Prof Hints for Quiz 2, part 3

Question 1

Role of CNMs

Answer 1

RNs with additional training from a nurse midwifery program
Lower rates of C-section and less use of resources

Question 2

Describe HIPAA

Answer 2

Health Insurance Portability and Accountability Act of 1996.
Legal uses of personal medical information are limited to HC delivery, operations, and reimbursement
Orgs must devise methods to safeguard, transfer, and disclosure of personal health information

Question 3

Describe the revisions to HIPAA under HITECH in 2013

Answer 3

Venders and subcontractors must comply with HIPAA
Restrictions on the use of PHI for marketing
Pt authorization for the use of PHI in research
Use of genetic info for insurance underwriting
Pts have the right to receive electronic copies of their PHI

Question 4

What were the ACA’s effects on devices and biologics?

Answer 4

Excise tax (2.3%) on certain medical devices
The Biologics Prices Competition and Innovation Act of 2009 incorporated into ACA for the FDA to regulate biosimilars
The Biosimilar User Fee Act of 2012 authorizes the FDA to charge a user fee for the premarketing review of biosimilars

Question 5

What do clinical trials in health technology assessment assess?

Answer 5

Efficacy: health benefit from the use of tech
Safety: benefits must outweigh risks

Question 6

To what does health tech assessment refer?

Answer 6

Any process of examining and reporting properties of medical technology used in healthcare, such as safety, effectiveness, feasibility, indications for use, cost, cost-effectiveness, and social, economic, and ethical consequences

Question 7

Why is health technology assessment critical?

Answer 7

Vast sums of money are spent on ineffective care and on services that do not show improved health outcomes

Question 8

What does the ACA prohibit in terms of QALY?

Answer 8

Placement of a dollar value
Other measures that discount the value of life because of an individual’s disability