What are the main activities of risk management? •

What are the main activities of risk management? •

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Unit 3 • Question 1 The inception of _____ was used as a trial balloon for the idea of government-sponsored universal health insurance. [http://www.bezern.com/] • Question 2 Which of the following factors was particularly important in promoting the growth of office-based medical practice in the postindustrial period? • Question 3 The beliefs and values that form American ideology represent the sentiments of • Question 4 Initially, what was the main purpose of private health insurance in the US? • Question 5 Historically, which interest group was the most powerful in opposing national health insurance? • Question 6 E-health has resulted in • Question 7 Hospitals in the United States evolved from • Question 8 When hospitals first emerged in the United States, they were used primarily by the wealthy. [http://www.bezern.com/] • Question 9 In its historical context, which of the following has played a major role in revolutionizing health care delivery? • Question 10 The private medical sector in the US has been heavily regulated by the government mainly because • Question 11 In the preindustrial era, _____ often functioned as surgeons. [http://www.bezern.com/] • Question 12 What was the function of a pesthouse in the preindustrial period? • Question 13 In the US, public health and private practice of medicine developed separately because • Question 14 Wage freezes during World War II helped promote employer-based health insurance in the United States. [http://www.bezern.com/] • Question 15 The US Supreme Court decision in Olmstead v. [http://www.bezern.com/] L. [http://www.bezern.com/]C. [http://www.bezern.com/] directed US states to • Question 16 As the health care delivery system developed in the US, right from its inception primary care physicians were assigned a gatekeeping role. [http://www.bezern.com/] • Question 17 Middle-class Americans have historically opposed proposals for a national health insurance program. [http://www.bezern.com/] • Question 18 During the World War II period, the US Supreme Court ruled that • Question 19 On what grounds have middle-class Americans generally opposed proposals for a national health insurance program? • Question 20 What main purpose was served by an almshouse in the preindustrial period? Unit 4 • Question 1 The main difference between Clinical Nurse Specialists (CNSs) and Nurse Practitioners (NPs) is: • Question 2 Patients requiring services from occupational therapists need help with performing tasks in their daily living and working environments. [http://www.bezern.com/] • Question 3 Which of the following is a major criticism of managed care? • Question 4 When patients have multiple health problems, this is called: • Question 5 Primary care is: • Question 6 Which type of health care facility employs the most people in the U. [http://www.bezern.com/]S. [http://www.bezern.com/]? • Question 7 Physician maldistribution occurs by: • Question 8 There is an imbalance between primary and specialty care services in the U. [http://www.bezern.com/]S. [http://www.bezern.com/] health care delivery system. [http://www.bezern.com/] • Question 9 A major factor influencing growth in the health care sector of the U. [http://www.bezern.com/]S. [http://www.bezern.com/] economy is: • Question 10 Nonphysician practitioners (NPPs) include: • Question 11 The number of specialists is increasing because: • Question 12 The number of active nurses has steadily increased over time. [http://www.bezern.com/] • Question 13 MCO stands for: • Question 14 The health care sector constituted what percentage of the U. [http://www.bezern.com/]S. [http://www.bezern.com/] gross domestic product in 2005? • Question 15 The principal source of funding for graduate medical education is: • Question 16 More than half of MDs are specialists. [http://www.bezern.com/] • Question 17 There has been a decreasing number of international medical graduates (IMGs) in the U. [http://www.bezern.com/]S. [http://www.bezern.com/] since 1980. [http://www.bezern.com/] • Question 18 The roles and responsibilities of health services administrators include: • Question 19 Fill in the blank: Compared to metropolitan and suburban areas, there is a/an _____ of physicians in rural areas. [http://www.bezern.com/] Unit 5 • Question 1 What is the main function of the National Institutes of Health? • Question 2 Cost-efficiency evaluates marginal benefits in relation to • Question 3 What is the main intent of the Stark laws? • Question 4 Telemedicine technology that allows a specialist located at a distance to directly interview and examine a patient is referred to as • Question 5 This made additional resources available to the FDA, and resulted in a shortened approval process for new drugs. [http://www.bezern.com/] • Question 6 The utilization of technology has a greater impact on total health care expenditures than the cost of acquiring technology. [http://www.bezern.com/] • Question 7 The ACA of 2010 places some restrictions on the licensing of new biological products. [http://www.bezern.com/] • Question 8 What is the main advantage of interoperability within an electronic health records (EHR) system? • Question 9 The asynchronous form of telemedicine uses _____ technology. [http://www.bezern.com/] • Question 10 The point at which marginal benefits equal marginal costs. [http://www.bezern.com/] • Question 11 What is the role of an institutional review board (IRB)? • Question 12 Which of the following has the greatest impact on system-wide health care costs? • Question 13 The Health Insurance Portability and Accountability Act requires • Question 