Question 1

Eliasoph (2014) describes simple integration as a cooperative and collaborative process that can occur between others for the benefit of the client. Eliasoph believes that simple integration can occur with

Accepted Answer

D

Question 2

Shortell, Gillies, and Anderson (1996) developed the idea of an organized delivery system and characterized an ideal health system, which led to the idea of integrated and coordinated health care. What are the two types of integration that were created?

Accepted Answer

The two types of integration created were horizontal and vertical integration.

Question 3

How many key factors are identified in the Framework for Sustainable Health and Health Care?

Accepted Answer

The Framework for Sustainable Health and Health Care identifies six key factors: social determinants of health, health system sustainability, community and health system resiliency, health impact assessment, equity and inclusion, and integrated governance.

Question 4

The nurse manager is very aware of the needed items for her unit and now has a list of those items. The nurse knows that, according to the four guiding principles of health care sustainability, being sure of the supplies needed is a way to optimize the use of those resources and eliminate waste, and is an example of which of the following guiding principles? (Select all that apply.)

Accepted Answer

The answer of The nurse manager is very aware of...

Question 5

The nurse manager has identified that there are areas in the hospital and on her unit where money could be saved. She has decided to look into these areas to see what plans can be made. According to the four guiding principles of health care sustainability, the nurse supervisor knows that eliminating inefficiencies, unsafe practices, and waste are examples of meeting which of the following guiding principles? (Select all that apply.)

Accepted Answer

The answer of The nurse manager has identified that there...

Question 6

An integrated health care system is one that aims to

Accepted Answer

An integrated health care system aims to reduce the need for acute care hospitals by increasing community resources, such as primary care clinics, home care services, and social support programs. This approach places more emphasis on preventive care and chronic disease management, which can ultimately reduce the need for expensive hospital-based medical services.

Question 7

Horizontal integration occurs when

Accepted Answer

Horizontal integration refers to the consolidation of comparable types of organizations that offer similar kinds and ranges of services. This can often result in cost savings and increased efficiency for the organizations involved.

Question 8

According to the text, which of the following is a possible cause for increased provincial health care spending in Ontario?

Accepted Answer

Duplication of tests can lead to increased health care spending as it results in unnecessary procedures and costs.

Question 9

The ability to sustain health and health care systems and services in a community is a top priority for Canada. Presently, Canada is among the OECD countries that rank highest in per capita health care spending. Which of the following factor(s) most contribute(s) to this?

Accepted Answer

The rising costs and expenditures are the main factor contributing to Canada's high per capita health care spending. This can be attributed to factors such as an aging population, increased demand for technology and medical services, and increased drug costs.

Question 10

Vertical integration occurs when

Accepted Answer

Vertical integration refers to a situation where one provider system can offer a full range, levels, and intensities of services in a defined area. This means that the provider system has control over various stages or levels of service delivery, from the initial stage to the final stage. Vertical integration helps to streamline service delivery, reduce costs, and improve coordination among different providers. It also helps to improve patient outcomes and satisfaction.

Question 11

What are the four guiding principles that have been proposed as plans to contribute to health care sustainability?

Accepted Answer

The four guiding principles proposed to contribute to health care sustainability are accountability, value, fair access, and appropriateness of care. These principles aim to ensure that healthcare is sustainable in terms of quality, accessibility, and affordability. Accountability ensures that healthcare providers are responsible for their actions and decisions. Value ensures that healthcare services are of high quality and provide value to patients. Fair access ensures that healthcare services are accessible to everyone regardless of their income or social status. Appropriateness of care ensures that healthcare services are appropriate and necessary for the patient's condition.

Question 12

Suter, Oelke, Adair, & Armitage (2009) identified universal principles of successful integrated health care systems that could be used by decision-makers to assist with integration efforts. How many universal principles were identified?

Accepted Answer

Suter, Oelke, Adair, & Armitage (2009) identified 10 universal principles of successful integrated health care systems.

Question 13

Eliasoph (2014) describes complex integration in health care as part of the solution to the challenge of sustaining Canada's health care system. He states that the complex integration systems such as regional health authorities and local health integration networks in Ontario will be expected to

Accepted Answer

Eliasoph states that complex integration systems will be expected to plan, coordinate, and provide funding for specific health services. This implies that the focus is on coordinating and providing high-quality health services, rather than solely on budgeting, saving money, or downsizing.

