Introduction to Allied Health : Introduction to Allied Health Lesson 1 Overview Mastery of professional standards and guidelines is essential to the healthcare field. This lesson will help you become familiar with the structure of healthcare, insurance, agencies, and the roles of workers. Healthcare is a service industry, so effective communication and teamwork are important skills that will also be covered. 1.1 Describe the United States healthcare system and settings The Healthcare System READING ASSIGNMENT The Healthcare System (lessons.pennfoster.edu/savi/427171_1/story_ht ml5.html) © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 1 1.2 Compare the professional roles of healthcare workers within various community settings Community, Ambulatory, and Home Health Professionals READING ASSIGNMENT Community, Ambulatory, and Home Health Professionals (lessons.pennf oster.edu/savi/427171_2/story_html5.html) 1.3 Compare the professional roles of healthcare workers within hospital practices Role of Healthcare Professionals in Hospital Practice READING ASSIGNMENT Role of Healthcare Professionals in Hospital Practice (lessons.pennfoste r.edu/savi/427171_3/story_html5.html) 1.4 Distinguish among government (public) and private health insurance plans Insurance Coverage and Reimbursement READING ASSIGNMENT Insurance Coverage and Reimbursement (lessons.pennfoster.edu/savi/ 427171_4/story_html5.html) © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 2 1.5 Explain the primary elements of the Affordable Care Act The Affordable Care Act READING ASSIGNMENT The Affordable Care Act (lessons.pennfoster.edu/savi/427171_5/story_h tml5.html) 1.6 Describe the proper legal and ethical behaviors of a healthcare worker Law, Ethics, and Confidentiality READING ASSIGNMENT Law, Ethics, and Confidentiality (lessons.pennfoster.edu/savi/427171_6/ story_html5.html) 1.7 Identify the characteristics of professional behavior and issues related to cultural differences Professionalism and Cultural Sensitivity READING ASSIGNMENT Professionalism and Cultural Sensitivity (lessons.pennfoster.edu/savi/42 © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 3 7171_7/story_html5.html) 1.8 Identify communication methods within the healthcare field and teamwork strategies Communication and Teamwork READING ASSIGNMENT Communication and Teamwork (lessons.pennfoster.edu/savi/427171_8/ story_html5.html) Lesson 1 Review Self-Check 1. The purpose of the healthcare system is to a. make money. b. refer patients to other facilities. c. perform tests on patients. d. improve health for populations seeking care. 2. Which type of hospital is considered to be charity based? a. Hospice b. Nonprofit c. Governmental agency d. Proprietary © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 4 3. You're an occupational therapy aide. What's your responsibility in caring for the patient? a. Administering medication b. Taking blood pressure c. Assisting the patient to be able to dress and bathe d. Taking blood samples 4. The role of hospice, or palliative, care in healthcare includes providing a. supportive treatment, pain relief, and comfort. b. physical and occupational therapy. c. treatment to restore patient to optimal health. d. a cure for patients. 5. What part of the Medicare plan will you need to fill a prescription? a. Part B b. Part D c. Part C d. Part A 6. Which of the following can be covered by Medicare Part B? a. Skilled rehabilitation b. Nursing care c. Durable medical equipment (DME) d. Hospital stays 7. At what level is Medicaid managed? a. Each individual hospital b. State c. City d. Federal © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 5 8. The Affordable Care Act (ACA), which was passed and signed into law in 2010, has the goal of a. increasing access to healthcare to all. b. decreasing revenue to hospitals and doctors. c. increasing healthcare costs. d. denying healthcare coverage to veterans. 9. The ACA seeks to improve the quality of patient care and lowering costs through a. increasing communication between healthcare workers by making extra copies of patient records. b. encouraging healthcare providers to join Accountable Care Organizations (ACOs). c. requiring healthcare providers to see more patients. d. increasing paperwork for seniors. 10. What is one example of how the ACA will increase access to healthcare? a. Matching the same coverage as Canada b. Using the Health Insurance Marketplace c. Allowing less choice of healthcare insurance d. Denying insurance to people through a Preexisting Condition Insurance Plan (PCIP) 11. The ACA will lower healthcare costs by a. decreasing the cost to provide healthcare services. b. eliminating Medicare for private insurance. c. decreasing the number of people covered by Medicaid. d. bundling insurance payments. © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 6 12. Which of the following statements is true about the law? a. It's a rule of action or conduct bounded by a controlling authority. b. It relates to research in the field of healthcare. c. The purpose of having laws is to protect the government. d. It applies differently to each individual. 