Q&A - Environmental Influences Quiz

What was the cost of taxpayer-funded Medicare expenses in 2019?

$ 799.4 billion dollars

What does a health policy seek to achieve?

Intentional actions to influence health outcomes in the community.

Which governmental organization is known for guiding evidence-based public health practice?

• Centers for Disease Control and Prevention (CDC)

• The CDC is an agency within the HHS that focuses on public health research, disease prevention, and outbreak response.

What types of prevention interventions should a public health nurse recommend to decrease healthcare costs?

Secondary, tertiary, and primary prevention interventions.

What is a common characteristic of health care organizations in both sectors?

They are subject to governmental oversight.

Which program might a young adult client who recently became disabled be eligible for?

Medicare

What is an example of a secondary prevention intervention for employees with hypertension?

• Online nutrition education for employees who have new onset of hypertension.

Who establishes the scope of practice for nurses?

Lawmakers.

What is an example of private sector health insurance?

Employer-sponsored health plan. i.e. United Healthcare, Aetna, or Cigna.

What public sector program is available for clients over 65 years old?

Medicare.

What indicates a client's understanding of Health Savings Accounts (HSA)?

The HSA can be used for out-of-pocket medical expenses. A client demonstrates understanding when they can explain that contributions to an HSA are tax-deductible and that funds can be used for qualified medical expenses.

Which health program is administered at the state government level?

Medicaid.

In what order were these U.S. health care reforms implemented?

Medicare, Substance Abuse and Mental Health Services Administration (SAMHSA), Children's Health Insurance Program (CHIP), Affordable Care Act (ACA).

What organization is an example of a health care resource in the public sector?

• The Department of Health and Human Services (HHS).

• Governmental body that provides essential health services and oversees public health policies in the United States

Who makes most decisions about health care regulation in the public sector?

Federal government.

Which organization’s data has a direct effect on funding for health care programs?

U.S. Census Bureau. The organization responsible for collecting demographic data that influences federal and state funding allocations for health care programs.

Which health care programs are affected by U.S. Census Bureau data?

Medicaid, Children's Health Insurance Program (CHIP), Medicare.

To which organizations should a public health nurse apply for a nutrition program grant?

National Institutes of Health (NIH) and United States Health Resources and Services Administration (HRSA).

What is a health care resource in the private sector?

St. Jude Children’s Network.

What is an example of a secondary prevention intervention to evaluate cost-effectiveness during flu season?

Provide testing for influenza at the employee health clinic.

What does Medicare Part D cover?

Prescription medications.

What primary preventive measures can reduce infection rates?

Ensure hand sanitizer is available, promote social distancing, and educate about the use of personal protective equipment (PPE).

Which president created the Medicare program in 1965?

Lyndon B. Johnson.

What is the funding source for Medicare?

Taxpayer contributions.

What are examples that indicate eligibility for Medicare coverage?

A 60-year-old client with a disability, a 70-year-old client, and a young adult client with chronic kidney disease.

What are client statements indicating understanding of CHIP?

My 18-year-old is eligible for CHIP; We can use CHIP for primary care and hospital care.