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HED 320 Delivering Health Care in America Exam with Q and A What does the Consumer Price Index (CPI) measure? a) Health care expenditures b) Medical inflation c) General inflation d) Overall government expenditures ANS WERV ¥ General Inflation What is Gross Domestic Product (GDP)? a) A measure of all the goods and services produced by a nation in a given year, minus the amount of money spent by the government b) A measure of all the goods and services produced by a nation in a given year c) A measure of all the goods and services produced by a nation in a given year, divided by the amount of money spent by the government d) A measure of all the goods and services produced by a nation in a given year, divided by the population ANSWERV V A measure of all the goods and services produced by a nation in a given year, divided by the population Approximately what percentage of GDP is spent on health care in 2009? d) 27% ANSWERVV 17% What is a PRO? a) Political Review of Outcomes b) Price Rationing Organization c) Peer Review Organization d) President's Review of Organizations ANSWERV V Peer Review Organization Expenditures (E) equal: b) Unless we control costs, total health care expenditures will far exceed what they would be under free-market conditions. c) Both A and B d) Neither A nor B ANSWERV ¥ Both A and B Medical cost inflation is influenced by all of the following factors except: a) Increase in elderly population b) Decrease in uninsured c) Waste and abuse d) Growth of technology ANSWERV V Decrease in uninsured Which age group in the U.S. has had the highest average annual percent growth over the past 30 years? a) 65-84 b) 25-44 c) 45-64 d) Over 85 ANSWERV V Over 85 What are administrative costs? a) Costs associated with management of the financing, insurance, delivery, and payment functions of health care b) Costs associated with financing and insurance only c) Costs associated with delivery and payment functions only d) None of the above ANSWERV ¥ Costs associated with management of the financing, insurance, delivery, and payment functions of health care What are small area variations? a) Geographic variations in health care practice b) Demographic variations in health care practice c) Both A and B d) Neither A nor B ANSWERV ¥ Geographic variations in health care practice a) cost b) effectiveness c) equity d) efficiency ANSWERV ¥ equity According to Anderson and Aday, which of the following is an element of "realized access"? a) Enabling characteristics b) Type, site, and purpose of health services c) Distribution of health care services according to the patient's self-perceived need d) None of the above ANSWERY ¥ type, site, and purpose of health services The Donabedian Model includes all of the following elements except: a) Outcomes b) Structure c) Costs d) Process ANSWERV V Casts What is the purpose of clinical practice guidelines? a) To provide a plan to manage a clinical problem based on evidence or consensus b) To lower costs c) To improve outcomes d) All of the above ANSWERV ¥ All of the above What is the Health Plan Employer Data and Information Set (HEDIS)? a) A quality report card b) A cost report card c) A government database on health plans d) None of the above ANSWERV ¥ A quality report card True or False? Compared to other nations, the U.S. uses a larger share of its economic resources for health care. ANSWERV V Truc True or False? Managed care increased the rate of growth in health spending between 1993 and 2000. ANSWERV ¥ False True or False? Medicare trustees project that the trust fund will be depleted by 2010. ANSWERY ¥ False True or False? Whether payment for health care services is made by the government or by a private insurance company, individual patients pay a price far higher than the actual cost of the service. ANSWERVV False True or False? Prevention and lifestyle behavior changes to promote health are not major foci of the medical model. ANSWERV ¥ True True or False? Health care costs for the elderly are nearly 3 times more than those for the non-elderly. ANSWERV V True True or False? The U.S. is likely to achieve socialized medicine under the ACA. ANSWERVJV False True or False? Critical pathways are outcome-based and patient-centered case management tools that facilitate coordination of care. ANSWERV ¥ True True or False? Access, quality, and cost are three unrelated components. ANS WERV 4 False END OF QUIZ 3 ANSWERV V END OF QUIZ. 3 Employer-provided health insurance benefits arose in the mid-20th century as a result of: a) A Supreme Court ruling that health insurance could be included in the collective bargaining process b) Legislation which