Study guide for the final, part 6 Flashcards

1
Q

What are agencies with the DHHS?

A

CDC
HRSA (Health Resources and Services Administration)
FDA
NIH
National Disaster Medical System (NDMS)

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2
Q

What are agencies with the DHS?

A

FEMA (Federal Emergency Management Agency)
Metropolitan Medical Response Systems (MMRSs)
Border and Transportation Security

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3
Q

What are other federal agencies and assets for emergency preparedness and reponse?

A

EPA
Dept of Defense
DOJ
Strategic National Stockpile

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4
Q

What was the trend for federal funding for emergency preparedness in 2001

A

Increase due to 9/11 and anthrax attacks in 2001

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5
Q

How much was spent for fiscal yr 2002 for CDC’s anti-terrorism activities?

A

$2.1 billion

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6
Q

How much was spent in fiscal yr 2002 for grants to states and localities to upgrade state and local capacity for emergency response?

A

$917 million

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7
Q

Leading threats to PH

A

Infectious dz
Tobacco use
Maternal and child health
Workplace safety
Cardiovascular dz
Food safety and nutrition
Injuries
Oral health

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8
Q

Limitations of 21st century PH

A

Global environmental threats
Disruption of ecosystems
Global pop overload
Social injustice and health inequalities/inequities
Lack of access to effective care

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9
Q

Barriers to future porgress

A

Lack of ecological view of health
American public’s values, views, understanding
Reduction in discretionary spending
Internal problems in PH: disconnection to private sector and categorical approaches leads to fragmented, isolated programs

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10
Q

What are some of the American public’s values, views, and understanding?

A

Values for restricting the ability of gov’t
Politicized views on PH processes
Difficulties in understanding complex RFs and interventions

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11
Q

Describe geographic maldistribution among physicians

A

Physician shortage outside metropolitan area
19.3% of U.S. pop, but 11.4% of physicians in rural areas

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12
Q

Describe specialty maldistribution among physicians

A

47.7% generalists, 52.3% specialists
The proportion of active PCPs declining since 1949

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13
Q

Trends in international medical graduates

A

Steadily growing
25.5% of active physicians
1/4 of residency positions are filled by IMGs
Not the solution to the maldistribution because they eventually move to urban areas

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14
Q

Describe HIPAA

A

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

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15
Q

Describe the revisions to HIPAA under HITECH in 2013

A

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

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16
Q

What does cost effectiveness evaluate?

A

Marginal benefits in relation to marginal costs

17
Q

Optimum point definition

A

Marginal benefits equal marginal costs

18
Q

Beyond the optimum point, cost effectiveness is _______

A

Negative

19
Q

Flat of the curve definition

A

When marginal benefits approach zero
A level of intensity of care that provides no incremental health benefits

20
Q

What does the ACA prohibit in terms of QALY?

A

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

21
Q

What are HC expenditures increased by?

A

Expansion of health insurance
Increase in health insurance premiums

22
Q

What are HC expenditures reduced by?

A

Restricting insurance (demand-side rationing)
Restricting reimbursement to providers
Having fewer specialists
Spending less on R &D
Direct control over utilization (supply-side rationing)
Designating certain svcs as noncovered (rationing)

23
Q

Definition of insured (beneficiary)

A

An individual protected by insurance

24
Q

Insurer definition

A

An insurance agency that assumes the risk

25
Q

Underwriting definition

A

Evaluation, selection (or rejection), classification, and rating of risk

26
Q

Definition of premium

A

Amt charged by insurer to insure against risk

27
Q

What is risk rating?

A

The actuarial assessment of risk

28
Q

Definition of cost-sharing

A

Insured individuals pay a portion of the actual costs of medical svcs out of pocket

29
Q

Benefits definition

A

Svcs covered by an insurance plan