicians, mainly to protect
their own interests, through associations such as the American Medical Association
Defensive Medicine: - CORRECT ANSWER✅✅✅excessive medical tests and procedures performed as
protection against malpractice law suits, otherwise regarded as unnecessary
Two Types of Physicians: - CORRECT ANSWER✅✅✅MD: Doctor of Medicine
DO: Doctor of Osteopathic Medicine
MD - CORRECT ANSWER✅✅✅allopathic medicine: medicine is an active intervention
specialists: non-primary care
DO - CORRECT ANSWER✅✅✅Emphasizes musculoskeletal system, correction of joints and tissues,
holistic health
generalists: primary care
Allied health professionals - CORRECT ANSWER✅✅✅-techs, assistants, therapists, technologists
-certificate or degree in science related to health field
Nurses (RN, LPN, APN) - CORRECT ANSWER✅✅✅-largest group of HCP
many different types/sub groups
, Registered Nurse (RN): - CORRECT ANSWER✅✅✅Associates or BA in nursing
Licensed Practical Nurse (LPN): - CORRECT ANSWER✅✅✅State-approved program and national
written exam
Advanced Practice Nurse (APN): - CORRECT ANSWER✅✅✅Nurses who have classifications beyond
those of an RN
ex: CNS, CRNA, NP, CNM
non-physician practitioner (NPP): - CORRECT ANSWER✅✅✅-Can provide a large portion of care
-PAs
-NPs
National Practitioner Data Bank - CORRECT ANSWER✅✅✅tracks physicians malpractice and peer
review records
What are third-party payers - CORRECT ANSWER✅✅✅Insurance companies, Managed care
organizations, Government
Prospective Payment - CORRECT ANSWER✅✅✅A bundled payment decided upon before the
services are delivered
EX: optometrist charging flat fee for eye exam, glasses, corrective lenses
Retrospective Payment: - CORRECT ANSWER✅✅✅setting rates after evaluating the individual cost
of each service
