MHA 707 Exam D Questions With 100%
Correct Answers!!!
opening of 20th century CORRECT ANSWERS -doctors were solo practitioners
-hospitals were single, independent entities, mostly non-profit
-long term care for the elderly was largely home-based
-pharmaceutical and medical device manufacturing was a small business
1847 CORRECT ANSWERS founding of American Medical Association (AMA)
AMA CORRECT ANSWERS -established standards for preliminary medical education
for the degree of MD
-Code of medical ethics
-recommended use of anesthetic agents for surgery and obstetrics
-noted the dangers of secret remedies (snake oil) and patent medicines
-recommended that state governments register births, marriages, and deaths
advances that made practice of medicine more successful in treating health problems
CORRECT ANSWERS -improvements in surgery made during the civil war
-application to medicine of advances in bacteriology by scientists such as louis pasteur
provided the start for some of the largest names in the modern pharmaceutical
industry : wyeth, pfizer, squibb CORRECT ANSWERS demand for therapeutics fueled
by the civil war
1861 CORRECT ANSWERS founding U.S. nursing corps
nursing corps CORRECT ANSWERS -created ambulance-to-emergency room system
we know today
-established hierarchy of treatment stations to type of hospital facilities
1899 CORRECT ANSWERS founding of association of hospital superintendents
Association of hospital superintendents became CORRECT ANSWERS American
hospital association (AHA)
1900 CORRECT ANSWERS adoption of the Bertillon or International List of Causes of
Death
Bertillon or International List of Causes of death CORRECT ANSWERS -predecessor of
the international classification of diseases (ICD)
-brought some standards and criteria in the study of diseases
,both public and private sectors were involved in CORRECT ANSWERS -providing
health care coverage
-building the American health care infrastructure
1811 CORRECT ANSWERS access to health care for members of the military, vets,
and fam had become a public sector initiative
1910 CORRECT ANSWERS early forerunners of health insurance plans appeared as
"prepaid" group practices
-plan members paid a monthly premium and received a wide range of medical services
through exclusive group of providers
1929 CORRECT ANSWERS Blue cross plans were established to provide "prepaid"
hospital care to workers in the dallas public school system
-Baylor created it
Blue Cross Blue Shield developed nationwide due to CORRECT ANSWERS the U.S.
entering WW2 w/ caps on wages
1940s CORRECT ANSWERS BCBS unified
BCBS together served CORRECT ANSWERS 24M, 81 hospital plans 44 med plans
by 1960s BC had CORRECT ANSWERS 52M
by 1960s BS had CORRECT ANSWERS 40M
BCBS covered what percent fed employees CORRECT ANSWERS 33%
BCBS offered by CORRECT ANSWERS voluntary, nonprofit companies
-established as charitable and benevolent organizations
BCBS used what to set prices for their products CORRECT ANSWERS community
rating
why did BCBS use community rating CORRECT ANSWERS data was too poor to do
anything else
community rating refers to CORRECT ANSWERS insurance pricing whereby everyone
in same geographic area pays the same premium
-regardless of their health status, age, gender, family composition, occupation, health
behaviors such as smoking, or claims history
Experience Rating CORRECT ANSWERS tailors policies and premiums to a particular
group or individual
, -premiums are based on the insured person's prior claims, health status, and risk of
future claims as indicated by his or her age, gender, health behaviors, and so forth
between 1965 and 1999 CORRECT ANSWERS congress passed legislation for three
groups not covered by employer-based insurance
-medicare for 65+
-medicaid for uninsured, low income
-CHIP for uninsured, moderate income
1986 CORRECT ANSWERS two fed health policies enacted to solve problems related
to health care coverage
-EMTALA
-HIPAA
Emergency medical treatment and labor act (EMTALA) CORRECT ANSWERS
prohibited "dumping" by medicare participating hospitals with active emergency rooms
Health insurance portability and accountability act (HIPAA) - 1996 CORRECT
ANSWERS brought about a number of significant improvements in access to health
coverage by mandating:
-continuity or "portability" of coverage in the private health insurance markets
-health insurance coverage for at least a two day hospital stay for women who give birth
vaginally and four days for cesarean deliveries -sponsored by texas senator phil gramm
-mental health was given the same status as physical health by the HIPAA legislation
HIPAA and privacy CORRECT ANSWERS -data within the medical record belongs to
the patient
-patients have the right to ensure that the info contained in their record is accurate
-patients can petition their provider to change incorrect info
hospitals developed as heart of HC delivery system in CORRECT ANSWERS 20th
century
community hospitals built with CORRECT ANSWERS federal funds through Hill-Burton
Act
voluntary, nonprofit hospitals built by CORRECT ANSWERS private sector
hospitals built by CORRECT ANSWERS military for members, vets, and fam
public hospitals built by CORRECT ANSWERS gov entities for the poor (usually local
gov)
1900-1930 CORRECT ANSWERS ~0.3% of GDP
1960 CORRECT ANSWERS 1.3% GDP = 4x, four-fold, 400%
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