Chapter 9/10/12 Flashcards

(84 cards)

1
Q
Which of the following is NOT an example of an inpatient facility?
  emergency hospital 
  community hospital 
  private medical clinic 
  private nursing home
A

Private medical clinic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

True or False: To receive federal funding under Section 330 of the Public Health Service Act, a community health center must provide services to all in the service area, regardless of ability to pay.

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the three core functions of public health as defined by the IOM’s 1988 report called The Future of Public Health.

A

Assurance, assessment, policy development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q
Which federal agency is in charge of research, data collection, and program funding relating to mental health, as well as increasing the availability of those services?
CDC
SAMHSA
AHRQ
NIH
A

SAMHSA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Who is the largest funding source for global health efforts?

A

World Bank

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q
Medicare is funded primarily by:
  out of pocket patient costs 
  state funds 
  market incentives 
  payroll tax
A

Payroll tax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q
Which health insurance option compensates physicians solely through capitation, a fixed number of dollars per month to provide services to enrolled members regardless of how often the member sees the doctor?
  Classic fee-for-service 
  Classic HMO 
  Medicare 
  PPO
A

Classic HMO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

The Affordable Care Act ensures that all people living in the United States have health insurance.
True
False

A

False

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

List the five criteria used by the Commonwealth Fund to measure health system performance.

A

equity, efficiency, quality, access, healthy lives

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What percent of total health care costs come from administrative costs in the United States?

A

30%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

According to Gostin et al, only _____ percent of U.S. federal and state health spending is directed toward prevention.

A

1-2%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

These are all: physicians, nurses, dentists, pharmacists, chiropractors, NPs, PAs, health service administrators, PT’s, OTs, medical social workers, lab techs, dental assistants, and more.

A

Health professionals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

includes first contact providers of care who are prepared to handle the great majority of common problems for which patients seek care.

A

Primary care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

refers to the specialty care provided by clinicians who focus on one or two body systems like OBGYN, cardiology, or GI.

A

Secondary care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

the type of institution delivered, often academic or specialized health centers.

A

Tertiary care

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Includes hospitals, skilled nursing and rehab facilities, nursing homes, and hospice, imply that a patient will spend 24 or more hours in the facility.

A

inpatient facilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Those providing clinical services by one or more clinicians and those providing diagnostic testing and treatment.

A

Outpatient facilities

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Provides healthcare services to migrants, the homeless population, residents of public housing and more. They have to have nonprofit standings, and often earn 330 grants.

A

Community health centers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

These help improve patient safety, support delivery of effective patient care, facilitate management of chronic conditions, improve efficiency.

A

Electronic Medical Records

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

An entity that is funded, at least partially, by the government but acts independently from the government.

A

Nongovernmental organization

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

The amount that an individual or family is responsible for paying before being eligible for insurance coverage.

A

Deductible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

A federal-state program that covers groups defined as categorically needy as well as groups that may be covered at the discretion of the state including those defined as medically needy, such as those in need of nursing home care.

A

Medicaid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

A federal health insurance system that covers most individuals 65 and older as well as the disabled and those with end-stage renal disease.

A

Medicare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

US legislation passed in 2010 that makes major changes to the US health insurance system.

