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HCA 285 Exam -1 with complete solutions

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What is the current state of the healthcare industry? We grade it by four different criteria, health, quality, cost, and access What is the health of the U.S. like? we have shorter life expectancies, higher rates of disease burden, and higher mortality rates than other high income countrie...

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  • August 30, 2024
  • 28
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • HCA healthcare
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HCA 285 Exam #1 with complete solutions




What is the current state of the healthcare industry? - ANSWER- We grade it by
four different criteria, health, quality, cost, and access

What is the health of the U.S. like? - ANSWER- we have shorter life expectancies,
higher rates of disease burden, and higher mortality rates than other high income
countries. There is disparity of life expectancy across racial, ethnic groups,
health statues, income levels, genders and age, but that may not be the
healthcare system's fault. We are getting better, but still falling behind other
countries.

What is the quality of the healthcare system like? - ANSWER- We have the
highest rate of deaths preventable by healthcare and higher rates of errors made
by medical professionals. While we have gotten better we still have higher
preventable hospital admissions than other countries.

What is the cost of healthcare system like? - ANSWER- We have a higher cost of
healthcare than other countries, but don't get the same quality or amount. Other
countries spend approximately 11 cents per dollar on healthcare, while we spend
approximately 17 cents on healthcare per dollar. We have fewer doctor visits and
hospital stays because we spend more money on other things like certain
procedures and drugs. We are getting better though.

What is access to the healthcare industry like? - ANSWER- People delay going to
the doctor when needed because of the high cost. 91% of the U.S. population si
now insured while other countries have universal healthcare.

What are the four parts of the healthcare industry diagram? - ANSWER- 1)
government oversees all aspects of healthcare
2) patients (controlled by payers) (when answering questions about this make
sure to list the patients because it is patients categorized by the payers.)
3) health-care providers
4) peripheral entities

,2nd part of the healthcare industry diagram: patients (controlled by payers) -
ANSWER- This is in order of how good their payment method is from best to
worst:
Employer insured
individual market insured
CMS medicare
CMS/State medicaid
uninsured (when answering questions about this make sure to list the patients
because it is patients categorized by the payers.)

1st part of the healthcare industry diagram: Government oversees all aspects of
healthcare. - ANSWER- There is the US department of health and human services,
and there are the individual state departments of health. The secretary of Health
and Human Services reports to the president. They oversee all of healthcare.

3rd part of the healthcare industry diagram: Healthcare providers - ANSWER-
There is Acute care, post acute care, outpatient care, long-term care, and home
health

4th part of the healthcare industry diagram: Peripheral entities - ANSWER-
Insurance industry, 3rd party organizations and suppliers and manufacturers.

What does public health administration on the state level? - ANSWER- They
promote and protect the health and safety of all Idahoans. They take care of
Medicaid
Food Stamps
Child Protection
Disease Protection. The specific department is the Idaho department of Health
and Welfare.

Public Health - ANSWER- It is focused on the provision of healthcare services by
the 'government'-federal, state, county and municipal. The U.S. The Department of
Health and Human Services is a part of it. Within that is the division known as the
Center for Medicare and Medicaid Services. They are in charge of administering
the medicare program nationally and helping to coordinate with individual states
about their respective Medicaid programs.The pinnacle of this type of health is
the secretary of health and human-services. They have access to the president.
They are appointed by the president. Centers for medicare and medicaid services,
office of inspector general, food and drug administration, and centers for disease

, control. Both types of health deal with these parts of the department a lot of the
time.

Private Health - ANSWER- This is my major. There are six types of healthcare
provider organizations in this sector:
Acute-care hospitals (MAKE SURE TO LIST IT AS HOSPITALS ON TEST)
Ambulatory surgery centers
Physician clinics or medical group practices and Urgent Care clinics.
Inpatient and/or outpatient rehabilitation Facilities
Long-term Care facilities
Hospice and Palliative Care Organization.

There are two different segments of the Private sector of healthcare, what are
they and what do they deal with? - ANSWER- Acute Care Segment and Long-term
Care Segment: The Acute Care segment is hospitals, ASCs, Clinics, and Medical
groups. Their purpose is to diagnose, treat and CURE. The Long-term Care
segment is patients' homes, assisted living facilities, nursing homes, skilled
nursing facilities. Their purpose is to help with basic and instrumental ADLs.

What are the main governmental organizations that comprise the Public
Healthcare sector? - ANSWER- A part of this is The Department of Health and
Human Services is a part of it. Within that is the division known as the Center of
Medicare and Medicaid Services. They are in charge of administering the
medicare program nationally and helping to coordinate with individual states and
their respective Medicaid programs.

What does it mean to be part of a multi-hospital system? - ANSWER- Two or more
hospitals owned, leased, sponsored, or contract managed by a central
organization.

Explain the multi-hospital system diagram. - ANSWER- Primary care clinic refer
patients to secondary care hospitals, secondary care hospitals refer to tertiary
care hospitals. This all happens if they can not perform the services needed at
their facilities.

What is a integrated healthcare network? - ANSWER- a group of hospitals,
physicians, other providers, insurers, and/or community agencies that work
together to coordinate and deliver services.

what does acuity mean? - ANSWER- seriousness of illness or injury

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