HSA Mid Term 106 Questions with Verified Answers,100% CORRECT

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HSA Mid Term 106 Questions with Verified Answers false - CORRECT ANSWER The U.S. Healthcare System is NOT fragmented and DOES NOT undergo periodic changes. *ITS FRAGMENTED AND UNDERGOES PERIOD ... IC CHANGES* TRUE - CORRECT ANSWER When technology advances, more people are denied of its benefits due to costs is considered Tyranny of Technology 1960s - CORRECT ANSWER In what decade did the U.S. government begin analyzing the information obtained from Medicare and Medicaid claims, and computerized hospital and insurance data allowed the retrieval and exploration of clinical information files? Affordable Care Act - CORRECT ANSWER What is ACA an abbreviation for? 88.5 Million - CORRECT ANSWER By 2050 how many individuals will be over the age of 65? Increasing Access Improving Quality Reducing Costs - CORRECT ANSWER The ACA experiments with new models that test strategies for: Rural Health Network - CORRECT ANSWER is designed to address challenges of providing a continuum of care with scarce resources, networks join rural health care providers in formal, not-for-profit corporations or through informal linkages to achieve a defined set of mutually beneficial purposes. Networks may advocate at local and state levels on rural health care issues, cooperate in joint community outreach activities, and seek opportunities to negotiate with insurers to cover services for their communities' populations. sunshine - CORRECT ANSWER provisions require reports of all financial transactions and transfers of value between pharmaceutical/biologic products or medical devices and physicians, hospitals, and other covered recipients reimbursed by the federal government with up to $1 Million per year in company fines for non-compliance. no - CORRECT ANSWER According to the textbook, does the American public have an adequate understanding of the U.S. Healthcare System? 8th - CORRECT ANSWER Among 7 other developed nations, the U.S. Health status ranks _________ on important health status indicators: Life expectancy at birth Infant mortality rate Probability of dying between ages 15 and 60 primary prevention - CORRECT ANSWER is a measured design to promote health and prevent disease or other adverse health occurrences, e.g., health education to encourage good nutrition, exercise, and genetic counseling, and specific protections, e.g. immunization and the use of seat belts. Introduction of new technology - CORRECT ANSWER Which of the following IS NOT an emerging or continuing issue and challenge for healthcare? Aging Population Quality of Care Access to health care - CORRECT ANSWER Which of the following IS an emerging or continuing issue and challenge for healthcare? secondary primary - CORRECT ANSWER is the early detection and prompt treatment of a disease or condition to achieve an early cure, if possible, or to slow progression, prevent complications, and limit disability. Most preventive health care is currently focused on this level. $2.7 Trillion in costs - CORRECT ANSWER According to the course textbook, how much money was spent on healthcare in the United States? TRUE - CORRECT ANSWER The U.S. Healthcare System is unique and unlike any other in the world. 32 million - CORRECT ANSWER How many people is the Affordable Care Act "ACA" supposed to cover by 2019? tertiary prevention - CORRECT ANSWER is rehabilitation and maximizing remaining functional capacity when a disease or condition has occurred and left residual damage. 1st Party: patient 2nd Party: providers 3rd Party: payer/insurer - CORRECT ANSWER Third Party Insurer and payer match the correct party. 1974 - CORRECT ANSWER Health systems agencies are organizations that were established by the National Health Planning and Resources Development Act of what year? TRUE - CORRECT ANSWER Medicare was formed in the Title XVIII amendment to the Social Security Act of 1935. Richard Nixon - CORRECT ANSWER The HMO Act of 1973 was enacted by which U.S. President? TRUE - CORRECT ANSWER Block Grants are a mechanism to shift the federal government's direct support and administration of health care programs to state and local governments. TRUE - CORRECT ANSWER Medicaid was formed in the Title XIX amendment to the Social Security Act of 1935. Social Security Act of 1935 - CORRECT ANSWER Is considered one the most significant social initiative ever passed by any Congress. FALSE - CORRECT ANSWER The Oregon Death with Dignity Act of 1994 allows someone with a curable and reversible disease take his or her life. *an incurable and irreversible disease that will, within reasonable medical judgment, produce death within 6 months* FALSE - CORRECT ANSWER Medicaid is an "entitlement" program funded by payroll taxes. *its NOT an entitlement program funded by payroll taxes* Oregon Physician-Assisted Suicide Act - CORRECT ANSWER The Oregon Death with Dignity Act of 1994 is also known as the ___________________? The Health Insurance Portability and Accountability Act of 1996 - CORRECT