Organization of Healthcare in the United States

Organization of Healthcare in the United States

Survey of Healthcare Administration – HCA 5013

Final Exam

Organization of Healthcare in the United States

1)List and describe the types and settings of healthcare services in the United States.

2)Describe the roles of federal and state government in the public health system.

3)Describe the types of hospitals in the U.S. healthcare system.

4)Compare in general the U.S. healthcare model to that of Canada.

5)Describe the elements of the paradigm shift occurring in the healthcare delivery system.

Physician and Non-Physician Providers

6)Describe in numbers the level of predicted shortage of physician in the U.S.

7)Describe the four types of advance practice nursing positions.

8)What is a Physician Assistant and what are their practice activities?

Medicare

9)Briefly describe the eligibility requirements of Medicare.

10)Describe the types of services covered under Medicare Part A.

11)Describe the types of services covered under Medicare Part B.

12)Describe the types of services covered under Medicare Part C.

13)Describe the types of services covered under Medicare Part D.

Medicaid

14)What are the basic eligibility requirements for Medicaid?

15)Describe the types of program expenditures made by Medicaid.

16)Briefly describe the Insure Oklahoma program.

Native American Health Systems

17)Describe the size and scope of the Native American population in the U.S.

18)Briefly describe the historical basis for Indian Health Services.

19)Describe the size and scope of Indian Health Services.

20)Briefly describe the three types of health programs operated by Indian Health Services.

21)Describe the differences between direct and contracted services.

Federally Qualified Health Centers

22)Describe what constitutes a Federally Qualified Health Center (FQHC)?

23)What services must a FQHC provide?

24)Describe the mandatory characteristics of the FQHC governance structure (Board).

25)Briefly describe the different types of FQHCs.

26)What is a FQHC look-a-like? What is the primary difference between a FQHC and a FQHC look-a-like?

Economics of Health care

27)Please give an example of a healthcare production possibility frontier.

28)Give an example of a marginal rate of transformation.

29)Please define opportunity cost and give a healthcare example.

30)Explain the concept of supply and demand in relation to physician services.

31)Describe the free market concept of healthcare.

32)Describe the concept of adverse selection.

33)Describe the presumptive reasons for why a larger hospital may be able to reduce the costs of treatment.

Healthcare Administrators’ Role in Public Health Advocacy

34)Why is health considered a public issue?

35)Describe the steps in diagnosing the political nature of a public health issue.

36)What is the process for determining the political decision makers in a health issue?

37)Describe the process of how a Bill becomes law in the federal system.

38)Describe the process of how a Bill becomes law in the state system.

Malpractice – Professional Liability

39)List the elements of an act of malpractice.

40)Describe the different types of malpractice insurance coverage and further describe the differences between the types of coverage.

41) What are the factors that determine how much malpractice insurance an individual physician should carry?

42)Describe some of the factors one should utilize to evaluate insurance companies offering malpractice insurance coverage?

43) List and describe the components of a malpractice insurance policy.

Physician Recruiting

44) Utilizing information gained from the lectures, please describe the process you would use to recruit a new physician to your clinical practice.

45) Describe the different models under which physicians can be employed and compensated.

Strategic Planning

46) Describe the desired outcomes of the strategic planning process.

47) Describe the differences between the mission statement, vision statement and core values.

48) Describe the SWOT analysis and what it is intended to accomplish.

Marketing

49) List and define the four P’s of marketing.

50) List and describe the different states of demand.

51) List and describe the different types of organizations as they relate to marketing

52) List and describe the elements of the market research process.

Emotional Intelligence

53) List and describe the five basic components of Emotional Intelligence as outlined Daniel Goleman.

54) List the competencies under each of the components of Emotional Intelligence.

55) Describe an instance when you exercised Emotional Intelligence.