WGU D050: History of Healthcare in
America (Q & A)2023 When was healthcare first created in the United States? - Answer 1798 Act for Relief of the Sick and Disabled Seaman What was created in 1915? - Answer American Association for Labor Legislation...created in the model bill What was the precursor of Medicare and Medicaid? - Answer Social security passed in 1935 What are the three main goals of ACA? - Answer expand access to health insurance, reduce healthcare costs, support innovative delivery methods What area *medicare or medicaid* was improved by the ACA? - Answer medicare How many children were on CHIP as of Feb 2020? - Answer 6 million What year was medicare and medicaid formed? - Answer 1965 What areas can Mezzo interactions influence? - Answer organizations, schools, buisnesses and political relms What areas do Macro interactions influence? - Answer interactions between healthcare workers and patients/support systems of patients What do macro indentify and influence? - Answer systemic cause of health disparities (not the indiviual) What is the foundational reimbursement model used during the establishment of the Medicare and Medicaid programs. - Answer Fee for service if a patient is readmitted to the hospital within 30 days for the same diagnosis, the hospital will receive a reduced payment - Answer 30 day policy under value based healthcare Which fee-for-service model are lump-sum payments paid by nonprofit, for profit, and medical organizations? - Answer membership fees What is an advantage of FFS? - Answer being able to have a flexible schedule How many conditions do DRG classify? - Answer 450 Which provision of value-based care is important when coordinating care for a patient with end-stage renal disease? - Answer provide the best care at the lowest cost Which action could a healthcare coordinator take when providing value-based care to an obese patient? - Answer provide follow up communication to support adoption of healthy behaviors 1 / 2
WGU D050: History of Healthcare in
America (Q & A)2023 A care coordinator is explaining value-based care to a patient with cancer. Which statement should be included in the teaching? - Answer This model provides incentives to providers based on positive outcomes What are the four types of value based models? - Answer share risks, bundles, global capitation, and shared savings environment consists of trends and changes in various areas, including inflation, employment, economics, and GDP. - Answer macro trend enacted, administered, and enforced by the government (federal, state, and local) - Answer laws and rules Centers for Medicare and Medicaid Services (CMS) sets quality standards for what areas? - Answer standards for nursing homes and hospitals, diagnostic standards and billing codes How does CMS evaluate nursing homes? - Answer rates the quality of US nursing homes through the Star rating program What standards are established (Medicaid) through CMS? - Answer billing, diagnostic, and national policy standards What does the state level do with these standards? - Answer implementation, provision, and day-to-day administration What is the CDC part of? - Answer US public health service What is the main goal of the CDC? - Answer standards surrounding control, detection, and prevention of communicable diseases while responding to public health emergencies Office for Civil Rights ensures what? - Answer all individuals receiving services from HHS administered systems or programs are not subject to unlawful discrimination; privacy violations, enforces laws/regulations regarding sex, religion and race This agency not only detects waste, fraud, and abuse; it also works with federal and state law enforcement agencies to prosecute individuals or organizations that have violated federal health regulations and misappropriated healthcare dollars. - Answer Office of Inspector General What is a nonprofit organization that oversees hospitals and other institutions that provide inpatient and outpatient care? - Answer joint commission When was the national mental health act created? - Answer 1946 at the end of WW2.... importance placed on PTSD
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