Funds of Healthcare admin final

What factors has led to differences in the Medicaid program within different states in the U.S?

A. the ACA provisions of care per state

B. Medicaid is solely state funded

C. Differences in capitated payments

D. Flexibility in state administration

D. Flexibility in state administration

Workers Compensation insurance relies best on which premise?

A. States have a right to protect citizen workers

B. All employees should offer basic insurance

C. Employer shared burden of loss

D. Employers are always at fault for work-related injuries

C. Employer shared burden of loss

A patient over 65 has Medicare and sees a physician for a yearly physical. Which part of Medicare would cover this service?

A. Medicare Advantage

B. part D

C. part B

D. part A

C. Part B

Which special population health care program was established by the Synder Act?

A. Military personnel and families

B. Native Americans and descendants

C. Disabled children

D. Disabled workers

B. Native Americans and descendants

Who would most benefit from the Consolidated Omnibus Budget Reconciliation Act (COBRA)

A. A dependent college student

B. A senior wanting additional coverage

C. A person injured on the job

D. An individual between jobs

D. An individual between jobs

A clinic recently implemented having trained interpreter services available. What dimension of quality health care is the clinic addressing?

A. Equitable

B. Quality

C. substantive

D. Uniform

A. Equitable

Quality dimensions have been defines as structure, process, and outcomes. Which of the following is an example of structure?

A. Requiring the reporting of hospital-associated infections that occur monthly

B. Placing a personal protection equipment cart near patient rooms

C. Tracking the number of falls that occur on a medical floor

D. Having a patient blood thinner administration protocol on a surgical unit

B. Placing a personal protection equipment cart near patient rooms

Which endeavor best illustrates the national effect to become more strategic and aligned in efforts to establish quality standards and measures?

A. Initiating the Patient-reported outcome measures (PROMs)

B. Forming the National Quality Forum (NQF)

C. Establishing a committee through the American Medical Association (AMA)

D. Creating the U.S. Agency for Healthcare Research and Quality (AHRQ)

B. Forming the National Quality Forum (NQF)

Healthcare providers seeking to improve quality aim to establish good measures in order to improve processes and outcomes. However, measures need good data. Which constitutes good data?

A. Recent and close to real time

B. Specific to the provider and institution

C. One dimensional with a specific focus

D. Broad in information and factors

A. Recent and close to real time

How did the IOM publication to Err is Human impact medical care?

A. The report created a culture of blame

B. The report resulted in more administrative oversight

C. The report changed licensure laws

D. The report introduced new clinical practice strategies

D. The report introduced new clinical practice strategies

A not-for-profit leadership team seeks to increase revenues in the hope of offsetting an increasingly competitive market. Which option would be a possible strategy ?

A. Buy new laser surgery technology for the oncology clinic

B. Form a committee to review potential staff cuts

C. Limit services in underinsured areas of the community

D. Seek a new payer negation for services

A. Buy new laser surgery technology for the oncology clinic

Which argument would defend the role of management in health care?

A. Managers can improve patient care outcomes

B. Managers best understand how to care for the patient

C. Managers are best known for ocntrolling costs

D. managers are a necessary evil for any business

A. Managers can improve patient care outcomes

A food service manager is discussing the annual budget with the chief financial officer. The budget includes staffing, food supplies, and two new coolant systems. What is necessary to meet these budget items?

A. profits

B. revenue

C. capital

D. assets

C. capital

A nurse working for a hospital that provides charitable benefits and aims to service the whole community would be described as which type of health care organization?

A. for-profit

B. not-for-profit

C. free clinic

D. private

B. not-for-profit

A hospital system made the decision to consult with a marketing team to update the system’s image and start a marketing campaign. What is the most likely driving factor for this investment decision?

A. The system is experiencing competition

B. The system is rural and needs to expand

C. The system’s area population has grown

D. The system has new services to advertise

A. The system is experiencing competition

Which of the following situation demonstrates the largest impact on welbeing during the COVID-19 pandemics ?

A. A person having the ability to find rapid testing

B. A clinic offering the COVID-19 vaccine

C. A clinic providing telehealth services

D. A school transitioning to virtual learning

B. A clinic offering the COVID-19 vaccine

A community health care think tank is charged with the responsibility of putting together a report illustrating the importance of monitoring the evolution of how health care is delivered. What would most likely be included in the report?

