NUR 112: HEALTHCARE DELIVERY SYSTEM
QUESTIONS WITH ACCURATE ANSWERS
1. Medicare hospice benefit:
2. To be eligible for hospice benefits from Medicare or Medicaid
correct answer 1. enacted by Congress in 1982, is the
predominant source of payment for hospice care.
2. the patient must have a serious, progressive illness with a life
expectancy of 6 months or less.
1999 Institute of Medicine report, "To Err is Human" claimed:
correct answer that at least 44,000 and perhaps as many as
98,000 people die in U.S. hospitals each year as a result of
medical errors that could have been prevented.
A 2013 Institute of Medicine report, U.S. Health in International
Perspective: Shorter Lives, Poorer Health, concludes: correct
answer that while the United States is among the wealthiest
nations in the world, it is far from the healthiest. Despite spending
far more per person on health care than any other nation, the
United States has more people dying at younger ages than people
in almost all other high-income countries.
A 2013 U.S. subcommittee on Primary Health and Aging reported
correct answer a. Nearly 57 million people in the U.S. --- one in
five Americans---live in areas without adequate
access to primary health care.
b. Fifty years ago, half of the doctors in the United States
practiced primary care, but today fewer than one in three do.
c. As many as 45,000 people die each year because they do not
have health insurance and do not get to a doctor on time
d. The average primary care physician in the United States is 47
years old, and one-quarter are nearing retirement
e. In 2011, about 17,000 doctors graduated from American
medical schools. Despite the fact that over half of patient visits
are for primary care, only 7% of the nation's medical school
graduates now choose a primary care career
f. Nurse practitioners are a good solution for the shortage of
primary care
,A common source of medical errors is: correct answer the
decentralized and fragmented nature of the health care delivery
system—or "nonsystem."
A medical home correct answer is an enhanced model of primary
health care that provides whole-person, accessible,
comprehensive, ongoing, and coordinated patient-centered health
care.
Accountable Care Organization (ACO) correct answer -is one of
the more innovative models of health care delivery to emerge
from the Patient Protection and Affordable Care Act.
-This new organizational structure is a departure from the
traditional fee-for-service model of reimbursement which
incentivized providers to do more and more care, but not
necessarily in a coordinated manner.
-ACOs turn this model around by offering incentives to provide
integrated, well-coordinated health care to patients.
Advance practice registered nurses (APRNs), correct answer nurse
practitioners, midwives, and clinical nurse specialists work
independently or collaboratively with physicians to make
assessments and care for patients who require health
maintenance or health promotion activities.
Alcoholics Anonymous correct answer —an international
organization for recovering alcoholics. The purpose is to help
people stop drinking and remain sober. Meetings are held in
accessible community locations, such as churches and hospitals.
- Voluntary Agency Support Group
Although many people assume that everyone has a right to health
care, consider these questions that pose ethical dilemmas for
nurses who provide care, as well as for consumers of health care
services: correct answer -Do people who engage in risky
behaviors or who do not make necessary lifestyle changes
deserve the same health care as people who live healthy lives?
-Who should pay for health care needed by the unemployed and
homeless?
, -Is someone who pays for national television coverage to ask for
an organ donation for one's child any more deserving than
someone who has been waiting months for just such a transplant?
-Should citizens pay higher insurance premiums or taxes so that
someone addicted to drugs who overdoses can have intensive
care?
-Should undocumented workers in the United States have the
same access to health care as U.S. citizens?
-If 20 people need a heart transplant and only one heart is
available, who decides who gets another chance at life and how
should these decisions be made?
Ambulatory Care Centers and Clinics correct answer (agencies
that deliver outpatient medical care) may be located in hospitals,
may be a freestanding service provided by a group of health care
provider who work together, or may be managed by an APRN.
An extension of the PCMH is the "Patient-Centered Medical
Neighborhood" which correct answer represents the concept of
community-integrated health care, in which non-clinical partners
such as community centers, faith-based organizations, schools,
public health agencies, and other community resources are an
integral part of each patient's care plan. The medical
neighborhood in its current form is highly fragmented, with little
coordination among the myriad clinicians and institutions.
An inpatient correct answer -is a person who enters a hospital and
stays overnight for an indeterminate time (from days to months).
-more than 24 hrs
Cancer support groups correct answer -Voluntary Agency Support
Group
—focus on support and solving problems experienced by people
diagnosed with cancer. Most cancer support group meetings are
held at hospitals.
