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IHS - Ch. 2 Review - Health Care Systems

Total questions: 50

Worksheet time: 25mins

Name
Class
Date
1.

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.

a)

True

b)

False

2.

Provide assistance and care mainly for elderly patients.

a)

Rehabilitation facilities

b)

Mental health facilities

c)

Long-term care facilities

d)

Home health care

3.

Provide special care for accidents or sudden illness.

a)

Emergency care services

b)

Home health care

c)

Rehabilitation facilities

d)

Industrial health care centers

4.

Deal with mental disorders and diseases.

a)

Health department clinics

b)

Hospice

c)

Genetic counseling centers

d)

Mental Health facilities

5.

Provide care for people who are terminally ill.

a)

Medical offices

b)

Hospice

c)

Home health care

d)

Long-term care facilities

6.

Perform special diagnostic tests.

a)

Optical centers

b)

Pharmaceutical services

c)

Laboratories

d)

Genetic counseling centers

7.

Provide care in a patient's home.

a)

Long-term care facilities

b)

Home health care

c)

Rehabilitation facilities

d)

Hospice

8.

Provide physical, occupational, and other therapies.

a)

Rehabilitation facilities

b)

Emergency care services

c)

Industrial health care centers

d)

Hospitals

9.

Check for genetic abnormalities and birth defects.

a)

Hopsitals

b)

Mental health facilities

c)

Laboratories

d)

Genetic counseling centers

10.

Health centers located in large companies or industries.

a)

Medical offices

b)

Industrial health care centers

c)

School health services

d)

Clinics or satellite centers

11.

Which type of long-term care provides basic care for individuals who can no longer care for themselves.

a)

Residential care facilities

b)

Extended care facilities

c)

Independent living facilities

12.

Which type of long-term care provides skilled nursing and rehabilitative care to prepare individuals to return home.

a)

Independent living facilities

b)

Residential care facilities

c)

Extended care facilities

13.

Which type of long-term care provides a place to live for individuals who can care for themselves.

a)

Residential care facilities

b)

Independent living facilities

c)

Extended care facilities

14.

Federal agency responsible for regulating food and drug products sold to the public.  Also regulates medical devices, cosmetics and cell phones.

a)

Occupational Safety and Health Administration (OSHA)

b)

Centers for Disease Control and Prevention (CDC)

c)

World Health Organization (WHO)

d)

Food and Drug Administration (FDA)

15.

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.

a)

Voluntary Agencies

b)

Health Departments

c)

National Institutes of Health (NIH)

d)

Centers for Disease Control and Prevention (CDC)

16.

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.

a)

U.S. Dept. of Health and Human Services (USDHHS)

b)

World Health Organization (WHO)

c)

Agency for Healthcare Research and Quality (AHRQ)

d)

National Institutes of Health (NIH)

17.

Establishes and enforces standards that protect workers from job-related injuries and illnesses.

a)

Food and Drug Administration (FDA)

b)

Agency for Healthcare Research and Quality (AHRQ)

c)

Occupational Safety and Health Administration (OSHA)

d)

World Health Organization (WHO)

18.

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.

a)

World Health Organization (WHO)

b)

U.S Dept. of Health and Human Services (USDHHS)

c)

Agency for Healthcare Research and Quality (AHRQ)

d)

Food and Drug Administration (FDA)

19.

A division of USDHHS concerned with the causes, spread, and control of diseases in populations.

a)

Occupational Safety and Health Administration (OSHA)

b)

World Health Organization (WHO)

c)

Health departments

d)

Centers for Disease Control and Prevention (CDC)

20.

Provide health services at the national, state and local levels and are supported by donations, membership fees, fundraisers, and federal or state grants.

a)

Voluntary or nonprofit agencies

b)

Health departments

c)

National Institutes of Health (NIH)

d)

The joint commission

21.

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.

a)

Voluntary or nonprofit agencies

b)

Organizational structure

c)

The joint commission

d)

Health departments

22.

A division of USDHHS involved in researching disease and conducting scientific studies.

a)

World Health Organization (WHO)

b)

National Institutes of Health (NIH)

c)

Food and Drug Administration (FDA)

d)

Occupational Safety and Health Administration (OSHA)

23.

A line of authority or chain of command that indicates areas of responsibility and leads to the efficient operation of a facility.

a)

Organizational structure

b)

The joint commission

c)

Health insurance plans

d)

Health maintenance organization (HMO)

24.

A fee the individual pays to an insurance company for coverage.

a)

Premium

b)

Deductible

c)

Co-insurance

d)

Co-payment

25.

