US Health Systems Final
Patient Protection and Affordable Care Act - Answer The 2010 health reform act that
could extend insurance coverage to as many as 32 million Americans. The law also
included regulations that affect the quality of coverage insurers must offer. Additionally,
the law created a range of initiatives focused on encouraging reform in how medical
care is organized and delivered, with a goal of reducing costs and improving quality and
outcomes. Finally, other aspects of the law provided funding for expanded primary care
capacity and a wide range of other health system improvements.
Public reporting - Answer enable consumers to comparison shop for health care, just as
they do other products. Enable health care providers to compare their performance with
the performance of their peers.
Volume-driven - Answer Under fee-for-service, more services means more revenue and
profit. No incentive to provide QUALITY of care
Computerized physician order entry - Answer A process of electronically entering
medical practitioner instructions for the treatment of hospitalized patients under a
physician's care.
Telehealth - Answer Linking patients and physicians in different physical locations will
become more and more the norm for delivering specialty care to people living in rural
areas. It will link specialty physicians in large academic health systems to primary care
providers in rural areas so specialists can coach primary care providers in diagnosing
and managing the treatment of a wider array of medical conditions.
Health Insurance Portability and Accountability Act - Answer Improve health coverage
for workers and their families when they change or lose jobs and establish privacy
standards for medical information. Overseen by the department of health and human
services office of civil rights
Bundled Payments - Answer A payment arrangement whereby a provider is paid a fixed
amount of money to address a specific medical problem, often for a specific period of
time. For example, a surgeon could receive a bundled payment that covers his or her
services, the cost of any medical assistants used, the cost of any devices required for
the surgery, and perhaps the cost of the surgical suite itself. Anticipated to lead
hospitals to invest in services to prevent rehospitalizations.
Clinical Decision Support - Answer Monitors and alerts clinicians and healthcare staff to
a patient's specific conditions, prescriptions, and treatments. Has the potential to
increase the quality of care, enhance health outcomes, prevent errors and adverse
events, and improve efficiency. Considered a sophisticated component of the HIT
system and is most often part of a comprehensive EHR system.
, Patient-Centered Medical Home - Answer Widely accepted philosophy (not a
destination) of primary care that is patient centered, comprehensive, team based,
coordinated,, accessible, and focused on quality and safety.
Medicare Part A - Answer Covers inpatient hospital care
Medicare Part B - Answer Covers outpatient care
Home Health - Answer Health Services provided in an individual's home
Accountable Care Organization - Answer Trading freedom of provider choice for more
coordination of care and lower copayments. Accepts responsibility for the medical care
of a population of people. An insurer or government payer develops some form of
financial incentives to motivate the ACO to ensure that health care cost patterns for the
covered group are better than the patterns for the comparable people not in the group.
First initiated by the Medicare program, various versions of the ACO idea are being tried
by a range of payers.
Medicaid Home Services - Answer Wanted to create a system of care that facilitates
and coordinates access to primary care, acute care, behavioral care, and long-term
community-based services. Medical beneficiaries with at least two chronic conditions,
one chronic condition and high risk for another, or a serious mental health condition are
eligible for health home services.
Patient Engagement Tool - Answer Allows patients to be more proactive in their care.
Allows to schedule appointments, request medication refills, and readily access test
results and health records.
Health Maintenance Organization - Answer Managed care company that organizes and
provides health care for its enrollees for a fixed, prepaid premium.
Personal Care Aide - Answer Help clients with self-care and everyday tasks. They also
provide social supports and assistance that enable clients to participate in their
communities.
Meaningful Use - Answer Doctors ACTUALLY using electronic health records (EHRs),
not just adopting them.