A. A population health has the potential to shape medical practice.

B. Health systems will seek to be an independent community service

C. Technology will hamper efforts in treatment and prevention

D. Life expectancies and health access will be less of a priority

A. Population health has the potential to shape medical practice.

A hospital wants to invest in advanced technology to support fall monitoring among the senior patient population. What technology could play a role in this care delivery?

A. robotics

B. geriatric specialties

C. telemedicine

D. electric scooters

A. robotics

New research sometimes raises moral issues. Currently, a technology being developed has the potential to lead to altering a hereditary disease course or even a child’s intelligence. This refers to which of the following technology?

A. Virtual DNA reality

B. Genome sequencing

C. Stem-cell research

D. 2D protein printing

B. Genome sequencing

The possibility of technology having a role in improving the health of the public has vast potential. What represents a downside as new technologies become more adapted?

A. All technologies will lower medical costs and lower profits

B. Less focus on preventative care and quality of life

C. Medicine will take a more generalized care appraoch

D. Finding a balance between technology and income disparities

D. Finding a balance between technology and income disparities

Joe is a construction worker. He has high blood pressure and diabetes. He contributes part of his paycheck toward the benefit of insurance to support medical care costs. At times, he also finds he has to pay out of pocket. What term best describes joe’s acceptance of paying out of pocket for his healthcare?

A. consumer

B. value

C. access

D. maintenance

A. consumer

An economic report is released that describes the United States GDP. Which of the following would be true regarding the health care sector contribution ?

A. 10% of economic resources are devoted to medical care and health promotion

B. 20% of economic resources are devoted to medical care and health promotion

C. 5% of economic resources are devoted to medical are and health promotion

D. 50% of economic resources are devoted to medical care and health promotion

B. 20% of economic resources are devoted to medical care and health promotion

The concept of health maintenance has increasingly become integrated as part of the medical care system. Which is an example of how providers are becoming more involved in health maintenance ?

A. Providing a pneumonia vaccine to a person over 65

B. Providing a refill prescription for diabetes medications

C. Providing rehabilitation services to heart failure patients

D. Providing home oxygen to a patient with COPD

A. Providing a pneumonia vaccine to a person over 65

Health professionals are increasingly aware that the health of a population has many factors, including social factors, or social determinants of health. Which of the following is an example of addressing a social determinant of health ?

A. A clinic offering interpreter services

B. A restaurant restricting smoking

C. A child being vaccinated at the pediatric office

D. A 55-year-old male receiving a colonoscopy

A. A clinic offering interpreter services

A public health expert is speaking at a conference on the challenges faced by the current heath care system. The challenges were essentially places into two broad categories. What vest describes those categories?

A. Health care technology and provider burnout

B. Education in health care and unhealthy behaviors

C. Population health and optimizing effective care

D. Climate change and global epidemics

C. population health and optimizing effectice care

A student researches the definition of health. Which resource would state that health is defines as a “state of complete physical, mental and social ‘wellbing’, and not merley the absence of disease or infirmity”?

A. Health resources and services administration (HRSA)

B. Bureau of primary health caer (BPHC)

C. Centers for disease control and prevention (CDC)

D. World health organization (WHO)

D. World health organization (WHO)

A mother and grandmother were discussing the new grandchild and their upcoming pediatric visit. The grandmother recalls how her pediatrician helped her get through a bad case of strep throat and now she sees an internist that encouraged her to lower he cholesterol. They both refelct on how medical care never seems to stop through the years. What are they essentially describing ?

A continuity of care

B. continuum of care

C. chronic care

D. centers of care

B. continuum of care

A mother takes her daughter to the local public health department before the school year for the necessary vaccines. How would this service be defined a term prevention

A. Primary prevention

B. Secondary prevention

C. Tertiary prevention

D. service prevention

A. Primary prevention

Prevention can be grouped based on the focus and nature of the intervention provided. Which situation illustrates tertiary prevention?

A. A patient with end=stage lung cancer transition to hospice

Smith county health department, local government, community hospital, and local human services have organized an assessment and agreed to collaborate on the opioid epidemic that is trending in the community. What concept does this represent?

