1
D391 Healthcare Ecosystems Exam/ Questions with 100%
Verified Solutions/ Rated A+
The primary goal of the healthcare ecosystem - ANS - To raise the standard of healthcare offered to
members.
What are the fundamental components of a healthcare system? - ANS - Organization, funding, and
delivery
What does primary care offer? - ANS - Mental health services
Psychiatric
Laboratory integrated
Pharmacy services
Who monitors payers organizations, accredits health insurance companies? - ANS - National Committee
for Quality Assurance (NCQA)
Who helps improve and monitor providers' quality of care? - ANS - Joint Commission on Accreditation of
Healthcare Organizations (JCAHO)
What government organization that protects consumers from harm.
Is responsible for ensuring that states and national health regulations are enforced? - ANS - U.S.
Department of Health and Human Services
Who Increased the number of beds, improved the distribution of those beds and improved the quality of
hospital facilities? - ANS - The Hill Burton-Act (The Hospital Survey and Construction Act of 1946
, 2
What is an example of an advanced practice professional?
A registered nurse
A healthcare administrator
A nurse practitioner
A care coordinator - ANS - A nurse practitioner
What do health services include? - ANS - Emergency, preventative, rehabilitative, long-term, hospital,
diagnostic, primary, palliative, and home care.
What is an example of an employer group plan? - ANS - The three group plans are HMO, PPO, and self-
insured.
Which term describes group insurance? - ANS - Employer insurance Group plans are employer benefits.
Which organizations are part of the healthcare ecosystem? - ANS - Laboratories
A client needs medical services from different specialists. Who should be in charge of organizing the
services provided to the patient? - ANS - A care coordinator
A client has been unable to stop taking opioid medication months after being discharged from their
medical treatment. Which facility should the client visit? - ANS - A specialist clinic
Which type of insurance will cover a 40-year-old client who is an uninsured, disabled non-veteran? - ANS
- Medicare
Which is a goal of the Affordable Care Act? - ANS - Make affordable health insurance available to more
people
, 3
Which organizations are responsible for providing health education campaigns and activities to prevent
diseases in the community? - ANS - State health departments
What is the purpose of the American Medical Association (AMA)? - ANS - To promote public health and
science
A high-income 20-year-old client with pre-existing conditions is looking for a new healthcare plan. Which
healthcare plan will fit the needs of the client? - ANS - A high-risk plan (HRP)
A 25-year-old client receives health insurance from their employer. This client wants to save some money
for future medical expenses. What plan should this customer use? - ANS - A health savings account (HSA)
Why is cultural competence important in health services?
Because it creates competition between providers
Because it avoids conflicts with the client
Because the hospital can charge for this type of service
Because clients' values and preferences will be respected - ANS - Because client's values and preferences
will be respected
Which of the following is a component of the Quadruple Aim of healthcare?
Patients of low socioeconomic populations receive less care than other populations.
It aims to improve the overall health of a given population.
Increase the working hours for health professionals.
Utilization of as many resources as possible - ANS - It aims to improve the overall health of a given
population
What are the Providers? - ANS - A person or institution that performs a service
Health and Human Services
Diagnostic/Lab Techs
Doctors, Mid-level Providers, and Nurses
Mental Health providers (occupational and physical)
D391 Healthcare Ecosystems Exam/ Questions with 100%
Verified Solutions/ Rated A+
The primary goal of the healthcare ecosystem - ANS - To raise the standard of healthcare offered to
members.
What are the fundamental components of a healthcare system? - ANS - Organization, funding, and
delivery
What does primary care offer? - ANS - Mental health services
Psychiatric
Laboratory integrated
Pharmacy services
Who monitors payers organizations, accredits health insurance companies? - ANS - National Committee
for Quality Assurance (NCQA)
Who helps improve and monitor providers' quality of care? - ANS - Joint Commission on Accreditation of
Healthcare Organizations (JCAHO)
What government organization that protects consumers from harm.
Is responsible for ensuring that states and national health regulations are enforced? - ANS - U.S.
Department of Health and Human Services
Who Increased the number of beds, improved the distribution of those beds and improved the quality of
hospital facilities? - ANS - The Hill Burton-Act (The Hospital Survey and Construction Act of 1946
, 2
What is an example of an advanced practice professional?
A registered nurse
A healthcare administrator
A nurse practitioner
A care coordinator - ANS - A nurse practitioner
What do health services include? - ANS - Emergency, preventative, rehabilitative, long-term, hospital,
diagnostic, primary, palliative, and home care.
What is an example of an employer group plan? - ANS - The three group plans are HMO, PPO, and self-
insured.
Which term describes group insurance? - ANS - Employer insurance Group plans are employer benefits.
Which organizations are part of the healthcare ecosystem? - ANS - Laboratories
A client needs medical services from different specialists. Who should be in charge of organizing the
services provided to the patient? - ANS - A care coordinator
A client has been unable to stop taking opioid medication months after being discharged from their
medical treatment. Which facility should the client visit? - ANS - A specialist clinic
Which type of insurance will cover a 40-year-old client who is an uninsured, disabled non-veteran? - ANS
- Medicare
Which is a goal of the Affordable Care Act? - ANS - Make affordable health insurance available to more
people
, 3
Which organizations are responsible for providing health education campaigns and activities to prevent
diseases in the community? - ANS - State health departments
What is the purpose of the American Medical Association (AMA)? - ANS - To promote public health and
science
A high-income 20-year-old client with pre-existing conditions is looking for a new healthcare plan. Which
healthcare plan will fit the needs of the client? - ANS - A high-risk plan (HRP)
A 25-year-old client receives health insurance from their employer. This client wants to save some money
for future medical expenses. What plan should this customer use? - ANS - A health savings account (HSA)
Why is cultural competence important in health services?
Because it creates competition between providers
Because it avoids conflicts with the client
Because the hospital can charge for this type of service
Because clients' values and preferences will be respected - ANS - Because client's values and preferences
will be respected
Which of the following is a component of the Quadruple Aim of healthcare?
Patients of low socioeconomic populations receive less care than other populations.
It aims to improve the overall health of a given population.
Increase the working hours for health professionals.
Utilization of as many resources as possible - ANS - It aims to improve the overall health of a given
population
What are the Providers? - ANS - A person or institution that performs a service
Health and Human Services
Diagnostic/Lab Techs
Doctors, Mid-level Providers, and Nurses
Mental Health providers (occupational and physical)
