Health System Transformation Quiz
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Questions and Answers

What is the primary goal of the wellness model in healthcare?

  • Prevention of disease and maintenance of well-being (correct)
  • Treatment of illness and disease
  • Pay for volume care
  • Pay for quality care
  • What is the role of the Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) in hospitals?

  • To provide medical devices to hospitals
  • To provide insurance to patients
  • To employ physicians and clinicians
  • To help hospitals maintain quality of care and establish guidelines (correct)
  • What is a characteristic of the current healthcare system?

  • Care-based episodes
  • Pay for quality care
  • Consistently better quality care at lower cost
  • Variable quality care that is expensive and wasteful (correct)
  • What is a challenge facing the healthcare system?

    <p>Huge quality and cost differences persist across providers</p> Signup and view all the answers

    What is the role of patients in 21st century healthcare?

    <p>Patients play a larger role in making decisions about their healthcare</p> Signup and view all the answers

    What is the main characteristic of Long Term Care Facilities?

    <p>They mainly care for elderly patients and individuals with disabilities</p> Signup and view all the answers

    What is the primary purpose of the Food and Drug Administration (FDA)?

    <p>To regulate food and drug products sold to the public</p> Signup and view all the answers

    What type of facility provides basic physical care, as well as skilled nursing care and rehabilitation services?

    <p>Extended care facilities</p> Signup and view all the answers

    What is the primary benefit of home health care compared to hospital or long-term care facilities?

    <p>It is less expensive than admission to hospital or long-term care facility</p> Signup and view all the answers

    What type of organization is the World Health Organization (WHO)?

    <p>An international health organization</p> Signup and view all the answers

    Study Notes

    Current and Future Health Systems

    • Current health system is variable in quality, expensive, and wasteful.
    • Future health system aims for consistently better quality, lower cost, and more efficiency.

    Payment Models

    • Current payment model pays for volume (transactions).
    • Future payment model pays for quality (care-based episodes).

    Quality Assessment

    • Current quality assessment focuses on provider and setting (process).
    • Future quality assessment focuses on patient experience (outcomes).

    21st Century Health Care

    • Patients play a larger role in decision-making about the future of health care.
    • Health IT enables doctors to track patient progress and allows patients to engage in new ways at their convenience.

    Medical Models

    • Medical model (Western medicine) focuses on treating illness and disease.
    • Wellness model focuses on preventing disease and maintaining well-being.

    The Paradox of Health Care

    • Private healthcare system is competitive, but costs are high and rising.
    • Quality and cost of care vary across providers and geographic areas.
    • Diagnosis errors and preventable treatment errors are common.
    • Best practices are slow to spread, and innovation is resisted.

    Healthcare Stakeholders

    • Consumers, providers, hospitals, physicians, clinics, long-term care facilities, pharmaceuticals, medical devices, insurers, employers, and government.

    Hospitals

    • Can be public or private (for-profit or non-profit).
    • Types of hospitals include general, specialty, and teaching hospitals.
    • Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) ensures quality of care and conducts inspections.

    Specialty Hospitals

    • Care for specific conditions, age groups, or patient populations (e.g., cancer, pediatric, psychiatric, rehabilitation).

    Long-Term Care Facilities

    • Mainly care for elderly patients (residents) and individuals with disabilities or handicaps.
    • Types of facilities include residential care, extended care (skilled nursing), and assisted living facilities.

    Home Health Care

    • Became more common in the late 1980s and is now an area of growth.
    • Nurse or skilled professional visits patient at home to provide treatment and education.
    • Less expensive than hospital or long-term care facility admission.

    Medical and Dental Offices

    • Vary from small to large complexes with multiple specialties and healthcare professionals.
    • Some offices treat a wide variety of illnesses and conditions, while others specialize.

    Mental Health Services

    • Counseling centers, psychiatric clinics and hospitals, chemical abuse treatment centers, and physical abuse treatment centers.

    Regulatory Agencies

    • Food and Drug Administration (FDA): regulates food and drug products sold to the public.
    • World Health Organization (WHO): international agency that compiles disease statistics and promotes healthy living.
    • Occupational Safety and Health Administration (OSHA): part of the U.S. government that regulates workplace safety and health.

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    Description

    This quiz assesses knowledge of the current and future healthcare system, focusing on quality, cost, and payment models. It evaluates the shift from paying for volume to paying for quality and care-based episodes.

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