Chapter 13: Stakeholders, Costs, and Patients' Rights

The AHRQ assesses what type of issues in the health care system for recommendations?

Efficiency Quality Effectiveness

Stakeholders in the health care industry can include which of the following?

Employers Private insurers Federal, state, and local governments

Which of the following represents the total value of all goods produced and services provided in a country in one year?

Gross domestic product

The average amount spent on health per person in comparable countries is roughly what percentage of that spent in the United States?

Half

The Patient Protection and Affordable Care Act of 2010 (ACA) also has features that are intended to give health care consumers more rights, but they apply only to which of the following?

Health insurance

What is the biggest funder of the nation's health care dollar?

Health insurance

Which of the following has contributed to the shift in the leading cause of death away from infections?

Immunizations Better living conditions

The National Quality Strategy's goal is to improve health care by which of the following?

Improving the social, behavioral, and environmental determinants of health Reducing the cost of quality health care Providing patient-centered care

What is the main reason that it is important for patients to see the same primary care provider?

It increases the likelihood the patient will receive appropriate care.

What is life expectancy?

It is the number of years one can expect to live at birth.

What is life span?

It is the number of years one lives.

Which of the following are vital to attaining access to health care from both a patient and provider perspective?

Locating a provider who meets patient needs Offering ongoing care to patients Gaining entry into the health care system

A type of insurance that is funded by both the federal and state governments is called

Medicaid

Low income Medicare recipients may be eligible for _ in their state.

Medicaid

Which of the following are limitations to accessing care?

Mobility limitations Transportation Lengthy waiting room times

What are major factors that increase medical technology costs?

New computer-aided diagnostic equipment Duplication of expensive medical equipment

What is the goal of a biotechnology company?

Offer products consumers will buy

What will the cost of Medicare premiums depend on?

Overall retirement income Plan chosen

What parts of Medicare pay for inpatient, skilled nursing facility, hospice, and home health care?

Part C Part A

Which part of Medicare helps cover the costs of prescriptions?

Part D

Which of the following are for-profit entities?

Pharmaceutical companies Biotechnology companies

When considering facilities as stakeholders, which of the following does not belong?

Physicians

As part of the ACA, what does the federal government assist with?

Premiums Medicare

Which of the following are included when considering costs of health care in the United States?

Private insurers Local government Employers

What stakeholder disseminates information that contributes to professional practice?

Professional associations

What was created in the marketplace by the ACA to help lower-income enrollees with their insurance payment for their premiums?

Public exchanges

Which of the following countries have shown worsening maternal death rates between 1990 and 2015?

Serbia The United States

Chronic diseases, caused by which of the following, add to health care costs.

Smoking Lack of exercise Drug addiction

Data for AHRQ reporting is obtained through which of the following?

Surveys of patients, patient's families, and providers Vital statistics Abstracts of clinical charts

Which of the following are federal plans that provide health care for families of current military personnel, retired military personnel, and veterans.

TRICARE CHAMPVA

How is health care financed in countries such as Great Britain, France, Germany, and Canada?

Taxes

Which country spends more on health care than any other high-income country?

The United States

Although some disparities are smaller from 2000 to 2015, which populations continue to show disparities in all priority areas according to the Executive Summary Healthcare Quality and Disparities Report?

Uninsured Poor

The National Quality Strategy has set _ broad aims for the improvement of health care in the United States.

three

In 2017, the United States devoted what percentage of its gross domestic product (GDP) to health?

18%

When did Congress first consider a Patients' Bill of Rights Act?

1999

Approximately how much of the adult American population is either overweight or obese?

2/3

What percentage of the American population in 2010 were either underinsured or did not have health insurance?

29%

New medical technology accounts for what percentage of increasing health care costs?

38% to 64%

To advance the aims of the National Quality Strategy, they have focused on __ priorities.

6

In 1970, the United States devoted what percentage of its GDP to total health spending through public and private funds?

6.9%

What was the title of the brochure created in 2003 by the American Hospital Association?

"Patient Care Partnership: Understanding Expectations, Rights and Responsibilities"

In 2018, according to the Kaiser Family Foundation study, what was the average deductible for a single person with health insurance?

$1,573

In 2017, according to data provided by the Centers for Medicare and Medicaid Services, how much was spent per person on health care?

$10,739

According to a study released by Kaiser Family Foundation in October 2018, what was the average annual premium cost that employees paid for family health insurance coverage?

$5,547

What percentage of access measures showed improvement (2000-2016) according to the Executive Summary Healthcare Quality and Disparities Report?

43%

After what age do health care costs markedly increase?

50

In 2015, what percentage of the total U.S. population accounted for 97% of health care spending?

50%

Which age group will be the oldest group of Medicare populations?

85 and older

What did the creation of the Health Insurance Marketplace provide for individual, family, and small business resources?

A place to choose a plan and enroll in coverage A place to compare health insurance plans A place to learn about their health coverage

A National Quality Strategy was developed as a result of which of the following pieces of legislation?

ACA

What are the key concerns for stakeholders within the American health care system?

Access Quality Cost

Unintentional injuries encompasses which of the following, which played the biggest role in the decline in life expectancy in 2017?

Accidental drug overdose

According to multiple health care organizations, some of the reasons for increased health care costs are due to which of the following factors?

Administrative burden on providers, payers, and patients Fee-for-service Fragmentation in payment and care delivery

Which federal agency is responsible for tracking quality, safety, efficiency, and effectiveness of health care for all Americans?

Agency for Health Care Research and Quality (AHRQ)

Started in 1997, which plan is used by parents who make too much money to qualify for Medicaid and too little money to afford private insurance?

CHIP

What entity identifies and estimates fertility rates?

Census bureau

Which of the following are NQS priorities?

Communication Care safety Prevention

Who pays all of the health care costs?

Consumers Taxpayers

What are some reasons that the United States has a high infant mortality rate?

Cost and access to care Too few resources for public health and primary care

Historically, quality of health care services has varied on which of the following before the ACA identified and implemented strategies to achieve better care?

Disability Age Race

Examples of volunteer facilities and agencies that provide health care or influence policies are often related to which of these types of organizations?

Disaster relief Nongovernmental volunteer

Which of the following were largely responsible for the decrease in life expectancy?

The flu Unintentional injuries Suicide

Under current payment processes, how are facilities and practitioners reimbursed?

The services provided

What are some reasons that the life expectancy rate of people in the United States improved?

There are better living standards Especially more nutritious diets There is clean water

When considering employers as stakeholders, which of the following are considered goals?

They want employees to reduce health risk behaviors They want employees to seek only needed care

What does the term "stakeholders" mean?

Those with a vested interest in an industry

For-profit companies that manage the business of health care activities may include business that do which of the following?

Track fitness

Statistics for fertility rates show a _ over time in the United States from high to low fertility.

decline