QUESTIONS AND PRACTICE SOLUTION
GRADED A+
◉ Integration Based on Major Participants.
Answer: Physician-Hospital Organization (PHO)
◉ Integration Based on Type of Ownership or Affiliation.
Answer: - Acquisition
- Mergers
- Joint Ventures
- Alliances
- Virtual Organizations
◉ Acquisition.
Answer: Smaller organization isn't doing well so larger one takes
over
◉ Merger.
Answer: Two organizations merge together to eliminate duplicate
services or expand coverage
,◉ Alliances.
Answer: Organizations helps each other our but do not merge
◉ Virtual Organizations.
Answer: Organizations work separately but share knowledge
◉ Integration Based on Service Consolidation.
Answer: - Horizontal Integration
- Vertical Integration
◉ Horizontal Integration.
Answer: Hospital with hospital with hospital
◉ Vertical Integration.
Answer: Hospitals with nursing homes with pharmacy
◉ Managed Care and Integration under the ACA.
Answer: - Medicaid enrollments in HMOs are expected to grow, as
many states have chosen to expand Medicaid under the ACA
- Accountable care organization must comply with CMS regulations
to serve Medicare fee-for-service populations
,◉ 3 Main Circumstances in which Long-term Care is needed.
Answer: - Physical or mental deficits (cognitive impairment)
- Continuity of care after hospitalization
- Care in specialized environments
◉ Primary Clients of LTC services.
Answer: Elderly, but most don't need them
◉ Who mainly provides long term care services?.
Answer: Informal care givers
(family and friends)
◉ The number of Americans with chronic conditions is expected
to....
Answer: Rise
◉ Are other nations also facing age related issues?.
Answer: Yes
◉ Essential Characteristics of LTC (Goal?).
Answer: - Variety of services
, - Services are individualized
- Services must be well coordinated
- Goal is to promote maximum functional independence
- Services needed over an extended period of time
- Patients' physical, mental, social, and spiritual needs must be met
- Patients' quality of life must be maximized
◉ Variety of Services.
Answer: - Individual needs differ
- Needs change over time
- LTC must interface with various non-LTC services
- Both therapeutic and preventive services are necessary
◉ Individualized Services.
Answer: - Based on assessment
- Individualized plan of care
◉ Coordinated Services.
Answer: - Services must be well coordinated.
- The mere availability of a variety of services is not sufficient.
- The health care delivery system can be difficult to navigate.
- Difficulties compound in case of the elderly and disabled.