Healthcare Ecosystem Quiz

To provide accessible, affordable, and quality care for patients.

Prediction, Partnership

<p>False (B)</p> Signup and view all the answers

<p>They contribute by promoting preventative measures, ensuring timely support, and providing essential services to individuals and communities, ultimately improving overall health and well-being.</p> Signup and view all the answers

<p>Physicians = Diagnose and treat illnesses Nurses = Provide direct patient care and support Pharmacists = Dispense medications and advise patients Social Workers = Connect individuals with social services and support Insurance Representatives = Process claims and manage benefits</p> Signup and view all the answers

<p>Community Centers (A), Clinics (B), Hospitals (C), Doctor's Offices (D), Pharmacies (E)</p> Signup and view all the answers

<p>Stakeholders collaborate to ensure efficient and quality healthcare throughout the patient care process. This includes identifying patient needs, coordinating care, and facilitating access to resources.</p> Signup and view all the answers

<p>Convenience of access sites and cost of services, especially under high-deductible healthcare plans.</p> Signup and view all the answers

<p>Out-of-pocket system (A)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

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<p>Medicaid</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Federal Trade Commission (FTC) = Enforces antitrust laws to ensure fair competition in the Medicare Advantage market Internal Revenue Service (IRS) = Administers tax credits and subsidies for Medicare beneficiaries</p> Signup and view all the answers

<p>Technology significantly impacts the U.S. healthcare ecosystem by improving accessibility, efficiency, and quality of care. This includes advancements in medical imaging, electronic health records, telehealth, and data analytics, all contributing to better diagnoses, treatment, and patient outcomes.</p> Signup and view all the answers

<p>U.S. Department of Health and Human Services (HHS)</p> Signup and view all the answers

<p>Antitrust laws ensure that insurance companies compete fairly and ethically, preventing monopolies and protecting consumer interests.</p> Signup and view all the answers

<p>Part E: Long-Term Care (D)</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

<p>Environmental Protection Agency (EPA) (D)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Medicare Part A covers hospital stays, while Medicare Part B covers doctor's appointments, outpatient care, and other medical services.</p> Signup and view all the answers

<p>Payers = Organizations that finance healthcare services, including insurance companies and government agencies Purchasers = Individuals or groups that purchase healthcare coverage, such as employers or individuals Investors = Individuals or entities who provide financial capital to healthcare organizations, hoping for a return on investment</p> Signup and view all the answers

<p>Federal Trade Commission (FTC)</p> Signup and view all the answers

<p>The integrated healthcare model aims to coordinate care across different healthcare providers to achieve better patient health outcomes. It focuses on comprehensive and seamless care delivery, involving primary care physicians, specialists, hospitals, and other healthcare organizations to manage patient needs effectively.</p> Signup and view all the answers

<p>Medicare is a federal health insurance program for individuals aged 65 and older, as well as people with certain disabilities, while Medicaid is a joint federal-state health insurance program for low-income individuals and families.</p> Signup and view all the answers

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<p>Plan, Do, Study, Act</p> Signup and view all the answers

<p>Profitability (B)</p> Signup and view all the answers

<p>Increasing physician satisfaction (A)</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

<p>S = Summarize your understanding of the situation. H = Help the patient understand their options and the risks and benefits of each. A = Assess the patient's perspective. R = Recommend a course of action. E = Explore the patient's values and preferences.</p> Signup and view all the answers

<p>The Quadruple Aim framework aligns with the principles of Value-Based Care. Both aim to improve the quality of care while simultaneously controlling costs. Value-Based Care emphasizes delivering quality healthcare at a reasonable price, which aligns with the Quadruple Aim's focus on improving patient experience, population health, and reducing costs.</p> Signup and view all the answers

<p>higher</p> Signup and view all the answers

<p>The Quadruple Aim framework aims to improve the health of populations, enhance the patient experience of care, reduce the per capita cost of healthcare, and improve the work life of healthcare providers.</p> Signup and view all the answers

<p>Identify the options (B)</p> Signup and view all the answers

<p>SHARE</p> Signup and view all the answers

<p>Healthcare teams can improve client experiences using the Quadruple Aim framework by focusing on patient-centered care, addressing patient concerns, and providing high-quality, efficient services. By improving the work life of healthcare providers, the framework can also contribute to a more positive experience for patients.</p> Signup and view all the answers

