EXAM 2 STUDY GUIDE
EXAM 2 STUDY GUIDE HSA 3111
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This 9 page Study Guide was uploaded by Sharon Stambouli on Tuesday October 4, 2016. The Study Guide belongs to HSA 3111 at Florida International University taught by Dr. Chanadra Whiting in Fall 2016. Since its upload, it has received 48 views. For similar materials see Statistics for Biology Majors in Statistics at Florida International University.
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Date Created: 10/04/16
Exam#2 Study Guide Exam 2 will cover Chapters 5-8 Chapter 5: Medical Technology Multiple-Choice Questions ▯ At a fundamental level, medical technology deals with ▯ production of new equipment to provide more advanced health care. ▯ the application of scientific knowledge for improving health and creating efficiencies. ▯ using discoveries made in basic sciences to deliver health care. ▯ new drugs, devices, and biologics. ▯ What is the main advantage of interoperability within an electronic health records (EHR) system? ▯ Information can be transmitted over the Internet. ▯ Information can be safeguarded. ▯ Information can be coordinated with clinical practice guidelines. ▯ Information can be shared between physicians, pharmacists, and hospitals. ▯ The Health Insurance Portability and Accountability Act requires ▯ large health care organizations to switch to electronic health records. ▯ protection of personal health information. ▯ nondisclosure of personal health information. ▯ nontransmittal of individual health information over the Internet. ▯ Telemedicine technology that allows a specialist located at a distance to directly interview and examine a patient is referred to as ▯ telehealth ▯ simultaneous ▯ analogous ▯ synchronous ▯ The asynchronous form of telemedicine uses _____ technology. ▯ store-and-forward ▯ access-when-needed ▯ delayed-access ▯ forward-and-retrieve ▯ The expectations that Americans have about what medical technology can do to cure illness is based on ▯ the technological imperative ▯ cultural beliefs and values ▯ a higher rate of technology diffusion in the US compared to other countries ▯ medical specialization 1 ▯ What is the main intent of the Stark laws? ▯ Require that personal health information be kept confidential ▯ Require demonstration of cost-efficiency of new technology ▯ Prohibit self-referral by physicians to facilities in which they have an ownership interest ▯ Disclosure of potential harm from a procedure or device ▯ Supply-side rationing. ▯ Curtailment in governing funding for medical research ▯ Managed care ▯ Curtailment in payments for new technology ▯ Central planning ▯ Certain allergy medications containing pseudoephedrine are available without prescription, but must be kept behind the pharmacy counter and sold only in limited quantities upon verification of a person's identity. ▯ Food and Drugs Act, 1906 ▯ Food, Drug, and Cosmetic Act, 1938 ▯ Kefauver-Harris Drug Amendments, 1962 ▯ Patriot Act 2006 ▯ The FDA was given the authority to review the effectiveness and safety of a new drug before it could be marketed. ▯ Food and Drugs Act, 1906 ▯ Prescription Drug User Fee Act, 1992 ▯ Kefauver-Harris Drug Amendments, 1962 ▯ Food, Drug, and Cosmetic Act, 1938 ▯ This law was criticized for slowing down the introduction of new drugs. ▯ Prescription Drug User Fee Act, 1992 ▯ Kefauver-Harris Drug Amendments, 1962 ▯ Food and Drug Administration Modernization Act, 1997 ▯ Food, Drug, and Cosmetic Act, 1938 ▯ This law provided incentives for pharmaceutical firms to develop new drugs for health problems that affected a relatively small number of people. ▯ Prescription Drug User Fee Act, 1992 ▯ Kefauver-Harris Drug Amendments, 1962 ▯ Orphan Drug Act, 1983 ▯ Food and Drug Administration Modernization Act, 1997 ▯ This made additional resources available to the FDA, and resulted in a shortened approval process for new drugs. ▯ Kefauver-Harris Drug Amendments, 1962 ▯ Food and Drug Administration Modernization Act, 1997 ▯ Orphan Drug Act, 1983 ▯ Prescription Drug User Fee Act, 1992 2 ▯ The most stringent requirements of premarket approval regarding safety and effectiveness apply to _____ devices ▯ Class I ▯ Class II ▯ Class III ▯ Class IV ▯ The Safe Medical Devices Act, 1990 requires ▯ that injuries, illness, or death from any device be reported. ▯ premarket approval of devices. ▯ safety testing of devices before and after they have been marketed ▯ that all problems and potential problems be reported to the FDA. ▯ What was the purpose of certificate of need (CON) laws. ▯ Monitor the diffusion of new technology. ▯ Control the flow of federal funds for private projects ▯ Control new health service programs ▯ Control new construction and modernization projects ▯ Which department of the DHHS supports research on health care quality, cost, and access? ▯ National Institutes of Health ▯ Agency for Healthcare Research and Quality ▯ Institute of Medicine ▯ American Health Quality Association ▯ What is the main function of the National Institutes of Health? ▯ Conduct and support research on health care quality, cost, and access ▯ Establish medical subspecialties in US medical schools ▯ Provide specialized training for medical specialists ▯ Conduct and support biomedical research ▯ Which of the following has the greatest impact on system-wide health care costs? ▯ Purchase price of new technology ▯ Utilization of technology once it becomes available ▯ Increased hospitalizations due to overuse of technology ▯ Training costs associated with new technology ▯ Evaluation of the appropriateness of medical technology. ▯ Cost-effectiveness ▯ Health technology assessment ▯ Clinical trial ▯ Efficacy 3 Chapter 7: Outpatient and Primary Care Services Multiple Choice Questions 1) Fill in the blank: Historically, inpatient care developed ________ outpatient care. a. Before b. After c. At the same time as d. In the absence of 2) Outpatient care accounts for what percent of gross patient revenue for all US hospitals? a.10% b.20% c.40% d.60% 3) What is the likely impact of the ACA on primary care? a. increase b. decrease c. stay the same d. unknown 4) Emergency departments, in most cases, are equipped to provide: a. Primary care services b. Secondary care services c. Tertiary care services d. Both b and c 5) Which of the following is a typical setting for ambulatory care services? a. Sports medicine clinics b. Physicians’ offices c. Dialysis centers d. All of the above 6) Typically, tertiary care: a. Is highly specialized b. Does not depend on technology c. Takes place outside of traditional healthcare facilities d. All of the above 7) Which of the following is an example of a secondary care service? a. Rehabilitation b. Surgery c. Consultation d. All of the above 5 8) What is gatekeeping? a. The process by which patients are denied needed care b. The process by which primary care physicians refer patients to specialists c. The concept that specialists use more diagnostic tests than primary care physicians d. The idea that patients should be allowed to choose their own doctors 9) Which country’s health care system is founded on the principles of gatekeeping? a. UK b. US c. Australia d. China 10) Countries whose health systems are oriented more toward primary care achieve: a. Higher satisfaction with health services among their populations b. Higher expenditures in the overall delivery of care c. Worse health outcomes d. None of the above 11) How is community-oriented primary care (COPC) different from primary care? a. COPC does not believe in the link between primary and secondary prevention. b. COPC adheres more strongly to the biomedical model. c. COPC adds a population-based approach to identifying and addressing community health problems. d. All of the above 12) Which of the following factors helps determine the proportion of primary care personnel to specialists needed for the adequate provision of primary care? a. How rigidly the health care delivery system employs gatekeeping b. The population’s rates of utilization of primary care services c. Both a and b d. Neither a nor b 13) Fill in the blank: The percentage of medical school graduates choosing careers in primary care is ______________. a. Increasing b. Decreasing c. Remaining steady d. Unknown 14) The most prominent reason for the decline in the number of procedures performed in hospitals is: a. Most of these procedures were shifted to outpatient setting b. Most of these procedures were deemed outdated c. Most of these procedures were unsafe d. Most of these procedures used technology that was too expensive 15) What does “PPS” stand for? a. Preferred Provider System b. Primary Physician System c. Private Practice System d. Prospective Payment System 6 16) Which of the following is a reason for the growth in outpatient services? a. Managed care b. New technology c. Patient preference d. All of the above 17) One reason women’s health centers were created is: a. Women have more money than men b. Women seek care more often than men c. Women have shorter lifespans than men d. None of the above 18) Hospice services are primarily for people with: a. Chronic illnesses b. Rehabilitative needs c. Terminal illnesses d. None of the above 19) What is palliation? a. Pain and symptom management b. Psychosocial support c. A surgical intervention d. Bed rest 20) Community health centers serve primarily: a. High-income neighborhoods b. Populations with insurance c. Populations which are medically underserved d. Both a and b Chapter 8: Inpatient Facilities and Services Multiple-Choice Questions ▯ Inpatient care consists of ▯ Services delivered by a hospital. ▯ Treatment of acute conditions. ▯ Health care delivered in conjunction with an overnight stay in a facility. ▯ Care delivered in a licensed facility. ▯ To be called a hospital, a facility must have at least ____ beds. ▯ 3 ▯ 6 ▯ 12 ▯ 18 7 ▯ The biggest share of national health spending is attributed to ▯ hospitals ▯ physicians ▯ prescription drugs ▯ nursing home care True or False ▯ The downsizing of hospitals in the United States began in the mid-1980s. ▯ Managed care has emphasized the use of alternative services to acute hospital care whenever appropriate. ▯ Women incur higher use of hospital services than men, even after childbirth-related utilization is factored out. ▯ Children, in general, incur higher use of hospital services than the elderly. ▯ The affluent use hospital services more intensively than the poor. ▯ By definition, a public hospital is one that is open to the general public. ▯ In recent years, the nonprofit hospital sector has continued to gain market share. ▯ The ACA of 2010 places severe limitations on new physician-owned hospitals and on the expansion of existing ones. ▯ Quality of health care is the main distinguishing factor between a general hospital and a specialty hospital. ▯ Stark Laws prohibit self-referrals except when a referring physician has an ownership interest in the whole hospital. ▯ Large hospitals do not realize efficiencies due to economies of scale. ▯ According to guidelines established by the AMA, osteopaths cannot practice in non-osteopathic general hospitals. ▯ A nonprofit hospital is prohibited by law from making a profit. ▯ The CEO has the primary responsibility for defining a hospital's mission and its long-term direction. ▯ Licensure of a health care facility is directly tied to the quality of care it delivers. ▯ Not all health care organizations receive deemed status after they have been accredited by the Joint Commission. ▯ Patients have the legal right to refuse medical treatment. 8
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