Ch 2 Healthcare delivery systems

Question 1

The healthcare organization provides healthcare services to low income patients in the local community a

Answer 1

Voluntary agency

Question 2

T/F Social determinants of health are environmental issues that impact a range of health, functioning and quality of life outcomes and risks

Answer 2

True

Question 3

True or false Case management is the ongoing, concurrent review to ensure the necessity and effectiveness of clinical services provided

Answer 3

True

Question 4

True or false HIM professionals are responsible for ensuring the availability, accuracy and protection of clinical information

Answer 4

True

Question 5

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

Answer 5

True

Question 6

Dr Smith has been granted permission by community hospital to perform cardiac cath. The permission is called

Answer 6

clinical privileges

Question 7

Which of the following is a physician specializing in the care of inpatient hospital patients?

Answer 7

Hospitalist

Question 8

T/F The organization that collects, analyzes and creates national statistical databases and publishes papers on important issues is the CDC

Answer 8

True

Question 9

The federal agency that monitors healthy precautions for international travelers is the

Answer 9

CDC

Question 10

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

Answer 10

Tax equity and fiscal responsibility Act of 1982

Question 11

True or false Physical therapists and occupational therapists are the only members of the rehabilitation service team

Answer 11

False

Question 12

T/ F Hospitalists and care systems need to redesign how patient care is delivered so inefficiencies can be eliminate within the system

Answer 12

True

Question 13

Identify a nonprofit nongovernment organization from the following

Answer 13

National academy of medicine

Question 14

To create and social and physical environments that promote good health for all is a goal of

Answer 14

Healthy people 2020

Question 15

T/ F Acute care hospitals provide short term to diagnose of treat an illness

Answer 15

True

Question 16

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

Answer 16

Hospice

Question 17

Healthcare policy is only formulated at the federal level

Answer 17

False

Question 18

T/ F Critical access hospitals specialize in the treatment of patients with serious medical conditions that require care on an ongoing basis

Answer 18

False

Question 19

This type of hospital has the majority of its inpatient visits paid for through Medicaid

Answer 19

Safety net hospital

Question 20

Utilization Review Act of 1977

Answer 20

Required that hospitals conduct continued stay reviews for Medicare and Medicaid patients

Question 21

Public Law 92-603 of 1972

Answer 21

Required concurrent review of Medicare and Medicaid patients

Question 22

Patient protection and Affordable care act of 2010

Answer 22

Provide Provided individual mandate to have minimum acceptable coverage or pay a tax penalty

Question 23

Social security Act of 1935

Answer 23

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

Question 24

Tax equity and responsibilty act of 1982

Answer 24

Required the gradual implementation of a prespective payment system for medicare reimbursement

Question 25

Which healthcare professional is licensed to practice medicine with physician supervision?

Answer 25

Physician assistant

Question 26

Which of the following is a surgical specialty

Answer 26

Orthopedics

Question 27

Which of the following is true about RN’s

Answer 27

They must have a license in every state they practice

Question 28

The emphasis on treating individual patients at the level of care required by their treatment across all healthcare processes refers to

Answer 28

Continuum of care

Question 29

Who has the primary responsibility to guide the direction of the hospital?

Answer 29

Board of directors

Question 30

Which is an example of a federally run hospital

Answer 30

Veterans administration

Question 31

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?

Answer 31

Freestanding ambulatory

Question 32

Most patients in LTAC facilities require inpatient nursing and related services for more than how many consecutive days?

Answer 32

30 days

Question 33

The ability for a computer to think and learn is

Answer 33

Artificial intelligence

Question 33

Manages cost, quality, and access to services

Answer 33

Managed care

Question 34

Provides emergency services and urgent care for walk in patients

Answer 34

Freestanding ambulatory care

Question 35

A 13 year long international effort with 3 principle goals .....

