HCM 2110 Exam 3 | Questions and Answers

HCM 2110 Exam 3 | Questions and Answers A primary care provider where a person is likely to receive the first care for a given condition is called the point of entry The CHIP is focused on the health care of children. True What two main concerns dominate the debate today over Medicare reform policy? Decrease spending and provide comprehensive coverage How was the Medicare PPS system designed to curb escalating health care costs? By providing a general fee schedule for services Which of the following is not a principal feature of U.S. health policy? Consensus of public opinions The AHCA of 2017 failed to pass the U.S. Senate. True COVID-19 has further exacerbated health care disparities in the United States. True After the ACA was enacted, individuals with higher incomes may still have trouble paying deductibles and premiums. True Policy evaluation of outcomes is a component of the policy cycle. False Providing all funding for graduate medical residents is an essential role that individual states play in health care policy-making. False How does health care policy-making operate in the United States? Incrementally Delivery of health care services posed greater problems in rural communities than urban communities. True The U.S. health care delivery system is centrally controlled. False Which of the following represents a key concern of the Medicare program? Expand program coverage to those eligible What type of allocative tool spreads benefits throughout society? Distributive The American public generally accepts the idea of universal health coverage and the federal government managing the health care delivery system. False In the SEIR Model, SEIR stands for susceptible, exposed, infected, and recovered Incidence Rate= (new cases)/(persons at risk) Prevalence Rate = number of cases that currently are active / population Risk or cumulative incidence = total cases in a time period / persons at risk Survival rate = cases-deaths / cases examples of structure quality and outcome from ppt - A ____ is a primary care provider that has been recognized by the National Committee for Quality Assurance's evaluation program. Patient Centered Medical Home (PCMH) According to the WHO, primary care includes - Point of entry - Community based - Coordination of care - Essential care - Integrated care - Accountability ___ is meant to be used in place of conventional medicine Alternative medicine ____ is meant to be used with traditional medicine. Complementary medicine Most long-term care facilities are considered ____ facilities. in-patient Out-patient long term care services include ____ and ____. case management and adult day care Services at ____ are generally given by volunteer staff. free clinics The pandemic has highlighted primary care as a key component of the health care response due to its gatekeeping role, community-based nature, and emphasis on prevention and overall health The pandemic has highlighted ____ as a key component of the health care response due to its gatekeeping role, community-based nature, and emphasis on prevention and overall health. primary care ____ care consists of diagnostic and therapeutic services and treatment for the "walking" patient. Ambulatory Ambulatory still includes the ____ even though not all patients are "walking" ED ____ are supported by grant funding administered by the Bureau of Primary Health Care (in DHHS). Community Health Centers (CHCs) ____ primary care includes the 6 aspects of the WHO definition of primary and a population-based approach Community-oriented Community-oriented primary care includes the 6 aspects of the WHO definition of primary and a population-based approach ____ care refers to pain and symptom management during the end of life. Hospice ____ care refers to the work of different disciplines and organizations to assist a patient. This work is often coordinated____ Integrated; by the primary care provider. ____ services refer to services that do not require an overnight stay. Outpatient ____ care refers to pain and symptom management over the long term. Palliative ____ clinics are available in big box store (such as Walmart) Retail ___ care includes hospitalization, surgeries, and consultations. Secondary ____ are freestanding outpatient surgery centers that operate independently from the hospital. Surgicenters ____ care is required for relatively uncommon and often severe conditions. Tertiary ____ generally offer a wide range of routine services for basic and acute conditions Urgent care center ___ clinics cover a range of services including urgent care. Walk-in These services are offered in larger medical centers Tertiary ____ refers to the effects of disease on the living. Morbidity ____ refers to death. Morbidity Alternative or complementary medicine refers to the broad domain of all health care resources, other than those intrinsic to biomedicine. True Which of the following characteristics is not part of the patient-centered medical home? Home health Characteristics of the medical home strategy include multidisciplinary practice-based teams and coordinated care. True Approximately how many visits per year does the average American make to see an office-based physician? Three If you needed a surgery that was not complex and would allow you to be cared for by family, what kind of outpatient facilities might you look into? Freestanding facilities