ANSWER What does HIPAA stands for? 65 - CORRECT ANSWER Medicare guarantees a minimum level of health insurance benefits to all Americans beginning at what age? 2016 - CORRECT ANSWER What year were the following key provisions of the Affordable Care Act enacted? Increasing competition and choices Creating Health Care Choice Compacts that allow selling health insurance across state lines to increase competition among plans 2014 - CORRECT ANSWER What year were the following key provisions of the Affordable Care Act enacted? No more discrimination due to preexisting conditions or gender Health Insurance Marketplace (Healthcare.gov) Medicaid expansion takes place Eliminating Annual Limits on Insurance Coverage Improving Quality and Lowering Costs 2010 - CORRECT ANSWER What year were the following key provisions of the Affordable Care Act enacted? No more denying children care because of preexisting conditions No more rescinding coverage by insurance companies Free preventative care (mammograms/colonoscopies) Adults can stay on parents' plan until 26 years old 2012 - CORRECT ANSWER What year were the following key provisions of the Affordable Care Act enacted? Linking provider payment to quality: Value-based, not volume-based Encourage Integrated Health Systems ("Accountable Care Organizations") to better coordinate patient care and improve quality Reducing paperwork and administrative costs Understanding and reducing health disparities 2015 - CORRECT ANSWER What year were the following key provisions of the Affordable Care Act enacted? Paying physicians based on value not volume Physicians that provide higher value care will receive high payments than those who provide lower quality care. Increasing Federal match for CHIP Florida - CORRECT ANSWER What U.S. State filed a federal district court lawsuit challenging the constitutionality of the Affordable Care Act's requirement for individual coverage and its expansion of the Medicaid program? 2013 - CORRECT ANSWER What year were the following key provisions of the Affordable Care Act enacted? Increasing Medicaid payments for PCP's; states must pay no less than 100% of Medicare payment rates Improving Preventative Health Coverage Expanding Authority to Bundle Payments 2018 - CORRECT ANSWER What year were the following key provisions of the Affordable Care Act enacted? Improving quality and lowering costs Imposing an excise tax on high-cost insurance plans 2011 - CORRECT ANSWER What year were the following key provisions of the Affordable Care Act enacted? 85% of premium dollars MUST be spent on health care; if not, refund subscribers the difference Offering prescription drug discounts Improving care for seniors after hospitalization Increasing access to affordable care Holding insurance companies accountable 1989 - CORRECT ANSWER In what year was the American Healthcare Research & Quality Agency formed? 5.6 million - CORRECT ANSWER How many new jobs will be created in healthcare in the next decade? 200 - CORRECT ANSWER There are over _____ occupations and professions in the HealthCare Industry. American Board of Medical Specialties - CORRECT ANSWER What does ABMS stand for? false - CORRECT ANSWER Physician Compare Is NOT mandated by the ACA and provides basic contact, practice characteristics, and clinical quality data on Medicare participating physicians and other health care professionals. *Physician Compare IS mandated by the ACA..* 86 - CORRECT ANSWER What percentage of physicians utilize the Internet to gather health, medical, or prescription drug information? TRUE - CORRECT ANSWER The FLEXNER Report reduced the number of medical schools in the US & Canada from 155 to 85 . 1847 - CORRECT ANSWER The AMA was founded in? Accreditation Council for Graduate Medical Education - CORRECT ANSWER What does ACGME stand for? TRUE - CORRECT ANSWER The FLEXNER Report considered John Hopkins as a "model for medical education". Hospitals: 34% Nursing Care Facilities: 23% Practice Settings (Physician offices, specialty office, etc....): 17% - CORRECT ANSWER Match the categories on the left with the correct corresponding percentage of the healthcare workforce on the right 11.4 - CORRECT ANSWER ____% of the U.S. Workforce is made up of healthcare employees? TRUE - CORRECT ANSWER There are 137 accredited medical schools that award MDs and there are 26 accredited colleges of osteopathy that award DOs TRUE - CORRECT ANSWER The first medical school in America was established in 1756 at the College of Philadelphia (University of Pennsylvania) 834 thousand - CORRECT ANSWER As of November 2012 how many physicians were there in the United States of America? true - CORRECT ANSWER Physician Assistants (PA) are required to provide healthcare under the supervision of a physician. false - CORRECT ANSWER Ostepathic Medicine is a philosophy of medical education with a particular focus on the lymphatic system. *focuses on musculoskeletal system* International Medical Graduates - CORRECT ANSWER What does IMGs stand for? State Licensure: most restrictive; restricts entry to practice and prevents