Workforce

Question 1

What is a healthcare provider?

Answer 1

A worker who is authorized to practice by the state and within the scope of their practice

Any provider whom the group health plan will accept medical certification to substantiate a benefit

Question 2

Who are physicians?

Answer 2

They practice medicine to its fullest extent , usually MD or DO

Question 3

What are the barriers to entry for physicians?

Answer 3

• getting into and graduating from an accredited medical school
• finding a residency
• finding training after residency
• paying for the progress

Question 4

What are the two defining characteristics of physicians and the delivery of health care?

Answer 4

Barriers to entry and the principal agent problem

Question 5

Describe the principal-agent problem with physicians?

Answer 5

Only physicians can make medical decisions, making actions on both the patient and insurers behalf

Insurers are now altering physician incentives to prevent supplier-induced demand

Question 6

Commercial payers pay ____, Medicaid pays ____ (more or less)

Answer 6

More and less

Question 7

How does Medicare set payments for physicians?

Answer 7

Resource-based relative value scale

Payments are moving from volume to value nowadays

Question 8

What is an advanced practitioner?

Answer 8

Non physicians with advanced schooling and training
- nurse practitioners
- physician assistants
- other advanced nurses, including anesthetists and midwives

Question 9

What does scope of practice dictate for APs?

Answer 9

• prescribing authority
• the ability to diagnose and discharge
• running a primary care practice independently
• the extent to which they collaborate with physicians

Question 10

What did Yang et al.’s paper look into?

Answer 10

Nurse practitioner practice regulations and US health care delivery outcomes

Question 11

Is an RNs role dictated by scope of practice?

Answer 11

You know it

Question 12

Is nursing turnover a problem?

Answer 12

Big time, over 5% of annual operating budget is spent on clinician turnover

Question 13

What are problems that lead to nursing turnover?

Answer 13

Pay, tenure, intensity of job duties, operational failures, and organizational climate

Question 14

What caused the spike in traveling nurses?

Answer 14

COVID-19

Question 15

What do social workers do?

Answer 15

Provide psychosocial support, including educating patient and/or their caregiver, providing counseling, and case management

Clinical social workers can also provide talk therapy

Question 16

What do community health workers do?

Answer 16

Frontline public health workers who serve as a liaison/link/intermediary between health/social services and the community

Question 17

Are community health workers effective?

Answer 17

Yes! Savings returns per Medicaid payer and patients reported higher quality of care, spent fewer days in the hospital, and had fewer repeat hospitalizations

Question 18

What are peer support specialists?

Answer 18

Share a peer status with those they serve (ex. Illness or health condition) to promote wellness and recovery

Question 19

What do administrators do in health care?

Answer 19

Involved in medical decision making

Help alleviate provider burnout, however admin burden remains the top problem in medicine

Question 20

What do informal caregivers do?

Answer 20

Caregivers that are not medically trained, studies show informal caregivers increase nursing home entry