According to figures from the National Health Expenditure Accounts (NHEA), how much was spent on health care in the U.S. in 2009?

Question 1 (4 points)

 

According to the National Institute for Health Care Management: Understanding U.S. Health Care Spending article, which of the following are correlated with the rising obesity rates in the U.S.? (Select all that apply)

Question 1 options:

	Increase in other chronic health conditions
	Increase in the determinants of health
	Increase in health spending
	Decrease in provider visits

Question 2 (4 points)

 

As of 2009, national health expenditures in the U.S. were approximately what percentage of the Gross Domestic Product?

Question 2 options:

	14.9%
	16.0%
	17.6%
	19.2%

Question 3 (4 points)

 

According to figures from the National Health Expenditure Accounts (NHEA), how much was spent on health care in the U.S. in 2009?

Question 3 options:

	$1.25 trillion
	$2.5 trillion
	$3.75 trillion
	$5.0 trillion

Question 4 (4 points)

 

Which of the following have contributed to the increases in the cost of health care? (select all that apply)

Question 4 options:

	New medical technology
	Growing rates of obesity
	Perverse provider reimbursement mechanisms (i.e. fee-for-service)
	Expanded insurance coverage
	The practice of defensive medicine

Question 5 (4 points)

 

Comorbidities require less sophisticated coordination of care.

Question 5 options:

	True
	False

Question 6 (4 points)

 

According to “Crossing the Quality Chasm,” redesigning the healthcare system involves which of the following:

Question 6 options:

	Evidence-based care
	Effective use of information technology
	Paying higher salaries to clinicians
	All of the above
	None of the above
	Both a and b

Question 7 (4 points)

 

The Institute of Medicine Committee specified a blueprint for a health care delivery systems in the 21st century that will result in an ideal system if followed.

Question 7 options:

	True
	False

Question 8 (4 points)

 

According to the Institute of Medicine, Coverage Matters: Insurance and Health Care article, historically, some of the factors that influenced whether someone was uninsured included:

Question 8 options:

	Gender
	Ethnicity
	Marriage status
	All of the above
	None of the above
	Both a and b

Question 9 (4 points)

 

Historically, most of the uninsured in the U.S. have been illegal immigrants.

Question 9 options:

	True
	False

Question 10 (4 points)

 

Medicaid fills in the gaps in the availability of health insurance by:

Question 10 options:

	Covering all people below the poverty line
	Covering just low-income children
	Covering certain groups of low-income people
	All of the above

Question 11 (4 points)

 

According to the Kaiser Family Foundation, which group accounts for the most Medicaid spending?

Question 11 options:

	Children under the age of 19
	Unemployed adults
	Elderly and disabled adults
	Dual-eligibles over the age of 65

Question 12 (4 points)

 

Meaningful Use sets the specific objectives that eligible professionals and hospitals must achieve to participate in the EHR Incentive Programs.

Question 12 options:

	True
	False

Question 13 (4 points)

 

Providers who prove compliant with meaningful use regulations will receive what tangible benefit?

Question 13 options:

	A meaningful use compliance certification
	Decreased government regulation
	Government incentive payments
	Acceptance onto the stage 3 rules committee

Question 14 (4 points)

 

In comparison to the general population, patients receiving Long-Term and Post-Acute Care services typically:

Question 14 options:

	Have a smaller range of conditions
	Have less complex conditions
	Have a wider range of conditions that are more complex
	Have less complex conditions that are wider in range

Question 15 (4 points)

 

According to the Long-Term and Post-Acute Care (LTPAC) Roundtable Summary Report of Findings (Anderson), what are the two ways to capture data discussed in the article?

Question 15 options:

	ERH and HIE
	EHR and IHE
	HER and HEI
	EHR and HIE

Question 16 (4 points)

 

The article “Adoption of Electronic Health Records in the United States” stated that there are eight barriers to adoption of Electronic Health Records. Specifically, the article mentions the barrier of “Time” and stated that productivity is initially reduced when caregivers start using the EHR’s. This is due to:

Question 16 options:

	The Lack Curve
	The Learning Curve
	The Boonstra Effect
	The Interconnect Effect

Question 17 (4 points)

 

The article “Adoption of Electronic Health Records in the United States” discusses government incentives related to reform to adopt information technology in meaningful ways. The ____________ Act includes spending to create a network of Electronic Health Records.

Question 17 options:

	HIPAA
	HITECH
	TECH-Health
	Health Outcomes

Question 18 (4 points)

 

The article “Adoption of Electronic Health Records in the United States” stated that in order to be considered multifunctional, Electronic Health Records need to have at least two of the following capabilities:

Question 18 options:

	Generation of patient information, generation of patience, order exit management, decision support
	Generation of patient registry, generation of healthy outcomes, order entry management and character support
	Generation of patient information, generation of patient registry and panel information, order entry management and decision support
	Generation of patient information, generation of registry and panel information, order entry management and healthy outcomes

Question 19 (4 points)

 

The Chief Medical Information Officer is a physician who bridges the process of information management and medical practice. This position is usually seen as:

Question 19 options:

	More administrative than clinical
	Equally administrative and clinical
	More clinical than administrative
	All clinical and no administrative responsibilities–it’s a symbolic position

Question 20 (4 points)

 

The initiation of the electronic medical record is a new strategy in today’s healthcare environment but actually began as far back as:

Question 20 options:

	1970’s
	1990’s
	1960’s
	2009

Question 21 (4 points)

 

As described in the Health Affairs article, “Strategic Action in Health Information Technology: Why the Obvious has Taken So Long,” we have come a long way in healthcare IT over the past thirty-five years. However, observers have expressed repeated concerns since it’s inception. Of those concerns the most prevalent is:

Question 21 options:

	The amount of data being collected
	The effects on the physician/patient relationship
	The accuracy of the patient data being collected
	The ability to train users to be proficient in data management

Question 22 (4 points)

 

The National Committee on Vital and Health Statistics (NCVHS) was established by Congress more than fifty years ago to serve as a public advisory body to HHS on health data, statistics, and national health information policy. They have been extremely influential over the years in establishing standards for health data, health data systems and patient record systems. One of the most important and influential pieces of legislation the NCVHS developed is:

Question 22 options:

	The Affordable Care Act
	The Social Security Act
	Health Insurance Portability and Accountability Act
	None of the above

Question 23 (4 points)

 

States have the flexibility to design their own Medicaid programs within federal guidelines.

Question 23 options:

	True
	False