Quiz questions hsd

The rate of growth in health spending in the United States slowed to its lowest level during what time period? a. 2002-2010 b. 1973-1983 c. 1993-2000 d. 1980-1988

1993-2000

The CMS uses which of the following as an overall measure of a health plan's quality? a. Accreditation by the NCQA b. A star rating system c. HEDIS data d. Self-reporting

A star rating system

What is the main function of the allied health professional in the teamlet model? a. Acts as a health coach b. Evaluates health needs in the community c. Performs administrative duties d. Does an initial evaluation before referring the patient to a physician

Acts as a health coach

Mental disorders are common psychiatric illnesses affecting which group? a. The uninsured b. Children c. Ethnic minorities d. Adults

Adults

How was the Medicare PPS system designed to curb escalating health care costs? a. By providing extensive coverage to the elderly b. By eliminating sales taxes on health care products c. By providing a general fee schedule for services d. By providing children tax breaks

By providing a general fee schedule for services

What two main concerns dominate the debate today over Medicare reform policy? a. Provide comprehensive coverage; raise the age limit b. Increase spending; decrease nursing home coverage c. Decrease spending; cover children d. Decrease spending; provide comprehensive coverage

Decrease spending; provide comprehensive coverage

Accountable care organizations are: a. Designed to improve access to care for children and pregnant women b. Known for increasing health expenditures and sometimes reducing quality c. Designed to help increase cooperation between providers across various health care settings to improve Medicare patient outcomes d. Focused on reducing medical malpractice

Designed to help increase cooperation between providers across various health care settings to improve Medicare patient outcomes

What is the term for the rapid and cumulative physical and emotional changes that characterize childhood? a. Dependency vulnerability b. Developmental vulnerability c. Homelessness d. New morbidities

Developmental vulnerability

What type of allocative tool spreads benefits throughout society? a. Redistributive b. Direct c. Distributive d. Indirect

Distributive

Creating tax incentives is a recommendation by the national academy of sciences to alleviate nurse shortages. T/F

FALSE

A PPO plan is a hybrid between HMO and POS plans.

False

A license to operate a long-term care facility is issued by the U.S. Department of Health and Human Services True or false

False

According to Donabedian, in order to help define and measure quality in health care organizations, you must examine three domains. One of those domains is a risk T/F

False

Compared to general hospitals, specialty hospitals offer services that are clinically superior. True or False

False

Few efforts related to utilization control factors have been used to reduce length of stay at hospitals.

False

Going beyond the biomedical model to include social and behavioral sciences is a major front of development for community-oriented primary care. True or False

False

In a single-payer national health care system, the government generally controls the location of physicians. T/F

False

Managing delivery of care for chronic conditions through a system focused on disease treatment has been feasible and successful in recent years in the United States. T/F

False

Manufacture of generic and other drugs by Asian countries is currently a substantive global health issue. T/F

False

Medicare is designed specifically for three categories of people. Those with chronic heart disease are specifically covered. True or False

False

Mortality is a measurement of secondary care prevention.

False

Most Medicare beneficiaries receive their health care through managed care plans. True or False

False

Providing all funding for graduate medical residents is an essential role that individual states play in health care policy-making T/F

False

Research shows that today's health care professionals are adequately trained in geriatrics. T/F

False

The American public generally accepts the idea of universal health coverage and the federal government managing the health care delivery system. T/F

False

The U.S. health care delivery system is centrally controlled T/F

False

The U.S. health care system is centrally planned by the government. T/F

False

The internal revenue code forbids nonprofit hospitals to make a profit. True or False

False

The nation's mental health system is composed of three subsystems based on the severity of the mental health condition T/F

False

Vulnerability represents a personal deficiency inherent to certain populations T/F

False

In which type of utilization management is a primary care physicians opinion necessary in referring a patient to a specialist?

Gatekeeping

Which of the following contributes to high health care costs? a. Uniform practice standards b. Single payer insurance c. Alternative model of health care d. Growth of technology

Growth of technology

What causes AIDS? a. HIV b. Lack of insurance c. CDC d. Infectious air-born pathogen

HIV

In which of the following plans can an MCO lose a large number of physicians if a contract is lost? a. HMO IPA model plans b. PPO plans c. HMO group model plans d. POS plans

HMO IPA model plans

What type of care is described as "end of life care?" a. Hospice b. Preventive c. Tertiary d. Home health

Hospice

How does health care policy-making operate in the United States? a. Exactly every 10 years b. Starts in the western states and moves east c. Incrementally d. Large changes at a time

Incrementally

Severe activities of daily living limitations often indicate the need for what service? a. Supportive community-based long-term care b. Institutionalization c. Supportive social services d. Hospitalization

Institutionalization

What is the purpose of skilled nursing facility certification? a. It is required to legally operate a nursing home b. It enables a facility to serve both Medicare and Medicaid clients c. It enables a facility to be operated as a skilled nursing facility d. It enables a facility to serve Medicare

It enables a facility to serve Medicare

Which of the following describes access to care? a. It is often predicted by income and occupation b. It is rarely predicted by race or income c. Access for disadvantaged populations was absent from legislative history until the ACA d. It is distinguished from acceptability of services

It is often predicted by income and occupation

What is the purpose of a stop-loss provision in a health insurance plan? a. It limits total out-of-pocket costs b. It ensures that the provider will not suffer a loss c. It protects the insurance underwriter d. It excludes certain types of risks from coverage

It limits total out-of-pocket costs

What was the consumers' main gripe against managed care during the 1990s? a. Increased risk sharing b. Lack of choice of providers c. Rising premiums d. Rising deductibles

