Health Care Systems Practice Exam

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• Which HTA analysis is most appropriate to determine the health outcomes achieved per unit of cost?
• Which type of hospital is operated by federal, state, and local government agencies and may include veterans' hospitals or state psychiatric centers?
• Which term is used to describe 'treatment'?
• TRICARE is a U.S. government health insurance plan for all military personnel; provides care for all active duty members and their families, survivors of military personnel and retired members of the Armed Forces.
• Which term would you use to describe a 'psychiatric facility'?
• Which term describes someone who delivers babies?
• Which facility provides hospital services along with research and education and is funded by private and government sources?
• Which statement correctly describes Medicare Part A and Part B in the United States, including coverage categories and funding sources?
• Which term is the abbreviation LVN an acronym for?
• Which program is described as a federal government program for older adults and certain disabled individuals?
• How do social determinants of health influence health outcomes, and what is a practical integration step for health systems in clinical care?
• PhD stands for which degree?
• Which type of care provides support and comfort to patients with serious illness?
• Deductible is the amount that must be paid by the patient before the policy begins to pay.
• Which health care system provides total health care directed toward preventive health care for a fee that is usually fixed or prepaid?
• What does CPR stand for?
• Which program was established in 1997 to provide health care to uninsured children of working families who earn too little to afford private insurance, but too eligible for Medicaid?
• Which facility is funded by private and government sources and provides hospital services along with research and education?
• Which statement best describes population health management and its tools?
• Which term denotes a period of specialized training in the medical field?
• The acronym CEO stands for?
• Compare capitation with fee-for-service, including incentives, risk exposure, and typical payer-provider relationships.
• Which term means 'dealing with or relating to Satan'?
• Organizational Structure encompasses a line of authority or chain of command. Which option best represents this concept?
• Medicare is a federal government program that provides health care for almost all individuals over the age of 65, for any person with a disability who has received Social Security benefits for at least two years, and for any person with end-stage renal disease.
• Explain the Prospective Payment System (PPS) and Diagnosis-Related Group (DRG) pricing and its effect on hospital incentives.
• Which facility would specialize in cancer care or orthopedic medicine?
• Which facility would be most appropriate for providing physical therapy after an injury?
• CEO is an acronym for which position?
• Which component provides measurable indicators to track progress toward population health goals?
• Which statement best contrasts an HMO and a PPO?
• Diagnosis-Related Group (DRG) is used in the Prospective Payment System (PPS) to categorize patients for payment purposes. Which option correctly identifies what DRG stands for?
• Which statement about crisis triage protocols is least aligned with recommended practice?
• Which facility checks for genetic abnormalities and birth defects?
• Which statement best characterizes admin costs and bargaining in single-payer versus multi-payer systems?
• Health Insurance Plans are designed to pay for costs of health care; without it, a financial disaster will likely take place.
• Laboratory performs what?
• The Food and Drug Administration is described as a federal agency responsible for regulating food and drug products sold to the public.
• What does chronic mean?
• Medicaid is a medical assistance program that is jointly funded by the federal government and state governments but operated by individual states.
• Long Term Care Facilities primarily provide assistance and care for which group?
• Define an Accountable Care Organization (ACO) and describe its risk and reward structure under common CMS models.
• Which statement describes the use of ROI and NPV in hospital budgeting?
• Which health care system model is funded by general taxation and provides government-provided care, as exemplified by the United Kingdom?
• Acute means?
• Telehealth reimbursement trends and policy considerations include:
• Medicap policies are health insurance plans that help pay expenses not covered by Medicare.
• Voluntary means?
• Which term specializes in babies and the delivery of babies?
• Which term refers to 'one who lives in a long-term care facility'?
• Nsg stands for?
• Which term means 'nursing'?
• Which organization is an international agency sponsored by the United Nations that compiles statistics on disease and publishes health information worldwide?
• Co-payment is defined as what?
• What is the meaning of the suffix -ology?
