Practice Quiz - Final Exam

Mr. Palmer is a 43-year-old farmer who lives in a rural New England town in the 19^th Century.  Which statement below describes a health care practice Mr. Palmer is most likely to follow?

 

Mr. Palmer’s wife would be his 1st line of treatment

 

He would get vaccinated for smallpox

 

His social class would entitle him to the best health care

 

He would visit the dispensary to receive care

Mr. Palmer’s wife would be his 1st line of treatment

Which of the following factors did NOT influence the most important health demographic changes throughout the 20th century?

 

Changes in nutrition and housing standards

 

Innovations in therapeutic treatment intervention

 

Addition of community and school-based clinics

 

Progress in laws dealing with healthcare insurance

Progress in laws dealing with healthcare insurance

Which of the following represents the most aggregated type of reimbursement for physicians?

 

Physician DRG

 

Salary

 

Fee for service

 

Capitation

Salary

Which of the following statements regarding reimbursement for physician services is NOT correct?

 

Physicians are mostly reimbursed using fee-for-service; some doctors receive capitation.

 

The resource based relative value system is used to identify what services were provided.

 

Medicare payments use relative value units for each service provided plus adjustments.

 

Physician services provided in a hospital are billed separately from the hospital charges.

The resource based relative value system is used to identify what services were provided.

Medicare Part A:

 

has a yearly deductible and co-payments for hospital care.

 

could include a premium, deductible, and co-payments.

 

is financed via premiums and general government revenues.

 

covers hospital, skilled nursing facilities, and outpatient care.

could include a premium, deductible, and co-payments.

Which of the following is NOT true regarding Medicare and/or Medicaid?

 

A person could qualify for both Medicare and Medicaid benefits.

 

Both Medicare and Medicaid have beneficiaries in managed care plans.

 

Both programs are financed through a combination of federal and state funds.

 

Generally speaking, Medicare is for the elderly and Medicaid is for the poor.

Both programs are financed through a combination of federal and state funds.

Which of the following individuals would meet Medicaid’s federal guidelines for eligibility?

 

Pregnant lady whose family income is 190% of federal poverty level

 

Medicare-eligible individual with income above federal poverty level

 

8-yr. old who qualifies for the Children’s Health Insurance Program

 

Man who meets his state’s requirements for medically needy group

8-yr. old who qualifies for the Children’s Health Insurance Program

Which of the following is NOT a component of quality as described by the Institute of Medicine?

 

Safety

 

Provider-centeredness

 

Efficiency

 

Equity

Provider-centeredness

Which of the following represents an outcome measure of quality?

 

Adherence to medication

 

Level of EMR usage (none, moderate, extensive)

 

Hospital-acquired infection rate

 

Percentage of patients with diabetes prescribed ACE inhibitors

Hospital-acquired infection rate

Using the Donabedian framework, which of the following is the correct dimension of quality for “infant mortality rate”?

 

Process

 

No answer text provided.

 

Outcome

 

Structure

 

Outcome

Which of the following is NOT an example of a reported quality measure?

 

Cost-to-charge ratios

 

HEDIS

 

Medicare error rates

 

CAHPS

Cost-to-charge ratios

Based on the health care system continuum, select the sequence that correctly lists the nations from LEAST government involvement to the MOST government involvement.

 

UK < Germany < Canada < Cuba

 

Germany < Canada < UK < Cuba

 

Germany < UK < Canada < Cuba

 

Canada < Germany < UK < Cuba

Germany < Canada < UK < Cuba

__________________ refers all citizens of a geographical area being entitled to the same services.

 

Universality

 

Social partnership

 

Social solidarity

 

Accessibility

 

Universality

Which part of the United States healthcare system is correctly paired to the country whose healthcare model it represents?

 

Working Americans – United Kingdom

 

Original Medicare – Canada

 

Uninsured Americans – Cuba

 

Indian Health Services – Germany

Original Medicare – Canada

This health care reform proposal plan would destroy the health insurance industry, if enacted in the United States:

 

Tax credits

 

Individual mandate

 

Single payer

 

Employer mandate

Single payer