Care Coordination correct answer is the deliberate organization of
patient care activities between two or more participants
(including the patient) involved in a patient's care to facilitate the
QUESTIONS WITH ACCURATE ANSWERS
1. Medicare hospice benefit:
2. To be eligible for hospice benefits from Medicare or Medicaid
correct answer 1. enacted by Congress in 1982, is the
predominant source of payment for hospice care.
2. the patient must have a serious, progressive illness with a life
expectancy of 6 months or less.
1999 Institute of Medicine report, "To Err is Human" claimed:
correct answer that at least 44,000 and perhaps as many as
98,000 people die in U.S. hospitals each year as a result of
medical errors that could have been prevented.
A 2013 Institute of Medicine report, U.S. Health in International
Perspective: Shorter Lives, Poorer Health, concludes: correct
answer that while the United States is among the wealthiest
nations in the world, it is far from the healthiest. Despite spending
far more per person on health care than any other nation, the
United States has more people dying at younger ages than people
in almost all other high-income countries.
A 2013 U.S. subcommittee on Primary Health and Aging reported
correct answer a. Nearly 57 million people in the U.S. --- one in
five Americans---live in areas without adequate
access to primary health care.
b. Fifty years ago, half of the doctors in the United States
practiced primary care, but today fewer than one in three do.
c. As many as 45,000 people die each year because they do not
have health insurance and do not get to a doctor on time
d. The average primary care physician in the United States is 47
years old, and one-quarter are nearing retirement
e. In 2011, about 17,000 doctors graduated from American
medical schools. Despite the fact that over half of patient visits
are for primary care, only 7% of the nation's medical school
graduates now choose a primary care career
f. Nurse practitioners are a good solution for the shortage of
primary care
,A common source of medical errors is: correct answer the
decentralized and fragmented nature of the health care delivery
system—or "nonsystem."
A medical home correct answer is an enhanced model of primary
health care that provides whole-person, accessible,
comprehensive, ongoing, and coordinated patient-centered health
care.
Accountable Care Organization (ACO) correct answer -is one of
the more innovative models of health care delivery to emerge
from the Patient Protection and Affordable Care Act.
-This new organizational structure is a departure from the
traditional fee-for-service model of reimbursement which
incentivized providers to do more and more care, but not
necessarily in a coordinated manner.
-ACOs turn this model around by offering incentives to provide
integrated, well-coordinated health care to patients.
Advance practice registered nurses (APRNs), correct answer nurse
practitioners, midwives, and clinical nurse specialists work
independently or collaboratively with physicians to make
assessments and care for patients who require health
maintenance or health promotion activities.
Alcoholics Anonymous correct answer —an international
organization for recovering alcoholics. The purpose is to help
people stop drinking and remain sober. Meetings are held in
accessible community locations, such as churches and hospitals.
- Voluntary Agency Support Group
Although many people assume that everyone has a right to health
care, consider these questions that pose ethical dilemmas for
nurses who provide care, as well as for consumers of health care
services: correct answer -Do people who engage in risky
behaviors or who do not make necessary lifestyle changes
deserve the same health care as people who live healthy lives?
-Who should pay for health care needed by the unemployed and
homeless?
, -Is someone who pays for national television coverage to ask for
an organ donation for one's child any more deserving than
someone who has been waiting months for just such a transplant?
-Should citizens pay higher insurance premiums or taxes so that
someone addicted to drugs who overdoses can have intensive
care?
-Should undocumented workers in the United States have the
same access to health care as U.S. citizens?
-If 20 people need a heart transplant and only one heart is
available, who decides who gets another chance at life and how
should these decisions be made?
Ambulatory Care Centers and Clinics correct answer (agencies
that deliver outpatient medical care) may be located in hospitals,
may be a freestanding service provided by a group of health care
provider who work together, or may be managed by an APRN.
An extension of the PCMH is the "Patient-Centered Medical
Neighborhood" which correct answer represents the concept of
community-integrated health care, in which non-clinical partners
such as community centers, faith-based organizations, schools,
public health agencies, and other community resources are an
integral part of each patient's care plan. The medical
neighborhood in its current form is highly fragmented, with little
coordination among the myriad clinicians and institutions.
An inpatient correct answer -is a person who enters a hospital and
stays overnight for an indeterminate time (from days to months).
-more than 24 hrs
Cancer support groups correct answer -Voluntary Agency Support
Group
—focus on support and solving problems experienced by people
diagnosed with cancer. Most cancer support group meetings are
held at hospitals.
Care Coordination correct answer is the deliberate organization of
patient care activities between two or more participants
(including the patient) involved in a patient's care to facilitate the