Lack of choice of providers

What is self-insurance? a. A type of managed care plan b. Any nonpublic insurance c. Large employers assume risks and budget for medical claims d. Insurance plans available to the self-employed

Large employers assume risks and budget for medical claims

Who opened the first proprietary hospitals? a. Physicians b. Wealthy patrons c. Community foundations d. Trustees

Physicians

What is the main goal of long-term care as it relates to a patient's function? a. Promote independence b. Adapt to change c. Provide assistance d. Restore function

Promote independence

Precertification is associated with which type of utilization review? a. Retrospective b. Concurrent c. Prospective d. Gatekeeping

Prospective

What triggered the downsizing phase in the U.S. hospital industry during the 1980s? a. Prospective payment system b. Managed care c. Medicare and Medicaid d. Hill-Burton Act

Prospective payment system

When living in a long-term care facility, a patient's personal dignity is part of which of the following? a. Social dimension b. Instrumental activity of daily living c. Quality of life d. Palliation

Quality of life

4. DRG-based reimbursement necessitated hospitals to do what? a. Admit a greater number of Medicare patients than before b. Reduce the length of stay for hospitalized patients c. Admit a smaller number of Medicare patients than before d. Admit new patients at a faster rate than before

Reduce the length of stay for hospitalized patients

What is one aspect in which managed care differs from conventional insurance? a. Responsibility for delivery of services b. Payments to providers c. Collection of premiums d. Assumption of risk

Responsibility for delivery of services

Which of the following is true in regards to health care today in the United States? a. Primary care receives a higher reimbursement in professional fees b. There are more primary care physicians than specialty physicians c. Outpatient care is slowing decreasing d. There are more specialty physicians than primary physicians

There are more specialty physicians than primary physicians

Easy access to transportation is a challenge that faces rural health True or False

false

Risk is generally predictable for which group? a. Groups of people b. Providers c. Individuals d. Underwriters

groups of people

For health insurance purposes, what is the threshold for full-time work under the Affordable Care Act? a. 24 hours per week b. 30 hours per week c. 20 hours per week d. 36 hours per week

30 hours per week

One challenge facing primary care physicians is the need for training that will enable them to function as: a. Activists b. Specialists c. Comprehensivists d. Generalists

Comprehensivists

A large number of which of the following have closed because there was no need for separate institutions? a. Children's hospitals b. Teaching hospitals c. Rural hospitals d. Osteopathic hospitals

Osteopathic hospitals

Which of the following eliminates the need for Medigap coverage for Medicare beneficiaries? a. Part C b. Part A c. Part D d. Part B

Part C

To quality for home health care under Medicare, skilled nursing services must be: a. Nonmedical b. Full-time with rehabilitation c. Full-time and ongoing d. Part-time or intermittent

Part-time or intermittent

What is the main objective of rational drug design? a. To find new drug therapies to target certain noninfectious diseases b. To match medicines with gene variations among patients c. To shorten the drug discovery process d. To reduce unwanted side effects

To shorten the drug discovery process

After the ACA was enacted, individuals with higher incomes may still have trouble paying deductibles and premiums T/F

True

Characteristics of the medical home strategy include multidisciplinary practice-based teams and coordinated care. True or False

True

Emphasis on desired health outcomes is one implication of the Institute of Medicine's definition of quality. T/F

True

Let's move is an initiative designed to promote a healthy start in life for children, from pregnancy through early childhood; to serve healthier food in schools; and to increase physical activity. T/F

True

Most long-term care services are provided informally by family and friends. True or False

True

No international agency has the authority to enforce compliance with the international health regulations T/F

True

Research shows that there are issues with access to both primary and specialty care in Medicaid managed care. True or False

True

Telephone triage, hospice services, and home health care are all examples of a mobile health care facility. True or False

True

The CHIP is focused on the health care of children T/F

True

The IADL scale incorporates activities that are necessary for living independently in the community True or False

True

The Rand Health Insurance Experiment demonstrated that utilization could be lowered through cost sharing. True or False

True

The U.S. Supreme Court is divided along ideological lines. T/F

True

The United States does not have publicly financed insurance specifically for the unemployed.

True

The United States has the highest per capita health spending but poorer health relative to other developed countries T/F

True

The medical home model emphasizes having a primary care physician as a usual source of care and emphasizes team-based care True or False

True

Under Medicare Part A, a beneficiary can have an unlimited number of benefit periods.

True

Women are admitted to hospitals more often than men after adjusting for childbearing. True or False

True

Long-term care services often interface with what type of care? a. Various non-long-term care services b. Secondary care c. Rehabilitation d. Primary care

Various non-long-term care services

Most federal hospitals in the United States serve: a. The general public b. The U.S. military c. Employees of the U.S. government d. Veterans

Veterans

When did hospitals begin to attract well to do patients who could afford to pay privately? a. When physicians opened their own clinics b. When charitable contributions would not pay their bills c. When the board of trustees were composed of wealthy donors d. When hospitals offered superior medical services and surgical procedures that could not be offered at home

When hospitals offered superior medical services and surgical procedures that could not be offered at home

Which of the following is a major health concern for women? a. Women have a higher chance of developing more acute and chronic illnesses b. Nearly one-third of women have less than ninth-grade education c. Life expectancy is 8 years shorter than men d. AIDS is the leading cause of death

Women have a higher chance of developing more acute and chronic illnesses

Uninsured individuals typically tend to be: a. Women b. Urban dwellers c. Middle class d. Young adults (ages 25-40)

Young adults (ages 25-40)`