A. Improve quality, safety, efficiency, and reduce health disparities
B. Engage pts and family
C. Improve care coordination, population health, and public health
D. Maintain privacy and security of patient health information.
Following a skiing accident, in which you suffered a compound fracture in your leg, you
must undergo physical therapy sessions twice a week to help recover full function of
your leg. This type of care is known as which of the following? - Answer Rehabilitative
Patient Protection and Affordable Care Act - Answer The 2010 health reform act that
could extend insurance coverage to as many as 32 million Americans. The law also
included regulations that affect the quality of coverage insurers must offer. Additionally,
the law created a range of initiatives focused on encouraging reform in how medical
care is organized and delivered, with a goal of reducing costs and improving quality and
outcomes. Finally, other aspects of the law provided funding for expanded primary care
capacity and a wide range of other health system improvements.
Public reporting - Answer enable consumers to comparison shop for health care, just as
they do other products. Enable health care providers to compare their performance with
the performance of their peers.
Volume-driven - Answer Under fee-for-service, more services means more revenue and
profit. No incentive to provide QUALITY of care
Computerized physician order entry - Answer A process of electronically entering
medical practitioner instructions for the treatment of hospitalized patients under a
physician's care.
Telehealth - Answer Linking patients and physicians in different physical locations will
become more and more the norm for delivering specialty care to people living in rural
areas. It will link specialty physicians in large academic health systems to primary care
providers in rural areas so specialists can coach primary care providers in diagnosing
and managing the treatment of a wider array of medical conditions.
Health Insurance Portability and Accountability Act - Answer Improve health coverage
for workers and their families when they change or lose jobs and establish privacy
standards for medical information. Overseen by the department of health and human
services office of civil rights
Bundled Payments - Answer A payment arrangement whereby a provider is paid a fixed
amount of money to address a specific medical problem, often for a specific period of
time. For example, a surgeon could receive a bundled payment that covers his or her
services, the cost of any medical assistants used, the cost of any devices required for
the surgery, and perhaps the cost of the surgical suite itself. Anticipated to lead
hospitals to invest in services to prevent rehospitalizations.
Clinical Decision Support - Answer Monitors and alerts clinicians and healthcare staff to
a patient's specific conditions, prescriptions, and treatments. Has the potential to
increase the quality of care, enhance health outcomes, prevent errors and adverse
events, and improve efficiency. Considered a sophisticated component of the HIT
system and is most often part of a comprehensive EHR system.
, Patient-Centered Medical Home - Answer Widely accepted philosophy (not a
destination) of primary care that is patient centered, comprehensive, team based,
coordinated,, accessible, and focused on quality and safety.
Medicare Part A - Answer Covers inpatient hospital care
Medicare Part B - Answer Covers outpatient care
Home Health - Answer Health Services provided in an individual's home
Accountable Care Organization - Answer Trading freedom of provider choice for more
coordination of care and lower copayments. Accepts responsibility for the medical care
of a population of people. An insurer or government payer develops some form of
financial incentives to motivate the ACO to ensure that health care cost patterns for the
covered group are better than the patterns for the comparable people not in the group.
First initiated by the Medicare program, various versions of the ACO idea are being tried
by a range of payers.
Medicaid Home Services - Answer Wanted to create a system of care that facilitates
and coordinates access to primary care, acute care, behavioral care, and long-term
community-based services. Medical beneficiaries with at least two chronic conditions,
one chronic condition and high risk for another, or a serious mental health condition are
eligible for health home services.
Patient Engagement Tool - Answer Allows patients to be more proactive in their care.
Allows to schedule appointments, request medication refills, and readily access test
results and health records.
Health Maintenance Organization - Answer Managed care company that organizes and
provides health care for its enrollees for a fixed, prepaid premium.
Personal Care Aide - Answer Help clients with self-care and everyday tasks. They also
provide social supports and assistance that enable clients to participate in their
communities.
Meaningful Use - Answer Doctors ACTUALLY using electronic health records (EHRs),
not just adopting them.
A. Improve quality, safety, efficiency, and reduce health disparities
B. Engage pts and family
C. Improve care coordination, population health, and public health
D. Maintain privacy and security of patient health information.
Following a skiing accident, in which you suffered a compound fracture in your leg, you
must undergo physical therapy sessions twice a week to help recover full function of
your leg. This type of care is known as which of the following? - Answer Rehabilitative
