Deck 14: Analysis of the US Healthcare System

Question 1

The Green House Project is a unique type of nursing home that focuses on creating a residence that provided services but focused on the concept of being a home to the residents not an institution where they received care.

Answer 1

True

Question 2

The Villages is one of the largest over-55 golf cart communities in the United States. They have developed a partnership with the University of South Florida to create
a patient-centered, community-based and primary care driven healthcare system. A primary care network is being developed in which all residents have access to a medical home or care center that will be located within 10 minutes by golf cart.

Answer 2

True

Question 3

Countries with national health care programs such as Great Britain provide universal access to health care to all citizens. They have a single payer system which means the government pays for the health care services.

Answer 3

True

Question 4

Which statements are accurate regarding telemedicine?

A)It is the use of information technology to enable health care providers to communicate with rural care providers regarding patient care.
B)It is the use of information technology to communicate directly with patients regarding treatment.
C)It is now being reimbursed by health insurance companies because it is an affordable way to treat patients.
D)A & B.

Question 5

Robotic surgery is a type of minimally invasive surgery (MIS)that surgeons manipulate robotic arms to perform surgeries normally performed by humans.

Question 6

In a national health system, as in Great Britain, taxes support the system but the government also manages the infrastructure for health care delivery. Countries with national health care programs provide universal access to health care to all citizens.

Question 7

In France, their consumers have had no restrictions on physician selection. They may visit several physicians before they find a physician they prefer. This type of medical nomadisim drives up health care costs.

Question 8

Pay for performance (P4P)or value based purchasing (VBP)are terms that describe health care payments systems which reward health care providers for their efficiency by providing higher quality care for less cost.

Question 9

The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA)authorized incentives to encourage physicians to e-prescribe.

Question 10

What are examples of complementary and alternative medicine (CAM)?

A)Chiropractic manipulations
B)Meditation
C)Diet therapies
D)Yoga
E)All of these are examples.

Question 11

National health insurance, as in Canada, is funded by the government through general taxes although the delivery of care is by private providers. Countries with national health care programs provide universal access to health care to all citizens.

Question 12

More than 7,000 medication-related deaths occur each year as a result of incompatible drug interactions and drug allergies.

Question 13

The Affordable Care Act of 2010 established the Hospital Value-Based Purchasing Program. It is a Centers for Medicare & Medicaid Services (CMS)initiative that rewards acute-care hospitals with incentive payments for the quality of care they provide to people with Medicare.

Question 14

For example, California's Integrated Healthcare Association's (IHA)Pay4Performance program, started in 2003, has operated as the largest nongovernmental program nationally.

Question 15

In 2005, the French government established a coordinated care pathway which is similar to the U.S. managed care system Individuals are recommended to choose a preferred doctor and follow the doctor's pathway for their care.

Question 16

Which statements are correct about "Pay for Performance" health care?

A)Value-based purchasing is the same concept.
B)Payments systems that reward healthcare providers for their efficiency in treating patients
C)Higher quality care for less cost is the goal of "Pay for Performance"
D)All are correct statements.

Question 17

The goal of the Healthy People reports is to improve the quality of life and to eliminate health disparities.

Question 18

Legal standards are the maximum standard of action established for individuals in a society.

Question 19

The state of Massachusetts established a clearinghouse system, the Commonwealth Health Insurance Connector, which facilitated the buying, selling and administration of affordable, quality private insurance coverage for employers of 50 or fewer employees.

Question 20

In April 2007, the city's Healthy San Francisco (HSF)program was established which made comprehensive health care available to the 73,000 uninsured residents between 18 and 65 years of age.

Question 21

What is the Green House Project? How was this developed?

Question 22

Which statement is correct about Switzerland's healthcare system?

A)Approximately 99.5% of Swiss citizens have health insurance.
B)Wealthier citizens pay more for their healthcare insurance
C)Nonsmokers pay less expensive premiums than smokers
D)All are correct

Question 23

Discuss the four different types of universal health care that was discussed in the text. What are the differences between them?

Question 24

What is medical nomadism? Where does this occur geographically?

Question 25

According to the textbook, France's healthcare system is:

A)Similar to both Germany's and Japan's systems which have many characteristics of a socialized health insurance program.
B)A system that covers approximately 99% of their citizens.
C)Payroll taxes provide the least amount of funding for the system.
D)A & B.

Question 26

What is the purpose of a care coordinator?

A)Individuals who combine nursing, social work, and disability assistance to help those who are Medicare and Medicaid eligible and suffer from chronic conditions.
B)Individuals who coordinate care for homeless people with mental health disorders.
C)Individuals who coordinate care for those children with terminal illnesses.
D)Individuals who coordinate care for those patients with no health insurance.

Question 27

Which statements are correct about drugstore clinics?

A)They attempt to increase access to healthcare
B)They can treat conditions handled by physicians
C)You do not need an appointment to receive care
D)All are correct statements

Question 28

What is pay for performance? Do you think this is a good idea for healthcare?

Question 29

Which statement is correct about Japan's healthcare system?

A)Japan is very focused on integrating technology into their healthcare system
B)Japan's health care system is based largely on an employer based insurance.
C)A and B
D)None are correct.

Question 30

According to the textbook, Japan's healthcare system is:

A)Used primarily by their young population.
B)Health spending, like the U.S. is nearly 15% of their gross domestic product.
C)Focused on mandatory, employment-based insurance.
D)None of the statements are correct.

Question 31

. As a result of this program, an estimated 440,000 individuals have health insurance coverage. However, a major problem resulting from this new program is a lack of primary care physicians. Many uninsured that now have insurance require the services of a primary

Question 32

Analyze the state of Massachusetts and San Francisco, CA new health care system initiatives. Based on the narrative, do you think they should be replicated in other parts of the country? Defend your answer.