NUR 205 final exam Questions and Correct Answers | Latest Update
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Course
NU 650
Institution
NU 650
Identify elements of a well-functioning health care delivery system
-:-Safe
Effective
Patient Centered
Timely
Equitable
Describe strategies to increase access to affordable, high-quality care.
-:-Establish a national focus
Identifying and learning from errors
Raising performance stan...
Compare and contrast these health care delivery systems: physicians and hospitals
✓ -:-Until recently, physicians were private/solo and had fee-for-service practice
Most hospitals were not-for-profit, and physicians held a lot of power over hospitals
because they were not employees
Physicians had a lot of power because hospitals depended on physicians to admit patients or
refer them for treatment
The fee-for-service arrangement caused financial incentive for physicians doing more care,
not necessarily better care
Compare and contrast these health care delivery systems: multispecialty practice groups
✓ -:--Late 1800s, Mayo Clinic founded in Rochester, MN.
-Physicians of different specialties came together and shared income, expenses, facilities, ect.
To provide better, more comprehensive care
-Serve specific communities
Compare and contrast these health care delivery systems: community health centers
✓ -:--Regionalized services for vulnerable communities, emphasis on primary care and
education.
-Goal is for everyone to have access to care regardless of ability to pay.
-Mary Breckenridge's clinic in rural KY was the first of its kind.
Compare and contrast these health care delivery systems: prepaid group practices
✓ -:--Either no fee or co-payment required.
-Goal of primary care is reducing costs by preventing illness. Popular with managed care of
large employers.
-HMOs (health maintenance organizations) allow subscribers to receive medical services
required through a group of affiliated providers.
-PPOs (preferred provider organizations), allow third party payer (insurance company) to
work with a group of providers to provide cheaper services in return for prompt payment
and guaranteed patient volumes
Compare and contrast these health care delivery systems: accountable care organizations
✓ -:--Originated from PPACA (patient protection and the affordable care act).
-Provide incentives for doing well coordinated, integrated care instead of high volume of
services.
-Made up of hospitals, primary care settings, specialty care practices. Only one bill for all
services received across all settings.
Compare and contrast these health care delivery systems: medical homes
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