A. Quaternary community care

B. Community health improvement

C. Horizontal integration

D. Corporate medical practice

B. Community health improvement

Which action would policy makers take to meet health care cost-savings goals?

a) Review public health epidemics

b) Analyze structural competence

c) Consider the impact of social determinants of health

d) Study mortality rates

c) Consider the impact of social determinants of health

Which data would be beneficial for policy makers to use to reduce health care spending in the United States?

a) The average age of the U.S. population

b) The number of U.S. citizens

c) The disease processes most prevalent in the U.S.

d) The fact that the U.S. spends approximately 29% more on health care than necessary.

d) the fact that the U.S. spends approximately 29% more on health care than necessary.

Which term would be used to describe the health outcomes of a group of individuals, including the distribution of such outcomes within the group?

a) Health equity

b) Population health

c) Health policy

d) The social determinants of health

b) Population health

Which action should policy makers consider to improve the health of a population?

a) Provide a higher ratio of social service to health care spending

b) Support a democratic government

c) Spend more on health care

d) Reduce governmental involvement in health care

a) Provide a higher ratio of social service to health care spending

Which group would benefit from advertising that shows the link between individuals and health outcomes and social, economic, and political factors?

a) Researchers

b) Health care providers

c) Policy makers

d) American public

d) American Public

A team of public health analysts is studying the causes of mortality in the United States. Which of the following causes would be a major cause?

a) Pneumonia infection

b) High fat dietary intake

c) Vehicle accidents

d) Homicide deaths

b) high at dietary intake

A population health expert lectures on the Healthy People 2030 objectives at a public health conference. Out of the 2030 objectives, which of the following target behavior has the largest target from the current baseline to goal?

a) Adolescent alcohol misuse

b) Vegetable consumption

c) Adult cigarette smoking

d) Adult physical activity

c) adult cigarette smoking

Which of the following patients would be of most concern to a provider regarding infant health?

a) A newly pregnant mother reporting having a glass of wine 2 to 3 times a week

b) A pregnant woman of her 3rd child with a history of gestational diabetes

c) An expecting mother that has been unable to quit smoking while pregnant

d) An expecting mother that admits to not being able to exercise every day

c) An expecting mother that has been unable to quit smoking while pregnant

A physician discusses physical activity recommendations with the mother of an 8-year-old boy. Which of the following would be advised?

a) A child should be engaged in vigorous activity at least 150 minutes a week

b) A child should be engaged in vigorous activity 30 minutes every other day

c) A child should be engaged in vigorous activity at least 75 minutes per week

d) A child should be engaged in vigorous activity 60 minutes every day

d) A child should be engaged in vigorous activity 60 minutes every day

A health behavior expert lectures to a team of physicians on the social cognitive theory (SCT). Which would be a key message in incorporating SCT into practice?

a) SCT can only be utilized to increase health behaviors

b) Knowledge and skills must come before self-efficacy

c) Knowledge about health risks comes after acquiring skills

d) Sufficient social support is the first step to behavior change

b) Knowledge and skills must come before self-efficacy

John is a 30-year-old male enrolled for insurance through the Marketplace created by the Patient Protection and Affordable Care Act (ACA). Which of the following is true regarding the ACA?

a) States were required to include all ACA expansions

b) Employer-based health insurance shifted to the ACA

c) The Medicaid program was replaced by the ACA

d) The goal of the ACA is to improve access to health care

d) The goal of the ACA is to improve access to health care.

The terms health equality and health equity can be common terms when considering the differences in health care among populations. Which of the following best describes the differences between the two?

a) Health equity involves tailoring resources and health equality is uniform care for everyone

b) Health equity assures standard treatment and health equality focuses on assuring support

c) Health equity includes standards of care and health equality focuses on safety of care

d) Health equity promises good treatment and health equality measures the health outcomes

a) Health equity involves tailoring resources and health equality is uniform care for everyone

A 52-year-old Hispanic male with diabetes that works in construction as a sub-contractor and has no insurance is an example ​​​​of vulnerability stemming from several factors. Which factor is the predisposing factor?

a) His job in construction

b) His Hispanic ethnicity

c) His uninsured status

d) His diabetes conditions

b) His Hispanic ethnicity

A team of medical students attend a lecture on public health. The lecture begins with the instructor defining health. According to the WHO, which of the following is important to the definition of health?

a) Total well-being is a critical defining element

b) Defining health is more an individual assessment

c) Health can only be defined in medical terms

d) Central to health is a person being absent of disease

a) Total well-being is a critical defining element

Eric is a 52-year-old ​​​​Black male with hypertension that lives in a lower income area of the city. According to the consideration of health factors, which of the following factors is appropriately defined?

