Ancient Times
The Renaissance
The 19TH Century
The 20TH Century
Health Care
100

Believed that illness and disease were caused by supernatural spirits and demons 

What is Primitive Times ?

100
Most third party payers started questioning these charges using the concept of "usual, customary, and reasonable" to offset this provider preferred reimbursement model.
What is fee-for-service?
100
Many inner city outpatient clinics and community centers function as this subsystem of the US Health Care delivery System.
What is the "safety net"?
100
This is usually a public and general facility that has patients with a shorter length of stay. Can be profit or non profit entities.
What is a community hospital?
100
MCO providers offer this in exchange for a greater volume of patients
What are discounted points or modified fee-for-service?
200

Believed people called upon the gods to heal them when disease occurred ? 

What is Ancient Egyptians ? 

200
When looking at the breakdown of national health expenditures, this portion consumes the largest amount of health care dollars.
What is hospital care?
200
Focuses on prevention, diagnosis and treatment, education, counseling, and minor surgery
What is primary care?
200
Highest medical position in the hospital and one that does not answer to the CEO.
Who is the Chief of Staff/Medical Director?
200
These arose (spurred on by small physician practices and smaller hospitals) in response to the growth of MCOs and as a way to survive in the new landscape of health care
What are integrated delivery systems?
300

Which one of the ancient times used acupuncture , or puncture of the skin by needles, to relieve pain and congestion?

What is Ancient Chinese?

300
When people seek health care because they pay for insurance, not because they necessarily need to be seen.
What is moral hazard?
300
Patients can not see a specialist without a referral and protects patients from unnecessary procedures and over treatment
What is "gatekeeping"?
300
This can sometimes be ugly with blurred lines of authority. The CEO can have all of the responsibility but not authority.
What is hospital governance?
300
This begins the day that a patient is admitted to the hospital, is multidisciplinary, is modified as needed based on the patient's long term needs, and is considered a part of concurrent utilization review.
What is discharge planning?
400

Who was the father of medicine inthe ancient greek times ?

What is Hippocrates?

400
This can happen when people are covered by health insurance. HMO's capitated costs help avoid this phenomenon driven by providers that often result in additional medical tests and costs that may not improve overall care.
What is provider-induced demand?
400
Providers and the healthcare system are responsible for providing quality care, producing patient satisfaction, using resources efficiently, and behaving in an ethical manner while patients are responsible for their own health to the extent of influencing it and being judicious in the use of resources
What is accountability?
400
Physician owned hospitals from the late 1800's laid the foundation for this type of hospital.
What are for-profit hospitals?
400
This is a way of managing the most complex patient cases in a cost effective way but also in a manner that focuses on quality and best outcomes.
What is case management?
500

Early hospitals developed when physicians cared for ill prople in rooms in their homes.

What is Ancient Romans?

500
This type of methods uses pre-established criteria to determine reimbursement and forced facilities to contain costs while still providing quality care.
What is prospective payment?
500
Managing the transition, between health care practitioners and settings as the patient's condition and care needs change during the course of a chronic or acute illness. Countries with national health systems and a greater focus on prevention and wellness usually do a better job of this than the US healthcare system.
What is coordination of care?
500
The patient's wishes regarding the continuation or withdrawal of care in the event that he/she becomes incapacitated.
What are Advanced Directives?
500
Expert evaluation of medically necessary services, determination of how services can be provided in an inexpensive manner, and review of the process of care and changes in the patient's condition.
What are utilization control methods?
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