UMKC HLSC 430 Health Program Management Quiz 3,4,5,6,7,8,9,11 & 12
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Unit 3
• Question 1
The inception of _____ was used as a trial balloon for the idea of government-sponsored universal health insurance.
• Question 2
Which of the following factors was particularly important in promoting the growth of office-based medical practice in the postindustrial period?
• Question 3
The beliefs and values that form American ideology represent the sentiments of
• Question 4
Initially, what was the main purpose of private health insurance in the US?
• Question 5
Historically, which interest group was the most powerful in opposing national health insurance?
• Question 6
E-health has resulted in
• Question 7
Hospitals in the United States evolved from
• Question 8
When hospitals first emerged in the United States, they were used primarily by the wealthy.
• Question 9
In its historical context, which of the following has played a major role in revolutionizing health care delivery?
• Question 10
The private medical sector in the US has been heavily regulated by the government mainly because
• Question 11
In the preindustrial era, _____ often functioned as surgeons.
• Question 12
What was the function of a pesthouse in the preindustrial period?
• Question 13
In the US, public health and private practice of medicine developed separately because
• Question 14
Wage freezes during World War II helped promote employer-based health insurance in the United States.
• Question 15
The US Supreme Court decision in Olmstead v. L.C. directed US states to
• Question 16
As the health care delivery system developed in the US, right from its inception primary care physicians were assigned a gatekeeping role.
• Question 17
Middle-class Americans have historically opposed proposals for a national health insurance program.
• Question 18
During the World War II period, the US Supreme Court ruled that
• Question 19
On what grounds have middle-class Americans generally opposed proposals for a national health insurance program?
• Question 20
What main purpose was served by an almshouse in the preindustrial period?
Unit 4
• Question 1
The main difference between Clinical Nurse Specialists (CNSs) and Nurse Practitioners (NPs) is:
• Question 2
Patients requiring services from occupational therapists need help with performing tasks in their daily living and working environments.
• Question 3
Which of the following is a major criticism of managed care?
• Question 4
When patients have multiple health problems, this is called:
• Question 5
Primary care is:
• Question 6
Which type of health care facility employs the most people in the U.S.?
• Question 7
Physician maldistribution occurs by:
• Question 8
There is an imbalance between primary and specialty care services in the U.S. health care delivery system.
• Question 9
A major factor influencing growth in the health care sector of the U.S. economy is:
• Question 10
Nonphysician practitioners (NPPs) include:
• Question 11
The number of specialists is increasing because:
• Question 12
The number of active nurses has steadily increased over time.
• Question 13
MCO stands for:
• Question 14
The health care sector constituted what percentage of the U.S. gross domestic product in 2005?
• Question 15
The principal source of funding for graduate medical education is:
• Question 16
More than half of MDs are specialists.
• Question 17
There has been a decreasing number of international medical graduates (IMGs) in the U.S. since 1980.
• Question 18
The roles and responsibilities of health services administrators include:
• Question 19
Fill in the blank: Compared to metropolitan and suburban areas, there is a/an _____ of physicians in rural areas.
Unit 5
• Question 1
What is the main function of the National Institutes of Health?
• Question 2
Cost-efficiency evaluates marginal benefits in relation to
• Question 3
What is the main intent of the Stark laws?
• Question 4
Telemedicine technology that allows a specialist located at a distance to directly interview and examine a patient is referred to as
• Question 5
This made additional resources available to the FDA, and resulted in a shortened approval process for new drugs.
• Question 6
The utilization of technology has a greater impact on total health care expenditures than the cost of acquiring technology.
• Question 7
The ACA of 2010 places some restrictions on the licensing of new biological products.
• Question 8
What is the main advantage of interoperability within an electronic health records (EHR) system?
• Question 9
The asynchronous form of telemedicine uses _____ technology.
• Question 10
The point at which marginal benefits equal marginal costs.
• Question 11
What is the role of an institutional review board (IRB)?
• Question 12
Which of the following has the greatest impact on system-wide health care costs?
• Question 13
The Health Insurance Portability and Accountability Act requires
• Question 14
What main purpose do Clinical Practice Guidelines serve?
