CPH HEALTH POLICY AND MANAGEMENT
EXAM 2024 ACTUAL EXAM COMPLETE 450
QUESTIONS AND DETAILED ANSWERS RATED A
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What is SCHIP?
The SCHIP legislation provides broad federal guidelines while
giving states flexibility in designing their eligibility
requirements and policies. Every state has an approved SCHIP
plan. Some states have used waivers of SCHIP statutory
provisions to cover the parents of children receiving benefits.
In 2006, SCHIP covered 6.6 million children. While SCHIP
expands health insurance access to more low income children,
many uninsured children have incomes above the 200% of
federal poverty level and therefore do not qualify. SCHIP is
funded from discretionary spending and must be
reauthorized. Legislation to expand eligibility for SCHIP was
vetoed twice during the Bush Administration but were
approved in 2009 by the Obama Administration.
Which of the following statements best characterizes a
progressive employee discipline process?
,(A) The discipline process is structured as a staged series of
increasingly severe responses to chronic violations of accepted
rules of behavior.
(B) The punishment must fit the crime.
(C) Discipline is not considered relevant in the modern health
care organization.
(D) Progressive discipline allows the employee to exercise
immunity for the first violation of the code of conduct.
Which of the following statements best characterizes a
progressive employee discipline process?
(A) The discipline process is structured as a staged series of
increasingly severe responses to chronic violations of
accepted rules of behavior
Option (B) is inappropriate because current best practice in
employee discipline emphasizes performance improvement
rather than punishment. Options (C) and (D) are false
attributions. Option (A) is an accurate representation of the
current paradigm of progressive discipline.
What are Health policy and management?
Health policy and management are essential components of
the public health and health care delivery system.
Consequently, health policy and management must be
,informed by the other core areas of public health:
epidemiology, biostatistics, behavioral and social sciences and
environmental health.
What does "Policy" do?
Policy guides the direction of health improvement efforts and
the allocation of resources for public health and health care
services.
What does "management" do?
Management guides the organizational context within which
these services are delivered.
Name the four major eras of Public Health history.
The history of public health can be divided into four major
eras that are defined by the dominate public health problems
of the time: battling epidemics (prior to 1850), building state
and local infrastructure (1850-1949), filling gaps in medical
care delivery (1950-2000), and preparing for and responding
to community health threats (2001-today).
, Describe infectious disease control (before 1850)
Public health efforts were extremely limited and medical
practice played and a very small role in society before 1850.
Acute illnesses and injuries were common; treatments were
not typically effective. Treatments were based on "wisdom"
passed through an apprenticeship system rather than
scientific evidence.
Describe the building infrastructure era (After 1850)
By the mid-nineteenth century, advances in medical science
expanded the ability of public health efforts to control the
spread of infectious disease through public health efforts.
Safer vaccines (e.g., for Smallpox) enabled widespread
immunization. The identification of several microbes that
caused infectious disease led to the "great sanitary
awakening" (Winslow, 1923). With the recognition that
sanitation problems were sources of disease, public health
efforts focused on improving the social and environmental
conditions (e.g., sewage disposal). These efforts substantially
improved population health and almost doubled life
expectancy at birth during the century.
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