Dynamics Rutgers Test Practice Questions

Which of the following is correct about the ACA

It did not eliminate the mandatory

Which of the following provide primary

hospitals

What does not require a high school diploma

home health aid

What does not require a license or certification

Home health aid, PTA, medical assistants

PT and PTA

Pt programs are a 3 year doctoral degree

What is expected to grow faster than any other healthcare industry in the next decade

Home health care

Majority of hospitals in the USA are what

community hospitals

Health care professions that are expected to decline

Podiatrist

Will be qualified for reimbursement

prescription drugs

How will demographic change

U.S. starts to have a shift in the older population

What has contributed to the rising cost of healthcare?

the use of expensive medical technology and prescription drugs

reimbursement systems that reward the volume of medical services instead of outcomes

inadequate preventive services,

the aging of the population

the increased prevalence of chronic disease as well as high administrative cost

How has the ACA increased access to care

medicare, medicaid, removal of disparities. The ACA EXPANDED and build on medicare+medicaid to what it is now

What aspect of healthcare does aca cover

ACA covers the uninsured

What are the social determinants of health and how do they impact healthcare?

They examine and address the adverse conditions a person is born,grow,work,live and age.

What are the categories of healthcare services provided by the US healthcare system?

Health promotion services

Disease prevention services

Diagnosis and treatment of illness

Rehabilitation

Chronic care

What are the agencies that come under the dept of health and human services and what are the responsibilities of these agencies?

HHS- most important federal agency concerned with health affairs with 11 operating divisions including eight agencies in the U.S Public Health and Service and three human .services agencies.

The U.S. Department of Health and Human Services- sets the guidelines for private government institution provide care with hospital and outpatient or ambulatory care services provide people what they need responsible for Medicare, Medicaid, public health, biomed research in USA and abroad.

Which populations are covered under medicare and what coverage does medicare provide?

provides coverage for (Part A) Hospital Insurance (Part B) Medical Insurance (Part C) Medicare advantage (Part D) Drugs

How do hospitals use diagnostic related groups (DRG) for billing?

they use it to figure out how much to charge a patient based on patients with similar diagnosis

What are co-pays, what are deductibles?

Copayment - Share of the cost for healthcare services not covered by health insurance/ everytime you go to the doctors office you have to pay each time

Deductibles - The dollar amount paid out of pocket for healthcare services before health insurance will cover the cost; insurance will start every year.

What are HMOs?

health maintenance organizations: are prepaid health insurance that only covers care provided by providers and health care facilities inside the HMO

What is health information technology (HIT or Health IT)?

The field of health IT bridges several professional disciplines, including medicine,law,informatics,computer science,business,project management,and research. Those who enter this field fall into one of two categories. Those who focus on information technology in terms of infrastructure,( hardware,software,and the two systems that surround them) and those who focus on what can be accomplished with the data recorded,reported,and stored.

What are clinical decision support system?

(CDSS) the clinical info needed to make informed decisions changes as guidelines and clinical based-evidence medicine evolves. refers to the variety of technologies that provide healthcare practitioners with tools to improve the quality of care through diagnostic and treatment recommendation plans. Example: Treatment Plan.

What are community health care workers?

Frontline public health workers who work to bridge the gap between patients and the healthcare system. Reduce health disparities

What is HMO vs EPO ;HMO vs private insurance?

HMO: prepaid health ins that only covers care provided by providers and healthcare facilities inside the HMO (Health Maintenance organization) vs EPO: similar to HMO but it doesn't usually require the primary care provider to make referrals to specialist.

What is the definition of a licensing healthcare professional

refers to the right to practice by a government agency to provide a service. Each state decides the licensing.

Components of malpractice case

4 legel companted must be proved including: (1) a professional duty owed to the patient; (2) breach of such duty; (3) injury caused by the breach; (4) resulting damages.

Cardiovascular technologists specializing in invasive procedures are called what and what do they do?

cardiovascular invasive specialists. They assist physicians with cardiac catheterization procedures.

What are used to diagnose and form radiopharmaceuticals

radionuclides- UNSTABLE atoms that emit radiation.

Radiation TechnoLOGISTS

perform more complex imaging procedures.

