HCA 285 Exam #1/ HCA 285 W07: Exam 1 2 SETS
COMPILED NEWEST RATED A+
What is the current state of the healthcare industry? - Ans We grade it by four different criteria,
health, quality, cost, and access
What is the health of the U.S. like? - Ans 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 ge%ng be&er, but s'll falling behind
other countries.
What is the quality of the healthcare system like? - Ans We have the highest rate of deaths
preventable by healthcare and higher rates of errors made by medical professionals. While we
have go&en be&er we s'll have higher preventable hospital admissions than other countries.
What is the cost of healthcare system like? - Ans 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 ge%ng be&er though.
What is access to the healthcare industry like? - Ans People delay going to the doctor when
needed because of the high cost. 91% of the U.S. popula'on si now insured while other
countries have universal healthcare.
What are the four parts of the healthcare industry diagram? - Ans 1) government oversees all
aspects of healthcare
2) pa'ents (controlled by payers) (when answering ques'ons about this make sure to list the
pa'ents because it is pa'ents categorized by the payers.)
,3) health-care providers
4) peripheral en''es
2nd part of the healthcare industry diagram: pa'ents (controlled by payers) - Ans 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 ques'ons about this make sure to list the pa'ents because it is
pa'ents categorized by the payers.)
1st part of the healthcare industry diagram: Government oversees all aspects of healthcare. -
Ans 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 - Ans There is Acute care,
post acute care, outpa'ent care, long-term care, and home health
4th part of the healthcare industry diagram: Peripheral en''es - Ans Insurance industry, 3rd
party organiza'ons and suppliers and manufacturers.
What does public health administra'on on the state level? - Ans They promote and protect the
health and safety of all Idahoans. They take care of
Medicaid
Food Stamps
Child Protec'on
,Disease Protec'on. The specific department is the Idaho department of Health and Welfare.
Public Health - Ans 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 na'onally and helping to coordinate
with individual states about their respec've 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 administra'on, and centers for disease control. Both types of health deal
with these parts of the department a lot of the 'me.
Private Health - Ans This is my major. There are six types of healthcare provider organiza'ons
in this sector:
Acute-care hospitals (MAKE SURE TO LIST IT AS HOSPITALS ON TEST)
Ambulatory surgery centers
Physician clinics or medical group prac'ces and Urgent Care clinics.
Inpa'ent and/or outpa'ent rehabilita'on Facili'es
Long-term Care facili'es
Hospice and Pallia've Care Organiza'on.
There are two different segments of the Private sector of healthcare, what are they and what
do they deal with? - Ans 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 pa'ents' homes, assisted living facili'es, nursing homes,
skilled nursing facili'es. Their purpose is to help with basic and instrumental ADLs.
What are the main governmental organiza'ons that comprise the Public Healthcare sector? -
Ans 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 na'onally and helping to coordinate with individual states
and their respec've Medicaid programs.
What does it mean to be part of a mul'-hospital system? - Ans Two or more hospitals owned,
leased, sponsored, or contract managed by a central organiza'on.
Explain the mul'-hospital system diagram. - Ans Primary care clinic refer pa'ents to secondary
care hospitals, secondary care hospitals refer to ter'ary care hospitals. This all happens if they
can not perform the services needed at their facili'es.
What is a integrated healthcare network? - Ans a group of hospitals, physicians, other
providers, insurers, and/or community agencies that work together to coordinate and deliver
services.
what does acuity mean? - Ans seriousness of illness or injury
acute care - Ans trea'ng people who wish to return to as much as possible a normal daily
func'on. Organiza'ons: hospitals, ambulatory surgery centers, urgent care clinics and/or retail
health clinics. Medicare pays for one hundred days of this type of care and post this type of care
rehabilita'on for each incident if required.
Long-term care - Ans caring for people who need assistance with ac'vi'es of daily living and
help to manage or treat chronic condi'ons. Organiza'ons: the pa'ent's home, assisted living
centers, nursing homes, and skilled nursing facili'es. Medicare does not reimburse for this type
of care.
