Lesson 2 - Healthcare Delivery Systems

Question 1

CEO

Answer 1

Chief Executive Officer

Question 2

CFO

Answer 2

Chief Financial Officer

Question 3

COO

Answer 3

Chief Operations Officer

Question 4

CIO

Answer 4

Chief Information Officer

Question 5

CNO

Answer 5

Chief Nursing Officer

Question 6

Licensed Practical Nurses

Answer 6

Provide routine care to patients under the supervision of a registered nurse (RN) or a physician.

Question 7

Registered Nurses

Answer 7

Can administer medications, perform numerous procedures, and can provide patient care through patient assessment, performing nursing interventions, and recording nursing notes about patient progress.

Question 8

Nurse Practitioners

Answer 8

Works in collaboration with a primary care physician. Do NOT need to work under the supervision of a physician. Can provide higher levels of care than a RN. Can diagnose and write prescriptions like a doctor. Cannot work in an independent office.

Question 9

CRNA (Certified Registered Nurse Anesthetics)

Answer 9

Administer anesthesiology during surgery under the supervision of an anesthesiologist.

Question 10

Nurse Midwives

Answer 10

Help pregnant women give birth and with postpartum care.

Question 11

Physician Assistants

Answer 11

Works under the supervision of physicians to ease the physician’s workload. Can conduct physical exams, diagnose and treat illnesses, order and interpret tests, assist in surgery, and write prescriptions. They can only see a patient while the physician is in the facility.

Question 12

Surgeon Assistants

Answer 12

Works under the supervision of physicians to assist in surgery. Work mainly in surgery centers or hospitals.

Question 13

APRN (Advanced Practice Nurses)

Answer 13

Received certification above a RN. Examples of this position include, Acute Care Nurse Practitioner, Adult Nurse Practitioner, and Family Nurse Practitioner.

Question 14

R (Registered)

Answer 14

Complied with standards of the registering organization.

Question 15

C (Certified)

Answer 15

Completed the required criteria by a certifying body.

Question 16

F (Fellow)

Answer 16

Demonstrated a significantly long-term contribution to their discipline or scope of practice. Designation is granted in a professional organization like an award.

Question 17

L (License)

Answer 17

Is complied to state regulations.

Question 18

Physical Therapists

Answer 18

Help patients regain strength, range of motion, and function of daily activities.

Question 19

Occupational Therapists

Answer 19

Work with patients to improve their physical abilities with the goal of reducing the disability and increasing independent living.

Question 20

Respiratory Therapists

Answer 20

Asses and treat patients with breathing disorders, those who have had a stroke, those with heart failure, asthma and emphysema, and others who have difficulty breathing.

Question 21

Clinical Laboratory Technicians

Answer 21

Perform tests to analyze blood, urine, and other bodily fluids and tissues. Must work under the direct supervision of a medical doctor specializing in clinical pathology (pathologist). Study human tissues from surgery, autopsies, or studies.

Question 22

Phlebotomists

Answer 22

Draw blood from patients then sent to the laboratory for testing. Employed by hospitals, laboratories, and blood banks.

Question 23

Diagnostic Technologist

Answer 23

Operate equipment used to capture diagnostic images for physicians in the diagnosis and treatment of the patient. Radiology technicians, sonographers, and MRI technicians are some examples.

Question 24

Pharmacists

Answer 24

Formulate and dispense medications as well as to provide consultation to the physician about the nature and use of the drugs they want to prescribe.

Question 25

Dietitians

Answer 25

Experts in nutrition.

Question 26

Audiologists

Answer 26

Measure how well patients hear and recommend hearing aids and fit the patients for a hearing aid.

Question 27

Speech Pathologist

Answer 27

Evaluate speech problems in patients and then treat the problem with specialized therapy.

Question 28

Social Workers

Answer 28

Assess patients to see the kinds of social assistance they need. Can include job training, child care, drug and alcohol cessation programs, financial assistance, housing or utility assistance, food assistance, parenting training, and individual or family counseling. The goal is to help the patient become more emotionally and financially stable, leading to independent living.

Question 29

Medical Assistants

Answer 29

Perform both administrative and clinical tasks in physician offices as well as in offices of other health and allied health professionals. Work in the back office assisting the physicians and nurses with clinical care. Must work under the direct supervision of the physician or nurse.

Question 30

Home Health Aides

Answer 30

Provide assistance to patients in their home by helping with their day-to-day tasks such as getting out of bed and bathing.

Question 31

HIM

Answer 31

Health Information Management

Question 32

HIM - Step 1

Answer 32

Forms Control: Design the actual form used to gather important information about the patient, so it can be used effectively.

Question 33

HIM - Step 2

Answer 33

Notes: Doctors, nurses, and other caregivers make notes in the patient chart. Included here are other doctors’ orders, nurses’ orders, and other documents.

Question 34

HIM - Step 3

Answer 34

Discharge Chart: When the patient is discharged, the patient’s chart is submitted to and analyzed by HIM department to assure it is complete and accurate and includes all needed info.

Question 35

HIM - Step 4

Answer 35

Chart Abstraction and Coding: Discharge chart is then abstracted for data entry. This data includes the patient’s condition, illness, treatments, and outcomes. Codes are then assigned to specific elements of the data so that it can be sent to insurance payers and others in a standardized format.

Question 36

HIM - Step 5

Answer 36

Review: Chart is examined for completeness including a check for missing documents, missing signatures, and other problems. If something is missing, the doctors or departments are contacted to correct the problem.

Question 37

HIM - Step 6

Answer 37

Filing: When the chart is complete and has been checked, it is filed.

Question 38

EHR

Answer 38

Electronic Health Record

Question 39

IOM

Answer 39

Institute of Medicine

Question 40

Health Information Manager

Answer 40

1. Implements HIM systems, policies, and procedures.
2. Monitoring HIM systems, policies, and procedures.
3. Educating the employees.
4. Enforcing the requirements of confidentiality, info security, info storage and retrieval, and record retention.
5. Coordinating the preparation for audits by the various accrediting bodies and regulatory agencies.

Question 41

Registered Health Information Administrator

Answer 41

Managers and directors in the HIM department overseeing the workers in the department who manage the records data.

Question 42

Registered Health Information Technician

Answer 42

1. Entering medical record data into computer systems.
2. Validating the accuracy and completeness of the data.
3. Coding for billing departments.
4. Working with data from the cancer registry.
5. Generating reports utilizing the patient data.

Question 43

Clinical Data Specialist

Answer 43

1. Ensuring the accuracy and completeness of the coding.
2. Validating the data.
3. Creating clinical reports.
4. Auditing the codes.
5. Reporting to various registries.
6. Preparing outcomes management reports.
7. Extracting info for research projects.

Question 44

Clinical Coding Specialist