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HITT 1301 > Ch 2 Healthcare delivery systems > Flashcards

Ch 2 Healthcare delivery systems Flashcards

1
Q

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

A

Voluntary agency

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2
Q

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

A

True

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3
Q

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

A

True

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4
Q

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

A

True

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5
Q

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

A

True

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6
Q

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

A

clinical privileges

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7
Q

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

A

Hospitalist

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8
Q

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

A

True

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9
Q

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

A

CDC

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10
Q

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

A

Tax equity and fiscal responsibility Act of 1982

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11
Q

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

A

False

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12
Q

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

A

True

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13
Q

Identify a nonprofit nongovernment organization from the following

A

National academy of medicine

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14
Q

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

A

Healthy people 2020

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15
Q

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

A

True

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16
Q

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

A

Hospice

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17
Q

Healthcare policy is only formulated at the federal level

A

False

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18
Q

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

A

False

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19
Q

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

A

Safety net hospital

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20
Q

Utilization Review Act of 1977

A

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

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21
Q

Public Law 92-603 of 1972

A

Required concurrent review of Medicare and Medicaid patients

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22
Q

Patient protection and Affordable care act of 2010

A

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

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23
Q

Social security Act of 1935

A

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

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24
Q

Tax equity and responsibilty act of 1982

A

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

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25
Q

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

A

Physician assistant

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26
Q

Which of the following is a surgical specialty

A

Orthopedics

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27
Q

Which of the following is true about RN’s

A

They must have a license in every state they practice

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28
Q

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

A

Continuum of care

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29
Q

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

A

Board of directors

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30
Q

Which is an example of a federally run hospital

A

Veterans administration

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31
Q

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?

A

Freestanding ambulatory

32
Q

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

A

30 days

33
Q

The ability for a computer to think and learn is

A

Artificial intelligence

33
Q

Manages cost, quality, and access to services

A

Managed care

34
Q

Provides emergency services and urgent care for walk in patients

A

Freestanding ambulatory care

35
Q

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

A

The human genome project

36
Q

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

A

Subacute care

37
Q

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

A

Continuum of care

38
Q

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

A

98,000 people

39
Q

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

A

Healthy People 2020

40
Q

Identify a nonprofit nongovernment organization from the following:

A

The national academy of Medicine

41
Q

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

A

Leadership by example

42
Q

Identify the law that created the HITECH act

A

American Recovery and Reinvestment act

43
Q

Until WWII, most healthcare was provided

A

At home

43
Q

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

A

Tax Equity and Fiscal responsibility act of 1982

44
Q

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

A

ARRA

45
Q

Medicaid is a

A

Federally mandated healthcare program for low income people

46
Q

Tax equity and fiscal responsibility act of 1982

A

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

47
Q

Social security act of 1935

A

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

48
Q

Public law 92-603 of 1972

A

Required concurrent review of Medicare and Medicaide pts

49
Q

Patient protection and affordable Care act of 2010

A

Provided an indiviadul mandate to have minimum standards

50
Q

Utilization review act of 1977

A

required that hospitals conduct continued stay for Medicare and Medicaide pts

51
Q

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

A

American recovery and reinvestment act

52
Q

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

A

True

53
Q

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

A

Big data

54
Q

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

A

180 days

55
Q

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

A

Physicians and surgeons

56
Q

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

A

Home health

57
Q

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

A

False

58
Q

HITECH was a portion of which bill?

A

American recovery and reinvestment act of 2009 (ARRA)

59
Q

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

A

Board of directors

60
Q

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

A

True

61
Q

Health information management departments are considered which of the following?

A

Ancillary support service

62
Q

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

A

Health information management

63
Q

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

A

Minimize the stress and trauma of death

64
Q

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

A

Continuum of care

65
Q

The average LOS for acute care hospitals is

A

25 days or less

66
Q

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

A

False

67
Q

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

A

Surgeon general

68
Q

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

A

True

69
Q

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

A

Utilization review

70
Q

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

A

Home health

71
Q

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

A

True

72
Q

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

A

Increased utilization of non emergency ambulatory facilities

73
Q

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

A

False

HITT 1301 (8 decks)

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