Health Policy and Management Study Guide
Questions
Course Introduction
Health Policy and Management explores the development, implementation, and effects of policies that shape health care systems and services. This course examines the role of governmental and non-governmental organizations in influencing health care delivery, insurance, and access, as well as the management principles essential for leading health organizations. Students will analyze the policy-making process, evaluate policy outcomes, and consider the ethical, economic, and social implications of health policy decisions on populations and health care professionals alike. The course prepares students to understand and critically assess the structures and challenges involved in managing health care institutions in changing policy environments.
Recommended Textbook
The United States Health Care System Combining Business Health and Delivery 2nd Edition by Anne
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506 Flashcards
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Chapter
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Sample Questions
Q1) The medical model includes all of the following except:
A) illness and disease require treatment.
B) focus is diagnosis.
C) focus is on disease prevention.
D) focus is on treatment.
Answer: C
Q2) Study of the nature, cause, control, and determinants of the frequency of disease, death, and disability in the human population is ______________________.
Answer: epidemiology
Q3) The patient is at the center of the health care industry.
A)True
B)False
Answer: True
Q4) Select the least likely employment location for health care professionals:
A) Hospitals
B) Insurance companies
C) Physicians' offices
D) Long-term-care facilities
Answer: B
Page 3
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Chapter 2: The Business Side of Healthcare
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Sample Questions
Q1) You are a senior executive at Anytown Hospital. You want a law created to standardize fees for copies of medical records nationally. Delineate the steps you will take to make this happen.
Answer: Contact your legislator. Legislator introduces the bill. The bill is assigned to committee. The committee researches the bill and conducts hearings. The bill is voted on by the House and the Senate. If the bill passes the House and the Senate, it is forwarded to the president. If signed by the president, it becomes a law.
Q2) A physician's only customer is the patient.
A)True
B)False
Answer: False
Q3) TJC accreditation is required for all health care facilities.
A)True
B)False
Answer: False
Q4) One of the objectives of health care laws is to _______________.
Answer: ensure fair competition; protect the public
Page 4
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Chapter 3: The Payment Process: Insurance and Third-Party Payers
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Sample Questions
Q1) A third-party payer may be:
A) an insurance company.
B) a government agency.
C) a service provider.
D) All of the above
Answer: D
Q2) The amount paid to a provider monthly to provide health care services to an employee is:
A) premium.
B) capitation.
C) copayment.
D) deductible.
Answer: B
Q3) Premiums are the:
A) portion of services paid by the patient.
B) amount paid by the patient before the third-party payer begins to pay.
C) negotiated payment for services between the payer and the provider.
D) fee paid by employers and employees to the insurance company.
Answer: D
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Chapter 4: The Payment Process: Government Payment Programs
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Sample Questions
Q1) All of the following describe the 2010 Patient Protection and Affordable Care Act regarding fraud and abuse except:
A) there will be enhanced oversight of new providers.
B) there will be provider screening.
C) a database to share information across states and federal programs is being developed.
D) penalties for false claims will be decreased.
Q2) Office of Personnel Management administers this program:
A) Medicare
B) FEHBP
C) Medicaid
D) SCHIP
Q3) In 2008 the total number of Medicare enrollees was:
A) 15 million.
B) 25 million.
C) 35 million.
D) 45 million.
Q4) Medicare is administered by _______________.
Q6) List two groups eligible for the FEHBP. Page 6
Q5) Financial gain from patient/service referrals is known as _______________.
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Page 7
Chapter 5: Healthcare Providers: Physicians and Nurses
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Sample Questions
Q1) Before a surgeon can begin open heart surgery, which physician specialist must assure that the patient doesn't feel anything?
A) Anesthesiologist
B) Cardiovascular physician
C) Radiologist
D) Orthopedist
Q2) About __________ of medical school applicants are accepted.
A) 90%
B) 50%
C) 75%
D) 25%
Q3) The median net income for physicians per year in primary care is:
A) $50,000.
