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Challenges in Affordable Healthcare Delivery, Exams of Behavioural Science

The important challenge of providing affordable and cost-effective healthcare services in the united states. It outlines the historical changes in the hospital industry, including the shift towards payment systems based on patient resource utilization patterns rather than cost, as well as trends such as decreasing beds per population, declining average length of stay, and declining occupancy rates. The document also highlights the transformation of us hospitals over the past 40 years due to various forces, including payment system reforms, technological advances, and changes in consumer preferences. Additionally, it mentions the role of community-based healthcare services, such as child immunization programs, health screenings, and substance-abuse programs, in the broader healthcare landscape. Overall, this document provides valuable insights into the complex and evolving nature of the healthcare delivery system in the us.

Typology: Exams

2024/2025

Available from 10/02/2024

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HPEX 300 FINAL EXAM LATEST EXAM |
QUESTIONS AND CORRECT ANSWERS |
GRADED A+ | VERIFIED ANSWERS | STUDY
THIS ONE!
What a behavioral specialist uses video conferencing to manage and assist
with the treatment have a mentally ill patient it is called ------CORRECT
ANSWER---------------Telebehavioral health
True or false: Pseudo dementia's may develop as a result of medication,
drug interactions, and poor diet, or heart and gland diseases. Are these
dimensions may occur accidentally because of these conditions ------
CORRECT ANSWER---------------True
Select the statements below that are applicable to continuing care
retirement communities (CCRCs) ------CORRECT ANSWER----------------
they provide assisted-living options
-their services are provided on a single campus
- they provide independent living options
The services are meant to be supportive in nature and consist of adult
daycare centers, meal programs such as meals on wheels, senior centers
and transportation ------CORRECT ANSWER---------------Community
This Act was passed in 1965 And includes federal programs that provide
home and community-based services to older adults ------CORRECT
ANSWER---------------Older Americans act
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HPEX 300 FINAL EXAM LATEST EXAM |

QUESTIONS AND CORRECT ANSWERS |

GRADED A+ | VERIFIED ANSWERS | STUDY

THIS ONE!

What a behavioral specialist uses video conferencing to manage and assist with the treatment have a mentally ill patient it is called ------CORRECT ANSWER---------------Telebehavioral health True or false: Pseudo dementia's may develop as a result of medication, drug interactions, and poor diet, or heart and gland diseases. Are these dimensions may occur accidentally because of these conditions ------ CORRECT ANSWER---------------True Select the statements below that are applicable to continuing care retirement communities (CCRCs) ------CORRECT ANSWER---------------- they provide assisted-living options

  • their services are provided on a single campus
  • they provide independent living options The services are meant to be supportive in nature and consist of adult daycare centers, meal programs such as meals on wheels, senior centers and transportation ------CORRECT ANSWER---------------Community This Act was passed in 1965 And includes federal programs that provide home and community-based services to older adults ------CORRECT ANSWER---------------Older Americans act

Which of the following is true regarding the HITECH act and meaningful use ------CORRECT ANSWER---------------- in this context meaningful use refers to the adoption implementation of EHR's

  • CMS establish core measures for healthcare providers outlined in three stages to ensure that providers me the requirements of meaningful use
  • The Senate for Medicare and Medicaid services establish incentives to encourage meaningful use in accordance with HITECH
  • The same as framework including monetary incentives for healthcare professionals and hospitals to adopt and implement EHR's True or false: Institutional review board's are in formal groups of healthcare providers and citizens concerned about the well-being and quality of life of hospitalized patients with rare and unknown diseases ------CORRECT ANSWER---------------False This piece of legislation has been called the most monumental piece of US federal health policy making in nearly 50 years ------CORRECT ANSWER-- -------------Affordable Care Act In terms of the difficulty of America to achieve health perform many factors have been identified. These include cultural, path dependency, US interest groups and ------CORRECT ANSWER---------------The us political system Forkey reforms that became law under the ACA were the end of visual Mande, reforms that prohibit work her tail existing health insurance and health plan practices, the creation of health insurance exchanges and ------ CORRECT ANSWER---------------The expansion of the existing Medicaid program