• Hypertension is another term for what?
• In lean management, what is the purpose of value stream mapping?
• What is the purpose of stop-loss provisions in capitation arrangements?
• Industrial Health Care Centers are found in large companies and provide health care for employees by performing basic examinations, teaching accident prevention and safety, and providing emergency care. Which option best describes their primary function?
• Which term means 'to regenerate the activity of the extremities'?
• Which term means 'sudden onset of an illness'?
• Industrial Health Care Centers are located where?
• Which model uses social health insurance funded by payroll taxes with regulated private providers?
• In population health management, what is the role of community partnerships?
• The role of a Pharmacy Benefit Manager includes:
• Which statement best describes patient-centered medical home (PCMH)?
• Which facility is typically located in large companies or industries?
• Under the ACA, Medicaid expansion extended eligibility to adults up to 138 percent of the federal poverty level. Which option correctly describes the funding and implications?
• Which facility provides special care for accidents or sudden illness?
• Which characteristic best describes the National Health Insurance model and provides an example country?
• What is the purpose of price transparency regulations in health care?
• The Agency for Health Care Policy and Research was established in 1990 to research the quality of health care delivery and identify the standards of treatment that should be provided by health care facilities.
• Which type of hospital specializes in care for specific conditions or age groups, such as burn centers or pediatric hospitals?
• Which term corresponds to a social activity such as bingo?
• Managed Care is defined as insurance companies paying large medical bills and wanting to insure the money is spent efficiently.
• Which statement best describes utilization management in health care?
• Differences between primary care and specialty care supply include:
• What is a primary responsibility of the Chief Financial Officer in a health care organization?
• A Doctor of Education is best described as?
• Which facility is designed to provide basic physical care and emotional care to those who can no longer care for themselves?
• Proprietary means?
• Describe value-based purchasing and how hospital quality metrics influence reimbursements under CMS programs.
• Health Departments operate under the direction of which federal department?
• How do health equity and health equality differ?
• Which term means 'bound to happen'?
• Which term means 'swelling of the eyes'?
• An ophthalmologist is a medical professional who specializes in what?
• The Centers for Disease Control and Prevention is primarily concerned with which of the following?
• Which statement about crisis triage protocols is least aligned with recommended practice?
• Which financial reporting responsibilities fall under the CFO in a health care organization?
• What term describes the line of authority or chain of command within an organization?
• Which term means 'record of the breasts'?
• Dental Offices are offices owned by whom?
• What is an effective method to address social determinants of health within a clinical workflow?
• In a DRG-based system, why is accurate coding crucial?
• What is the purpose of the HCAHPS survey and how do results influence hospital reimbursement and quality improvement?
• Medicare is a federal government program that provides health care for which groups?
• Which program was established to provide health care to uninsured children of working families who earn too little to afford private insurance, but too eligible for Medicaid?
• Which program is a health insurance plan providing treatment for workers injured on the job?
• What is the primary focus of Health Maintenance Organizations (HMOs)?
• Which term refers to a medical doctor who diagnoses and treats patients?
• Which activity is not typically part of utilization management but is part of retrospective utilization review?
• Which type of hospital would typically handle specialized patient populations such as burn victims or pediatric patients?
• The Food and Drug Administration's main role is to regulate what?
• Health Insurance Plans are designed to do what?
• How is health equity best defined, and what approach supports it?
• Which term is used for pregnancy and childbirth medical practice?
• The role of a Pharmacy Benefit Manager (PBM) includes influence on what aspect of drug coverage?
• What is the primary focus of a hospital capital budget?
• Which of the following is NOT a US federal agency listed?
• Which term describes the fixed amount paid by a patient per service?
• Which facility is designed to provide skilled nursing care and rehabilitative care to prepare patients to return home?
• The acronym VA stands for?
• The National Institutes of Health is described as a division of the USDHHS involved in research on disease.
• Which facility provides care in a patient's home?
