Notesale: Turn your study into money

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DELIVERY HEALTH WGU C425 SYSTEM
REGULATION AND COMPLIANCE EXAM
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A medical group CEO is concerned because the agency is experiencing
losses
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The main issue was that patients
were required to travel to a different healthcare facility in order to have
certain medical tests done
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As a
result, a dependent went nine months without a physician-recommended
medical test
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It increases costs
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In response, the
manager consistently requests that nurses stop the care being given to one
patient to take care of another patient
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As the nurse is taking down the
detailed order, a physician interrupts and requests a diet order for another
patient
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The healthcare system
currently experiences a lack of resources and complex payment systems
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This increased focus on prevention will impact
the supply of needed healthcare providers
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What are two ways this reduction will impact healthcare?
Choose 2 answers - CORRECT ANSWER -Increase patient wait time
Decrease patient access to care

A hospital is in a very competitive market and must adjust in order to
increase market share
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How will this change the future of healthcare delivery at this location? CORRECT ANSWER -Data from patient satisfaction surveys can be analyzed
using technology in order to improve quality of care
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What is the impact of this information on this new employee's healthcare
delivery? - CORRECT ANSWER -Regulatory compliance

As individuals age, the ability to remain independent in a home may
change
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Which economic factor will influence future healthcare delivery for aging
individuals? - CORRECT ANSWER -Bed availability may decrease and have a
major effect on patient admittance
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How will this program influence healthcare delivery? - CORRECT ANSWER -It
will increase the exchange of knowledge which is occurring between
providers
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The committee needs to find cost containment options that
will strengthen its ability to compete with other facilities in the area
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Which impact will a physician shortage have on delivery of healthcare to
this population? - CORRECT ANSWER -Timely diagnosis of health problems
will decrease
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Medicaid is a state-managed and dually funded program
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What does this state-run program ensure? - CORRECT ANSWER -Services are
not limited based on medical necessity

Medicaid provides healthcare services to a specified population
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The implementation of the Affordable Care Act seeks to provide health
insurance to millions of uninsured Americans
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The Patient Protection and Affordable Care Act will impact the healthcare
delivery system in many ways
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Which change did the Patient Protection and Affordable Care Act program
support? - CORRECT ANSWER -Coverage

A doctor is setting up a new practice and wants to receive federal
reimbursement
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Which kind of information is provided by this agency? - CORRECT ANSWER Parameters of the diagnostic-related groups

A 40-year-old individual without children and a limited income is
concerned about the new Affordable Healthcare Act
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Which agency should this individual contact? - CORRECT ANSWER Department of Health and Human Services

A doctor wants to help patients understand which products are safe
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Which two products are regulated by this organization?

Choose 2 answers - CORRECT ANSWER -Vaccines ordered by doctors to be
used in a study

Medications that are in the developmental process

A new movement known as the Mental Health Reform became popular
throughout the country at the end of the 19th century
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The federal government amended the Social Security Act in 1965 to provide
Medicare and Medicaid programs
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What was the initial intended impact of this Act? - CORRECT ANSWER -To
ensure that uninsured individuals have access to health care

Patients presenting to the emergency department (ED) broadly fall into one
of three categories:•
emergency conditions- requires immediate attention as is potentially
harmful and/or life threatening•

urgent conditions- requires attention within a few hours with longer delays
potentially leading to greater harm to the patient•
non-urgent conditions- do not require resources of the emergency
department
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Answer options may be used more than once or not at all
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- CORRECT ANSWER -Specifically provides
cardiac services - SPECIALTY

Specifically provides same day surgery services - AMBULATORY
SURGERY CENTER

Offers primarily same day and extended stay surgery- ACUTE SURGERY
CENTER

Treats inpatients with a specific type of disease or condition - SPECIALTY

A primary care physician prescribes an antibiotic for a patient with a sinus
infection
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The treatment is at the initial point of patient contact
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Which type of care entity provides these services? - CORRECT ANSWER Rehabilitation care

