Health Ecosystem D391 WGU Verified Answers

Health Ecosystem D391 WGU Verified Answers Healthcare Ecosystem 1. What is the whole structure that supports healthcare provision? Answer: The healthcare ecosystem. 2. What is an organization of individuals, institutions, and resources that deliver services to clients? Answer: A healthcare system. Stakeholders 3. What is a group of people with a common interest, especially in business? Answer: Stakeholders. 4. Who are the stakeholders in the healthcare ecosystem? Answer: Patients, providers, professional administrators, policymakers, and payers. Patients and Providers 5. Who is the most common consumer in the healthcare ecosystem? Answer: Patients. 6. What is an example of an advanced practice professional? Answer: A nurse practitioner. 7. What health services include emergency, preventative, rehabilitative, long-term, hospital, diagnostic, primary, palliative, and home care. Answer: Health services include a range of care options. Cultural Competence 8. Why is cultural competence important in health services? Answer: Because it ensures that clients' values and preferences are respected. Quadruple Aim 9. Which of the following is a component of the Quadruple Aim of healthcare? Answer: To improve the overall health of a given population. Providers 10. What are the providers in the healthcare ecosystem? Answer: A person or institution that performs a service, such as doctors, mid-level providers, nurses, occupational therapists, physical therapists, and mental health providers. Health Services 11. What does health services include? Answer: Emergency, preventative, rehabilitative, long-term, hospital, diagnostic, primary, palliative, and home care. Payers 12. Who monitors payers organizations and accredits health insurance companies? Answer: National Committee for Quality Assurance (NCQA). 13. Who helps improve and monitor providers' quality of care? Answer: Joint Commission on Accreditation of Healthcare Organizations (JCAHO). Government Organizations 14. Which government organization protects consumers from harm and ensures that states and national health regulations are enforced? Answer: U.S. Department of Health and Human Services. 15. Who increased the number of beds, improved the distribution of those beds, and improved the quality of hospital facilities? Answer: The Hill Burton-Act (The Hospital Survey and Construction Act of 1946. 16. What law ensures the privacy of people's protected information (PHI)? Answer: The Health Insurance Portability and Accountability Act of 1996. Funding Models 17. What are the five main funding models? Answer: Self-funded, Bismark, Beveridge, National Health Insurance, and Bis-Bev. Quality Improvement 18. What act sought to promote a culture of safety and encouraged the development of quality improvement strategies? Answer: Patient Safety and Quality Improvement Act of 2005 (PSQIA). 19. What act aimed to move the US system to universal coverage and expanded Medicaid and CHIP? Answer: Affordable Care Act of 2010 (ACA). Introduced health insurance exchanges to help consumers compare and purchase insurance plans. Supported healthcare deliver and payment. The Hospital Readmissions Reduction Program (HRRP) ️Financially penalizes hospitals that have higher-than-expected 30-day readmission rates Moral Hazards ️When an individual incurs no consequence for a decision allowing for extravagant choices such as using more medical services than necessary In 1973, to address the rising cost of health insurance, the Nixon Administration promoted a new model called ️Health maintenance organizations (HMOs) The abolishment of the Fee-For-Service came with the ️Affordable Care Act of 2010 (ACA) Adverse Selection ️is where a consumer does not purchase health insurance until they need coverage. Value-Based-Care ️Provider of service awards for quality patient care Wellness and prevention ️Reduce cost and improve patient outcomes Which is a single-payer model? The National Health Insurance Model The Bismarck Model The equity model Market-driven healthcare ️The National Health Insurance Model Which of the following models is a social health insurance model? The Bismarck Model The equity model The National Health Insurance Model Market-driven healthcare ️The Bismark Model What is one of the five main funding models of the U.S. healthcare system?