Question 14

What is the principle idea behind "upstream" work in the community?

Accepted Answer

The principle idea behind "upstream" work in the community is to give clients tools and support to stay in their home, which results in fewer trips to the hospital and lower overall costs to the system. Accommodating clients in the community, decreasing hospital stays, and decreasing hospital costs may be outcomes of upstream work, but they are not the main principle idea behind it.

Question 15

Provincial governments are becoming proactive by reviewing other ways to decrease their health care expenditures without decreasing their budgets. Which of the following ways have been proposed?

Accepted Answer

The question is asking for ways to decrease health care expenditures without decreasing budgets. Option A suggests increasing billable services for clients, which could potentially increase the budget. Option C only suggests lean philosophies and fee-for-service payment models but does not address decreasing expenditures. Option D only suggests fee-for-service payment models and capitation models of payments, which may not necessarily decrease expenditures. Option B suggests a combination of lean philosophies (which focus on efficiency and eliminating waste) and quality-based procedures (which prioritize effective and efficient care) as well as capitation models (which incentivize providers to keep costs low) as ways to decrease expenditures without cutting budgets.

Question 16

Individuals are essential partners in the effort to improve quality and safety in health care, and are also needed to participate as active members of the team or organization that they work for. This is essential for which of the following?

Accepted Answer

Active participation and engagement of individuals is essential for improving quality and safety in healthcare, and for contributing to the growth and success of organizations. This requires individuals to be committed and invested in the organization's goals and mission, and to be willing to actively participate in change initiatives, provide leadership, and contribute to ongoing improvement efforts. Without engagement, it is difficult to achieve sustained improvement in quality and safety, or to create a culture of continuous improvement.

Question 17

Integrated health care systems are needed that can create for consumers of health care a "one-stop shopping" ability. What does this mean for the consumer?

Accepted Answer

"One-stop shopping" ability provided by integrated health care systems means the consumer has access to multiple health care services and information in one location. This can improve treatment choice and timely access to health services and information, allowing the consumer to make informed decisions. Option B is incorrect because integrated health care systems do not necessarily allow for shopping for the best services available, they only provide multiple services in one location. Option C is incomplete, as the mere presence of an integrated health care system does not necessarily mean that the consumer is receiving one-stop shopping. Option D is too limiting because it suggests that all health care needs are presented in one location, whereas integrated health care systems may only provide a subset of services.

Question 18

Client-centred and family-centred care are very important concepts of care that can have varied definitions. How can organizations safeguard to ensure that, within their organizations, the definitions and concepts are clear?

Accepted Answer

Crafting a definition of client- and family-centred care that meets the organization's mission and their clients' unique needs is the best way to ensure that the definitions and concepts are clear within their organization. This definition can be communicated through the organization's code of ethics, but its crafting is what will ensure that the organization understands and models this type of care. Promoting and modeling the care are important, but they are not enough to ensure that the definitions are clear.

Question 19

Sustainability in health care is defined as the appropriate balance of which of the following factors, leading to optimal health and health care outcomes for individuals, communities, and the present and future populations?

Accepted Answer

Sustainability in healthcare requires consideration of cultural, social, and economic environments, as these factors play a critical role in determining the health outcomes of individuals and communities. Financial and economic environments alone are not sufficient to achieve optimal health outcomes, nor are cultural and social environments in isolation. Health promotion and disease prevention are important components of sustainability, but they are only part of a larger, more complex system that includes the social, cultural, and economic factors that impact health.

Question 20

Partnerships formed in the community that involve clients taking a more active role in their health care needs are showing improved health outcomes. According to the text, which of the following is one positive effect of these community partnerships that clients experience?

Accepted Answer

The text states that partnerships formed in the community where clients take a more active role in their health care needs have shown improved health outcomes, including reduced anxiety and stress with decreased hospital stays. While A, C, and D are all potential positive effects of community partnerships, they are not specifically mentioned in the text as outcomes that clients experience.

Quiz 9: Current Issues and Trends