14 What main purpose do Clinical Practice Guidelines serve? • Question 15 Supply-side rationing. [http://www.bezern.com/] • Question 16 Which department of the DHHS supports research on health care quality, cost, and access? • Question 17 The FDA was given the authority to review the effectiveness and safety of a new drug before it could be marketed. [http://www.bezern.com/] • Question 18 Limitations on the diffusion and utilization of technology generally result in harmful effects on a nation’s population. [http://www.bezern.com/] • Question 19 Evaluation of the appropriateness of medical technology. [http://www.bezern.com/] • Question 20 American beliefs and values favor the development and use of new medical technology despite its cost. [http://www.bezern.com/] • Question 21 At the flat of the curve, ____________________________________________ Unit 6 • Question 1 _____ reimbursement is based on the assumption that health care is provided in a set of identifiable and individually distinct units of services. [http://www.bezern.com/] • Question 2 To receive payment for services delivered, providers must file a ____ with third-party payers. [http://www.bezern.com/] • Question 3 To finance Medicare Part A, • Question 4 The phenomenon called ‘moral hazard’ results directly from • Question 5 A set monthly fee per enrollee. [http://www.bezern.com/] • Question 6 Medicare Part B premiums are • Question 7 People in older age groups represent a higher risk than those in lower age groups. [http://www.bezern.com/] • Question 8 A copayment is generally paid • Question 9 What is the central role of health services financing in the United States? • Question 10 What is the main advantage of group insurance? • Question 11 The amount of reimbursement is determined before the services are delivered. [http://www.bezern.com/] • Question 12 Preferred providers are paid • Question 13 What was the main conclusion of the Rand Health Insurance Experiment • Question 14 Major medical plans do not include dental coverage. [http://www.bezern.com/] • Question 15 Under the DRG method of reimbursement, an acute care hospital is paid • Question 16 State governments are required to partially finance the Medicaid program. [http://www.bezern.com/] • Question 17 The majority of beneficiaries receiving health care through Medicare are • Question 18 Under the Medicaid program, eligibility criteria and benefits are consistent throughout the US. [http://www.bezern.com/] • Question 19 Medicare provides comprehensive health care services. [http://www.bezern.com/] • Question 20 If national health expenditures amount to 16% of the GDP, what does this mean? • Question 21 Under the Medicare program, eligibility criteria and benefits are consistent throughout the US. [http://www.bezern.com/] • Question 22 The primary criterion to become eligible for Medicaid is • Question 23 The government plays a significant role in financing health care services in the United States. [http://www.bezern.com/] • Question 24 A health insurance plan pays for medical care only after the insured has first paid $500 out of pocket on an annual basis. [http://www.bezern.com/] The $500 annual cost is called • Question 25 What is the primary mechanism that enables people to obtain health care services? • Question 26 Tax policy in the U. [http://www.bezern.com/]S. [http://www.bezern.com/] provides an incentive to obtain employer-paid health insurance. [http://www.bezern.com/] • Question 27 A DRG represents • Question 28 CHIP is available to children without any health insurance in families whose incomes are at or below ____ of the federal poverty level. [http://www.bezern.com/] • Question 29 Public (government) share of the total health care spending in the United States is approximately • Question 30 What is the primary reason that a segment of the U. [http://www.bezern.com/]S. [http://www.bezern.com/] population is uninsured? • Question 31 Health insurance increases the demand for health care services. [http://www.bezern.com/] • Question 32 In a general sense, what is the primary purpose of insurance? UNIT 7 • Question 1 One reason women’s health centers were created is: • Question 2 The demand for home health care services is likely to decrease in the future. [http://www.bezern.com/] • Question 3 The proliferation of health care delivery through managed care created a decreased demand for primary care physicians. [http://www.bezern.com/] • Question 4 Which of the following is a reason for the growth in outpatient services? • Question 5 Compared to tertiary care, primary care services are more complex and specialized. [http://www.bezern.com/] • Question 6 Which of the following is an example of a secondary care service? • Question 7 The most prominent reason for the decline in the number of procedures performed in hospitals is: • Question 8 There is little distinction between the terms “outpatient” and “ambulatory. [http://www.bezern.com/]” • Question 9 Men report more chronic illness than women. [http://www.bezern.com/] • Question 10 Fill in the blank: Historically, inpatient care developed ________ outpatient care. [http://www.bezern.com/] • Question 11 Countries whose health systems are oriented more toward primary care achieve: • Question 12 What is gatekeeping? • Question 13 Outpatient care accounts for what percent of gross patient revenue for all US hospitals? • Question 14 Hospice services are primarily for people with: • Question 15 Emergency departments, in most cases, are equipped to provide: • Question 16 What does “PPS” stand for? • Question 17 Fill in the blank: The percentage of medical school graduates choosing careers in primary care is ______________. [http://www.bezern.com/] • Question 18 Community health centers serve