Business of Medicine EVMS Exam
UPDATED QUESTIONS AND CORRECT
ANSWERS
What are the four common issues of healthcare? - CORRECT ANSWER Autonomy,
Cost, Access and Quality; they each compete and you cannot favor one without
compromising another.
What are the three levels of care (Model of Healthcare Organization)? - CORRECT
ANSWER primary (base), secondary (middle), tertiary (apex)
What level of care would common health problems and preventative care fall under? -
CORRECT ANSWER primary
What level of care would specialized clinical expertise fall under? - CORRECT
ANSWER secondary
What level of care would the management of complex and rare disorders fall under? -
CORRECT ANSWER tertiary
What characteristics define a more REGIONALIZED model of health care organization? -
CORRECT ANSWER - organization and coordination of healthcare resources within a
defined area
- distinct tiers with designated personnel and facilities
- orderly/regulated flow
- emphasis on primary care
What model of organization is Traditional British National Healthcare? - CORRECT
ANSWER regionalized
,What characteristics define a more DISPERSED model of health care organization? -
CORRECT ANSWER - caregivers have fluid roles
- patient can enter at any level and self refer
- free flowing movement across all levels of healthcare
- emphasis on tertiary care
What model of organization is Traditional U.S. Healthcare? - CORRECT
ANSWER dispersed
This healthcare provider service is composed of 50% GPs who focus on ambulatory care,
patients that cannot self refer, and 5-50K patients being served in a specific area. -
CORRECT ANSWER Regionalized Primary Care
This healthcare provider service is composed of 28% of all physicians (including NPs and
PAs) and has a focus on internal and family medicine (pediatrics as well). - CORRECT
ANSWER Dispersed Primary Care
This healthcare provider service is composed of specialty physicians, clinics within hospitals,
consults from GPs and back to GPs and hospitalization care. - CORRECT
ANSWER Regionalized Secondary Care
This healthcare provider service is composed of specialists (with no referral needed), PCPs
within the hospital, and NPs and PAs. - CORRECT ANSWER Dispersed Secondary
and Tertiary Care
This healthcare provider service is composed of sub specialists such as cardiac surgeons,
immunologists, etc. ONLY. - CORRECT ANSWER Regionalized Tertiary Care
This type of hospital care has a small number of rural hospitals, a large number of hospitals
with wide range services, and a small number of elite medical centers, forming a diamond
distribution. - CORRECT ANSWER Dispersed - Traditional US Healthcare
,This type of hospital care has a large number of GP groups, fewer district hospitals that offer
basic inpatient services, and fewest regional medical centers with specialized inpatient care,
forming a pyramid distribution. - CORRECT ANSWER Regionalized - Traditional
British NHS
Key task of primary care that provides initial evaluations. - CORRECT ANSWER First
Contact Care
Key task of primary care that focuses on a sustaining relationship. - CORRECT
ANSWER Continuity (longitudinality)
Key task of primary care that focuses on management of a wide range of needs. - CORRECT
ANSWER Comprehensiveness
Key task of primary care that focuses on referrals and overall follow-up. - CORRECT
ANSWER Coordination
The institute of medicine defines this type of care as "...integrated accessible healthcare
services by clinicians who are accountable for addressing a large majority of personal health
care needs..." - CORRECT ANSWER Primary Care
Who are the 6 key players of U.S. healthcare (GIPPSE)? - CORRECT ANSWER 1.
Government
2. Insurers
3. Providers
4. Payers
5. Suppliers
6. Education and Research
The following are examples of what healthcare player: health departments, hospitals, rehab
centers, and hospices? - CORRECT ANSWER Providers
, The following are examples of what healthcare player: employers, BC/BS plans, state
agencies? - CORRECT ANSWER Payers
The following are examples of what healthcare player: public insurance financing, health
policies, public health? - CORRECT ANSWER Government
The following are examples of what healthcare player: BC/BS plans, self-insured employers,
medicare, Tricare? - CORRECT ANSWER Insurers
The following are examples of what healthcare player: pharmaceutical companies,
biotechnology companies, and pharmaceutical companies? - CORRECT
ANSWER Suppliers
The following are examples of what healthcare player: medical schools, PA schools (GO
EVMS!!!), PT/OT, Speech Therapy, US Public Health Services? - CORRECT
ANSWER Educator and Research
This healthcare player is the "core" of the industry, directly affects the outcomes of provided
services, and affects the quality and cost of the healthcare system. - CORRECT
ANSWER Providers
This healthcare player includes employers that often cover a high proportion of costs,
negotiate with insurance companies, and plays a major influence with the U.S. Congress. -
CORRECT ANSWER Payers
This healthcare player is present at the state and federal level, asserts dominant authority over
the system, and can actually serve as a payer, regulator, provider and taxing authority. -
CORRECT ANSWER Government
This healthcare player is an often unrestrained major stakeholder that provides access to care
and plays a role in cost of healthcare. - CORRECT ANSWER Insurers
UPDATED QUESTIONS AND CORRECT
ANSWERS
What are the four common issues of healthcare? - CORRECT ANSWER Autonomy,
Cost, Access and Quality; they each compete and you cannot favor one without
compromising another.
