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WorksheetsIHS - Ch. 2 Review - Health Care Systems
Total questions: 50
Worksheet time: 25mins
Hosptials may can be classified as private or proprietary (operated for profit), religious, nonprofit or voluntary, and government, depending on the sources of income received.
True
False
Provide assistance and care mainly for elderly patients.
Rehabilitation facilities
Mental health facilities
Long-term care facilities
Home health care
Provide special care for accidents or sudden illness.
Emergency care services
Home health care
Rehabilitation facilities
Industrial health care centers
Deal with mental disorders and diseases.
Health department clinics
Hospice
Genetic counseling centers
Mental Health facilities
Provide care for people who are terminally ill.
Medical offices
Hospice
Home health care
Long-term care facilities
Perform special diagnostic tests.
Optical centers
Pharmaceutical services
Laboratories
Genetic counseling centers
Provide care in a patient's home.
Long-term care facilities
Home health care
Rehabilitation facilities
Hospice
Provide physical, occupational, and other therapies.
Rehabilitation facilities
Emergency care services
Industrial health care centers
Hospitals
Check for genetic abnormalities and birth defects.
Hopsitals
Mental health facilities
Laboratories
Genetic counseling centers
Health centers located in large companies or industries.
Medical offices
Industrial health care centers
School health services
Clinics or satellite centers
Which type of long-term care provides basic care for individuals who can no longer care for themselves.
Residential care facilities
Extended care facilities
Independent living facilities
Which type of long-term care provides skilled nursing and rehabilitative care to prepare individuals to return home.
Independent living facilities
Residential care facilities
Extended care facilities
Which type of long-term care provides a place to live for individuals who can care for themselves.
Residential care facilities
Independent living facilities
Extended care facilities
Federal agency responsible for regulating food and drug products sold to the public. Also regulates medical devices, cosmetics and cell phones.
Occupational Safety and Health Administration (OSHA)
Centers for Disease Control and Prevention (CDC)
World Health Organization (WHO)
Food and Drug Administration (FDA)
Provide health services as directed by the USDHHS and provide specific services needed by the state or local community; such as, immunizations, health and sanitation inspections, disease control, health statistics, health education and care clinics.
Voluntary Agencies
Health Departments
National Institutes of Health (NIH)
Centers for Disease Control and Prevention (CDC)
National agency that deals with the health problems in the United States. Its goal is to protect the health of all Americans, especially those in need.
U.S. Dept. of Health and Human Services (USDHHS)
World Health Organization (WHO)
Agency for Healthcare Research and Quality (AHRQ)
National Institutes of Health (NIH)
Establishes and enforces standards that protect workers from job-related injuries and illnesses.
Food and Drug Administration (FDA)
Agency for Healthcare Research and Quality (AHRQ)
Occupational Safety and Health Administration (OSHA)
World Health Organization (WHO)
An international agency sponsored by the United Nations and concerned with compiling statistics and information on disease and addressing serious health problems throughout the world.
World Health Organization (WHO)
U.S Dept. of Health and Human Services (USDHHS)
Agency for Healthcare Research and Quality (AHRQ)
Food and Drug Administration (FDA)
A division of USDHHS concerned with the causes, spread, and control of diseases in populations.
Occupational Safety and Health Administration (OSHA)
World Health Organization (WHO)
Health departments
Centers for Disease Control and Prevention (CDC)
Provide health services at the national, state and local levels and are supported by donations, membership fees, fundraisers, and federal or state grants.
Voluntary or nonprofit agencies
Health departments
National Institutes of Health (NIH)
The joint commission
A nonprofit, U.S. based organization that was created to ensure that patients receive the safest, highest quality care in any health care setting. Meeting these standards is recognized as a symbol of quality.
Voluntary or nonprofit agencies
Organizational structure
The joint commission
Health departments
A division of USDHHS involved in researching disease and conducting scientific studies.
World Health Organization (WHO)
National Institutes of Health (NIH)
Food and Drug Administration (FDA)
Occupational Safety and Health Administration (OSHA)
A line of authority or chain of command that indicates areas of responsibility and leads to the efficient operation of a facility.
Organizational structure
The joint commission
Health insurance plans
Health maintenance organization (HMO)
A fee the individual pays to an insurance company for coverage.
Premium
Deductible
Co-insurance
Co-payment
A specific amount of money a patient pays for a particular health care service.
Premium
Deductible
Co-insurance
Co-payment
Amounts that must be paid by the patient for medical services before the insurance policy begins to pay.
