VNSG 1304 - WEEK 2 CONTENT REVIEW
U.S. health care system - Answers -"Complex, costly, and rapidly evolving system
requiring nurses to understand delivery, reform, regulation, and team roles"
Health care reform - Answers -"Efforts to improve access, quality, and affordability of
health care"
Affordable Care Act (ACA) - Answers -"2010 law expanding access, improving quality,
and lowering health care costs"
Medicaid expansion - Answers -"ACA provision extending Medicaid eligibility to 138
percent of the federal poverty level"
Preexisting condition coverage - Answers -"ACA rule preventing insurance denial due
to prior health conditions"
Preventive care under ACA - Answers -"Screenings and preventive services covered
without copays or deductibles"
Health Insurance Marketplace - Answers -"Online exchange for purchasing subsidized
insurance plans"
American Rescue Plan - Answers -"2021 legislation that lowered premiums and
expanded coverage"
Inflation Reduction Act - Answers -"2022 law capping insulin costs and Medicare out-of-
pocket expenses"
State regulation of health care - Answers -"States enforce health regulations, manage
Medicaid funds, and regulate pricing"
Health care accreditation - Answers -"External review process ensuring safety, quality,
and compliance"
The Joint Commission (TJC) - Answers -"Nonprofit organization accrediting health care
facilities on a 3-year cycle"
National Patient Safety Goals - Answers -"TJC goals focused on preventing common
patient safety risks"
, Sentinel event - Answers -"Unexpected event causing serious injury or death requiring
root-cause analysis"
National Committee for Quality Assurance (NCQA) - Answers -"Accredits health plans
and providers using evidence-based standards"
Magnet Recognition Program - Answers -"ANCC program recognizing excellence in
nursing practice and outcomes"
Pathway to Excellence - Answers -"ANCC program recognizing positive nurse work
environments"
Magnet focus - Answers -"Outcomes, innovation, nursing excellence, and leadership"
Pathway focus - Answers -"Nurse engagement, teamwork, and job satisfaction"
HCAHPS - Answers -"Standardized inpatient satisfaction survey with public reporting"
Medicare - Answers -"Federal insurance program for older adults and certain
disabilities"
Medicare Part A - Answers -"Covers hospital care, hospice, skilled nursing, and limited
home health"
Medicare Part B - Answers -"Covers physician services, outpatient care, and therapy"
Medicare Part C - Answers -"Medicare Advantage plans combining Parts A, B, and
usually D"
Medicare Part D - Answers -"Prescription drug coverage"
Medicaid - Answers -"Joint federal and state insurance program for low-income
individuals"
CHIP - Answers -"Insurance for children who do not qualify for Medicaid"
Private insurance - Answers -"Employer-based or individually purchased health plans"
Copay - Answers -"Fixed amount paid by the client for services"
Deductible - Answers -"Amount a client must pay before insurance begins covering
costs"
Fee-for-Service - Answers -"Payment model where providers are paid for each service
delivered"
U.S. health care system - Answers -"Complex, costly, and rapidly evolving system
requiring nurses to understand delivery, reform, regulation, and team roles"
Health care reform - Answers -"Efforts to improve access, quality, and affordability of
health care"
Affordable Care Act (ACA) - Answers -"2010 law expanding access, improving quality,
and lowering health care costs"
Medicaid expansion - Answers -"ACA provision extending Medicaid eligibility to 138
percent of the federal poverty level"
Preexisting condition coverage - Answers -"ACA rule preventing insurance denial due
to prior health conditions"
Preventive care under ACA - Answers -"Screenings and preventive services covered
without copays or deductibles"
Health Insurance Marketplace - Answers -"Online exchange for purchasing subsidized
insurance plans"
American Rescue Plan - Answers -"2021 legislation that lowered premiums and
expanded coverage"
Inflation Reduction Act - Answers -"2022 law capping insulin costs and Medicare out-of-
pocket expenses"
State regulation of health care - Answers -"States enforce health regulations, manage
Medicaid funds, and regulate pricing"
Health care accreditation - Answers -"External review process ensuring safety, quality,
and compliance"
The Joint Commission (TJC) - Answers -"Nonprofit organization accrediting health care
facilities on a 3-year cycle"
National Patient Safety Goals - Answers -"TJC goals focused on preventing common
patient safety risks"
, Sentinel event - Answers -"Unexpected event causing serious injury or death requiring
root-cause analysis"
National Committee for Quality Assurance (NCQA) - Answers -"Accredits health plans
and providers using evidence-based standards"
Magnet Recognition Program - Answers -"ANCC program recognizing excellence in
nursing practice and outcomes"
Pathway to Excellence - Answers -"ANCC program recognizing positive nurse work
environments"
Magnet focus - Answers -"Outcomes, innovation, nursing excellence, and leadership"
Pathway focus - Answers -"Nurse engagement, teamwork, and job satisfaction"
HCAHPS - Answers -"Standardized inpatient satisfaction survey with public reporting"
Medicare - Answers -"Federal insurance program for older adults and certain
disabilities"
Medicare Part A - Answers -"Covers hospital care, hospice, skilled nursing, and limited
home health"
Medicare Part B - Answers -"Covers physician services, outpatient care, and therapy"
Medicare Part C - Answers -"Medicare Advantage plans combining Parts A, B, and
usually D"
Medicare Part D - Answers -"Prescription drug coverage"
Medicaid - Answers -"Joint federal and state insurance program for low-income
individuals"
CHIP - Answers -"Insurance for children who do not qualify for Medicaid"
Private insurance - Answers -"Employer-based or individually purchased health plans"
Copay - Answers -"Fixed amount paid by the client for services"
Deductible - Answers -"Amount a client must pay before insurance begins covering
costs"
Fee-for-Service - Answers -"Payment model where providers are paid for each service
delivered"
