1. Healthcare Systems Health Occupations - 2014

2. 10 20 30 40 50 Medical Facilities Insurance 1 Insurance 2 Managed Care
Government Agencies
Medical Facilities
Managed Care
Insurance 1
Insurance 2 10 20 30 40 50
Final Jeopardy

3. Government Agencies - 10
assures the safety of foods, cosmetics, pharmaceuticals, biological products, and medical devices

4. Government Agencies – 10 answer
FDA

5. Government Agencies - 20
They impose safety and health legislation to prevent injury, illness, and death in the workplace.

6. Government Agencies – 20 answer
OSHA

7. monitors and prevents disease outbreaks, including bioterrorism
Government Agencies - 30
monitors and prevents disease outbreaks, including bioterrorism

8. Government Agencies – 30 answer
CDC

9. Government Agencies- 40
Give an example of three “alien” things that were introduced to the Indian population (that ended up hurting their population in the end?)

10. Government Agencies - 40 answer
Smallpox, weapons of mass destruction, alcohol, European style food

11. Government Agencies - 50
federally supported and provide care for veterans who served in the armed forces.

12. Government Agencies - 50 answer
VA hospitals

13. Medical Facilities - 10
Convalescent care facilities generally help in the care of __________populations

14. Medical Facilities - 10 answer
Geriatric/older

15. Medical Facilities - 20
provide end-of-life care to those patients expected to live six months or less.

16. Medical Facilities – 20 answer
Hospice

17. Medical Facilities - 30
provides for elderly people who are able to live at home with their families but need care when the family is away.

18. Medical Facilities – 30 answer
Senior Day Care

19. Medical Facilities - 40
This is one major difference between specialty hospitals and general hospitals

20. Medical Facilities – 40 answer
Differences:
-short term vs. long term
-specialize in certain treatment vs. not

21. Medical Facilities - 50
offers medical services through interactive audiovisual media, such as computers to provide health care to remote areas.

22. Medical Facilities – 50 answer
Tele-health care

23. Managed Care- 10
Specialty care is care given by a provider who is trained in one special area. Specialists usually limit their practice to treating one type of problem. 3 specialties are:

24. -Surgery. -Orthopedics. -Podiatry. -Chiropractic. -Audiology.
Managed Care– 10 answer
-Surgery.
-Orthopedics.
-Podiatry.
-Chiropractic.
-Audiology.
-Urology.
-Obstetrics.

25. Managed Care- 20
There are four Major Services in Health Care
Each service has specialized departments. _______ are those that identify a particular condition or disease, with tools like x-rays or blood tests.

26. Managed Care– 20 answer
Diagnostic Services

27. Managed Care- 30
What does the preadmission authorization requirement for hospitalization do?

28. Managed Care– 30 answer
allows necessary hospitalization and prevents unnecessary hospitalization

29. Give three examples of preventative care
Managed Care- 40
Give three examples of preventative care

30. Managed Care– 40 answer
routine physicals, well-baby care, immunizations, screenings for patients with specific risk factors, and wellness education

31. Managed Care- 50
Emergency Care and Urgent Care provide different services. How are these types of services different?

32. Managed Care– 50 answer
Emergency care is for life- threatening conditions that require hospitalization. These might include ambulance services, rescue squads, and helicopter or airplane rescue vehicles. Urgent care is for non-emergencies that require prompt treatment.

33. Insurance
People who are blind, disabled, or of low income are generally able to get this kind of insurance

34. Insurance 1 – 10 answer
Medicaid

35. Insurance
Another example of a health care program is ___________________where employees who are injured or die at work are covered. It also covers illness that may result from the workplace.

36. Insurance 1 – 20 answer
Workers Compensation

37. Insurance
______require members to pay a co-pay for medical services, and the member must get medical care from the physicians, labs, hospitals, etc. that agree to the fee. If the member gets medical care outside the list, he or she will have to pay for the care.

38. HMOs (Health Maintenance Organization)
Insurance 1 – 30 answer
HMOs (Health Maintenance Organization)

39. Insurance
For this type of insurance, people over the age of 65 pay a monthly payment to the Social Security Administration.

40. Insurance 1 – 40 answer
Medicare

41. Insurance
a health care program for active duty service members, retirees, and their families

42. Insurance 1 – 50 answer
TRICARE

43. Insurance 2 – 10
2 of the reasons health care costs have risen so much in the last few decades.

44. technological advances
Insurance 2 – 10 answer
technological advances
an aging population, and health-related lawsuits.

45. Insurance 2 – 20
What are two ways health care providers and systems can continue to help patients receive affordable care?

46. Insurance 2 – 20 answer
encouraging less hospital time through outpatient services and early intervention
HMOs and PPOs work with providers to offer patients reduced costs. Government also help by offering Medicaid, Medicare, TRICARE, workers’ compensation, etc.

47. Insurance 2 – 30
Two of the developed countries highlighted in the “Sick around the World” movie

48. Insurance 2 – 30 answer
Taiwan
Japan
Germany
Switzerland UK

49. Insurance 2 – 40
_____is the percentage of allowable charges for which you are responsible as determined by your policy
VS.
_______being a set fee for a particular service as determined by your policy

50. Co-insurance, Copayment
Insurance 2 – 40 answer
Co-insurance, Copayment

51. Insurance 2 – 50
Billy has met all but $100 of his $1000 deductible. He gets into an accident. Hospital bills are $4,380. His coinsurance is 30/70. His max out of pocket is $5000. What will Billy pay for this particular accident?

52. $100 (toward deductible) +(.3 x $4280) = $1284 $1384 Total
Insurance 2 – 50 answer
$100 (toward deductible)
+(.3 x $4280) = $1284
$1384 Total

53. Final Jeopardy
Bill’s insurance company pays for all major medical, prescription, and dental and vision. His deductible is $1000. Co-insurance was 20/80. How much will he pay when the following events happen? His Maximum Out of Pocket is $7000.
January: Teeth cleaning ($150), March: X-Rays and Doctor’s Costs for Broken Collarbone ($895), July: Eye Exam and Contact Lenses ($350) 53

54. Final Jeopardy Answer $150 (teeth cleaning)
$850 (of next bill to meet deductible…$45 is remaining of that bill)
$9 (20% of $45)
$70 (20% of $350) =
TOTAL: $1079