One very important challenge facing our country is the provision of healthcare services that are affordable for the recipients of care and that are provided at the lowest cost possible for healthcare delivery system. General term that is used for efforts in this regard is? ------CORRECT ANSWER---------------Cost containment _____ Refers to ensuring that American citizens can get the healthcare services that they need when they need them and from provider of their choice ------CORRECT ANSWER---------------Access Which of the following populations is more likely to use hospital emergency rooms for their healthcare? ------CORRECT ANSWER---------------- indigent population

  • Medicaid recipients
  • the elderly ____, is a 90-year-old US based organization that provide services to men women and teenagers regarding sexual health and family planning ------ CORRECT ANSWER---------------Planned Parenthood True or false: public hospitals are the oldest type of hospitals and are owned by the federal state or local government ------CORRECT ANSWER-- -------------True True or false: urban hospitals tend to have financial issues because they see more poor and elderly patients in rural hospitals ------CORRECT ANSWER---------------False

According to the office of personnel management, ______, are voluntary, work-based programs to offer free and confidential assessments, short term counseling, referrals, and follow up services to employees who have personal and or work related problems ------CORRECT ANSWER------------- --Employee assistance programs True or false: Women represent a larger portion of the population ------ CORRECT ANSWER---------------True It typical hospice team includes which of the following ------CORRECT ANSWER---------------- physicians & nurses

  • social workers
  • clergy True or false: A short stay or acute care hospital focuses on patients who stay on an average of less than 30 days ------CORRECT ANSWER----------- ----True True or false: hospitals with AMA approved graduate resident programs are called teaching hospitals - -----CORRECT ANSWER---------------True _____ Used by the Institute for healthcare improvement, as a four step cycle focused on improvement of workflow in the healthcare industry ------ CORRECT ANSWER---------------PDSA (plan, do, study, act)

True or false: The nursing home form act in post quality standards for nursing homes in order to receive reimbursement from Medicare and Medicaid ------CORRECT ANSWER---------------True True or false: accelerated death benefits are available if the policyholder lives permanently in a nursing home, is terminally ill, needs long-term care for an extended period of time, or has a life-threatening diagnosis, such as aids ------CORRECT ANSWER---------------True True or false: assisted-living facilities provide supervision and assistance during normal business hours only ------CORRECT ANSWER--------------- False True or False: General term non-physician practitioner (NPP) includes non- physician clinicians (NPCs) and mid-level practitioners (MLPs) ------ CORRECT ANSWER---------------True True or false: it is important to mention the general term non-physician practitioner which includes non-physician clinicians and mid-level practitioners and also referred to as physician expanders ------CORRECT ANSWER---------------False True or false: psychologist study the human mind and human behavior. Some psychologists work independently, doing research or working only with patients ------CORRECT ANSWER---------------True True or false: nurses must earn a bachelors degree to become a registered nurse ------CORRECT ANSWER---------------False

True or false: chiropractors have a holistic approach to treating their patients, which means we focus on the entire body with emphasis on the spine ------CORRECT ANSWER---------------True True or false: Specialists can be primary care physicians, family care practitioners, general internal medicine physicians, or general pediatricians ------CORRECT ANSWER---------------False True or false: Registered nurses can only be licensed in one state ------ CORRECT ANSWER---------------False True or false: Certified nurse midwives are primary care providers for patients who are pregnant ------CORRECT ANSWER---------------True True or false: Siemens has introduced a pocket sized ultrasound, Acuson P10, which can be used for traditional applications of diagnostic and screening tests. It can be used in outpatient areas, intensive care unit, and rescue helicopters to provide instant information to make a diagnosis ------ CORRECT ANSWER---------------True True or false: Health information technology is important because it can reduce medical errors ------CORRECT ANSWER---------------True True or false: And example of telemedicine is a Tronic consulting between specialists and generalists ------CORRECT ANSWER---------------True

