Lecture 7

Question 1

PE = …………

Answer 1

PE= COC+COC+SM

patient engagement = coordination of care + continuity of care + self management

Question 2

ICD

Answer 2

internal classification of disease

Question 3

is route of administration qualitative (DUE) or quantitative (DUR)

Answer 3

QUALITATIVE

Question 4

give some QUANTITATIVE measures (DUR)

Answer 4

dosage, days supply, pt’s age, body weight, etc

Question 5

UM is a ____ technique

Answer 5

quality control

Question 6

is paxlovid for prevention?

Answer 6

NO used to control COVID symptoms once they occur and to prevent hospitalization

Question 7

is mirror mirror based on health outcomes or healthcare outcomes?

Answer 7

HEALTHCARE outcomes

Question 8

true or false:

we have the highest average DR visits per person out of any country

Answer 8

FALSE – we have the lowest

Question 9

What are 3 likely reasons for the low doctor visits

Answer 9

WE’RE LIKELY DOING LESS PREVENTION

1. costs – cost shares
2. Utilization management (networks limit access)
3. administration inefficiency

Question 10

what is the EMS law

Answer 10

whoever comes to hospital cannot be turned away regardless of if they can pay or not

creates problems in the healthcare system bc people take advantage of it and people who actually have emergencies have a long wait

Question 11

what is NHS

Answer 11

national health service in the UK

universal healthcare

Question 12

what is the american equivalent of the NHS

Answer 12

the CMS – centers for medicaid and medicare services. not as powerful/effective

Question 13

what is FFS healthcare

Answer 13

fee for service

healthcare providers and physicans are reimbursed based on the NUMBER of their services provided and not the quality

Question 14

what is value based pay

Answer 14

rewarding physician’s for performance

Question 15

what is a type of value based pay

Answer 15

P4P (pay for performance)

Question 16

what does OBC stand for

Answer 16

outcomes based contractin