Answer 35

The human genome project

Question 36

Care that offers pts access to constant nursing care while recovering at home

Answer 36

Subacute care

Question 37

Care provided by different caregivers at several different levels of the healthcare system

Answer 37

Continuum of care

Question 38

According to the publication To err or is human, How many pts die each year from preventable medical mistakes

Answer 38

98,000 people

Question 39

To create social and physical environments that promote good health for all is a goal of:

Answer 39

Healthy People 2020

Question 40

Identify a nonprofit nongovernment organization from the following:

Answer 40

The national academy of Medicine

Question 41

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

Answer 41

Leadership by example

Question 42

Identify the law that created the HITECH act

Answer 42

American Recovery and Reinvestment act

Question 43

Until WWII, most healthcare was provided

Answer 43

At home

Question 43

A HIM student asked you why Medicare reimburse healthcare providers through prospective payments. Identify the piece of legislation that answers this question

Answer 43

Tax Equity and Fiscal responsibility act of 1982

Question 44

Identify legislation that authorized the creation of the Office of National Coordinator for health info Technology

Answer 44

ARRA

Question 45

Medicaid is a

Answer 45

Federally mandated healthcare program for low income people

Question 46

Tax equity and fiscal responsibility act of 1982

Answer 46

Required the gradual implementation of a prospective payment system for Medicare reimbursemsent

Question 47

Social security act of 1935

Answer 47

Gave the states funds on a matching basis for maternal and infant care, public health work

Question 48

Public law 92-603 of 1972

Answer 48

Required concurrent review of Medicare and Medicaide pts

Question 49

Patient protection and affordable Care act of 2010

Answer 49

Provided an indiviadul mandate to have minimum standards

Question 50

Utilization review act of 1977

Answer 50

required that hospitals conduct continued stay for Medicare and Medicaide pts

Question 51

The office of the national coordinator for health information technology was created as part of which act?

Answer 51

American recovery and reinvestment act

Question 52

True or false Long term care patients are referred to as residents of the healthcare organization administering care

Answer 52

True

Question 53

Large amounts of data collected from sources that are then processed and used for analytics are referred to as ____________.

Answer 53

Big data

Question 54

Pts in hospice care are expected to live a max of —— days

Answer 54

180 days

Question 55

Two types of practitioners can hold the degree of doctor of medicine. They are:

Answer 55

Physicians and surgeons

Question 56

Which of the following is the fastest growing sector to offer services for meditech recipients?

Answer 56

Home health

Question 57

T/ F Medicare will pay the Medicaid premium, deductibles, and co insurance costs for some low income Medicaid beneficiaries

Answer 57

False

Question 58

HITECH was a portion of which bill?

Answer 58

American recovery and reinvestment act of 2009 (ARRA)

Question 59

Who has the primary responsibility for setting the overall direction of the hospital

Answer 59

Board of directors

Question 60

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

Answer 60

True

Question 61

Health information management departments are considered which of the following?

Answer 61

Ancillary support service

Question 62

Which of the following professional is not mentioned in this text as requiring licensing by all 50 states

Answer 62

Health information management

Question 63

Which of the following is a main goal in treating hospice pts

Answer 63

Minimize the stress and trauma of death

Question 64

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

Answer 64

Continuum of care

Question 65

The average LOS for acute care hospitals is

Answer 65

25 days or less

Question 66

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

Answer 66

False

Question 67

Who is appointed by the president of the United States president to provide leadership and science based recommendations about the public’s health

Answer 67

Surgeon general

Question 68

True or false Hospital owned groups practices are considered ambulutory Care organizations

Answer 68

True

Question 69

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

Answer 69

Utilization review

Question 70

Which of the following is the fastest growing sector to offer services for Medicare recipients

Answer 70

Home health

Question 71

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

Answer 71

True

Question 72

Current medical practice emphasizes performing healthcare services in the least costly setting possible. Based on this statement, which of the following is correct

Answer 72

Increased utilization of non emergency ambulatory facilities

Question 73

T/F The social security act of 1935 had a healthcare component added by the republican president FDR

Answer 73

False