abuse of tittles; standards set by licensing boards State or National Certification: recognizes education achievements and performances abilities; less restrictive than licensing; denotes specialized training State or National Registration: most are voluntary and have little to do with competence; listings of persons offering services or programs - CORRECT ANSWER Match the licensure on the left with it's correct definition on the right: false - CORRECT ANSWER Health information administrators are responsible for the day-to-day operations of the hospital cafeteria. *responsible for the activities of the medical records departments of hospitals, skilled nursing facilities, managed care organizations, rehabilitation centers, ambulatory care facilities, and other licemsed health care entities* 2648 - CORRECT ANSWER According to the book the ONC Website reports that there are a total of ______ certified ambulatory EHR products. false - CORRECT ANSWER The adoption of HIT systems in the clinical setting has been implemented faster than any other industry in the United States. *it has been slow compared to the adoption of IT in other industries such as the airline industry's reservation sytem* Computerized Decision Support System - CORRECT ANSWER What does CDSS stand for? 1990s - CORRECT ANSWER Commercially produced EHRs began to be marketed and sold to healthcare system in high volume in what decade? true - CORRECT ANSWER The three essential components of a successful HIT Implementation are Technology, Policy & Procedure, and Culture 34% - CORRECT ANSWER In 2011 what percentage of primary care physicians have adopted "Basic" EHRs. false - CORRECT ANSWER Monolithic models are the most widely used design for HIE's since they allow contributing organizations to maintain control over data for which they are responsible for under HIPPA. *Its the FEDERATED MODEL* true - CORRECT ANSWER The leading cause of HIT implementation failure is undocumented procedures. 20.8 billion - CORRECT ANSWER $______ is included in the HITECH Act which created the Medicaid and Medicare EHR incentive programs for eligible professionals and hospitals as they adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology to improve patient care. 2004 - CORRECT ANSWER The Office of the National Coordinator for Health Information Technology was created in what year? TRUE - CORRECT ANSWER Medical, dental, nursing, pharmacy, and allied health schools and their teaching hospitals are the principal source of education and training for most health care providers. Accountable Care Organization - CORRECT ANSWER What does ACO stand for? Medicare & Medicaid Innovation - CORRECT ANSWER Bundled payments were developed by the CMS Center for ______________ that was created by the ACA. FALSE - CORRECT ANSWER the Diagnosis-related groups (DRGs) system provided incentives for PATIENTS to spend only what they needed to achieve optimal outcomes for themselves. *provided incentives for the HOSPITAL to only spend what is needed to achieve optimal patient outcomes * FALSE - CORRECT ANSWER The Hill-Burton Act is a 1925 law that provided funding to construct new and expand existing U.S. Hospitals *1946 federal law* FALSE - CORRECT ANSWER A hospitalist is a physician that is typically board certified in cardiac medicine and specializes in the care of transplant patients. *certified in internal medicine who specializes in the care of hospital patients* risk and benefits - CORRECT ANSWER Informed Consent is a legal document to ensure patients' understanding of the __________________ of a medical intervention. TRUE - CORRECT ANSWER An organization with a population health focus will focus on providing medical care and health-related services that shifts emphasis from individual medical interventions with piecemeal reimbursement to PROVIDERS' accountability for the outcomes of medical care and overall health status of a defined population group. TRUE - CORRECT ANSWER The readmissions reduction program is mandated by the ACA, a Medicare program through which payments to hospitals are reduced based on the readmission of patients with specified diagnoses within 30 days of a prior hospitalization. TRUE - CORRECT ANSWER A teaching hospital is typically affiliated with a medical school that provides clinical education for medical students, medical and dental residents, and other health professions. FALSE - CORRECT ANSWER Value-based purchasing is mandated by the HIPAA; a Medicaid program through which non-participating hospitals may earn incentive payments based on clinical outcomes and patient satisfaction or incur reductions in Medicare payments based on compliance with Medicare-determined criteria for "clinical processes of care and patient experience of care measured *mandated by the ACA; a Medicare program through which participating hospitals may earn incentive payments based on clinical outcomes and patient satisfaction or incur reductions in Medicare payments based on compliance with Medicare-determined criteria for "clinical processes of care" and "patient