What are the levels of care in Acute Care? - Ans Primary Care
Secondary Care
Ter'ary Care
Quaternary Care
COMPILED NEWEST RATED A+
What is the current state of the healthcare industry? - Ans We grade it by four different criteria,
health, quality, cost, and access
What is the health of the U.S. like? - Ans 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 ge%ng be&er, but s'll falling behind
other countries.
What is the quality of the healthcare system like? - Ans We have the highest rate of deaths
preventable by healthcare and higher rates of errors made by medical professionals. While we
have go&en be&er we s'll have higher preventable hospital admissions than other countries.
What is the cost of healthcare system like? - Ans 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 ge%ng be&er though.
What is access to the healthcare industry like? - Ans People delay going to the doctor when
needed because of the high cost. 91% of the U.S. popula'on si now insured while other
countries have universal healthcare.
What are the four parts of the healthcare industry diagram? - Ans 1) government oversees all
aspects of healthcare
2) pa'ents (controlled by payers) (when answering ques'ons about this make sure to list the
pa'ents because it is pa'ents categorized by the payers.)
,3) health-care providers
4) peripheral en''es
2nd part of the healthcare industry diagram: pa'ents (controlled by payers) - Ans 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 ques'ons about this make sure to list the pa'ents because it is
pa'ents categorized by the payers.)
1st part of the healthcare industry diagram: Government oversees all aspects of healthcare. -
Ans 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 - Ans There is Acute care,
post acute care, outpa'ent care, long-term care, and home health
4th part of the healthcare industry diagram: Peripheral en''es - Ans Insurance industry, 3rd
party organiza'ons and suppliers and manufacturers.
What does public health administra'on on the state level? - Ans They promote and protect the
health and safety of all Idahoans. They take care of
Medicaid
Food Stamps
Child Protec'on
,Disease Protec'on. The specific department is the Idaho department of Health and Welfare.
Public Health - Ans 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 na'onally and helping to coordinate
with individual states about their respec've 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 administra'on, and centers for disease control. Both types of health deal
with these parts of the department a lot of the 'me.
Private Health - Ans This is my major. There are six types of healthcare provider organiza'ons
in this sector:
Acute-care hospitals (MAKE SURE TO LIST IT AS HOSPITALS ON TEST)
Ambulatory surgery centers
Physician clinics or medical group prac'ces and Urgent Care clinics.
Inpa'ent and/or outpa'ent rehabilita'on Facili'es
Long-term Care facili'es
Hospice and Pallia've Care Organiza'on.
There are two different segments of the Private sector of healthcare, what are they and what
do they deal with? - Ans 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 pa'ents' homes, assisted living facili'es, nursing homes,
skilled nursing facili'es. Their purpose is to help with basic and instrumental ADLs.
What are the main governmental organiza'ons that comprise the Public Healthcare sector? -
Ans 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 na'onally and helping to coordinate with individual states
and their respec've Medicaid programs.
What does it mean to be part of a mul'-hospital system? - Ans Two or more hospitals owned,
leased, sponsored, or contract managed by a central organiza'on.
Explain the mul'-hospital system diagram. - Ans Primary care clinic refer pa'ents to secondary
care hospitals, secondary care hospitals refer to ter'ary care hospitals. This all happens if they
can not perform the services needed at their facili'es.
What is a integrated healthcare network? - Ans a group of hospitals, physicians, other
providers, insurers, and/or community agencies that work together to coordinate and deliver
services.
what does acuity mean? - Ans seriousness of illness or injury
acute care - Ans trea'ng people who wish to return to as much as possible a normal daily
func'on. Organiza'ons: hospitals, ambulatory surgery centers, urgent care clinics and/or retail
health clinics. Medicare pays for one hundred days of this type of care and post this type of care
rehabilita'on for each incident if required.
Long-term care - Ans caring for people who need assistance with ac'vi'es of daily living and
help to manage or treat chronic condi'ons. Organiza'ons: the pa'ent's home, assisted living
centers, nursing homes, and skilled nursing facili'es. Medicare does not reimburse for this type
of care.
What are the levels of care in Acute Care? - Ans Primary Care
Secondary Care
Ter'ary Care
Quaternary Care