legalized this process c) An executive order requiring employers to provide health insurance to employees d) None of the above ANSWERV V A Supreme Court ruling that health insurance could be included in the collective bargaining process Which major public insurance program was legislated in 1965? a) Medicare b) Medicaid c) Both A and B d) Neither A nor B ANSWERV ¥ Borth A and B c) Creation of a national health insurance plan d) Regulation of physicians! salaries ANSWERV V Expansion of the availability of health services and improved hospital facilities What is incrementalism? a) The fact that in the U.S., health care is financed by multiple entities b) The fragmented, uncoordinated delivery of health services c) Small policy changes that reflect a compromise amongst different groups’ demands d) None of the above ANSWERV ¥ Small policy changes that reflect a compromise amongst different groups' demands What is the role of states in U.S. health policy? a) Financial support for the care and treatment of the poor b) Oversight of health care practitioners and facilities c) Quality assurance d) All of the above ANSWERV ¥ All of the Above Which of the following branches of government is a supplier of policy? a) Executive b) Legislative c) Judicial d) All of the above ANSWERV ¥ All of the Above Which of the following is a power of Congress? a) Power of taxation b) Power to use any reasonable means not prohibited by the Constitution to carry out the will of the people c) Power to spend d) All of the above ANSWERV ¥ All of the Above What is an interest group? a) A group of lawmakers within Congress with a particular area of interest d) None of the above ANSWERV ¥ Provision of federal grants to state government programs assisting the elderly Which piece of legislation had important implications for rural hospitals? a) Higgins-Branyan Act of 2004 b) Omnibus Budget Reconciliation Act (OBRA) of 1986 c) Access to Care Act of 1988 d) Rural Hospital Act of 1992 ANSWERV V Omnibus Budget Reconciliation Act (OBRA) of 1986 For what is the National Health Planning and Resources Development Act of 1974 noted? a) The shift from cost containment to improvement of access as the principal theme in federal health policy b) The shift from cost containment to improvement of quality as the principal theme in federal health policy c) The shift from improvement of quality to cost containment as the principal theme in federal health policy d) The shift from improvement of access to cost containment as the principal theme in federal health policy ANSWERV ¥ The shift from improvement of access to cost containment as the principal theme in federal health policy What is the key factor contributing to the passage of the ACA? a) High cost of healthcare expenditures b) Democratic control of the Congress c) Declining quality of care d) Large number of Americans who are uninsured ANSWERV ¥ Democratic Control of the Congress What does "CON" stand for? a) Certificate of Need b) Certificate of Naturopathy c) Certificate of Nursing d) Certificate of Nationality ANSWERV V Certificate of Need What is the main purpose of the Agency for Healthcare Research and Quality? b) Subsidizing costs of caring for the uninsured c) l'inancing health services for the poor d) All of the above ANSWERV V All of the Above All of the following were identified by the Institute of Medicine (Crossing the Quality Chasm, 2001) as areas for quality improvement, except: Question 20 options: a) Patient-centeredness b) Timeliness c) Safety d) Efficacy ANSWERV ¥ Efficacy True or False? Government spending for health care in the U.S. has been largely confined to filling the gaps left by the private sector. ANSWERV ¥ True True or False? The Medicaid program has been constantly reformed since 1965. ANSWERVV True True or False? The uninsured consist mostly of adults under age 65. ANSWERV ¥ True True or False? All states are required to have the same set of eligibility requirements for Medicaid. ANSWERV V False True or False? Historically, Presidents have not had a substantial impact on national health policy. ANSWERV V False True or False? The U.S. Constitution requires that all bills involving taxation must originate in the U.S. House of Representatives ANSWERV V True True or False? The legislature is responsible for implementing legislation ANS WERV 4 False True or False? People with certain disabilities may be covered by Medicare and/or Medicaid. ANSWERVV True Truce or False? Currently, the states role in health policy is limited mostly to basic public health functions. ANSWERV V False Truc or False? With the passage of ACA of 2010, all Americans will soon have health insurance coverage. ANSWERV V False 
