Ch 2 Healthcare delivery systems Flashcards
The healthcare organization provides healthcare services to low income patients in the local community a
Voluntary agency
T/F Social determinants of health are environmental issues that impact a range of health, functioning and quality of life outcomes and risks
True
True or false Case management is the ongoing, concurrent review to ensure the necessity and effectiveness of clinical services provided
True
True or false HIM professionals are responsible for ensuring the availability, accuracy and protection of clinical information
True
T/F The national academy of medicine is the largest single research funder hospitals and care systems use to redesign how care is delivered to eliminate inefficiencies within the system that will lead to better integrated care and lower total cost of care
True
Dr Smith has been granted permission by community hospital to perform cardiac cath. The permission is called
clinical privileges
Which of the following is a physician specializing in the care of inpatient hospital patients?
Hospitalist
T/F The organization that collects, analyzes and creates national statistical databases and publishes papers on important issues is the CDC
True
The federal agency that monitors healthy precautions for international travelers is the
CDC
A HIM student has asked you why Medicare reimburses healthcare providers through prospective payment systems. Identify the pieces of legislation that answers the student’s questions
Tax equity and fiscal responsibility Act of 1982
True or false Physical therapists and occupational therapists are the only members of the rehabilitation service team
False
T/ F Hospitalists and care systems need to redesign how patient care is delivered so inefficiencies can be eliminate within the system
True
Identify a nonprofit nongovernment organization from the following
National academy of medicine
To create and social and physical environments that promote good health for all is a goal of
Healthy people 2020
T/ F Acute care hospitals provide short term to diagnose of treat an illness
True
Which healthcare organiztion offers palliative care for end of life care so that the patient may live life as fully and as comfortably as possible
Hospice
Healthcare policy is only formulated at the federal level
False
T/ F Critical access hospitals specialize in the treatment of patients with serious medical conditions that require care on an ongoing basis
False
This type of hospital has the majority of its inpatient visits paid for through Medicaid
Safety net hospital
Utilization Review Act of 1977
Required that hospitals conduct continued stay reviews for Medicare and Medicaid patients
Public Law 92-603 of 1972
Required concurrent review of Medicare and Medicaid patients
Patient protection and Affordable care act of 2010
Provide Provided individual mandate to have minimum acceptable coverage or pay a tax penalty
Social security Act of 1935
gave the states funds on a matching basis for maternal and infant care, rehabilitation of crippled children general public health work and aid for dependant children under age 16
Tax equity and responsibilty act of 1982
Required the gradual implementation of a prespective payment system for medicare reimbursement
Which healthcare professional is licensed to practice medicine with physician supervision?
Physician assistant
Which of the following is a surgical specialty
Orthopedics
Which of the following is true about RN’s
They must have a license in every state they practice
The emphasis on treating individual patients at the level of care required by their treatment across all healthcare processes refers to
Continuum of care
Who has the primary responsibility to guide the direction of the hospital?
Board of directors
Which is an example of a federally run hospital
Veterans administration
My daughter fell and cut herself tonight. It’s not an emergency, I think she needs stitches and she should see someone tonight for treatment. Which type of facility should I go to?
Freestanding ambulatory
Most patients in LTAC facilities require inpatient nursing and related services for more than how many consecutive days?
30 days
The ability for a computer to think and learn is
Artificial intelligence
Manages cost, quality, and access to services
Managed care
Provides emergency services and urgent care for walk in patients
Freestanding ambulatory care
A 13 year long international effort with 3 principle goals …..
The human genome project
Care that offers pts access to constant nursing care while recovering at home
Subacute care
Care provided by different caregivers at several different levels of the healthcare system
Continuum of care
According to the publication To err or is human, How many pts die each year from preventable medical mistakes
98,000 people
To create social and physical environments that promote good health for all is a goal of:
Healthy People 2020
Identify a nonprofit nongovernment organization from the following:
The national academy of Medicine
A report from the national academy of medicine addressing the duplication and contrasting approaches to performance measures by the 6 major govt healthcare programs that serve nearly 100 mill Americans is
Leadership by example
Identify the law that created the HITECH act
American Recovery and Reinvestment act
Until WWII, most healthcare was provided
At home
A HIM student asked you why Medicare reimburse healthcare providers through prospective payments. Identify the piece of legislation that answers this question
Tax Equity and Fiscal responsibility act of 1982
Identify legislation that authorized the creation of the Office of National Coordinator for health info Technology
ARRA
Medicaid is a
Federally mandated healthcare program for low income people
Tax equity and fiscal responsibility act of 1982
Required the gradual implementation of a prospective payment system for Medicare reimbursemsent
Social security act of 1935
Gave the states funds on a matching basis for maternal and infant care, public health work
Public law 92-603 of 1972
Required concurrent review of Medicare and Medicaide pts
Patient protection and affordable Care act of 2010
Provided an indiviadul mandate to have minimum standards
Utilization review act of 1977
required that hospitals conduct continued stay for Medicare and Medicaide pts
The office of the national coordinator for health information technology was created as part of which act?
American recovery and reinvestment act
True or false Long term care patients are referred to as residents of the healthcare organization administering care
True
Large amounts of data collected from sources that are then processed and used for analytics are referred to as ____________.
Big data
Pts in hospice care are expected to live a max of —— days
180 days
Two types of practitioners can hold the degree of doctor of medicine. They are:
Physicians and surgeons
Which of the following is the fastest growing sector to offer services for meditech recipients?
Home health
T/ F Medicare will pay the Medicaid premium, deductibles, and co insurance costs for some low income Medicaid beneficiaries
False
HITECH was a portion of which bill?
American recovery and reinvestment act of 2009 (ARRA)
Who has the primary responsibility for setting the overall direction of the hospital
Board of directors
True or false Managed care org deliver medical care and manage all aspects of patient care by limiting providers of care, discounting payments to providers of care or limiting access to care
True
Health information management departments are considered which of the following?
Ancillary support service
Which of the following professional is not mentioned in this text as requiring licensing by all 50 states
Health information management
Which of the following is a main goal in treating hospice pts
Minimize the stress and trauma of death
What emphasizes treating individual pts at the level of care required by their course of treatment and extends from their primary care providers to specialists and ancillary providers
Continuum of care
The average LOS for acute care hospitals is
25 days or less
T/ F Physical therapist use work and play activities to improve pts independent functioning enhance their development and prevent or decrease their level of disability
False
Who is appointed by the president of the United States president to provide leadership and science based recommendations about the public’s health
Surgeon general
True or false Hospital owned groups practices are considered ambulutory Care organizations
True
What is the name of the process to determine whether medical care provided to a specific pt is necessary according to pre established objective screening criteria at time frames specified
Utilization review
Which of the following is the fastest growing sector to offer services for Medicare recipients
Home health
T/F One group of pts that prefer treatment at urgent care centers are those whose insurance carriers treat urgent care centers preferentially when compared with physicians offices
True
Current medical practice emphasizes performing healthcare services in the least costly setting possible. Based on this statement, which of the following is correct
Increased utilization of non emergency ambulatory facilities
T/F The social security act of 1935 had a healthcare component added by the republican president FDR
False