What are the three levels of care (Model of Healthcare Organization)? - CORRECT
ANSWER primary (base), secondary (middle), tertiary (apex)
What level of care would common health problems and preventative care fall under? -
CORRECT ANSWER primary
What level of care would specialized clinical expertise fall under? - CORRECT
ANSWER secondary
What level of care would the management of complex and rare disorders fall under? -
CORRECT ANSWER tertiary
What characteristics define a more REGIONALIZED model of health care organization? -
CORRECT ANSWER - organization and coordination of healthcare resources within a
defined area
- distinct tiers with designated personnel and facilities
- orderly/regulated flow
- emphasis on primary care
What model of organization is Traditional British National Healthcare? - CORRECT
ANSWER regionalized
,What characteristics define a more DISPERSED model of health care organization? -
CORRECT ANSWER - caregivers have fluid roles
- patient can enter at any level and self refer
- free flowing movement across all levels of healthcare
- emphasis on tertiary care
What model of organization is Traditional U.S. Healthcare? - CORRECT
ANSWER dispersed
This healthcare provider service is composed of 50% GPs who focus on ambulatory care,
patients that cannot self refer, and 5-50K patients being served in a specific area. -
CORRECT ANSWER Regionalized Primary Care
This healthcare provider service is composed of 28% of all physicians (including NPs and
PAs) and has a focus on internal and family medicine (pediatrics as well). - CORRECT
ANSWER Dispersed Primary Care
This healthcare provider service is composed of specialty physicians, clinics within hospitals,
consults from GPs and back to GPs and hospitalization care. - CORRECT
ANSWER Regionalized Secondary Care
This healthcare provider service is composed of specialists (with no referral needed), PCPs
within the hospital, and NPs and PAs. - CORRECT ANSWER Dispersed Secondary
and Tertiary Care
This healthcare provider service is composed of sub specialists such as cardiac surgeons,
immunologists, etc. ONLY. - CORRECT ANSWER Regionalized Tertiary Care
This type of hospital care has a small number of rural hospitals, a large number of hospitals
with wide range services, and a small number of elite medical centers, forming a diamond
distribution. - CORRECT ANSWER Dispersed - Traditional US Healthcare
,This type of hospital care has a large number of GP groups, fewer district hospitals that offer
basic inpatient services, and fewest regional medical centers with specialized inpatient care,
forming a pyramid distribution. - CORRECT ANSWER Regionalized - Traditional
British NHS
Key task of primary care that provides initial evaluations. - CORRECT ANSWER First
Contact Care
Key task of primary care that focuses on a sustaining relationship. - CORRECT
ANSWER Continuity (longitudinality)
Key task of primary care that focuses on management of a wide range of needs. - CORRECT
ANSWER Comprehensiveness
Key task of primary care that focuses on referrals and overall follow-up. - CORRECT
ANSWER Coordination
The institute of medicine defines this type of care as "...integrated accessible healthcare
services by clinicians who are accountable for addressing a large majority of personal health
care needs..." - CORRECT ANSWER Primary Care
Who are the 6 key players of U.S. healthcare (GIPPSE)? - CORRECT ANSWER 1.
Government
2. Insurers
3. Providers
4. Payers
5. Suppliers
6. Education and Research
The following are examples of what healthcare player: health departments, hospitals, rehab
centers, and hospices? - CORRECT ANSWER Providers
, The following are examples of what healthcare player: employers, BC/BS plans, state
agencies? - CORRECT ANSWER Payers
The following are examples of what healthcare player: public insurance financing, health
policies, public health? - CORRECT ANSWER Government
The following are examples of what healthcare player: BC/BS plans, self-insured employers,
medicare, Tricare? - CORRECT ANSWER Insurers
The following are examples of what healthcare player: pharmaceutical companies,
biotechnology companies, and pharmaceutical companies? - CORRECT
ANSWER Suppliers
The following are examples of what healthcare player: medical schools, PA schools (GO
EVMS!!!), PT/OT, Speech Therapy, US Public Health Services? - CORRECT
ANSWER Educator and Research
This healthcare player is the "core" of the industry, directly affects the outcomes of provided
services, and affects the quality and cost of the healthcare system. - CORRECT
ANSWER Providers
This healthcare player includes employers that often cover a high proportion of costs,
negotiate with insurance companies, and plays a major influence with the U.S. Congress. -
CORRECT ANSWER Payers
This healthcare player is present at the state and federal level, asserts dominant authority over
the system, and can actually serve as a payer, regulator, provider and taxing authority. -
CORRECT ANSWER Government
This healthcare player is an often unrestrained major stakeholder that provides access to care
and plays a role in cost of healthcare. - CORRECT ANSWER Insurers
