Health Reform Improving Health Exam Prep Ch.9

Chapter 9: Health Reform: Improving Health

Multiple Choice

1. What section of the Patient Protection and Affordable Care Act, a controversial one, prompted more than 400,000 public comments during administrative rule making?

A. Government expansion through the Medicaid program

B. Expansion of health coverage to age 26

C. Employer requirement to provide coverage for birth control

D. Requirement to include U.S. citizens only

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2. According to public health experts, medical care’s role in reducing premature deaths is estimated at:

A. 10%

B. 20%

C. 40%

D. 60%

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3. Poor health habits and behaviors contribute how much to premature deaths in the U.S.?

A. 10%

B. 20%

C. 40%

D. 60%

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4. What percentage of all health-related spending is for medical services?

A. 20%

B. 50%

C. 70%

D. 90%

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5. About what percentage of all health-related spending is for programs related to healthy behaviors?

A. 10%

B. 20%

C. 30%

D. 40%

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6. Compared to 10 other countries, where does the U.S. healthcare system rank in overall measures of access, quality, and health status?

A. First

B. Third

C. Seventh

D. Tenth

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7. The U.S. Preventive Services Task Force gives recommendations based on the strength of the scientific evidence. Which of the following represents their recommendation “against”?

A. A

B. B

C. I

D. D

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8. The Community Preventive Services Task Force provides evidence-based recommendations for:

A. Clinical preventive services

B. Hospitals and health systems

C. Populations and communities

D. Health departments exclusively

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9. The Prevention and Public Health fund was created by the ACA to provide funds for:

A. Health exchanges

B. Population-based prevention

C. Community-health centers

D. Worksite wellness programs

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10. In a 2014 Massachusetts study to evaluate the impact of state-based health reform, investigators noted:

A. A significant increase in deaths from all causes during the study period

B. A significant decrease in deaths from diseases specifically related to health care

C. Decline in numbers of people with privately-funded health insurance

D. Larger changes in areas with lower rates of uninsured populations

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True or False

11. The U. S Preventive Service Task Force (USPSTF) is a government-run panel that reviews treatment recommendations for a variety of public health conditions.

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12. The ACA created a nonprofit Patient-Centered Outcomes Research Institute to compare costs of medical treatments.

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13. The ACA created a national quality improvement strategy to improve health outcomes, population health, and health care delivery systems.

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14. Medicare and Medicaid bonus payments, a feature of the ACA, were designed to promote access to primary care.

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15. Worksite wellness programs provide a return on investment, saving more than $3 in medical costs for each dollar invested.

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16. The ACA required nutritional content to be publicized by national chain restaurants.

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17. Population-based health care models such as patient-centered medical homes are designed to increase competition among health systems, thus reducing costs.

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18. The Health Resources and Services Administration (HRSA) estimated that 10% of Americans live in areas where there is insufficient access to primary care.

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19. Shortages of primary care physicians, as noted by the Association of American Medical Colleges, is evenly distributed across the U.S.

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20. Projected physician shortages for the year 2020 exceeds 90,000 in the U.S., a figure cited by the Association of American Medical Colleges.

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21. Potential solutions to health professional shortages include using telemedicine, expanding scope of practice for nurses, and changes in graduate medical education.

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22. Massachusetts’ experience in health reform noted a dramatic increase in growth of patient care support and administrative personnel.

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23. There is near-uniform agreement among physicians and nurses with regards to quality of service delivery and scope of practice of their respective professions.

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Multiple Answer

24. What are reasons the U.S. compares poorly with peer countries on measures of health status?

A. Lack of universal health care coverage

B. Social health determinants are outside the purview of health care

C. Lack of health care regulation

D. Higher smoking rates than peer European countries

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25. Which of the following are considered determinants of health?

A. Habits and behaviors

C. Social and economic factors

D. Genetics

E. Environmental factors

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26. Which of the following topics are covered in U.S. Preventive Services Task Force recommendations?

A. Blood pressure screening

B. Cervical cancer screening

C. Total body screening

D. Dementia screening

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27. The Community Guide provides recommendations for prevention in which of the following areas?

A. Increasing physical activity

B. Improving immunization rates

C. Reducing tobacco use

D. Improving adolescent health

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28. Some of the provisions of the ACA that have potential to improve individual and population health include:

A. Eliminating cost sharing for preventive services

B. Annual wellness visit for seniors

C. Expansion of dependent coverage to age 26

D. Require coverage for cosmetic surgery

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29. Which of the following provisions of the ACA was designed to promote improved access to primary care?

A. School-based health centers

B. Nurse-managed health clinics

C. Expansion of community health centers

D. Same-day surgery centers

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30. What provisions were included in the ACA to address healthcare workforce shortages?

A. Expansion of the National Health Service Corps

B. Loan repayment programs and grants

C. Signing bonuses for providers in rural areas

D. Oral health training programs

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