13. The purpose of the Health Insurance Portability and Accountability Act (HIPAA) is to a. make nursing notes more portable for hospital tracking and insurance purposes. b. protect and enhance the rights of patients. c. allow healthcare workers to disclose private patient information. d. gauge the transferability of the hospital's case mix. 14. Amy is a healthcare worker who has been treating Jane, her patient, for two weeks. Jane wants to be friends on Facebook with Amy. How should Amy respond? a. Thanks, Jane, but hospital rules prohibit me from adding you as a friend on Facebook. b. Good idea, Jane. I'll request to be your friend once you're discharged. c. Sorry, Jane, but I don't have Facebook. You can follow me on Twitter though. d. No problem, Jane. I'll request to be your friend during my lunch break. 15. You recently started working with Dr. Cheng. You noticed that she loves telling stories about Chinese culture. This is an example of a. judging another person's culture. © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 7 b. cultural assessment. c. being polite. d. understanding characteristics of others' cultures. 16. At lunch time, you hear a Jamaican band playing in the cafeteria. You've never heard this style of music before, so you sit and listen. Your appreciation of the new music is called a. cultural awareness. b. cross-cultural sensitivity. c. cultural competence. d. attitude. 17. A patient comes to the physician’s office. You notice the patient's attire and the fact that she's wearing a bindi (a forehead decoration), which you recognize as being outward indicators of her Hindu faith. This is an example of a. cross-cultural sensitivity. b. cultural competence. c. cultural awareness. d. attitude. 18. Your friend Maria shared that her grandmother isn't going to the doctor even though she has had a cough for a very long time. When you ask why, Maria explains that her grandmother doesn't have insurance. You can therefore infer that Maria's grandmother lacks a. cross-cultural sensitivity. b. cultural competence. c. access to care. d. cultural awareness. © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 8 19. A professional characteristic of a healthcare manager is the ability to a. carry out doctor's orders. b. perform lab tests and x-rays. c. be a clear intermediary between upper management and employees. d. work alone with computers. 20. A home health aide is responsible for a. resolving clients' family disputes b. assisting clients' with grooming c. running errands for clients and their family members d. prescribing clients' treatments 21. Mike is a health information manager. Which of the following responsibilities is within his scope of practice? a. Analyzing a patient's diagnosis b. Scheduling patient appointments c. Processing medical reimbursement d. Prescribing medication under a physician's guidance 22. Doctor Patel has asked you to call the person that handles the electronic medical records for the entire hospital. Who would you call? a. Health Information Manager b. Transcriptionist c. Medical Assistant d. Head Nurse 23. For which of the following tasks is a medical biller and coder responsible? a. Creates the required document for reimbursement © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 9 b. Fills prescriptions c. Helps patients with activities of daily living (ADLs) d. Works with the head nurse 24. Jessica received a bill from her insurance provider. She needs to speak to someone in her doctor’s office who will help her get the right CPT code for her services rendered. Whom should she ask for? a. Medical Biller and Coder b. Transcriptionist c. Medical Assistant d. Head Nurse 25. One of the duties of an occupational therapy aide is a. prescribing pain medications. b. performing surgeries to treat injuries. c. assigning the correct codes for reimbursement. d. range of motion exercises. 