The medical home model emphasizes having a primary care physician as a usual source of care and emphasizes team-based care. True Telephone triage, hospice services, and home health care are all examples of a mobile health care facility. True Few efforts related to utilization control factors have been used to reduce length of stay at hospitals. False Going beyond the biomedical model to include social and behavioral sciences is a major front of development for community-oriented primary care. False What type of care is described as "end of life care"? Hospice Which of the following is true in regards to health care today in the United States? There are more specialty physicians than primary physicians. Areas in which primary care has a stronger presence have much lower health care costs. True According to research, increased seat belt use and lower smoking rates are effects of increased primary care within a population. True Mortality is a measurement of secondary care prevention. False Primary care plays an insignificant role in the provision of integrated care. False Most long-term care services are provided informally by family and friends. True The IADL scale incorporates activities that are necessary for living independently in the community. True When living in a long-term care facility, a patient's personal dignity is part of which of the following? Quality of life Which of the following features is unique to skilled nursing care? Multidisciplinary assessment In a large sample of the elderly population, everyone has four chronic conditions. The sample is further divided by age into two groups. If the sample is further divided by gender, which of the following groups will be found to have a greater number of ADL/IADL limitations? Women Certain subacute care services can be provided in a patient's own home. True With the aim of preventing institutionalization, Medicare is the largest source of payments for home health care and adult day care. False All nursing homes must be licensed by the federal government. False If the U.S. population is about 300 million, then currently there is about 5% of the population in long-term care. False What is the purpose of SNF certification? It enables a facility to serve Medicare clients To qualify for home health care under Medicare, skilled nursing services must be: part-time or intermittent A license to operate a long-term care facility is issued by the U.S. Department of Health and Human Services. False In long-term care delivery, caregivers should fill the gaps between what patients can do for themselves and what they are unable to do or refuse to do. True What is the main purpose of the Meals on Wheels program? To improve the nutritional intake of older Americans Almost half of the nursing home residents have Alzheimer's disease and other dementias. True The Life Safety Code encompasses state standards for building construction and fire safety. False Over time, the need for LTC services is progressive, changing from lighter to more intensive levels of care. False Severe ADL limitations often indicate the need for which of the following? Institutionalization Which of the following is often a transitional step to admission in a skilled nursing facility? Assisted living facility Most of the nursing homes in the United States are operated by state and local governments. False Which of the following statements is true about the placement of private-pay patients in a facility certified as a SNF and/or NF? Private-pay patients can be legally admitted to facilities that are dually certified. What is the main goal of long-term care as it relates to a patient's function? Promote independence A person has some functional limitations. A trained social worker and a nurse have been sent to the person's home to evaluate whether institutional or community-based care will be more appropriate. Which of the following approaches should be used to make a decision about which option will be appropriate? Use both ADL and IADL scales. Under which of the following circumstances would a patient not be referred for hospice care? The patient and their family choose to have medical treatments continue. A __________ is a mental disorder associated with memory and learning issues, ability to concentrate and making decisions. cognitive impairment The __________________ scale is used to assess a person's ability to perform common tasks. activities of daily living (ADLs) Activities of Daily Living include - _________ - _________ - _________ - _________ - _________ - _________ - sometimes _________ - Eating - Bathing - Dressing - Using a toilet - Bowel and bladder control - Transferring (e.g. from bed to a chair) - sometimes grooming and walking 8 feet ________________ refers to the total living experience that results in overall satisfaction with one's life. Quality of life Quality of life includes - __________ - __________ - __________ - __________ - __________ - Lifestyle pursuits - Living environment - Clinical palliation - Human factors - Personal choices ________________ is a daytime, community-based, group program to care for those with functional or cognitive impairments and provide respite to care givers. Adult day care ____________ is providing room, board, oversight, and personal care to non-related adults. Adult foster care __________ are community centers where older adults congregate and socialize Senior centers