The influence of managed care on the competitiveness of long-term
care: - ANSWER is great.
Integrated clinical information systems typically address four
specific areas: patient management, clinical guidelines, quality
improvement, and: - ANSWER clinical outcomes.
What is a system? - ANSWER a single-ownership form of integration
To date, most integrated health systems have been built around: -
ANSWER hospitals.
History has shown that increasing the availability of services usually
results in: - ANSWER an increase in usage of services
What type of voluntary cooperation between providers has been
encouraged by provisions of the ACA? - ANSWER the formation of
networks of providers who contract with Medicare to serve a defined
patient population
While competition has increased, why is the long-term care system
not really a market-driven system yet - ANSWER There are only a
few major buyers.
Which of the following is not a reason for joining an integrated health
system? - ANSWER reduced regulation
Which of the following terms would indicate that the organization
includes financing along with care delivery? - ANSWER integrated
health system
Having information about all consumers available at all provider sites
of an integrated system is a feature of which specific area of clinical
information systems? - ANSWER patient management
What is true about accreditation? - ANSWER It is given by private
, agencies that are funded by the participating providers.
Voluntary testimony of qualifications, not issued by the government,
is known as: - ANSWER certification
Which of the following must be licensed? - ANSWER nursing facility
administrators
A "gatekeeper" is a person or agency that determines: - ANSWER
how much and what type of care is received by an individual.
A federal regulation that addresses the size of a facility would be
included in which general category of government regulations? -
ANSWER structure
Which of the following is not a reason why long-term care is so
heavily regulated? - ANSWER Consumers of long-term care are
politically powerful
Consumers of long-term care are politically powerful - ANSWER
state governments.
Which of the following is not an accrediting agency? - ANSWER
HCFA
Most accreditation agencies measure performance against
standards that are: - ANSWER set higher than licensure
requirements.
The primary role of state government in regulating long-term care
quality is: - ANSWER as the designated agency administering
federal programs.
What is one of the differences between Medicare and Medicaid? -
ANSWER Medicaid has income restrictions, while Medicare does not.
In what type of managed care provider arrangement is coverage
guaranteed for a specific population? - ANSWER capitation
Most private long-term care insurance is sold to: - ANSWER
Individuals
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