• Question 15
Supply-side rationing.
• Question 16
Which department of the DHHS supports research on health care quality, cost, and access?
• Question 17
The FDA was given the authority to review the effectiveness and safety of a new drug before it could be marketed.
• Question 18
Limitations on the diffusion and utilization of technology generally result in harmful effects on a nation's population.
• Question 19
Evaluation of the appropriateness of medical technology.
• Question 20
American beliefs and values favor the development and use of new medical technology despite its cost.
• Question 21
At the flat of the curve,
____________________________________________
Unit 6
• Question 1
_____ reimbursement is based on the assumption that health care is provided in a set of identifiable and individually distinct units of services.
• Question 2
To receive payment for services delivered, providers must file a ____ with third-party payers.
• Question 3
To finance Medicare Part A,
• Question 4
The phenomenon called 'moral hazard' results directly from
• Question 5
A set monthly fee per enrollee.
• Question 6
Medicare Part B premiums are
• Question 7
People in older age groups represent a higher risk than those in lower age groups.
• Question 8
A copayment is generally paid
• Question 9
What is the central role of health services financing in the United States?
• Question 10
What is the main advantage of group insurance?
• Question 11
The amount of reimbursement is determined before the services are delivered.
• Question 12
Preferred providers are paid
• Question 13
What was the main conclusion of the Rand Health Insurance Experiment
• Question 14
Major medical plans do not include dental coverage.
• Question 15
Under the DRG method of reimbursement, an acute care hospital is paid
• Question 16
State governments are required to partially finance the Medicaid program.
• Question 17
The majority of beneficiaries receiving health care through Medicare are
• Question 18
Under the Medicaid program, eligibility criteria and benefits are consistent throughout the US.
• Question 19
Medicare provides comprehensive health care services.
• Question 20
If national health expenditures amount to 16% of the GDP, what does this mean?
• Question 21
Under the Medicare program, eligibility criteria and benefits are consistent throughout the US.
• Question 22
The primary criterion to become eligible for Medicaid is
• Question 23
The government plays a significant role in financing health care services in the United States.
• Question 24
A health insurance plan pays for medical care only after the insured has first paid $500 out of pocket on an annual basis. The $500 annual cost is called
• Question 25
What is the primary mechanism that enables people to obtain health care services?
• Question 26
Tax policy in the U.S. provides an incentive to obtain employer-paid health insurance.
• Question 27
A DRG represents
• Question 28
CHIP is available to children without any health insurance in families whose incomes are at or below ____ of the federal poverty level.
• Question 29
Public (government) share of the total health care spending in the United States is approximately
• Question 30
What is the primary reason that a segment of the U.S. population is uninsured?
• Question 31
Health insurance increases the demand for health care services.
• Question 32
In a general sense, what is the primary purpose of insurance?
Unit 7
• Question 1
One reason women’s health centers were created is:
• Question 2
The demand for home health care services is likely to decrease in the future.
• Question 3
The proliferation of health care delivery through managed care created a decreased demand for primary care physicians.
• Question 4
Which of the following is a reason for the growth in outpatient services?
• Question 5
Compared to tertiary care, primary care services are more complex and specialized.
• Question 6
Which of the following is an example of a secondary care service?
• Question 7
The most prominent reason for the decline in the number of procedures performed in hospitals is:
• Question 8
There is little distinction between the terms “outpatient” and “ambulatory.”
• Question 9
Men report more chronic illness than women.
• Question 10
Fill in the blank: Historically, inpatient care developed ________ outpatient care.
• Question 11
Countries whose health systems are oriented more toward primary care achieve:
• Question 12
What is gatekeeping?
• Question 13
Outpatient care accounts for what percent of gross patient revenue for all US hospitals?
• Question 14
Hospice services are primarily for people with:
• Question 15
Emergency departments, in most cases, are equipped to provide:
• Question 16
What does “PPS” stand for?
• Question 17
Fill in the blank: The percentage of medical school graduates choosing careers in primary care is ______________.
• Question 18
Community health centers serve primarily:
• Question 19
Primary care may play an important role in mitigating the adverse health effects of income inequality.
