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.

Accepted Answer

The Green House Project is indeed a model for long-term care that emphasizes smaller, homelike settings where residents receive personalized care, aiming to create a more intimate and non-institutional environment.

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.

Accepted Answer

The Villages, indeed, has partnered with the University of South Florida to create a healthcare system focused on providing accessible, primary care-driven services to its residents, emphasizing the unique aspect of ensuring a medical home or care center is accessible within a 10-minute golf cart ride.

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.

Accepted Answer

In countries with national health care programs like Great Britain, the government operates a single-payer system, meaning it collects taxes from citizens and uses those funds to pay for universal health care services, ensuring access for all citizens.

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.

Accepted Answer

Telemedicine encompasses both the use of information technology for health care providers to communicate with each other (including with rural care providers) about patient care (A) and the direct communication with patients regarding treatment (B). It has been increasingly adopted and reimbursed by health insurance companies due to its cost-effectiveness and ability to extend healthcare access, but the statement in C, while related, does not accurately describe telemedicine itself.

Question 5

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

Accepted Answer

Robotic surgery is indeed a form of minimally invasive surgery where surgeons use robotic systems to control surgical instruments, allowing for more precision, flexibility, and control than is typically possible with conventional techniques.

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.

Accepted Answer

In a national health system, such as the one in Great Britain, the government not only uses taxes to fund the healthcare system but also oversees and manages the healthcare infrastructure, ensuring universal access to healthcare services for 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.

Accepted Answer

In France, consumers have the freedom to choose their physicians and can consult multiple doctors without restrictions, a practice known as "medical nomadism," which can contribute to higher healthcare costs due to increased utilization of medical services.

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.

Accepted Answer

Pay for Performance (P4P) and Value-Based Purchasing (VBP) are healthcare payment models that incentivize healthcare providers to deliver high-quality care efficiently, rewarding them for achieving better health outcomes at lower costs.

Question 9

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

Accepted Answer

MIPPA included provisions to offer incentives to physicians for the adoption and use of electronic prescribing (e-prescribing) systems, aiming to improve the efficiency and safety of the prescribing process.

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.

Accepted Answer

All of these options (A: Chiropractic manipulations, B: Meditation, C: Diet therapies, D: Yoga) are considered forms of complementary and alternative medicine (CAM). CAM encompasses a wide range of practices and therapies outside the realm of conventional medicine, aimed at promoting health and well-being.

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.

Accepted Answer

In Canada, the national health insurance model is funded through taxes collected by the government, which then ensures universal health care access for all citizens. While the government finances health care, the actual services are provided by private entities or professionals.

Question 12

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

Accepted Answer

Adverse drug reactions, including those from incompatible drug interactions and allergies, are a significant cause of morbidity and mortality, with estimates suggesting thousands of deaths annually.

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.

Accepted Answer

The Hospital Value-Based Purchasing Program is indeed a CMS initiative created as part of the Affordable Care Act of 2010, designed to provide incentive payments to acute-care hospitals based on the quality of care they deliver to Medicare patients.

Question 14

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

Accepted Answer

The IHA's Pay for Performance (P4P) program is indeed one of the largest non-governmental physician incentive programs in the U.S., focusing on improving healthcare quality in California since its inception in 2003.

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.

Accepted Answer

In 2005, France implemented a health reform that introduced the "parcours de soins coordonnés" (coordinated care pathway), encouraging individuals to choose a primary care physician who coordinates their care, similar to the managed care system in the U.S. This system aims to improve the efficiency and quality of care by having a preferred doctor manage referrals to specialists and other healthcare services.

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.

Accepted Answer

"Pay for Performance" in healthcare is indeed synonymous with value-based purchasing, aims to reward healthcare providers for efficiency, and targets higher quality care at lower costs, making all the provided statements correct.

Question 17

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

Accepted Answer

The Healthy People initiative aims to improve the health and well-being of individuals and communities in the United States by setting specific, measurable objectives focused on improving quality of life and eliminating health disparities among different population groups.

Question 18

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

Accepted Answer

Legal standards are the minimum standard of action required by law for individuals in a society, not the maximum.

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.

Accepted Answer

The Commonwealth Health Insurance Connector, established by Massachusetts, indeed facilitated the buying, selling, and administration of affordable, quality private insurance coverage, targeting employers of 50 or fewer employees among others, as part of its health care reform efforts initiated in 2006.

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.

Accepted Answer

Healthy San Francisco (HSF) was indeed established to provide comprehensive health care services to uninsured residents of San Francisco, targeting those between the ages of 18 and 65, aiming to cover a significant portion of the city's uninsured population.

Quiz 14: Analysis of the US Healthcare System