primarily: • Question 19 Primary care may play an important role in mitigating the adverse health effects of income inequality. [http://www.bezern.com/] Unit 8 • Question 1 Inpatient care consists of • Question 2 The first hospitals in the United States served mainly • Question 3 A nonprofit hospital is prohibited by law from making a profit. [http://www.bezern.com/] • Question 4 The first voluntary hospitals in the United States were financed • Question 5 The proportion of a hospital’s capacity that is actually utilized. [http://www.bezern.com/] • Question 6 The CEO has the primary responsibility for defining a hospital’s mission and its long-term direction. [http://www.bezern.com/] • Question 7 What did the swing bed program allow rural hospitals to do? • Question 8 The biggest share of national health spending is used by • Question 9 Which of these hospitals is not likely to serve the general public? • Question 10 Which ownership type constitutes the larges group of hospitals and hospital beds in the United States? • Question 11 What is the main drawback of a living will? • Question 12 How did the PPS based on DRGs lead to hospital downsizing in the United States? • Question 13 What has been the effect of intense consolidation in certain hospital markets? • Question 14 Which entity in hospital governance is legally responsible for the hospital’s operations? • Question 15 Most multihospital systems in the United States are operated by nonprofit corporations. [http://www.bezern.com/] • Question 16 The Hill-Burton Act was passed to • Question 17 Which principle of ethics requires caregivers to involve the patient in medical decision making? • Question 18 Which entity overseas the licensure of health care facilities? • Question 19 The downsizing of hospitals in the United States began in the mid-1980s. [http://www.bezern.com/] • Question 20 ALOS is an indicator of • Question 21 Managed care has emphasized the use of alternative services to acute hospital care whenever appropriate. [http://www.bezern.com/] Quiz 11 • Question 1 A disease is considered chronic if it is observed for at least how long? • Question 2 Lack of insurance can result in: • Question 3 Which racial/ethnic group has the highest rate of uninsurance • Question 4 Among women, which racial/ethnic group has the highest percentage distribution of AIDS? • Question 5 Rural areas are particularly good places for managed care implementation. [http://www.bezern.com/] • Question 6 What does the federal Ryan White CARE Act fund? • Question 7 The health status of American Indians no longer lags significantly behind other racial/ethnic groups. [http://www.bezern.com/] • Question 8 Which racial/ethnic group is growing the fastest? • Question 9 Many Hispanic families who immigrated to the U. [http://www.bezern.com/]S. [http://www.bezern.com/] may not qualify for Medicaid. [http://www.bezern.com/] • Question 10 Educational attainment varies very little among Asian American subgroups. [http://www.bezern.com/] • Question 11 Most uninsured adults are employed but are not covered because: • Question 12 Which racial/ethnic group is least likely to use mammography? • Question 13 Which racial/ethnic group has the highest rate of low birth weight infants? • Question 14 Approximately how many Americans are uninsured? • Question 15 More women than men will suffer from major depression in their lifetimes. [http://www.bezern.com/] • Question 16 The 2010 U. [http://www.bezern.com/]S. [http://www.bezern.com/] Census allowed respondents to choose one or more races when they self-identify. [http://www.bezern.com/] • Question 17 Uninsured people are more likely to postpone seeking medical care, compared to insured people. [http://www.bezern.com/] • Question 18 What is the primary purpose of the National Health Service Corps? • Question 19 Approximately how many adult Americans have a mental disorder in any one year? • Question 20 What does “MUA” stand for? Quiz 12 • Question 1 What is the purpose of clinical practice guidelines? • Question 2 A service is cost-efficient when: • Question 3 Compared to other nations, the U. [http://www.bezern.com/]S. [http://www.bezern.com/] uses a larger share of its economic resources for health care. [http://www.bezern.com/] • Question 4 Prevention and lifestyle behavior changes to promote health are not major foci of the medical model. [http://www.bezern.com/] • Question 5 Whether payment for health care services is made by the government or by a private insurance company, individual patients pay a price far higher than the actual cost of the service. [http://www.bezern.com/] • Question 6 Managed care increased the rate of growth in health spending between 1993 and 2000. [http://www.bezern.com/] • Question 7 Health care costs for the elderly are nearly 3 times more than those for the non-elderly. [http://www.bezern.com/] • Question 8 What is meant by the term “health care costs”? • Question 9 What is Gross Domestic Product (GDP)? • Question 10 What is the Health Plan Employer Data and Information Set (HEDIS)? • Question 11 The U. [http://www.bezern.com/]S. [http://www.bezern.com/] has never imposed price controls on the health care industry. [http://www.bezern.com/] • Question 12 Approximately what percentage of GDP is spent on health care? • Question 13 What are administrative costs? • Question 14 What are the main activities of risk management? • Question 15 What is the main reason for the lack of success of health care cost control efforts in the U. [http://www.bezern.com/]S. [http://www.bezern.com/]? • Question 16 The Donabedian Model includes all of the following elements except: • Question 17 Why should rising health care costs be controlled?

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