a) Eric's hypertension is an enabling factor

b) Eric being a male is an enabling factor

c) Eric being Black is a predisposing factor

d) Eric living in a low-income area is a health factor

c) Eric being Black is a predisposing factor

A provider places a computer order for a diet for a newly admitted patient. The diet office receives a notification regarding the patient, and the diet requested minutes later. What process allows this communication to be possible?

a) Remote patient monitoring

b) Electronic health records (EHR)

c) Artificial Intelligence

d) Health Care Informatics

d) Health Care Informatics

What can best explain the exponential growth in organizations adopting Health Information Technology?

a) Increased potential to improve job satisfaction

b) Ability to implement easily and affordably

c) Federal and state level policy initiatives

d) Concern for patient safety and care standards

c) Federal and state level policy initiatives

Provider surveys were sent out six months into rolling out a new EHR system to assess overall opinion regarding the new program. What below comments would be most likely reported?

a) Improvement in the sense of job satisfaction and efficiency

b) Alert warning and care protocols interrupting workflow

c) Ability to focus on the patient due to better information

d) Inability to research past admission histories and labs

b) Alert warning and care protocols interrupting workflow

An insurance company has the ability to request and access a patient’s health information to process payment. What provision focused on supporting frameworks that support this type of trusted exchange of information?

a) Title IV of the Cures Act

b) HITECH Act of 2009

c) Enactment of the ACA

d) Creation of the TEFCA

a) Title IV of the Cures Act

A patient is refused patient portal access to obtain personal records for the transfer to a new physician. This limiting of access to health information is described as which term?

a) Cybersecurity

b) Trusted exchange framework

c) Information blocking

d) Meaningful use

c) Information blocking

Janet is a 75-year-old female that participates in water yoga, maintains a healthy weight, routinely sees her primary provider, and takes minimal medications. What is likely true about her chronological age versus her biological age?

a) Her biological age is younger than her chronological age

b) Her biological age is the same as her chronological age

c) Her biological age and chronological age mean the same thing

d) Her biological age is older than her chronological age

a) Her biological age is younger than her chronological age

A group of providers attends a lecture on age trends in the United States population. Which of the following learning points would be most accurate?

a) The middle age population is the fastest growing population

b) An increasing birth rate is going to raise the aging population

c) A person becomes a baby boomer when they turn 85 years old

d) Longer life expectancy is a factor in the growing aging population

d) Longer life expectancy is a factor in the growing aging population

Persons 65 years and older in the United States are provided care benefits such as Medicare and Social Security. Population statistics would then suggest the government spends the most on senior benefits to which states?

a) Maine, Florida, West Virginia, and Vermont

b) Missouri, California, West Virginia, and Vermont

c) Mississippi, Florida, West Virginia, and Vermont

d) Maine, Florida, Virginia, and Vermont

a) Maine, Florida, West Virginia, and Vermont

Sharon is an 83-year-old White female with two children and five grandchildren. According to current U.S. demographic and marital status data, which of the following marital status would be most likely?

a) The chances she is a widower is higher than her husband

b) She is married as widow rates are equal for both genders

c) Her husband has a higher chance of becoming a widow

d) Sharon is most likely divorced from her husband

a) The chances she is a widower is higher than her husband

An executive is comparing employment reports for changes over the past five years. The comparison would show which trend for the older adult population?

a) The COVID-19 pandemic led to an increase in job opportunities

b) Older persons remain a high majority of the total U.S. labor force

c) A working older person was more likely to be working in 2019 than 2020

d) Older persons in the labor force are a negligible part of the older population

c) A working older person was more likely to be working in 2019 than 2020

A team of providers are discussing the current state of the health care system. Which statement in this discussion would be accurate?

a) "Health care spending in the U.S. is among the lowest in the world"

b) "Despite problems, U.S. health care still ranks higher than many countries"

c) "Health care and politics in the U.S. are not related"

d) "Many lower income persons have poor outcomes. Health care is a moral issue"

d) "Many lower income persons have poor outcomes. Health care is a moral issue"

An expert in health care politics and policy provides a lecture to a team of providers. How would the stance of the United States on health care be described?

a) "U.S. policies contradict the fact the U.S. ratified a UN Treaty on health care"

b) "Health care is a mix of entitlement and a point of service to be purchased"

c) "The U.S. is similar to Canada, treating health care as a human right"

d) "Health care is not a policy issue and should be an issue for the providers"

b) "Health care is a mix of entitlement and a point of service to be purchased"

