Question 1

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 in the community that involve clients in their health care needs are showing improved health outcomes, including reduced anxiety and stress and decreased hospital stays. Therefore, option B is the correct answer. While options A, C, and D may also be positive effects of community partnerships, they are not specifically mentioned in relation to improved health outcomes.

Question 2

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 means that the consumer can have access to all their health care needs in one location, including treatment options and information to make decisions. Therefore, Choice A is the best choice. Choice B is incorrect because it implies that the consumer has the option to "shop around," which may not be the case in an integrated health care system. Choice C is simply restating the concept of an integrated health care system, and Choice D is too broad and not specific to the concept of "one-stop shopping" ability.

Question 3

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

To ensure that client-centred and family-centred care concepts are clear in an organization, it is necessary to craft a definition that meets the organization's mission and their clients' unique needs. This can help to avoid misunderstandings and ensure that everyone in the organization is on the same page regarding the meaning and implementation of these concepts. While modelling and promoting this care are important, a clear definition in the organization's code of ethics is also necessary to ensure that it is consistently applied throughout the organization.

Question 4

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, which are governance for health, workforce for health, financing for health, innovation for health, partnerships for health, and service delivery for health.

Question 5

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 involves considering the cultural, social, and economic environments of the individuals and communities being served, as well as balancing financial and economic factors. Health promotion and disease prevention are important components, but alone do not encompass the full scope of sustainability in healthcare.

Question 6

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

Accepted Answer

The principle idea behind "upstream" work in the community is to provide clients with tools and support to stay in their home, which ultimately leads to fewer trips to the hospital and lower overall costs to the system. By addressing the root causes of health issues and social determinants of health, upstream work helps prevent problems from occurring in the first place, rather than simply treating them once they arise. Accommodating clients in the community, decreasing hospital stays, and decreasing hospital costs may all be outcomes of upstream work, but they are not the principle idea behind it.

Question 7

Vertical integration occurs when

Accepted Answer

Vertical integration refers to one provider system being able to provide a full range, levels, and intensities of services in a defined area. This means that the provider system has control over multiple stages of the supply chain for a given service or set of services. This can increase efficiency and reduce costs for the provider system, as well as potentially improve continuity of care for patients or clients.

Question 8

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

Engagement is the best choice as it emphasizes the importance of individuals actively participating and being engaged in the efforts to improve quality and safety in healthcare. This engagement can lead to change, leadership, and growth within the organization, but the primary focus is on individual engagement.

Question 9

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 10

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

According to Eliasoph (2014), complex integration systems such as regional health authorities and local health integration networks are expected to plan, coordinate, and provide funding for specific health services.

Question 11

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

The answer of Eliasoph (2014) describes simple integration as a...

Question 12

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

According to the statement, "Canada is among the OECD countries that rank highest in per capita health care spending", and the factor that most contributes to this is "rising costs and expenditures". Therefore, Option D is the best choice. Options A and B may also contribute to health care spending, but they are not the primary factor stated in the given information. Option C, "poor productivity", is not mentioned as a contributing factor in the statement.

Question 13

Horizontal integration occurs when

Accepted Answer

Horizontal integration refers to when comparable types of organizations that offer similar kinds and ranges of services consolidate. This usually results in cost savings and increased efficiency.

Question 14

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

Accepted Answer

The answer of According to the text, which of the...

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

Both lean philosophies and quality-based procedures are focused on improving efficiency and outcomes, which can ultimately reduce healthcare costs. Capitation models, which involve paying healthcare providers a fixed amount per patient regardless of the services provided, have also been proposed as a way to control costs. However, fee-for-service payment models and increasing billable services for clients would not necessarily decrease healthcare expenditures, as they could potentially lead to overutilization of healthcare services.

Question 16

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 prioritize ethical and equitable access to care, while also emphasizing the importance of providing value and cost-effectiveness in health care services. Appropriateness of care refers to ensuring that medical interventions and treatments are appropriate for the patient's condition and needs.

Question 17

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 18

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

Shortell, Gillies, and Anderson (1996) introduced the idea of a vertically and horizontally integrated health care delivery system. Vertical integration refers to the coordination of care across different levels of service delivery, such as primary care, specialty care, and hospital care. Horizontal integration refers to coordinating care across various settings and types of services, such as inpatient care, outpatient care, and community-based care. Therefore, the correct answer is D: horizontal and vertical integration.

Question 19

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. This approach to health care focuses on providing a continuum of care that includes prevention, primary care, and community-based services, which can help people manage their health and prevent costly hospitalizations. By doing so, it can also reduce the long-term care expenses for clients and, in some cases, acute care expenses for medical services in hospitals. While it may not directly reduce community care expenses, it can have a positive impact on overall health outcomes and reduce the burden of expensive medical procedures.

Question 20

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

The answer of Suter, Oelke, Adair, & Armitage (2009) identified...

Quiz 9: Current Issues and Trends