True or false: The servant leader ship model assumes the doctor will make the best decision for the patient's health. The patient assumes a very passive role, giving the provider great power in the decision making process. This is a very traditional relationship that often would occur between the elderly and physicians because they were taught revere the medical world ------CORRECT ANSWER---------------False True or false: The priestly model assumes the doctor will make the best decisions for the patient's health. The patient assumes a very passive role, giving the provider great power in the decision making process. This is a very traditional relationship that often would occur between the elderly and physicians because they were taught revere the medical world ------ CORRECT ANSWER---------------True Select all of the statements below that are true of hospitals and their evolution in the US ------CORRECT ANSWER---------------- Target of Hill Burton act was to achieve 4.5 hospital beds per 1000 population

  • The hospital industry was shaken up in 1983 because for the first time in the history of hospitals in America government reimbursements to hospitals (through Medicare) for services provided were based on grouping patient with similar resource utilization patterns instead of cost
  • among trends categorizing US hospitals between 1975 and 2014 are decreasing beds per 1000 population, declining average length of stay and declining occupancy rates
  • A variety of forces including payment system reforms, technological advances in Medical care, modifications to practice patterns and changes in consumer preferences have contributed to the transformation of US hospitals over the past 40 years Hospitals and nursing homes set the stage for the current trend toward a preference for inpatient care and services over outpatient care and services ------CORRECT ANSWER---------------False

All _____ care is outpatient but not all ____ is primary ------CORRECT ANSWER---------------Primary Outpatient care Regarding primary care all of the following statements are true except ------ CORRECT ANSWER---------------Such care rarely or never includes primary, secondary, or tertiary prevention Navigation of political systems and processes both formal and informal -----

  • CORRECT ANSWER---------------Civic actions and behaviors Critical thinking inquiry and analysis; quantitative reasoning ------CORRECT ANSWER---------------Civic abilities and skills Knowledge of universal democratic principles and their application across cultures ------CORRECT ANSWER---------------Civic knowledge Collaboration, equity, inclusion, respect ------CORRECT ANSWER------------ ---Civic attitudes values ______ are physicians who provide care to patients while they are hospitalized ------CORRECT ANSWER---------------Hospitalists

True or false: dementia is the most common form of Alzheimer's ------ CORRECT ANSWER---------------False Why are life expectancy rates calculated? ------CORRECT ANSWER--------- ------- they calculate the average life expectancy of a country

  • they could be used to compare both male and female life expectancy rates
  • they are often used as a comparison measure of a countries health status True or false: Consolidated Omnibus Budget Reconciliation Act of 1986 (COBRA) an amendment ERISA was passed to protect employees who lost Or changed employers so they could keep their health insurance if they paid 102% of the full premium ------CORRECT ANSWER---------------True True or false: failing to hire an applicant because she is a transgender woman and firing an employee because she or he is planning or has made a gender transition are considered unlawful sex discrimination according to the equal employment opportunity commission (EEOC) ------CORRECT ANSWER---------------True True or false: According to the American medical Association once a patient and physician relationship started the position is not legally but ethically obligated to continue the relationship until the patient no longer requires their care ------CORRECT ANSWER---------------False True or false: economic equipment and actions are important to the Health Care indem Street because many workers often lift patients to and from beds operating tables and wheelchairs ------CORRECT ANSWER------------- --False

The ____ was established as a result of the 2001 terrorist attack in NYC --- ---CORRECT ANSWER---------------Department of Homeland Security The _____ which is responsible for responding to natural and man-made disasters in the United States is under the umbrella of the Department of Homeland Security ------CORRECT ANSWER---------------Federal emergency management agency True or false: local health departments are the governmental organization that provides most direct services to the population ------CORRECT ANSWER---------------True True or false: The US Constitution gives local government the primary role in healthcare for their citizens. They also license health professionals such as physicians, dentist, chiropractors, nurses, pharmacist, optometrist, and veteran to practice within their jurisdiction ------CORRECT ANSWER--------- ------False The _____ developed behavioral standards for employees who deal with blood products, such as wearing gloves and other equipment, disposal of blood collection materials ------CORRECT ANSWER--------------- Occupational Exposure to Blood-borne Pathogen Standard Which agency was established in 1970 to govern the workplace environment to ensure that employees have a safe and healthy environment? ------CORRECT ANSWER---------------Occupational Safety and Health Administration