A

Affordable care act

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
A federally funded health insurance program that provides funds to the states to use to expand or facilitate the operation of Medicaid or for other uses to serve the health needs of lower income children.
SCHIP state child health insurance program
26
A system of reimbursement for health care based upon a flat payment per time period for each person for whom a provider of care assumes responsibility for providing healthcare services, regardless of the services actually provided.
Capitation
27
An insurance system that works with a limited number of clinicians. These providers agree to a set of conditions that usually includes reduced payments and other conditions. Patients may choose to use other clinicians, but they often need to pay more out of pocket.
Preferred provider organization, PPO
28
Patients are charged a monthly fee designed to cover a comprehensive package of services. Clinicians are paid based on the number of patients that enroll in their service.
health maintenance organizations HMOs
29
A healthcare system with one source of payment usually a governmental source.
single payer
30
charges paid for specific services provided, and as a payment system
fee for service
31
a process applied to educational institutions and governmental health departments to define and enforce required structures processes and outcomes
accreditation
32
granted by a governmental authority that provides permission to engage in an activity, such as the practice of a health profession.
licensure
33
development of one to one relationships built on knowledge and trust over extended periods of time, continuity as a mechanism for ensuring coordination
clinician patient relationship
34
coordination of an individual's information between institutions needed to inform individual clinical and administrative decision making
institutional coordination
35
implies that a patient has comprehensive coverage for services provided by the full range of institutions
financial coordination
36
coordination of services between clinical care and public health requires communication to ensure follow-up and to protect the health of others
coordination between health care and public health
37
Focuses on the physical and organizational infrastructure in which care is delivered
Structure
38
concentrates on the procedures and formal processes that go into delivering care
Process
39
Focus on the result of care, from rates of infection to readmissions with complications
outcome
40
what are the five areas of knowledge of basic public health
biostatistics, epidemiology, environmental health sciences, social and behavioral science.
41
lead agency for prevention, health data, epidemic investigation, and public health measures aimed at disease control and prevention.
CDC
42
Lead research agency; also funds training programs and communication of health information to the professional community and the public
NIH
43
consumer protection agency with authority for safety of foods and safety and efficacy of drugs, vaccines, and other medical and public health interventions
FDA
44
seeks to ensure equitable access to comprehensive quality health care
health resources and services administration
45
works to improve quality and availability of prevention, treatment, and rehab for substance abuse and mental illness
Substance abuse and mental health services administration
46
provides direct healthcare and public health services to federally recognized tribes
indian health services
47
This global agency focuses on policy development, coordination of services, data collection and standardization
World Health Organization
48
This global agency focuses on childhood vaccines and AIDS
UNICEF
49
6C's: point of first contact with the healthcare system- the entry point
contact
50
6C's: primary care intends to be able to diagnose and treat the great majority of problems
comprehensive
51
6C's: primary care intends to be the focal point for diagnosis and treatment, with coordination through referral to specialists for consultation and feedback
coordinated
52
6C's: patient followed over many years- continuous care provision
Continuity
53
6C's: individualized care based on individual relationships
caring
54
6C's: primary care designed to connect the individual patient with community resources, community requirements
community
55
a type of difference in health that is closely linked with social or economic disadvantage. Negatively affects groups of people who have systematically experienced greater social or economic obstacles of health.
health disparity
56
when all people have the opportunity to attain their full health potential and no one is disadvantaged from achieving this potential because of his or her social position.
health equity
57
describes the impact of falling childhood death rates and extended life spans on the size of populations and the age distribution of populations
demographic transition
58
a concept indicating the change that has been historically observed as a part of social and economic development
epidemiological transition
59
countries frequently move from poor balanced diets often deficient in nutrients and calories to a diet of highly processed foods including fats, sugars, and salts.
nutritional transition
60
a process of verifying that an individual has the desirable or required qualifications to practice a profession
credentialing
61
Physical therapists, occupational therapists, dental assistants are examples of?
allied health practitioner
62
What health centers were designed based on a community empowerment philosophy that encouraged the flow of funds directly to nonprofit,community­ level organizations, often bypassing state government?
community health centers
63
What percent of GDP is spent on healthcare in the U.S.?
18%
64
Which part of Medicare program covers prescription drug coverage plan?
Part D
65
AHA, ALA, American Red Cross are examples of:
NGO's
66
Which step in COPC assesses the success of the intervention?
evaluation
67
High rates of centenarians, especially for men.
Sardinia Italy
68
2A concept used to identify a demographic and/or geographic area of the world where people live longer lives.
Blue Zones
69
Low income countries show high incidences of which type of diseases/conditions?
infectious diseases
70
One of the top emerging issues in public health.
aging and the rise of NCD's
71
large number of people healthy in their 90s, low rates of dementia and chronic disease
Ikara greece
72
Longest life expectancy in the world, very low rates of chronic diseases, healthy modern diet and positive outlook
Okinawa japan
73
very high life expectancy despite low per capita income, attributed to health care, healthy diet, physical activity, life purpose
Nicoya costa rica
74
Longest lived people in the USA, attributed to healthy life style, vegetarianism, religious practice
Loma Linda California
75
this model places homeless individuals into apartments rather than moving them through transitional housing
housing first movement
76
this part of medicare covers hospital care, skilled nursing care, home health care and hospice
part A
77
this part of medicare covers voluntary supplemental insurance that covers diagnostic and therapeutic services
part B
78
a program designed to encourage Medicare beneficiaries to enroll in prepaid health plans
part C
79
provides for individuals in the designated groups who are below the federal poverty level
medicaid
80
how many percent of americans have health care covered by their employer?
50%
81
Patients in an HMO may choose to receive their care outside of the system provided by the health plan, but will pay more out of pocket is known as
POSs (Point of Service Plans)
82
institution or clinician is paid a set amount for providing comprehensive services such as hospital treatment based on the patient's diagnosis
episode of care
83
set amount per time period
salary
84
compensation adjusted based on measures of the quality of care delivered
Pay for performance