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NUR 205 Final Exam Questions And Answers
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NUR 205 Final Exam Questions And Answers 2024-2025Safe
Effective
Patient Centered
Timely
Equitable - Answer Identify elements of a well-functioning health care delivery system
Establish a national focus
Identifying and learning from errors
Raising performance standards and expectations
Implementing safety systems in health care organizations
pay for
performance
penalties for excess readmissions - Answer Describe strategies to increase access to
affordable, high-quality care.
Until recently, physicians were private/solo and had fee-for-service practice
Most hospitals were not-for-profit, and physicians held a lot of power over hospitals
because they were not employees
,Physicians had a lot of power because hospitals depended on physicians to admit
patients or refer them for treatment
The fee-for-service arrangement caused financial incentive for physicians doing more
care, not necessarily better care - Answer Compare and contrast these health care
delivery systems: physicians and hospitals
-Late 1800s, Mayo Clinic founded in Rochester, MN.
-Physicians of different specialties came together and shared income, expenses,
facilities, ect. To provide better, more comprehensive care
-Serve specific communities - Answer Compare and contrast these health care delivery
systems: multispecialty practice groups
-Regionalized services for vulnerable communities, emphasis on primary care and
education.
-Goal is for everyone to have access to care regardless of ability to pay.
Mary Breckenridge's clinic in rural KY was first of this type
Nurses provide primary care.
Answer Compare and contrast these health care delivery systems: community health
centers
No fee or co-payment is required.
Primary care goal is cost reduction through illness prevention. Popular with large
employer managed care .
HMOs (health maintenance organizations) permit the subscriber to receive needed
medical services through a network of participating providers.
- PPOs preffered provider organizations, allow third party payer insurance company to
work with a group of providers to provide cheaper services in return for prompt
payment and guaranteed patient volumes - Answer Compare and contrast these health
care delivery systems: prepaid group practices
-Originated from PPACA patient protection and the affordable care act.
, -Provide incentives for doing well coordinated, integrated care instead of high volume of
services.
Composed of hospitals, primary care settings, specialty care practices. Only one bill for
all services received across all settings. - Answer Compare and contrast these health
care delivery systems: accountable care organizations
Improved primary care model offering coordinated, comprehensive, whole-person care.
1960s, by American Academy of Pediatrics, became common in 2007 under PCMH
patient-centered _______ _____ view.
-Enhancement of nursing homes, higher standards possible since 2012. -
Compare and contrast these health care delivery systems: medical homes
Agency for Healthcare Research and Quality (AHRQ) defines a ________ ______________
as:
-a PCMH, and other clinicians, providing care for patients within the nursing home as
well community and service organizations as well state and local public health agencies.
paying special attention to individual patient care while also incorporating community
health needs and elements of population health.- Response Compare and contrast these
healthcare delivery systems: medical neighborhoods
Out-of-pocket payment
Individual private insurance
employer-based private insurance
Government financing:
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