Unit 8
• Question 1
Inpatient care consists of
• Question 2
The first hospitals in the United States served mainly
• Question 3
A nonprofit hospital is prohibited by law from making a profit.
• Question 4
The first voluntary hospitals in the United States were financed
• Question 5
The proportion of a hospital's capacity that is actually utilized.
• Question 6
The CEO has the primary responsibility for defining a hospital's mission and its long-term direction.
• Question 7
What did the swing bed program allow rural hospitals to do?
• Question 8
The biggest share of national health spending is used by
• Question 9
Which of these hospitals is not likely to serve the general public?
• Question 10
Which ownership type constitutes the larges group of hospitals and hospital beds in the United States?
• Question 11
What is the main drawback of a living will?
• Question 12
How did the PPS based on DRGs lead to hospital downsizing in the United States?
• Question 13
What has been the effect of intense consolidation in certain hospital markets?
• Question 14
Which entity in hospital governance is legally responsible for the hospital's operations?
• Question 15
Most multihospital systems in the United States are operated by nonprofit corporations.
• Question 16
The Hill-Burton Act was passed to
• Question 17
Which principle of ethics requires caregivers to involve the patient in medical decision making?
• Question 18
Which entity overseas the licensure of health care facilities?
• Question 19
The downsizing of hospitals in the United States began in the mid-1980s.
• Question 20
ALOS is an indicator of
• Question 21
Managed care has emphasized the use of alternative services to acute hospital care whenever appropriate.
Quiz 11
• Question 1
A disease is considered chronic if it is observed for at least how long?
• Question 2
Lack of insurance can result in:
• Question 3
Which racial/ethnic group has the highest rate of uninsurance
• Question 4
Among women, which racial/ethnic group has the highest percentage distribution of AIDS?
• Question 5
Rural areas are particularly good places for managed care implementation.
• Question 6
What does the federal Ryan White CARE Act fund?
• Question 7
The health status of American Indians no longer lags significantly behind other racial/ethnic groups.
• Question 8
Which racial/ethnic group is growing the fastest?
• Question 9
Many Hispanic families who immigrated to the U.S. may not qualify for Medicaid.
• Question 10
Educational attainment varies very little among Asian American subgroups.
• Question 11
Most uninsured adults are employed but are not covered because:
• Question 12
Which racial/ethnic group is least likely to use mammography?
• Question 13
Which racial/ethnic group has the highest rate of low birth weight infants?
• Question 14
Approximately how many Americans are uninsured?
• Question 15
More women than men will suffer from major depression in their lifetimes.
• Question 16
The 2010 U.S. Census allowed respondents to choose one or more races when they self-identify.
• Question 17
Uninsured people are more likely to postpone seeking medical care, compared to insured people.
• Question 18
What is the primary purpose of the National Health Service Corps?
• Question 19
Approximately how many adult Americans have a mental disorder in any one year?
• Question 20
What does “MUA” stand for?
Quiz 12
• Question 1
What is the purpose of clinical practice guidelines?
• Question 2
A service is cost-efficient when:
• Question 3
Compared to other nations, the U.S. uses a larger share of its economic resources for health care.
• Question 4
Prevention and lifestyle behavior changes to promote health are not major foci of the medical model.
• Question 5
Whether payment for health care services is made by the government or by a private insurance company, individual patients pay a price far higher than the actual cost of the service.
• Question 6
Managed care increased the rate of growth in health spending between 1993 and 2000.
• Question 7
Health care costs for the elderly are nearly 3 times more than those for the non-elderly.
• Question 8
What is meant by the term “health care costs”?
• Question 9
What is Gross Domestic Product (GDP)?
• Question 10
What is the Health Plan Employer Data and Information Set (HEDIS)?
• Question 11
The U.S. has never imposed price controls on the health care industry.
• Question 12
Approximately what percentage of GDP is spent on health care?
• Question 13
What are administrative costs?
• Question 14
What are the main activities of risk management?
• Question 15
What is the main reason for the lack of success of health care cost control efforts in the U.S.?
• Question 16
The Donabedian Model includes all of the following elements except:
• Question 17
Why should rising health care costs be controlled?
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