Which would be offered as part of the community health services of a local health department? (Select one that does not appy.)

Correct Answer: B

Rationale: The local health department is responsible for monitoring the health status and meeting the health needs of their constituents. This includes identifying unmet needs and taking actions to meet these needs. Most services to groups and individuals are provided at the local level. These services fall into the following four major categories: Community health services include control of communicable disease such as surveillance and immunizations, maternal-child health programs, nutrition services, and education; environmental health services include food hygiene such as inspection of food-producing and food-processing plants and restaurants; protection from hazardous substances; control of waste, air, noise, and water pollution; and occupational health; personal health services provide care to individuals and families in clinics, schools, and correctional institutions; mental health services are provided through community-based mental health care.

Correct Answer: D

Rationale: Accreditation is one means to assess the quality of services and care of the organization. Specific minimum standards must be met by an organization to obtain accreditation. Indeed, accreditation serves the purpose of instilling public confidence in a program, institution, or organization (IOM, 2016). Accrediting organizations require outcomes data, which they use to assess overall performance, but these data are collected by the agency, not the accrediting organization.

Correct Answer: C

Rationale: Title V of the Social Security Act mandates states to provide services for children with special health care needs (crippled children's services), making (C) correct. WIC provides nutrition support, not comprehensive health care (A is incorrect). Not all children at or below poverty level automatically qualify for Medicaid (B is incorrect). MCH funding faced cuts under Reagan (D is incorrect).

Correct Answer: C

Rationale: Immunization has the greatest potential for disease prevention in the U.S. due to its proven effectiveness in controlling infectious diseases like measles and polio, impacting large populations efficiently.

Correct Answer: C

Rationale: Medicare uses diagnosis-related groups (DRGs) for hospital reimbursement, making (C) correct. It covers those 65+, not 60 (A is incorrect), and isn’t tied to welfare rolls (B is incorrect). It doesn’t cover all costs (D is incorrect).