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NURS 450 COMMUNITY HEALTH NURSING EXAM 1 QUESTIONS WITH VERIFIED ANSWERS,100%CORRECT

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NURS 450 COMMUNITY HEALTH NURSING EXAM 1 QUESTIONS WITH VERIFIED ANSWERS a method of quantifying the burden of premature morbidity, disability, and death for a given disease or disease groups A measure of the impact of diseases and injuries, specifically it measures the gap between current health status and an ideal situation where everyone lives to an old age free of disease and disability. Burden of disease is measured in a unit called the DALY. - combines losses from premature death and losses of healthy life that result from disability preferred provider organization - higher premium, more choice of providers and services, no referrals, more freedom - means insurance has pre-negotiated if the doctor, etc. is in network or not - if not, out of network = responsible for total billed amount, may be a lot more expensive - can negotiate expensive costs of services insurance says are "not in network" - *80/20 ONLY if deductible has been paid/met and if within network*

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NURS 450 COMMUNITY HEALTH NURSING EXAM 1 QUESTIONS WITH
VERIFIED ANSWERS



100% Correct 150

Incorrect 0




1 of 150

Definition


a method of quantifying the burden of premature morbidity, disability,
and death for a given disease or disease groups


A measure of the impact of diseases and injuries, specifically it
measures the gap between current health status and an ideal
situation where everyone lives to an old age free of disease and
disability.
Burden of disease is measured in a unit called the DALY.
- combines losses from premature death and losses of healthy life
that result from disability



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Global Burden of Disease (GBD) Medicare breakdown

, Population focused practice Ch. 5 healthcare financing


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2 of 150

Definition


preferred provider organization
- higher premium, more choice of providers and services, no
referrals, more freedom
- means insurance has pre-negotiated if the doctor, etc. is in network
or not
- if not, out of network = responsible for total billed amount, may be
a lot more expensive
- can negotiate expensive costs of services insurance says are "not
in network"
- *80/20 ONLY if deductible has been paid/met and if within network*



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Features of the affordable care act HMO




PPO Population


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3 of 150

,Definition


how much you pay before you get any insurance benefit, before they
start paying
- you pay 100%, insurance pays 0% (paid yearly)
- lower deductible = premiums are more
- higher deductible, premiums are less



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Insurance dates Deductible




Medicare breakdown Public health laws


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4 of 150

Definition


combines basic care with the public health measures (global)
- the goal of the integration of public health and primary care, includes
a comprehensive range of services including public health and
preventative, diagnostic, therapeutic, and rehab services
- this system is composed of public health agencies, community-
based agencies and primary care clinics, and health care providers
- community participation

, - addresses main health problems in US/community, prevention,
promotion and care/rehab services, integrates all healthcare including
primary care and public health
- 2008: WHO made need for public, increase cost and need for PHC


5 key elements to achieve better health for all:
1. reducing exclusion and social disparities in health
2.organizing health services around people's needs and expectations
3. integrating health into all sectors
4. pursuing collaborative models of policy dialogue
5. increasing stakeholder participation

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correctional health Private insurance




Primary health care Ch. 5 healthcare financing


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5 of 150

Definition


who implements the law, like CMS Medicare services



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