HSA 3111 Test 3 | Questions with Verified Answers

HSA 3111 Test 3 | Questions with Verified Answers Which of the following is likely to result in fewer unmet needs and better utilization of services for HIV/AIDS patients? Case management A facility that is certified as SNF can admit only Medicare patients A facility that is certified as NF can admit only Medicaid patients The determining factor to identify need for long-term care is? Dependency because of inability to perform tasks of daily living Regarding home health services which of the responses below represents the largest payer? Medicare What is the key determinant of the need for long-term care? Dependency because of inability to perform tasks of daily living From the clip, Patch Adams will be a __________ that will not go away? Please type in a one-word answer. Thorn How did Florida response to the medical malpractice issue discussed in the 2nd video? Explain the two requirements of the Comprehensive Medical Malpractice Reform Act. Florida responded in 1985 with passing the Comprehensive Medical Malpractice Reform Act. It created requirements it prior to filing a medical malpractice lawsuit. These requirements include providing notice of intent to prospective defendants and you have to engage in pre-suit discovery, which encourages the parties to settle early. Florida was bifurcated because the state's loss rate was so high. What does bifurcate mean and what did Florida do? Bifurcate means to divide into two branches. Florida bifurcated into two sections. They made a Florida high portion and a Florida low portion. The Florida high is lower South Florida, which includes Miami, Broward and Miami-Dade County. Florida low would include areas such as Gainesville, Jacksonville, and the Panhandle. Explain each of the four elements of the medical malpractice. The four elements of medical malpractice include a duty, breach, causation, and damages. Duty is the duty that you have as a provider to a patient. A breach is what goes wrong while you are performing that duty. The breach has to cause an injury which is causation This causation has to lead to damages. Based on what Brian told you about depositions what are you going to do if you ever get call in to do a deposition? If I ever get called in to do a deposition I will notify my insurer or legal department right away. I will also be very careful to only answer what question I am asked and be sure to stay in my lane. Which legislation created the State Children's Health Insurance Plan (SCHIP)? Balanced Budget Act of 1997 Which of the following is not considered a "New Morbidity"? Childhood leukemia In this chapter what does "MUA" stand for? Medically Underserved Area According to the book approximately how many adult Americans have a mental disorder in any one year? One in four What does the federal Ryan White CARE Act fund? Development of treatment and care options for persons with HIV and AIDS The Donabedian Model includes all of the following elements except: Costs Micro-perspectives focus on quality of services at the point of delivery. True Which of the following is not a reason for rising health care expenditures? Accountable Care Organizations (ACOs) development What is the main reason for the lack of success of health care cost control efforts in the United States? Cost Shifting Access, quality, and cost are three unrelated components. False Why was CHIP created? To provide health insurance to low-income children who do not qualify for Medicaid What is an interest group? Lobbyists? An independent, non-governmental group united by a policy area, which lobbies and advocates its point of view to lawmakers What is the key factor contributing to the passage of the ACA? Democratic control of the Congress According to Dr. Duncan in his first video in module 13, in today's political environment, it does not matter what type of policy is being discussed, "everything is political." True In the introduction video in module 13 I used an image of a 5-letter word from a board game when I talked about the students in MHA, MPH, and HSA3111. "I want you to __________ because people are going to seek you out" Share Per the lecture about the final I noted that geographic information systems will increasingly find applications in Public Health If the Affordable Care Act got repealed, what was the likely provision the current administration would have used to cover preexisting conditions? State-based high-risk pools will cover most people with preexisting conditions What has been identified as the main obstacle to uniformity in the scope of practice for advance practice nurses? Different licensing and practice rules across states Because of the transition of patients between long-term care and non-long-term care settings, IT systems must be Interoperable According to the book, what is the primary reason the U.S. has a shortage of physicians who are trained in geriatrics? Shortage of faculty in colleges and universities High-pool risks -The bill adds billions of dollars into the budget over 5 years to put these individuals with pre-existing conditions into high risk pools -The idea is that people with pre-existing conditions might pay higher rates but the extra costs will be covered by the 8 billion in the new bill New issues facing the elderly under the AHCA (Age-based premiums:) -Under the ACA someone that is 64 can be charged 3x as much as someone who is 21 -The new reform is looking to increase that ^ up to 5x as much Prescription drug costs -A significant cost driver in healthcare costs -Account for 10% of national health expenditures -The FDA approves these drugs -Prices continue to increase for Brand-Name Drugs -What else is driving these costs? *Launching new drug *Clinical trials -There is little information about how the price is set and why they raise it -Generics are much cheaper than the same brand name counterpart Reasons for higher healthcare costs Managing chronic diseases (anything continuous and that lasts longer than 3 months) What is the largest contributor to growth/cost of the healthcare sector overall? Our aging population For any health organization to participate and to receive funds from Medicare or Medicaid _______ THEY HAVE TO BE CERTIFIED Who provides the insurance for Medicaid gaps? Private industry Who is the biggest payer overall in terms of healthcare services? Medicare What is the state's role in health policy? - Primary deliver of public health -To financially support the care and treatment of the poor -They have oversight responsibilities for healthcare practitioners and the facilities -Ensure quality What needed to happen for the ACA to even be considered? -The election of 60 democratic senators -Required to have 60 votes in order for the Senate to agree to talk about something -The economy was in terrible shape and we really began to understand the importance of addressing healthcare as part of economic recovery What three groups began to think about what could be accomplished with healthcare reform? -The White House and administration health policy experts -Legislators in both the House of Representatives and the Senate and their staffs -Interest groups and lobbyist's What did Democrats have to give up?