Health Care Delivery Systems II

Question 1

What is the focus of the “Non-Systems Curriculum” in healthcare?

Answer 1

Professional responsibility, including documentation standards, patient rights, HR legal issues, ethics, billing, and risk management.

Question 2

What are the key patient rights mentioned in healthcare delivery?

Answer 2

ADA, IDEA, HIPAA, and the patient bill of rights.

Question 3

What are the components of the Quadruple Aim in healthcare?

Answer 3

Improving patient experience, enhancing population health, reducing costs, and improving the work-life balance of healthcare providers.

Question 4

Define “Risk Management” in healthcare.

Answer 4

It involves policies, procedures, incident reports, and peer chart reviews to ensure quality assurance.

Question 5

What are some examples of health information technology used in patient care?

Answer 5

Electronic medical records (EMR) and telehealth.

Question 6

What is “Cost Effectiveness Analysis (CEA)”?

Answer 6

A method for assessing the value of an intervention by comparing costs and outcomes to identify the most efficient procedures.

Question 7

What is the purpose of the “Charge Master” in healthcare?

Answer 7

To list unique prices for each product, intervention, etc., set by the organization.

Question 8

What does “Direct Costs” include in healthcare?

Answer 8

Fees, procedures, equipment, and time spent/travel related to delivering an intervention.

Question 9

What are “Quality Adjusted Life Years (QALY)”?

Answer 9

A measure that combines the effects of health interventions on both quantity and quality of life.

Question 10

What major legislation aimed to increase healthcare access in 2010?

Answer 10

The Affordable Care Act (ACA).

Question 11

What does “indirect cost” include in healthcare?

Answer 11

Loss of productivity, Absenteeism,
Premature mortality, Disability payment/ benefits

Question 12

What does “intangible cost” include in healthcare?

Answer 12

pain and suffering, decreased quality of life, potential depression and anxiety

Question 13

How do we access quality healthcare?

Answer 13

life expectancy, long term outcomes, treatment outcomes, hospital related care, patient safety

Question 14

What are the direct benefits of healthcare?

Answer 14

improvements in quality of life: decreased pain, decreased mortality, increased mobility

Question 15

What are avoided cost?

Answer 15

Expenses that would have been incurred had the patient used the alternative intervention. Also includes physical therapy services

Question 16

Define indirect costs.

Answer 16

Costs that are not directly accountable to a cost object, such as loss of productivity.

Question 17

What are hidden costs?

Answer 17

Costs that can be identified but cannot be quantified or easily estimated.

Question 18

What are opportunity costs?

Answer 18

Expenses that would have been incurred had the patient used the alternative intervention.

Question 19

How do you determine the net benefit of an intervention?

Answer 19

By adding up the benefits and subtracting the sum of the costs.

Question 20

What is a deductible in healthcare?

Answer 20

The amount of money out-of-pocket that one needs to pay to a provider before their insurance coverage begins.

Question 21

Define coinsurance.

Answer 21

The out-of-pocket percentage of charges owed to a provider after the deductible has been met.

Question 22

What is a copayment?

Answer 22

A fixed amount owed for a service to a provider after the deductible has been met.

Question 23

What happens when the selling price of a product goes up?

Answer 23

The supplier wants to sell/produce more, and the consumer wants to consume less.