26. To become certified, which certification exam would a pharmacy technician take? a. RHPT b. PTCE c. PTQR d. NCLEX-PT 27. There is a direct correlation between patient satisfaction and a. positive collaboration between healthcare professionals. b. optimized physician reimbursement c. effective electronic data transfer. d. consistent health record maintenance. © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 10 28. Joseph, a healthcare worker, needs to explain a lab testing procedure to Agnes, a patient in the Elder Rehabilitation program. What communication strategy should Joseph use? a. Texting b. Email c. Telephone d. Face-to-face Self-Check Answer Key 1. improve health for populations seeking care. Explanation: The purpose of the healthcare system is to improve health for populations seeking care. Reference: Section 1.1 2. Nonprofit Explanation: A nonprofit hospital is considered to be charity based. Reference: Section 1.1 3. Assisting the patient to be able to dress and bathe Explanation: You are responsible for assisting the patient to be able to dress and bathe. Reference: Section 1.1 4. supportive treatment, pain relief, and comfort. Explanation: The role of hospice, or palliative, care in healthcare includes providing supportive treatment, pain relief, and comfort. © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 11 Reference: Section 1.1 5. Part D Explanation: You will need Part D in order to fill a prescription. Reference: Section 1.4 6. Durable medical equipment (DME) Explanation: Durable medical equipment (DME) is covered by Medicare Part B. Reference: Section 1.4 7. State Explanation: Medicaid is managed at the state level. Reference: Section 1.4 8. increasing access to healthcare to all. Explanation: The Affordable Care Act has the goal of increasing access to healthcare for all. Reference: Section 1.5 9. encouraging healthcare providers to join Accountable Care Organizations (ACOs). Explanation: The ACA seeks to improve the quality of patient care and lowering costs through encouraging healthcare providers to join Accountable Care Organizations. Reference: Section 1.5 © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 12 10. Using the Health Insurance Marketplace Explanation: Using the Health Insurance Marketplace is an example of how the ACA will increase access to healthcare. Reference: Section 1.5 11. bundling insurance payments. Explanation: The ACA will lower healthcare costs by bundling insurance payments. Reference: Section 1.5 12. It's a rule of action or conduct bounded by a controlling authority. Explanation: Law is a rule of action or conduct bounded by a controlling authority. Reference: Section 1.6 13. protect and enhance the rights of patients. Explanation: The purpose of the Health Insurance Portability and Accountability Act (HIPAA) is to protect and enhance the rights of patients. Reference: Section 1.6 14. Thanks, Jane, but hospital rules prohibit me from adding you as a friend on Facebook. Explanation: Amy should respond with, Thanks, Jane, but hospital rules prohibit me from adding you as a friend on Facebook. © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 13 Reference: Section 1.7 15. understanding characteristics of others' cultures. Explanation: This is an example of understanding characteristics of others' cultures. Reference: Section 1.7 16. cultural awareness. Explanation: Your appreciation of the new music is called cultural awareness. Reference: Section 1.7 17. cultural awareness. Explanation: This is an example of cultural awareness. Reference: Section 1.7 18. access to care. Explanation: You can therefore infer that Maria's grandmother lacks access to care. Reference: Section 1.7 19. be a clear intermediary between upper management and employees. Explanation: A professional characteristic of a healthcare manager is the ability to be a clear intermediary between upper management and employees. © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 14 Reference: Section 1.2 20. assisting clients' with grooming Explanation: A home health aide is responsible for assisting clients' with grooming. Reference: Section 1.2 21. Analyzing a patient's diagnosis Explanation: Mike is responsible for analyzing a patient’s diagnosis. Reference: Section 1.3 22. Health Information Manager Explanation: You would call the health information manager. Reference: Section 1.3 23. Creates the required document for reimbursement Explanation: A medical biller and coder is responsible for creating the required document for reimbursement. Reference: Section 1.3 24. Medical Biller and Coder Explanation: Jessica should ask for the medical biller and coder. Reference: Section 1.3 25. range of motion exercises. Explanation: One of the duties of an occupational therapy aide is © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 15 range of motion exercises. Reference: Section 1.3 26. PTCE Explanation: To become certified a pharmacy technician should take the PTCE exam. Reference: Section 1.3 27. positive collaboration between healthcare professionals. Explanation: There is a direct correlation between patient satisfaction and positive collaboration between healthcare professionals. Reference: Section 1.8 