Quiz 1

Question 1

What happened in 1735

Answer 1

First medical society in Boston

Question 2

What happened in 1750

Answer 2

First general hospital in Philadelphia

Question 3

What happened in 1765

Answer 3

First medical college

Question 4

What happened in the 1800s

Answer 4

Soldiers died of disease in the Civil War

increased public consciousness

fee for service

US army medical department

Sickness protection offered for union members

Question 5

When was the AMA founded

Answer 5

1863

Question 6

What happened in 1900

Answer 6

Industrial revolution increased work injuries

minimal government involvement

AMA suggests insurance options

Question 7

What happened in 1910

Answer 7

WWI– men go to war

benefits come into play to get women to work

Question 8

What happened in 1929

Answer 8

group of teachers start the first insurance company at Baylor University

Question 9

What happened in 1930

Answer 9

Great Depression

First public support of healh care– social security act

Question 10

what happened in 1940

Answer 10

WWII– employer sponsered health insurance to incentivize employees

12 million were insured

Question 11

what happened in 1950

Answer 11

Medical advances
rising cost of health care
only 15% of elderly have health insurance

Question 12

What happened in 1960

Answer 12

healthcare 5% of GDP

700 private health insurance companies

Question 13

When was medicare/medicaid made

Answer 13

1970

Question 14

what happened in 1970

Answer 14

uninsured rose form 25 to 50 million

Social security amendment

Question 15

What happened in 1980

Answer 15

health care 8.9% of GDP

142 million insured

Question 16

what happened in 1990

Answer 16

12.1% of GDP
HIPAA
Medicaid expansion
push for primary care

Question 17

what happened in 2000

Answer 17

13.3% GDP
2003 Medicare perscription drug coverage (Part D)

Question 18

what happened in 2010

Answer 18

17.4% GDP
Uninsured decreases
Optimal medical expansion covers 1 in 6 Americans

Question 19

what is the top reason for being uninsured

Answer 19

coverage is not affordable

Question 20

what are the costs of not being insured

Answer 20

delay necessary care

decreased preventative services

worse health outcomes

higher chronic disease and mortality rate

Question 21

healthcare spending is driven by what

Answer 21

utilization (the number of services used)
price (the amount charged per service)

Question 22

barriers to health care

Answer 22

lack of insurance
underinsured
lack of prompt access

Question 23

social determinants of health

Answer 23

education access and quality

health care access and quality

neighborhood environment

social and community context

economic stability

Question 24

What does the ACA do

Answer 24

expand access and protections for insurance coverage

improve health quality and system performance

emphasixe prevention and wellness

Question 25

what is the greatest predictor of how long you are expected to live?

Answer 25

where you live

Question 26

what is primary care

Answer 26

first point of contact-- preventative care general practitioners, doctors, dentists, etc.

Question 27

where are most primary care providers located?

Answer 27

clinics, walk in clinics, urgent care

Question 28

what is secondary care

Answer 28

care that involves specialized expertise cardiologists, oncologist, general surgeons access through referrals

Question 29

what is tertiary care

Answer 29

management of rare disorders trauma and burn care transplant surgeons

Question 30

what is quaternary care

Answer 30

extremely specialized care-- experimental, rare genetic diseases

Question 31

what is a multispecialty group practice

Answer 31

clinic owned and administered by physicians n various specialties promotes collaborative style of care

Question 32

what is an example of a multispecialty group practice

Answer 32

Mayo Clinic

Question 33

Advantages of multispecialty group practice

Answer 33

One-stop-shop for helath care needs acess to medical technolgoy multidisciplinary offerring more choice and convenience

Question 34

disadvantage of multispecialty group practice

Answer 34

doctors may get rewarded for high patient numbers

Question 35

what is an example of a community health center

Answer 35

Neighborhood family clinic

Question 36

what are community helath centeres

Answer 36

comprehensive primary care for medically underserved communities emphasize primary and preventative care

Question 37

health maintenance organization (HMO)

Answer 37

health insurance plan limiting care to doctors who work for or contract with the HMO focused on prevention and wellness

Question 38

another name for vertical integration of helathcare

Answer 38

Kaiser-Permanente medical program

Question 39

what is vertical integration of healthcare

Answer 39

consolidating under one organizational roof

Question 40

disadvantages of virtual integration of healthcare

Answer 40

communication is disrupted coordination of services is difficult no price transparency difficult to navigate care silos occur

Question 41

what is a care silo

Answer 41

each discipline only discusses with each other not with other disciplines

Question 42

accountable care organizations (ACOs)

Answer 42

group of health care providers who voluntarily come together to provide care for medicare patients