CCBC Nursing 129 Healthcare Systems Examination: Primary Care, Secondary
Care, Tertiary Care, Health Insurance, PPACA, Patient-Centered Care, Quality
Improvement, Evidence-Based Practice, Safety, Informatics, CMS, DRGs, PPS,
Retrospective and Prospective Payment, Single-Payer Systems, Third-Party
Payers, EHR, Health Information Technology, Failure Mode and Effects Analysis,
Root Cause Analysis, Sentinel Events, Teamwork and Collaboration,
Professionalism, Nursing Standards, Licensure, Certification, Referrals,
Interdisciplinary Roles, Restorative Care, Rehabilitation, and Patient Advocacy
Exam Questions Verified and Provided with Complete A+ Graded Rationales
Latest Updated 2026
types of care
primary, secondary, tertiary
describe primary care
first contact with the Health Care Delivery System
focuses on person/population, education, and prevention
describe secondary care
Dx & Tx of illness: Focus on acute health problems & diseases
describe tertiary care
Patient care in a specialized medical facility
, cost shifting
Providers basically raise prices on insured people and public and private insurers in order to
compensate for people who can't pay
5 parts of PPACA
1: provide coverage for the underserved
2: includes "guaranteed issue" for everyone, regardless of any preexisting condition or health
status
3: includes "individual mandate", which requires any American under the age of 65 to purchase
insurance, however making sure that Medicaid was still available to those Americans who
needed it.
4: financing the added expense of the act
5:
How to obtain health insurance
through government programs as Medicare or Medicaid, through employer, or through private
insurance company
Pay for Performance (P4P)
performance-oriented incentives for hospitals and physicians to improve the quality of patient
healthcare
Care, Tertiary Care, Health Insurance, PPACA, Patient-Centered Care, Quality
Improvement, Evidence-Based Practice, Safety, Informatics, CMS, DRGs, PPS,
Retrospective and Prospective Payment, Single-Payer Systems, Third-Party
Payers, EHR, Health Information Technology, Failure Mode and Effects Analysis,
Root Cause Analysis, Sentinel Events, Teamwork and Collaboration,
Professionalism, Nursing Standards, Licensure, Certification, Referrals,
Interdisciplinary Roles, Restorative Care, Rehabilitation, and Patient Advocacy
Exam Questions Verified and Provided with Complete A+ Graded Rationales
Latest Updated 2026
types of care
primary, secondary, tertiary
describe primary care
first contact with the Health Care Delivery System
focuses on person/population, education, and prevention
describe secondary care
Dx & Tx of illness: Focus on acute health problems & diseases
describe tertiary care
Patient care in a specialized medical facility
, cost shifting
Providers basically raise prices on insured people and public and private insurers in order to
compensate for people who can't pay
5 parts of PPACA
1: provide coverage for the underserved
2: includes "guaranteed issue" for everyone, regardless of any preexisting condition or health
status
3: includes "individual mandate", which requires any American under the age of 65 to purchase
insurance, however making sure that Medicaid was still available to those Americans who
needed it.
4: financing the added expense of the act
5:
How to obtain health insurance
through government programs as Medicare or Medicaid, through employer, or through private
insurance company
Pay for Performance (P4P)
performance-oriented incentives for hospitals and physicians to improve the quality of patient
healthcare