transfer of a baboon hurt into a 5 pound infant in 1984 ------CORRECT ANSWER---------------True All humans possess _____________,cells, which are starter cells For the development of body tissue that have yet to be formed to specialized tissues for certain parts of the body. ------CORRECT ANSWER--------------- Stem True or false: Transportation is the general procedure of implanting a functional Oregon from one person to another ------CORRECT ANSWER--- ------------True True or false: xenotransplantation is the general procedure of implanting a functional organ from one person to another ------CORRECT ANSWER------ ---------False True or false: autonomy which is defined a self rule is an important concept to healthcare because it is a applied to informed consent which requires a provider to obtain approval of a patient who has been provided adequate information to make a decision regarding intervention ------CORRECT ANSWER---------------True True or false: acupuncture medicine in corporate Diet, meditation, herbal medicine, and nutrition to treat depression and to really stress ------ CORRECT ANSWER---------------False

True or false: Psychologist who also participate in the treatment of mental health cannot prescribe drugs but provide different types of therapy ------ CORRECT ANSWER---------------True True or false: psychiatrists who also participate in the treatment of mental health cannot prescribe drugs but provide different kinds of therapy ------ CORRECT ANSWER---------------False True or false: Only 15% of the elderly population suffers from dementia -----

  • CORRECT ANSWER---------------True What is the purpose of the mental health parity act and its amendment? ---- --CORRECT ANSWER----------------requires the same mental health coverage by health insurance companies as traditional medical care coverage
  • requires full disclosures of health plans of mental health care
  • requires that mental health intermediate levels of coverage includes residential treatment and outpatient care True or false: Ayurveda Madison incorporates diet, meditation, herbal medicine, and nutrition to treat depression and to really stress ------ CORRECT ANSWER---------------True Which of the following are part of the de facto mental health service system in the United States? ------CORRECT ANSWER---------------- healthcare providers
  • home (family)
  • community (nonprofit organizations)

Consumers of healthcare in America today are faced with higher and higher OOP costs; even when they are insured The _____ experiment clearly demonstrated that cost sharing had a material impact and lowering utilization without any significant negative health consequences ------CORRECT ANSWER---------------Rand Maximum OOP liability is also known as _____ in the world of insurance --- ---CORRECT ANSWER---------------Stop gap Maurice just graduated from college and has health insurance through her employer. A good friend Horace also graduated from college recently but he had to purchase health insurance on his own. Which of the following best describes her situation ------CORRECT ANSWER---------------Maurice's policy is a group policy and horace's policy is individual _____ is the fundamental feature of managed-care ------CORRECT ANSWER---------------Capitation There are ____ types of HMOs ------CORRECT ANSWER--------------- 4 True or false: Self insurance refers to individuals purchasing their own insurance when they don't have covered by the employer ------CORRECT ANSWER---------------False

True or false: famous experiment by the rand corporation in California is credited with cleaning the term moral hazard ------CORRECT ANSWER----- ----------False Which of the following acronyms is formed by using the first letters the components of the quad function model of healthcare financing ------ CORRECT ANSWER---------------FIDP True or false: Stopgap and stop loss or opposite terms and are used interchangeably ------CORRECT ANSWER---------------False Per member per month is another way of saying ------CORRECT ANSWER---------------Capitation What is the impact of a plan having a maximum out of pocket liability for an insured? ------CORRECT ANSWER---------------Lower out of pocket costs True or false: In general POS plans are more restrictive than HMOs ------ CORRECT ANSWER---------------False Which of the following is the most restrictive in terms of access to care ------ CORRECT ANSWER---------------Staff model HMO True or false: recent trend and health insurance plans is consumer driven health plans that are tax advantage plans with high deductible coverage.