28. Face-to-face Explanation: Joseph should use the face-to-face communication strategy. Reference: Section 1.8 Flash Cards 1. Term: Healthcare System Definition: A group of people, agencies, and/or institutions that provide healthcare services to individuals in a variety of settings 2. Term: Healthcare Professionals Definition: The individuals who wish to care for the people seeking to © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 16 improve their health status 3. Term: Ambulatory Care Centers Definition: Centers that provide healthcare consultation, treatment, and mediation using advanced medical technology; also known as community centers 4. Term: Acute Care Hospitals Definition: Institutions that provide care for individuals who have a disease that comes on quickly or that lasts for a short period 5. Term: Skilled Nursing Facilities Definition: Care for patients who require the skills of licensed personnel such as a physical therapist or an occupational therapy aide 6. Term: Assisted Living Facilities Definition: Care that bridges the gap between home care and nursing homes by providing a homelike environment 7. Term: Hospice Care Definition: Care focused on the physical and emotional needs of patients who have terminal illnesses that will usually result in death within six months or less 8. Term: Home Care Definition: Supportive care provided in the patient's home © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 17 9. Term: Health Maintenance Organizations (HMOs) Definition: A health maintenance organization (HMO) is a form of private insurance that provides or arranges managed care for health insurances, self-funded healthcare benefit plans, individuals, and other entities in the United States 10. Term: Health Insurance Definition: Provides patients with a means to pay the costs associated with medical care and services; also called health benefits or health coverage 11. Term: Deductible Definition: The minimum amount that a person must pay out of his or her own pocket before a health insurer will pay any expenses to the healthcare provider 12. Term: Copayment Definition: The predetermined amount defined by the health insurer that must be paid each time a health service is accessed; also called a copay 13. Term: Coinsurance Definition: Splitting the cost between individuals and their insurance carrier © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 18 14. Term: Medicare Definition: The federal insurance program for people who are 65 or older, certain younger people with disabilities, and people with endstage renal disease (ESRD) 15. Term: Medicaid Definition: Largest source of funding for health insurance for low income families in the United States 16. Term: TRICARE Definition: A type of health insurance dedicated to honoring those who have served, or are currently serving, in the military 17. Term: Affordable Care Act (ACA) Definition: Two separate pieces of legislation that expand Medicaid coverage to include millions of low-income Americans and make numerous changes to both Medicaid and CHIP 18. Term: Cap Definition: To create a maximum on 19. Term: Protocols Definition: A set of rules that explain how a task or procedure should be completed 20. Term: Ethics © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 19 Definition: The principles and standards that govern behavior and include your moral values 21. Term: Bioethics Definition: The ethical implications related to research in the field of healthcare 22. Term: Code of Ethics Definition: A set of principles that guide an individual's practice in healthcare 23. Term: Health Insurance Portability and Accountability Act (HIPAA) Definition: A law passed in 1996 to protect patient information 24. Term: Scope of Practice Definition: The procedures, actions, and processes that are permitted for the licensed individual 25. Term: Licensure Definition: The process by which a federal, state, or local governmental agency grants an individual permission to practice in a particular occupation or profession 26. Term: Certification Definition: The process by which private organizations recognize individuals for meeting certain criteria established by the organization © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 20 27. Term: Healthcare Managers Definition: Hold both administrative and leadership roles to oversee healthcare agencies 28. Term: Activities of Daily Living (ADLs) Definition: Bathing, dressing, combing hair, and getting dressed 29. Term: Communication Definition: An exchange of thoughts, ideas, information, and messages 30. Term: Therapeutic Communication Definition: Occurs between a healthcare worker and a patient © 2019 Penn Foster Inc. Introduction to Allied Health (v1) : Lesson 1 : Page 21