Premium
Deductible
Co-insurance
Co-payment
Requires that specific percentages of expenses are shared by the patient and insurance company.
Premium
Deductible
Co-insurance
Co-payment
In a 80-20 percent co-insurance plan, the company pays 80 percent of covered expenses and the patient pays the remaining 20 percent. If a patient’s emergency department bill is $1,000.00, what amount will the patient have to pay?
$20.00
$200.00
$80.00
$800.00
A patient pays $25 for each doctor’s visit regardless of the total cost of the visit. This is an example of which of the following?
Premium
Deductible
Co-insurance
Co-payment
Which of the following is not a feature of a health maintenance plan (HMO)?
Focused on preventive care.
Requires use of only affiliated health care providers.
Requires payment for use of nonaffiliated health care providers.
The premium for this plan can only be paid for by the individual.
Which of the following is not a feature of preferred provider organization (PPO) insurance plans?
Contract with certain health care agencies to provide certain types of health care at reduced rates.
Usually requires a deductible and a co-payment.
Use of a nonaffiliated provider may require co-payments.
Requires use of only affiliated health care providers.
Federal government program that provides medical care for elderly and/or disabled individuals.
Medicare
Medicaid
Medigap policy
TRICARE
Ferderal government program that provides medical care for people whose incomes are below a certain level.
Medicare
Medicaid
Medigap policy
TRICARE
Health insurance plan that helps pay medical expenses not covered by Medicare.
Medicare
Medicaid
Medigap policy
Children's Health Insurance Program (CHIP)
Provides helath care to uninsured children of working families who earn too little to afford private insurance but too much to be eligible for Medicaid.
Medicare
Medicaid
Medigap policy
Children's Health Insurance Program (CHIP)
Health payment plan in which doctors or providers are paid a set amount for each service rendered.
Managed care
Fee-for-service compensation
Value-based compensation
TRICARE
Health payment plan in which doctors are paid for their performance.
Managed care
Fee-for-service compensation
Value-based compensation
TRICARE
Health insurance plan for all U.S. military personnel.
Managed care
Fee-for-service compensation
Value-based compensation
TRICARE
Health insurance plan providing treatment for workers injured on the job.
Worker's Compensation
TRICARE
Medicare
Medicaid
Health insurance plan that reimburses worker for wages lost because of an on-the-job injury.
Fee-for-service compensation
Value-based compensation
Managed care
Worker's Compensation
Health insurance plan that covers active duty members and their families, survivors of military personnel, and retired members of the Armed Forces.
TRICARE
Worker's Compensation
Medicare
Medicaid
An approach based on the principle that all health care provided to a patient must have a purpose.
Medicaid
Medicare
Managed care
Worker's compensation
The uniqueness of each patient and each disease complicates the idea of placing a measurable value on each case with this plan.
Fee-for-service compensation
Value-based compensation
Managed care
Worker's Compensation
Plan that provides little incentive to consider the cost or necessity of services provided.
Fee-for-service compensation
Value-based compensation
Medicare
Medicaid
Set of federal regulations adopted to protect the confidentiality of patient information and the ability to retain health insurance coverage.
Health Insurance Portability and Accountability Act (HIPPA)
Patient Protection and Affordable Care Act (PPACA)
Federal statute signed into law and designed to expand access to affordable health coverage in the United States.
Health Insurance Portability and Accountability Act (HIPPA)
Patient Protection and Affordable Care Act (PPACA)
Patients enrolled in this plan receive quality care at the most reasonable cost but the choice of health care providers is restricted.
Medicare
Medicaid
Managed care
TRICARE
Provisions of this law includes: limits exclusions on preexisting conditions, establishes methods for preventing fraud and abuse, and promotes the use of medical savings accounts.
Patient Protection and Affordable Care Act (PPACA)
Health Insurance Portability and Accountability Act (HIPPA)
Provisions of this law include: requires all insurers to charge the same premium to all applicants of the same gender, age and geographic location, regardless of preexisting conditions; prohibits insurance companies from cancelling coverage to an individuals as long as premiums are paid; allows an adult to be covered under a parent's policy up to age 26.
Patient Protection and Affordable Care Act (PPACA)
Health Insurance Portability and Accountability Act (HIPPA)
Hosptials are institutions that provide medical or surgical care and treatment for the sick or injured. Select all types of hospitals below:
General
Specialty
Government
Univeristy or College Medical Center
