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HCA 285 Exam #1; Questions with Complete Solutions

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HCA 285 Exam #1; Questions with Complete Solutions What is the current state of the healthcare industry? Answer-We grade it by four different criteria, health, quality, cost, and access What is the health of the U.S. like? Answer-we have shorter life expectancies, higher rates of disease burden, and higher mortality rates than other high income countries. There is disparity of life expectancy across racial, ethnic groups, health statues, income levels, genders and age, but that may not be the healthcare system's fault. We are getting better, but still falling behind other countries

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HCA 285 Exam #1; Questions with Complete Solutions
What is the current state of the healthcare industry? Answer-We grade it by four
different criteria, health, quality, cost, and access




What is the health of the U.S. like? Answer-we have shorter life expectancies, higher
rates of disease burden, and higher mortality rates than other high income countries. There is
disparity of life expectancy across racial, ethnic groups, health statues, income levels, genders
and age, but that may not be the healthcare system's fault. We are getting better, but still falling
behind other countries.




What is the quality of the healthcare system like? Answer-We have the highest rate of
deaths preventable by healthcare and higher rates of errors made by medical professionals.
While we have gotten better we still have higher preventable hospital admissions than other
countries.




What is the cost of healthcare system like? Answer-We have a higher cost of healthcare
than other countries, but don't get the same quality or amount. Other countries spend
approximately 11 cents per dollar on healthcare, while we spend approximately 17 cents on
healthcare per dollar. We have fewer doctor visits and hospital stays because we spend more
money on other things like certain procedures and drugs. We are getting better though.




What is access to the healthcare industry like? Answer-People delay going to the doctor
when needed because of the high cost. 91% of the U.S. population si now insured while other
countries have universal healthcare.

, HCA 285 Exam #1; Questions with Complete Solutions
What are the four parts of the healthcare industry diagram? Answer-1) government
oversees all aspects of healthcare

2) patients (controlled by payers) (when answering questions about this make sure to list the
patients because it is patients categorized by the payers.)

3) health-care providers

4) peripheral entities




2nd part of the healthcare industry diagram: patients (controlled by payers) Answer-This
is in order of how good their payment method is from best to worst:

Employer insured

individual market insured

CMS medicare

CMS/State medicaid

uninsured (when answering questions about this make sure to list the patients because it is
patients categorized by the payers.)




1st part of the healthcare industry diagram: Government oversees all aspects of healthcare.
Answer-There is the US department of health and human services, and there are the
individual state departments of health. The secretary of Health and Human Services reports to
the president. They oversee all of healthcare.




3rd part of the healthcare industry diagram: Healthcare providers Answer-There is Acute
care, post acute care, outpatient care, long-term care, and home health

, HCA 285 Exam #1; Questions with Complete Solutions

4th part of the healthcare industry diagram: Peripheral entities Answer-Insurance
industry, 3rd party organizations and suppliers and manufacturers.




What does public health administration on the state level? Answer-They promote and
protect the health and safety of all Idahoans. They take care of

Medicaid

Food Stamps

Child Protection

Disease Protection. The specific department is the Idaho department of Health and Welfare.




Public Health Answer-It is focused on the provision of healthcare services by the
'government'-federal, state, county and municipal. The U.S. The Department of Health and
Human Services is a part of it. Within that is the division known as the Center for Medicare and
Medicaid Services. They are in charge of administering the medicare program nationally and
helping to coordinate with individual states about their respective Medicaid programs.The
pinnacle of this type of health is the secretary of health and human-services. They have access
to the president. They are appointed by the president. Centers for medicare and medicaid
services, office of inspector general, food and drug administration, and centers for disease
control. Both types of health deal with these parts of the department a lot of the time.




Private Health Answer-This is my major. There are six types of healthcare provider
organizations in this sector:

Acute-care hospitals (MAKE SURE TO LIST IT AS HOSPITALS ON TEST)

, HCA 285 Exam #1; Questions with Complete Solutions
Ambulatory surgery centers

Physician clinics or medical group practices and Urgent Care clinics.

Inpatient and/or outpatient rehabilitation Facilities

Long-term Care facilities

Hospice and Palliative Care Organization.




There are two different segments of the Private sector of healthcare, what are they and what do
they deal with? Answer-Acute Care Segment and Long-term Care Segment: The Acute
Care segment is hospitals, ASCs, Clinics, and Medical groups. Their purpose is to diagnose, treat
and CURE. The Long-term Care segment is patients' homes, assisted living facilities, nursing
homes, skilled nursing facilities. Their purpose is to help with basic and instrumental ADLs.




What are the main governmental organizations that comprise the Public Healthcare sector?
Answer-A part of this is The Department of Health and Human Services is a part of it.
Within that is the division known as the Center of Medicare and Medicaid Services. They are in
charge of administering the medicare program nationally and helping to coordinate with
individual states and their respective Medicaid programs.




What does it mean to be part of a multi-hospital system? Answer-Two or more hospitals
owned, leased, sponsored, or contract managed by a central organization.




Explain the multi-hospital system diagram. Answer-Primary care clinic refer patients to
secondary care hospitals, secondary care hospitals refer to tertiary care hospitals. This all
happens if they can not perform the services needed at their facilities.
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