ATI RN
Health Care Delivery in the United States Questions
Question 1 of 5
Which best describes the effect of President Clinton's Advisory Commission on Consumer Protection and Quality in the Health Care Industry report (1999)?
Correct Answer: D
Rationale: The report had a major impact in that it stimulated a series of more in-depth explorations of the health care delivery system, which resulted in a series of reports developed by the Institute of Medicine called the Quality Chasm Series. These reports then caused several other movements within the health care system.
Question 2 of 5
Who primarily provides care for military personnel, their families, and veterans, as well as Native Americans?
Correct Answer: A
Rationale: The federal government is responsible for the health care of specified populations including military personnel, their families, and veterans. The federal government also is responsible for health care for Native Americans. Local health departments and state health departments are not the primary provider of care for these populations. Regional health districts are not used to provide care for these populations.
Question 3 of 5
Which accurately describes the impact that the ACA had on expanding Medicaid?
Correct Answer: B
Rationale: One of the major provisions of the ACA resulting in large numbers of Americans receiving health care coverage was through the expansion of Medicaid; however, each state was allowed to determine whether they would accept this expansion. Ultimately, 31 states and the District of Columbia elected to extend Medicaid coverage through the ACA and 19 chose not to.
Question 4 of 5
Which statement best describes the significance of the Health Plan Effectiveness Data and Information Set (HEDIS)?
Correct Answer: B
Rationale: The National Committee for Quality Assurance accredits MCOs and uses HEDIS to measure performance and consumer satisfaction. Some outcome data are available to informed consumers on the Web, but the data are not widely available. To date, these efforts have not been successful to ensure quality care. Errors continue to be high and patients continue to be dissatisfied.
Question 5 of 5
Which statement about the Agency for Healthcare Research and Quality (AHRQ) is accurate?
Correct Answer: C
Rationale: The Agency for Healthcare Research and Quality (AHRQ) is the main federal organization that works to improve the safety and quality of the health care system. This was largely through funding research to make care safer and to improve quality by publishing materials to educate health care systems and professionals to put research into practice and through generation of measures and data to be used by providers and policymakers (AHRQ, 2017). AHRQ support efforts for clinicians and providers includes clinical guidelines and recommendations. AHRQ publishes research and reports specifically related to health care disparities, quality, and evidence-based practice but does not implement strategies.