Radiation TechNICIANS

produce x-rays of parts of human body. Help get jewlery and stuff off before passing the x ray.

Some technologists specialize in

3d cat scans using IONIZING radiations. Can also specialize in mri.

What does MRI use

NON ionizing RADIO frequecy.

Acute Care

Hospital for immdeiate and serious care.

Registration

listing of certified health professional on an official roster kept by a state agency or health professional organization

Mri

Magnetic Resonance Imaging

Accrediation

the process by which an external entity reviews an organization or program of study to determine if they meet certain predetermined standard

Ethnocentric

evaluating other peoples and cultures according to the standards of one's own culture. a lack of respect for other ways of life

Licensing

before you can work in many health professional state license is legally required , special licensing exam

Ambulitory Healthcare Services

care provided outside institutional settings is ambulatory and most frequent contact most people have with healthcare system

Complementary medicine

Some type of medicine used alongside standard care.

Social Security Act

established annual grants-in-aid from federal govt to the states to fund full time local health depts. Created Medicare and Medicaid programs (Center for Medicare and Medicaid) that funded healthcare for those over 65 in medicare and those individuals who were indigent got medicaid.

Marketplace subsides

implemented as part of ACA as way for low income and middle age income adults under 65 to purchsse health ins with finansal assistance from federal government.

Hospitals are either

private or public. Private are owned and operated by groups and Public are financed and operated by a government agency such as city,county, and state.

Hospitals were created for the following reasons:

1.advances in medical science- sterilization processes and the use of anesthesia.

2.advances in medical education

3. Transformation of nursing in caring for wounded and ill,cleanliness and sanitation procedures and dietary instruction.

CHIP

Children's Health Insurance Program

Your EHR can be shared with other doctors through

Interperablitiy

Telemedicine

DIAGNOSIS and TREATMENT of patients by means of telecommunications technology.

Telehealth

The use of communication technologies and electronic information to PROVIDE HEALTHCARE at a DISTANCE.

Health workers are employed in vital services that are often overlooked, what are they?

orthotists-prosthetics-design support device including artificial limbs,braces,etc.

Licensure-Certification and registration

Obtaining and maintaining licensure or in some professions certification, is necessary to practice legally in individual states. Obtaining continuing educations hours within specified period like every two years is necessary to maintain licensure or certification.

Malpractice

professional misconduct

Negligence

the common type; refers to someone failing to do something that a reasonably prudent person would do in the same. Carelessness

What is the most frequent alleged legal issues

Fraud and abuse

Fraud

intentional deception of another person to that person's detriment

Code of ethics

have existed for years; best known is Hippocratic Oath

Hippocratic Oath

contains many values that form basis for codes of ethics: act to benefit the patient, refusing to do harm to patients, and maintain patient confidences

Healthcare Teams

This consist of variety of health personnel each with a specific function.This include doctors,nurses,dieticians, and therapist. RIGHT TO PRACTICE

Two new doctor roles

hospitalists and palliative medicine

PA

54% doctors offices, 26% public/private hospitals. Everything done under supervision of doctor, on duty or not. Pretty new profession.

NCLEX

National Counsal Licensure Examination.

OAT

Optometry admissions test- Their programs include classroom and lab study of health and visual sciences. Test to get into one of the 25 optometry schools.

What does the CEO (Cheif Executive Officer) do

provides overall management direction but also concerned with community outreach, planning, etc.

What are the 3 functional administration

Executive, internal management, specialized staff

There are 4 levels of certified emergency services according to the national registry of EMT:

1. Emergency Medical Responder - care for patients at the scene of an accident while transporting patients to hospital. They assess conditions and manage respiratory,cardiac and trauma emergencies.

2. Emergency Medical Technician - has more advanced training and perform interventions with equipment in ambulance.

3. Advance Medical Emergency Technician - they have the skills of EMT plus how to operate basic and advance equipment in ambulance

4. Paramedic - provide the most extensive care, they administer drugs orally and through IV,interpret ECGs (EKG) and perform intubations.

ICD-10

International Statistical Classification of Diseases and Related health problems, 10th edition.

CPT

current procedural terminology