• What does the acronym VA stand for in medical administration context?
• In the provided material, the term Detention is defined as which body part?
• Which term would you use to describe swelling of the eye region?
• Accreditation bodies such as the Joint Commission contribute to health care quality by:
• What does HIPAA ensure?
• General Hospitals provide care for what range?
• What is a characteristic and potential effect of a high-deductible health plan paired with a health savings account?
• Which professional specializes in rehabilitation and movement?
• Rehabilitation meaning?
• How can patient satisfaction surveys affect hospital funding in value-based purchasing models, and what is key to designing actionable surveys?
• Under a DRG-based prospective payment system, hospital payment is primarily determined by:
• LVN stands for?
• Industrial Health Care Centers are typically located in what setting?
• Which statement best describes an out-of-pocket health care system?
• What is the Medicare Hospital Readmissions Reduction Program (HRRP) and what are its consequences for hospitals?
• What does the suffix -ologist mean?
• Which term means 'private'?
• Geriatric means?
• Health Departments provide health care services as directed by the USDHHS; they also provide specific services needed by the state or local community.
• Which term specializes in treatment and care of the female?
• In an HMO, what role does a primary care physician typically play?
• An ophthalmologist is a professional who specializes in what field?
• Non-profit Agencies are funded by what sources?
• What term means 'treatment'?
• What is the role of public health agencies in health system strengthening and their intersection with clinical care organizations?
• Under fee-for-service payment, what is the typical provider incentive?
• Capitation risk arrangements include:
• Essential Health Benefits define the minimum coverage requirements for ACA-compliant plans. Which statement is correct?
• LPN stands for which credential?
• Mental Health Facilities specialize in what type of conditions?
• In health technology assessment, which analysis is used to compare health outcomes relative to costs between options?
• Which term means 'dealing with the heart'?
• HIPAA stands for Health Insurance Portability & Accountability Act.
• Which phrase best defines insanity in common usage?
• An optometrist is a professional who, among other duties,?
• Cost shifting in health care refers to:
• Pine Grove Behavioral Center is best described as what?
• Describe the stages of health technology assessment for a new drug from regulatory approval to payer decision.
• Which term means 'to violate'?
• Rehabilitation Facilities focus on what?
• Which element of a health system strategic plan provides the formal structure for decision rights and oversight?
• Which is the national agency that deals with health problems in the United States?
• Co-insurance requires that specific percentages of expenses are shared.
• Which term describes a type of managed care plan often provided by large employers?
• A residency is defined as a period of specialized training in the medical field; internship.
• Preferred Provider Organization is a type of what?
• Which facility offers medical, surgical, and emergency services to a broad population?
• Which facility provides emergency care for victims of accidents and sudden illness?
• What is the difference between data privacy and data security in a health care context, and which safeguards are commonly used?
• A form of managed care plan often provided by employers is what?
• Genetic Counseling Centers check for what?
• Which feature is commonly associated with PCMH payment models?
• Which strategic plan element includes cost estimates and revenue implications?
• In lean management, which statement is accurate?
• Which term is a medical specialty focused on the female reproductive system?
• Which approach demonstrates systematic integration of social determinants of health into care by identifying needs and connecting with community resources?
• Which facility allows individuals who can live and care for themselves to rent or purchase an apartment?
• CRNP stands for which credential?
• The Centers for Disease Control and Prevention is described as a division of the USDHHS concerned with causes, spread, and control of diseases in populations.
• Which analysis is used to estimate the financial consequences of adopting a new drug on a payer's budget?
• What is bundled payment, how does it differ from fee-for-service and capitation, and provide an example program.
• What does MD stand for?
• TRICARE is a U.S. government health insurance plan for all military personnel; provides care for all active duty members and their families, survivors of military personnel and retired members of the Armed Forces.
• Home Health Care Facilities provide care where?
• Which organization is described as a division of the USDHHS focused on disease surveillance and control in populations?