B) $100,000.
C) $150,000.
D) $186,000.
Q4) Primary care physicians see patients for preventive care.
A)True
B)False
Q5) One of a physician's jobs is to _______________ and treat illnesses.
Page 8
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Chapter 6: Other Clinical and Non-Clinical Healthcare
Providers
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Sample Questions
Q1) Tests using sound waves may be performed by:
A) EKG technicians.
B) vascular technologists.
C) cardiology technologists.
D) nuclear medicine technologists.
Q2) Which pharmacy professional typically counts tablets and labels bottles?
A) Pharmacy technician
B) Pharmacy aide
C) Pharmacist
D) Pharmacy technologist
Q3) An MRI:
A) uses radiation to produce images.
B) uses radio waves to produce images.
C) resulted in the passage of the Consumer-Patient Health and Safety Act.
D) takes a cross-sectional view of a patient's body.
Q4) A CTRS is a:
A) Certified Tumor Registry Specialist.
B) Certified Therapeutic Recreation Specialist.
C) Credentialed Therapist of Respiratory Service.
D) Certified Therapist of Respiratory Service.
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Chapter 7: Offices, Clinics, and Hospitals
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Sample Questions
Q1) The chief of the medical staff is described by all of the following except:
A) leads the medical staff.
B) elected by the other medical staff members.
C) always the chief of cardiology.
D) interacts with the board and the management team.
Q2) Outsourcing is:
A) buying goods or services from another provider rather than performing them by the business.
B) a utilization measure.
C) a quality measure.
D) mandated by Medicare.</P></DEF></GLOS>
Q3) The office manager is responsible for the practice's business affairs.
A)True
B)False
Q4) One advantage of an LLP is:
A) financial obligation limits.
B) ease of construction.
C) independence.
D) simplicity.
Q5) Guiding and motivating are part of the _______________ managerial function.
Page 10
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Chapter 8: Tertiary Care: the Long-Term Care Continuum
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Sample Questions
Q1) The average age of all assisted living residents is:
A) greater than 70 but less than 80 years old.
B) greater than 100 years old.
C) greater than 60 but less than 70 years old.
D) greater than 80 but less than 100 years old.
Q2) When Diane and Steve return from vacation, Steve's mom expresses her desire to get out more. Diane wants to return to work as opposed to being a full-time caregiver for her mother-in-law. Which care option should they explore, excluding total out-of-home care?
A) Adult day care
B) Respite care
C) Assisted living
D) ICF care
Q3) Which of the following is not an ethical or political issue related to LTC?
A) Power of attorney
B) Guardianship
C) End-of-life care
D) The passage of the Hill-Burton Act
Q4) Define home health care and identify two current utilization trends and the causes of those trends.
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Chapter 9: Mental Health Services: a Combination of Systems
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Sample Questions
Q1) Which disorder is predominantly associated with children?
A) Attention-deficit/hyperactivity disorder
B) Posttraumatic stress disorder
C) Schizophrenia
D) Generalized anxiety disorder
Q2) Mental illness, like physical illness, is defined the same way by every culture.
A)True
B)False
Q3) The movie One Flew over the Cuckoo's Nest was a dramatic portrayal of the state's response to this legislation.
Q4) Feelings of dread, fear, and apprehension are indicative of:
A) anxiety disorders.
B) depression.
C) schizophrenia.
D) Alzheimer's.
Q5) List three of the identified mental health care settings.
Q6) _______________ calls for equity in mental health and general health coverage.
Q7) Mental illness has not posed a significant burden in the United States.
A)True
B)False Page 12
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Chapter 10: The Public Health System: the Governments
Role
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Sample Questions
Q1) Morbidity is:
A) the number of new cases of a disease or event .
B) the number of cases of a specific disease in a specific period of time per unit of population.
C) the number of people who have died from a given disease or event.
D) total number of infected/affected people (cases) over a given period of time.