A patient was in an accident and suffered multiple burns, broken bones,
and extensive organ damage
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The doctor examined the
patient's eyes but was unable to find the cause and referred the patient to
an ophthalmologist
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Answer options may be used more than once or not at all
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- CORRECT ANSWER -Comprehensive health
care often for the uninsured - HEALTH CLINIC

Healthcare treatment for acute and chronic illness in an office OUTPATIENT

Healthcare treatment by a nurse for acute and chronic illness at home HOME HEALTH

Walk-in clinic focused on the delivery of immediate non-life-threatening
care services in lieu of a traditional ER - URGENT CARE

A woman has had heavy menses for the past year
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What is a cost effective healthcare delivery option for this procedure? CORRECT ANSWER -Specialty care clinic

An employer changed insurance carriers
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Since this physician
has been treating the employee for a chronic medical condition for the last
10 years, the employee is concerned about their healthcare costs
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The patient makes
minimum wage at a part-time job and does not have health insurance
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The mental health population still lacks
research to properly care for this disorder
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The patient contacted
the insurance company and was again denied on internal appeal despite the
current physician's letter in support of the claim
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The patient was diagnosed with severe anxiety and was
discharged
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The patient complained to the state health board
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The CEO of the organization decides to introduce
a PPO
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The Occupational Safety
and Health Administration and the Centers for Disease Control mandate
processing by the Sterile Processing Department to reduce exposure to
patients
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How does this interaction influence the Veterans Administration? - CORRECT
ANSWER -It enables the VA patients to be seen faster
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Match each care description with its corresponding level of care
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Select your answers from
the pull-down list
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Which professional received this referral? - CORRECT ANSWER -Social worker

Match each job description with its corresponding specialization
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Select your
answers from the pull-down list
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The patient is vomiting and can
barely speak
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Which professional will confirm this diagnosis? - CORRECT ANSWER Radiologist

A 66-year-old individual gets short of breath while walking his dog
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The doctor knows the individual is a smoker and
has asthma
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Until that
time, she has not sought medical care, and her gestation time is 30 weeks
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Which strategy will overcome this patient's barrier to care? - CORRECT
ANSWER -Invite a bilingual staff member to translate

A Hispanic teenager from a low-income family presents to a medical office
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What is the primary barrier to prenatal care for this patient? - CORRECT
ANSWER -Cost of care

A patient is diagnosed with a medical condition that has not been treated by
doctors in that rural area
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The individual has attempted to solve the problem by buying
a new calendar, but the solution has not worked
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The patient has been advised that the healing process for a fractured
ankle will take approximately six weeks
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Which option should the family consider for this patient? - CORRECT ANSWER
-Home health care

Rural residents may experience higher morbidity and mortality rates
compared to residents of urban centers
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Upon closer
review of medical billing records, some discrepancies have come to light
such as upcoding
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How will this therapy influence the future of healthcare delivery? - CORRECT
ANSWER -There will be an increase in alternative choices for patients
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Which strategy should U
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health providers employ to compete with this
industry? - CORRECT ANSWER -Reduce the price of healthcare services in the
U
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while improving quality

A small, rural hospital has fallen on hard times with continued payment
cutbacks and increased financial pressures
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How will these tests impact future healthcare delivery for this population? CORRECT ANSWER -Insurance coverage for mental illness will be similar to
physical illness
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What is an unintended consequence of this methodology? - CORRECT ANSWER
-Practitioners will lose the ability to apply treatment alternatives
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PRIVATE HEALTH INSURANCE IN THE UNITED STATES FIRST
EMERGED AS A RESULT OF: - CORRECT ANSWER -ECONOMIC NECESSITY

A JOB DESCRIPTION FOR A PHYSICIAN WOULD BE TO: - CORRECT
ANSWER -determine the significance of a patient's health condition
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- CORRECT
ANSWER -FALSE



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