©THESTAR EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
COPE Health Scholar Program Exam Study
Guide.
US health care consists of - answer✔Providers, Community social determinants health (SDOH),
Health insurance plans, Regulation and Compliance Agencies, and Consumers
Stakeholders of Health Services - answer✔consumers (on top), payers, providers, community
SDOH, regulators
Providers - answer✔hospitals, clinical, long term care, home health, physicians
Payers - answer✔GOV'T - medicare (elderly), medicaid (low income)
PRIVATE - Health Maintanence Organizations (HMO) and Preferred Provider Organizers (PPO)
UNINSURED
Regulators - answer✔Policy - government agencies (CMS)and volunteer organizations (AMA)
Compliance - Accrediting Agencies and Govt Agencies
consumers - answer✔Patient Services - out/inpatient, ambulatory, preventative care
Goods - education, screening, public health, and meds
Social Determinants of Health include - answer✔health, screening, public health, food,
transportation, and meds
Health Reform - answer✔Patient Protection and Affordable Care Unit
(obamacare - March 23, 2010)
key emenets of ACA - answer✔affordable health insurance for everyone, expand public
programs, improve quality of health care, prevent chonic disease, healthcare workface
Health care importance as of rn - answer✔we spend most money of intesnive care, then
nonacute specality care, then primary and prevention care
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but we want the other way around.
how can obamacare can change? - answer✔can stay onto parents insruance until 26
and
cannot deny coverage for pre-existing conditions
entitlement program -> block grants - answer✔Entitilement program - allow everyone to be
enrolled in medicaid and federal go't has open ended commitment to help states
↓
block grants - fed gov't provide lump sums to states and states can run program and not
everyone is enrolled into medicaid
Pros and Cons of selling insurance over state lines - answer✔pros = increase comp, more
choices for patientsm more risk population for insrances
cons - make insurers les accountable, insurer license will determine regulations, unbalanced risk
of healthy population
HCAHPS - answer✔hospital consumer assessment of healthcare providers and symptoms
survey
been in affect since 2013
8 domains of HCAHPS - answer✔nurse communication, cleanless/quietness, pain managment,
discharge management, physcian communication, repsonsiveness of staff, communcation
about meds, overal rating
who we serve - answer✔external - patients, fams, vendors, ambulance drivers
internal - clincal staff, administors, volunteers
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ALL RIGHTS RESERVED.
cusomers vs patient - answer✔customer - people who enjoy elevated status by virtue of their
potential to purchase goods
patient - individuals who are awaiting medical care or who are under treatment of a provider
AIDET - answer✔acknowledge, intro, duration, explain, thank you
hi my name is ____, i am a health scholar
pre healh student.
KIAHI - answer✔knock, introdo., assess, hand hygiene, and identify
patient id - answer✔patients nurse, nurses white board, open-ended question, wristband,
patients chart
service recovery - answer✔complaint, assure, report, and follow up
ways to communicate - answer✔gestures, facial express., touch, pace, degree of formality
which hospitals need more assertive comm., - answer✔ED, emergency does, delivery, and
disaster
learning - answer✔observe non verbal cues, focus on speaker, acknowledge message, respec
speaker
speaking - answer✔clear, specific, and direct ., repeat back., be proactive., be respectful
telephonic comm., - answer✔spak slowly, smile, introduce yourself, convery empathy and
familiarity
influential factors that overlap with communication - answer✔language, environment, health
literacy, culture
influential factors : language - answer✔offer individuals with limited english proficieny (LEP)
bilingual clinicians or interpreters, need to understand/read english to perform care, don't
ignore culture, translatevs transcreation
influential factor : health literacy - answer✔literacy - ability to read and white
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