experience of care measures"* 1972 - CORRECT ANSWER The American Hospital Association developed a "Patient's Bill of Rights" in what year? TRUE - CORRECT ANSWER Late 18th century hospitals served as refuge for sailors in seaport towns and also served as pest houses, quarantine stations, and isolation units. It also typically housed mentally ill, homeless, and petty criminals. Health Insurance Medicare and Medicaid Medical Advances - CORRECT ANSWER Which of the following accurately described the source(s) that shaped the hospital industry? Public facilities, supported and manged by governmental jurisdictions Owned and managed by profit-making corporation Voluntary non-for-profi - CORRECT ANSWER Choose the 3 "types" of hospitals from below in the US from the below list: horizontal integration - CORRECT ANSWER Consolidation of two or more hospitals or other entities under one owner through merger or acquisition. vertical integration - CORRECT ANSWER A process through which one entity unites related and complementary organizations to create a system that provides a continuum of care false - CORRECT ANSWER An ACO is a group of PATIENTS and PURCHASERS of health care, health-related services, and others involved in caring for Medicare patients that voluntarily work together to co-ordinate care for the patients they serve under the original Medicare (not Medicare Advantage managed care) program. *group of PROVIDERS and SUPPLIERS * false - CORRECT ANSWER Ambulatory Care is the definition of services that DO require an overnight hospital stay. *DO NOT require* false - CORRECT ANSWER A Federally Qualified Health Center (FQHC) is a Federally-based primary care center staffed by a multidisciplinary team of health care and related support personnel, with fees adjusted based on ability to pay. *community-based* false - CORRECT ANSWER A Patient-centered Medical Home is a INDIVIDUAL-BASED model of care led by a personal physician who provides INTERMITTENT and UN-COORDINATED CARE throughout a patient's lifetime to maximize health outcomes, including appropriately arranging patients' care with other qualified professionals for preventive services, treatment of acute and chronic illness, and assistance with end-of-life issues. *TEAM-BASED; provides CONTINUOUS and COORDINATED CARE* false - CORRECT ANSWER Retail clinics are staffed by physicians with no nurse practitioners or physician assistants. *staffed by nurse practitioners or physician assistants* true - CORRECT ANSWER Urgent Care Centers are facilities that provide walk-in, extended-hour access for acute illness and injury care that is either beyond the scope or the availability of the typical primary care practice or retail clinic. true - CORRECT ANSWER A Voluntary Ambulatory Health Agency is a community-based, not-for-profit organization governed by a volunteer board of directors that may provide direct medical care, education, advocacy, or a combination of these services. true - CORRECT ANSWER Retail clinics are typically staffed by Nurse Practitioners or Physician's Assistants. false - CORRECT ANSWER The UCAOA does not distinguish between urgent care centers from in-store retail clinics. *IT DOES distinguish* 2/3 - CORRECT ANSWER Outpatient surgeries accounted for ________ of all surgeries in 2006. false - CORRECT ANSWER Between 1996 and 2006 the rate of visits to freestanding ambulatory surgery centers DECREASED approximately 300%, whereas the rate in hospital-based centers INCREASED approximately 300%. *INCREASED, WAS FLAT* 193 million - CORRECT ANSWER According to the National Center for Health Statistics it is estimated that patients made more than ________________________ visits to surgical specialists in 2009. 227 - CORRECT ANSWER In 2006, U.S. hospitals saw on average about _______________ visits every minute. 1970s - CORRECT ANSWER According to the book the first urgent care centers opened in the ___________. 3,833 - CORRECT ANSWER In 2006, U.S. hospitals operated __________ hospital EDs. false - CORRECT ANSWER Urgent Care Centers provide appointment only, normal hour access for chronic illness and injury care that is beyond the scope of emergency departments. *provide walk in, extended-hour access for acute illness and injury care that is either beyond the scope or the availability of the typical primary care practice or retail clinic* false - CORRECT ANSWER EDs in most hospitals are medium-technology facilities staffed by emergency medicine specialists 22 hours a day, 340 days a year. *HIGH TECHNOLOGY; 24 HOURS A DAY, 365 DAYS A YEAR* Private Physician Office Practices - CORRECT ANSWER What constitutes the predominant mode of ambulatory care in the United States? true - CORRECT ANSWER There is a shortage of Primary Care Physicians in the United States. Ophthalmology: 5.40% Obstetrics and Gynecology: 7.50% Pediatrics: 12.20% Internal Medicine: 14.80% General and Family Medicine: 23.20% All Others: 32.30% - CORRECT ANSWER Match the percent distribution of office visits by physician specialty. [Show More]

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