Lecture 6

Question 1

a person is modifying his diet to control diabetes

what prevention is this

Answer 1

SECONDARY. event has happened. trying to halt disease progress

Question 2

How much do we spend on healthcare annually?

about ____% of GDP ($____)

Answer 2

17%
4 trillion dollars

Question 3

how much do we spend annually on premium payments

Answer 3

~$600-700/month for individual
23,000 for family
averages to

$12000 per year

Question 4

true or false:

our health insurance is comparable in price to other countries

Answer 4

FALSE — ours is very expensive

Question 5

does PPACA create a universal HC system with a single payer?

Answer 5

NO

we still have public (medicaid/medicare) and private ins

Question 6

true or false…

cost of insurance is part of the cost of healthcare

Answer 6

true

Question 7

explain what the cost of healthcare is

Answer 7

something you pay only if you receive healthcare (ie: copayment, coinsurance, deductible)

Question 8

according to the mirror mirror report, what do we excel in?

Answer 8

the CARE PROCESS

Question 9

“TO ERR IS HUMAN” is a report on…..

Answer 9

healthcare quality

Question 10

“to err is human” was published by….

Answer 10

the NIH (national institute of health)

Question 11

what does IOM stand for

Answer 11

institute of medicine

Question 12

QUALITY is based on what 3 things?

Answer 12

structure, processes, and outcomes

Question 13

when did “to err is human” get published?

Answer 13

1999

Question 14

at least _______ and as many as ______ Americans die in hospitals each year as a result of medical errors

Answer 14

44,000-98,000

Question 15

true or false

deaths due to medical errors exceed the deaths from motor vehicle accidents, breast cancer, and aids

Answer 15

true

Question 16

scriptsync was invented to combat what?

Answer 16

medication nonadherence

Question 17

what is “america’s other drug problem”

Answer 17

nonadherence

Question 18

what is our annual spending tab on outpatient prescription drugs? (retail)

Answer 18

$400 billion

Question 19

nonadherence costs us around …

Answer 19

300 billion

Question 20

what does

PTCB
CPHT

stand for

Answer 20

PTCB = pharmacy tech certification board

CPHT = certified pharmacy tech

Question 21

PE = ___+____+_____

Answer 21

PATIENT ENGAGEMENT = coordination of care + continuity of care + self management

Question 22

true or false:

when patients are properly trained and managed and involved in the care process, outcomes improve

Answer 22

true

Question 23

____ and prior authorization essentially mean the same thing. they are both __________ efforts

Answer 23

pre approval

utilization management

Question 24

DUR is done in ________ review

Answer 24

quantitative

Question 25

what does DUE stand for

Answer 25

Drug use evaluation

Question 26

DUE is the same as DUR except….

Answer 26

DUR describes the review process in QUANTITATIVE fashion

DUE describes the review process in QUALITATIVE FASHION