<p>Medical suppliers manufacture and distribute essential healthcare products, like medical devices, pharmaceuticals, and supplies, to healthcare providers, directly impacting patient care and treatment.</p> Signup and view all the answers

<p>The Department of Health and Human Services (D)</p> Signup and view all the answers

<p>National Committee for Quality Assurance (NCQA)</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

<p>Medicare is a federal health insurance program for individuals aged 65 and older, while Medicaid is a joint federal and state program providing health coverage to low-income individuals and families.</p> Signup and view all the answers

<p>Environmental Protection Agency (EPA) (D)</p> Signup and view all the answers

<p>Licensure is a legal process that grants qualified individuals permission to practice specific healthcare professions, ensuring public safety and maintaining professional standards.</p> Signup and view all the answers

<p>Convenience of access sites (C)</p> Signup and view all the answers

<p>False (B)</p> Signup and view all the answers

<p>Social workers bridge clinical and nonclinical aspects of patient care.</p> Signup and view all the answers

<p>training</p> Signup and view all the answers

<p>Physician = Direct patient care and diagnosis Nurse = Patient care and support Social Worker = Resource coordination and counseling Administrator = Healthcare facility management</p> Signup and view all the answers

<p>To meet diverse patient needs (D)</p> Signup and view all the answers

<p>True (A)</p> Signup and view all the answers

<p>Institutional providers, such as hospitals and clinics, deliver comprehensive medical services and support patient care.</p> Signup and view all the answers

Organizations or individuals that generate healthcare services and products.

Entities that pay for healthcare services on behalf of patients.

Individuals or organizations that buy healthcare services directly.

Entities that provide funds to healthcare providers expecting a return.

A system combining various healthcare services for better coordination.

Official permission granted to practice healthcare by a regulatory body.

Businesses that provide medical equipment and supplies for healthcare delivery.

A private organization that improves healthcare quality by measuring performance.

A system comprising various stakeholders working together to provide accessible and quality healthcare.

Individuals or groups involved in the healthcare process, including providers, patients, and insurers.

The essential elements that make up the healthcare ecosystem, such as hospitals, insurance companies, and health services.

The organized way in which healthcare is delivered to patients, including policies and regulations.

Healthcare that is accessible and of high quality without imposing excessive costs on patients.

Laws and guidelines governing how healthcare insurance operates and reimburses patients.

A framework in healthcare focusing on Patients, Providers, Procedures, Payment, and Performance.

A field that includes various professions aimed at improving public health and individual well-being.

Considerations that affect how consumers access healthcare, including convenience and costs.

U.S. agency that establishes safety guidelines to ensure quality patient care.

Physicians' responsibilities within the healthcare system and their educational path.

Rights ensuring patients receive comprehensive information and can raise grievances.

Roles that support clinical staff and healthcare organizations beyond patient care.

Entities that deliver healthcare services to patients.

Organizations like hospitals and nursing homes that deliver patient care services.

A model aiming to improve patient experience, population health, reduce costs, and enhance provider work-life balance.

Services designed to meet community health needs; includes mobile clinics and health education workshops.

The electronic sharing of health information among organizations to improve care coordination.

Remote clinical services provided through telecommunications technology, improving access to healthcare.

Broader term encompassing telemedicine, including non-clinical services like health education and wellness programs.

A legislation that expanded healthcare coverage in the U.S. in 2010.

Provisions under ACA that enhance Medicaid coverage options for low-income individuals.

Legislation protecting patient privacy and preventing discrimination in healthcare.

Health issues that existed before obtaining insurance coverage.

Legal regulations that promote competition and prevent monopolies in industry, including insurance.

Federal health insurance program primarily for individuals over 65 and some younger people with disabilities.

Different components of Medicare offering various coverage options.

Rules governing Medicaid that ensure coverage for eligible low-income individuals.

A quality improvement cycle consisting of Plan, Do, Study, Act.

An acronym for Safe, Timely, Effective, Efficient, Equitable, Patient-Centered care.

The degree to which healthcare services increase the likelihood of desired health outcomes.

The ability to achieve maximum output with minimum input in healthcare processes.

A patient-centered method that involves Seek, Help, Assess, Reach, and Evaluate.

A decision-making framework: Define, Explore, Consider, Identify, Decide, Evaluate.

Framework focusing on improving patient experience, reducing costs, improving population health, and enhancing provider experience.

Programmed are routine decisions, while nonprogrammed are unique and complex decisions.