A specific amount of money a patient pays for a particular health care service.

a)

Premium

b)

Deductible

c)

Co-insurance

d)

Co-payment

26.

Amounts that must be paid by the patient for medical services before the insurance policy begins to pay.

a)

Premium

b)

Deductible

c)

Co-insurance

d)

Co-payment

27.

Requires that specific percentages of expenses are shared by the patient and insurance company.

a)

Premium

b)

Deductible

c)

Co-insurance

d)

Co-payment

28.

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?

a)

$20.00

b)

$200.00

c)

$80.00

d)

$800.00

29.

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?

a)

Premium

b)

Deductible

c)

Co-insurance

d)

Co-payment

30.

Which of the following is not a feature of a health maintenance plan (HMO)?

a)

Focused on preventive care.

b)

Requires use of only affiliated health care providers.

c)

Requires payment for use of nonaffiliated health care providers.

d)

The premium for this plan can only be paid for by the individual.

31.

Which of the following is not a feature of preferred provider organization (PPO) insurance plans?

a)

Contract with certain health care agencies to provide certain types of health care at reduced rates.

b)

Usually requires a deductible and a co-payment.

c)

Use of a nonaffiliated provider may require co-payments.

d)

Requires use of only affiliated health care providers.

32.

Federal government program that provides medical care for elderly and/or disabled individuals.

a)

Medicare

b)

Medicaid

c)

Medigap policy

d)

TRICARE

33.

Ferderal government program that provides medical care for people whose incomes are below a certain level.

a)

Medicare

b)

Medicaid

c)

Medigap policy

d)

TRICARE

34.

Health insurance plan that helps pay medical expenses not covered by Medicare.

a)

Medicare

b)

Medicaid

c)

Medigap policy

d)

Children's Health Insurance Program (CHIP)

35.

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.

a)

Medicare

b)

Medicaid

c)

Medigap policy

d)

Children's Health Insurance Program (CHIP)

36.

Health payment plan in which doctors or providers are paid a set amount for each service rendered.

a)

Managed care

b)

Fee-for-service compensation

c)

Value-based compensation

d)

TRICARE

37.

Health payment plan in which doctors are paid for their performance.

a)

Managed care

b)

Fee-for-service compensation

c)

Value-based compensation

d)

TRICARE

38.

Health insurance plan for all U.S. military personnel.

a)

Managed care

b)

Fee-for-service compensation

c)

Value-based compensation

d)

TRICARE

39.

Health insurance plan providing treatment for workers injured on the job.

a)

Worker's Compensation

b)

TRICARE

c)

Medicare

d)

Medicaid

40.

Health insurance plan that reimburses worker for wages lost because of an on-the-job injury.

a)

Fee-for-service compensation

b)

Value-based compensation

c)

Managed care

d)

Worker's Compensation

41.

Health insurance plan that covers active duty members and their families, survivors of military personnel, and retired members of the Armed Forces.

a)

TRICARE

b)

Worker's Compensation

c)

Medicare

d)

Medicaid

42.

An approach based on the principle that all health care provided to a patient must have a purpose.

a)

Medicaid

b)

Medicare

c)

Managed care

d)

Worker's compensation

43.

The uniqueness of each patient and each disease complicates the idea of placing a measurable value on each case with this plan.

a)

Fee-for-service compensation

b)

Value-based compensation

c)

Managed care

d)

Worker's Compensation

44.

Plan that provides little incentive to consider the cost or necessity of services provided.

a)

Fee-for-service compensation

b)

Value-based compensation

c)

Medicare

d)

Medicaid

45.

Set of federal regulations adopted to protect the confidentiality of patient information and the ability to retain health insurance coverage.

a)

Health Insurance Portability and Accountability Act (HIPPA)

b)

Patient Protection and Affordable Care Act (PPACA)

46.

Federal statute signed into law and designed to expand access to affordable health coverage in the United States.

a)

Health Insurance Portability and Accountability Act (HIPPA)

b)

Patient Protection and Affordable Care Act (PPACA)

47.

Patients enrolled in this plan receive quality care at the most reasonable cost but the choice of health care providers is restricted.

a)

Medicare

b)

Medicaid

c)

Managed care

d)

TRICARE

48.

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.

a)

Patient Protection and Affordable Care Act (PPACA)

b)

Health Insurance Portability and Accountability Act (HIPPA)

49.

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.

a)

Patient Protection and Affordable Care Act (PPACA)

b)

Health Insurance Portability and Accountability Act (HIPPA)

50.

Hosptials are institutions that provide medical or surgical care and treatment for the sick or injured. Select all types of hospitals below:

a)

General

b)

Specialty

c)

Government

d)

Univeristy or College Medical Center