Ch2 Organization Of Care Exam Prep

Jonas & Kovner’s Health Care Delivery in the United States, 12^th Edition

Test Bank

Chapter 2, Organization of Care

MULTIPLE CHOICE

1. What feature of many other countries’ health care systems does the U.S. system lack?

A. A central government agency to control the delivery of health care

B. Specialized health care providers

C. Prevention services

D. Community health centers

1. Which organization defines health as a “state of complete physical, mental and social ‘wellbeing’ and not merely the absence of disease or infirmity?”

A. The United Nations

B. The American Medical Association

C. The World Health Organization

D. The Institute of Medicine

1. The Patient Protection and Affordable Care Act of 2010 has increased the health system’s focus on which of the following?

A. Cures

B. Prevention

C. Palliative care

D. Rehabilitation

1. Programs to help people lose weight or stop smoking are examples of which type of prevention?

A. Primary

B. Secondary

C. Tertiary

D. Acute

1. Which of the following is not a type of secondary prevention service?

A. Blood pressure screening

B. Pap smear

C. Mammogram

D. Immunization for childhood diseases

1. According to the Centers for Disease Control and Prevention, what percentage of emergency room visits in 2015 were actually urgent, requiring medical attention within A. 15 to 60 minutes?

B. 0.7%

C. 7.4%

D. 29.8%

E. 61.2%

1. The emergency severity index (ESI) defines “immediate” as a patient whose condition needs to be seen within what time span?

A. Less than 1 minute

B. Between 1 and 14 minutes

C. Between 15 and 60 minutes

D. Between 61 and 120 minutes

1. You drive your friend to an urgent care center for treatment of a suspected sprained ankle. There she will receive which type of care?

A. Prehospital care

B. Chronic care

C. Tertiary care

D. Ambulatory care

1. What percent of U.S. health care costs is attributable to the treatment of patients who have multiple chronic conditions?

A. 15%

B. 25%

C. 66%

D. 80%

MULTIPLE RESPONSE

1. Which of the following are purposes of tertiary prevention services? Select all that apply.

A. Preventing damage from an existing disease

B. Treating an urgent episode of illness or injury

C. Slowing the progression of a disease

D. Preventing complications of disease

1. Acute care encompasses which of the following functions? Select all that apply.

A. Emergency care

B. Trauma care

C. Prehospital emergency care

D. Acute care surgery

E. Immunization

1. Which of the following help define a medical emergency according to the prudent layperson standard? Select all that apply.

A. Serious jeopardy for the health of an individual or unborn child

B. Serious impairment of bodily functions

C. Exposure to an infectious disease

D. Serious dysfunction of any bodily organ or part

1. Which of the following are among the health care professionals who typically provide primary care? Select all that apply.

A. Physicians

B. Dentists

C. Physician assistants

D. Nurse practitioners

1. The idea behind the Triple Aim is for health care organizations to simultaneously pursue three goals. Which of the following are they? Select all that apply.

A. Reduce the per-capita cost of health care

B. Apply the principle of triage in delivering care

C. Improve the health of populations

D. Improve the patient experience of care

MULTIPLE CHOICE

1. Which of the following is a collaborative network of providers who work together in a coordinated fashion to provide a continuum of care to a particular patient population or community?

A. An integrated delivery system

B. An urgent care center

C. A public health agency

D. A home health care organization

1. Which of the following is a type of care provided to terminally ill patients?

A. Subacute care

B. Rehabilitative care

C. Hospice care

D. Long-term care

1. Encompassing about 42% of practicing U.S. physicians, the most common type of physician practice today is which of the following?

A. Multispecialty group practice

B. Solo practice

C. Single specialty group practice

D. Corporate medical practice

1. According to the American Telemedicine Organization, how many U.S. hospitals are participating in some form of telemedicine?

A. About 10%

B. More than a quarter

C. More than half

D. About 80%

1. The ACA created health care facilities to give states an option for providing patient-centered, medical home-type services to Medicaid beneficiaries with severe or multiple chronic conditions. These facilities are called

A. Patient-centered medical homes

B. Health homes

C. Assisted-living facilities

D. Accountable care organizations

1. As of 2016, three-quarters of all retail medical clinics in the United States were operated by CVS and which other company?

A. Walmart

B. Walgreens

C. Target

D. Duane Reade

SHORT ANSWER

1. Describe the five system components necessary for health care organizations to fulfill the Triple Aim’s goal.
2. Discuss the purpose of patient-centered care as defined by the Institute of Medicine (IOM) and identify its six dimensions.
3. What is telemedicine? Describe the providers who offer telemedicine and the services they offer.
4. Describe the role of the biopharmaceutical industry in the U.S. health care system.
5. Describe the role of pharmacies in the U.S. health care system.

ESSAY

1. Distinguish between the fields of public health, community health, and population health and explain the purpose of each.
2. Describe integrated delivery systems (IDS) and the two types of integration.
3. Discuss some of the means for measuring and improving health system performance in the United States.