A young engineer is excited to move to her first international job. In exploring the country, she learns she does not have to rely on a private market, and instead the government manages the health care. To where is this young engineer moving?

a) The United States

b) Singapore

c) Great Britain

d) Switzerland

c) Great Britain

The United States is not entirely all private. There is access to government-provided care for a special population. Who would qualify for receiving this government health care?

a) A veteran of the military

b) A postal worker for the U.S.

c) A teacher at a public school

d) A physician of a state hospital

a) A veteran of the military

A student team is asked to draw comparisons between how governments differ in their supervisory roles over their county’s health care infrastructure. How would the U.S. supervision over the U.S. health care compare to how other governments supervise their own country?

a) U.S. states have a supervisory role and hold a high influence on provision of care

b) U.S. facilities are outside of supervision and can open and close by choice

c) Prescription drugs in many countries are purchased through the government

d) The United Kingdom supervision does not involve strategic planning

a) U.S. states have a supervisory role and hold a high influence on provision of care

Which of the following specifically demonstrates the delivery of public health care as distinct from other health care delivery systems?

a) A 27-year-old needing rehabilitation after a vehicle accident

b) A 5-year-old receiving vaccines before staring kindergarten

c) A 68-year-old male starting chemotherapy from lung cancer due to smoking

d) A public official establishing practice laws on abortion

b) A 5-year-old receiving vaccines before starting kindergarten

A public health instructor asks students to create a project based on the primary goal of public health. Which project would be the best example?

a) Have technology improvements in heart attack treatment increased life expectancy

b) Survey of physician opinion regarding patient medication compliance

c) How surgical treatments have improved quality of life

d) The effects of smoking rates after a community anti-smoking campaign

d) The effects of smoking rates after a community anti-smoking campaign

A team of health department nurses is charged with forming proposals to enhance primary prevention in the local clinics. What requirement would be necessary?

a) Target population must be free of the focus health condition of concern

b) A foundational goal is to reduce the occurrence of unnecessary testing

c) The program must have a screening and treatment referral component

d) Program objectives must demonstrate improved outcomes in quality of life

a) Target population must be free of the focus health condition of concern.

Public health aims to service health prevention for persons experiencing various levels of disease. Which of the following describes a secondary prevention?

a) Educating a group of teens on the importance of contraceptive use

b) An obese male who smokes tobacco and has his blood pressure checked daily

c) Teaching a class about the risk factors associated with tobacco use

d) A client with a history of stroke and heart attack taking medications as prescribed

b) An obese male who smokes tobacco and has his blood pressure checked daily

Joe recently experienced a heart attack and recently received a referral for cardiac rehabilitation. This is a blend of medical treatment and prevention. What level of prevention would this patient be receiving?

a) Tertiary prevention

b) Quaternary prevention

c) Secondary prevention

d) Primary prevention

a) Tertiary prevention

Smithtown suffered extensive damage from a major hurricane. As part of the recovery, the city disaster team assured mobilization of health teams and medication resources to offset the risk of injuries and infections that occur during and after a disaster, such as a hurricane. This is an example of which type of preparedness?

a) Population health preparedness

b) Disaster preparedness

c) Public health preparedness

d) Incident preparedness

c) Public health preparedness

A city experiences a flood in the low land area that was destructive, but families were rescued and relocated and the water system was minimally impacted due to underdeveloped flooded region. Which of the following does this event describe?

a) Threat

b) Emergency

c) Minor event

d) Disaster

b) Emergency

A rural city planning team holds a monthly readiness meeting for emergencies and disasters. Which of the following would be on the agenda when specifically reviewing disasters?

a) Budget planning for community resources

b) Search and rescue planning and delegation

c) Communication channel for government support

d) The time frame required to attend to a response

c) Communication Channel for government support

The same rural city planning team reviewed an assessment of the capability, as well as, limits of available resources to manage an emergency or disaster to determine the extent of available resources and when to obtain external resources. How would this acknowledgement of response capacity be described?

a) Disaster survival capacity

b) Emergency preparedness

c) Absorbing capacity

d) Public health preparedness

c) Absorbing capacity

Two city planners of a central plain town and a coastal town compare preparedness plans for both regions. Differences and similarities exist between the two plans. What process would explain the differences?

a) Modular organization

b) Risk mapping

c) Hazard management

d) Biosurveillance

b) Risk mapping