Q2) Connecting family history, high-fat diet, and smoking to cardiovascular disease is a(n) _______________ measure.
A) mortality
B) incidence
C) prevalence
D) risks
Q3) Which of the following is not true about health?
A) It is a "state of complete physical, mental, and social well-being and not merely the absence of disease and infirmity."
B) Being healthy is more than just not being sick.
C) It is just a state of well-being in our minds.
D) It is a state of well-being in our bodies and our lives.
Q4) List three of the state health department's responsibilities.
Page 14
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Chapter 11: Medical Technology, Pharmaceuticals, and Pharmacological Research
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Sample Questions
Q1) This legislation required drug safety testing.
A) 1962 Amendment to the Food, Drug, and Cosmetic Act
B) Food, Drug, and Cosmetic Act of 1938
C) Food and Drug Act of 1906
D) 1959 Kefauver Senate hearings
Q2) Gene correction research is being used in the treatment of:
A) HIV/AIDS.
B) multiple sclerosis.
C) SARS.
D) Parkinson's disease.
Q3) Describe the Human Genome Project and identify two positive outcomes and two controversial aspects of the project.
Q4) All of the following statements are true except:
A) faulty genes can be corrected through gene replacement.
B) faulty genes can be corrected through selective reverse mutation.
C) faulty genes cannot be corrected, only identified.
D) faulty genes can be corrected through gene swapping.
Q5) List the three questions that must be answered during clinical drug trials for new drugs.
Q6) In _______________ thousands of people participate in new drug testing. Page 15
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Chapter 12: Healthcare Research and Prevention
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Sample Questions
Q1) All of the following are examples of curative research except:
A) correction of a congenital heart abnormality.
B) reducing the symptoms of menopause.
C) removal of a tumor.
D) hysterectomy.
Q2) The nation is not meeting the overall goal for Pap smears.
A)True
B)False
Q3) Control describes research designed to:
A) eliminate a disease.
B) identify a disease definitively.
C) keep a disease from occurring.
D) decrease the symptoms/severity of a disease.
Q4) The government, pharmaceutical companies, and medical equipment companies finance health care research.
A)True
B)False
Q5) List two reasons for health care research.
Q6) Access to care is responsible for many of the health issues discussed in this chapter. Define this issue.
Page 17
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Chapter 13: Cultural Competency, Health Literacy, and Healthcare Ethics
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Sample Questions
Q1) Subcultures are:
A) persons who evaluate others' customs according to values of their own cultural group.
B) groups that share many elements of mainstream culture but maintain distinctive customs and lifestyles.
C) clusters of minorities.
D) individuals with health illiteracy.
Q2) Autonomy means :
A) self-rule.
B) do no harm.
C) everyone is equal.
D) justice.
Q3) The delivery of health care is ethically special because of all of the following except:
A) it has the overarching goal of reducing pain and suffering.
B) it influences the opportunities a person has in society.
C) it has historical, religious, and moral connotation.
D) medical technology companies often make large profits.
Q4) Discuss Kantian theory and its application in health care ethics.
Q5) List 2 tips for talking to patients of different cultures and languages.
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Chapter 14: International Healthcare
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Sample Questions
Q1) Discuss the elements of the market economy model.
Q2) All of the following are true about the Mexican Social Security Institute (IMSS) except:
A) it was founded in 1900.
B) its purpose is to provide public health to all Mexican citizens.
C) it was founded in 1943.
D) it operates its own clinics and hospitals for insured workers.
Q3) The early French settlers founded Catholic hospitals in the:
A) 1600s.
B) 1700s.
C) 1800s.
D) 1900s.
Q4) List two countries having a single payer health care system.
Q5) The Canadian system blends universal health coverage with private sector fee-for-service.
A)True
B)False
Q6) About what percentage of Mexicans are uninsured?
Q7) _________________ has a population of one billion.
Q8) List two forms of traditional medicine practices in India.
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