Module 8 lecture, part 4

Question 1

Where is ALOS highest?

Answer 1

Federal hospitals

Question 2

What are the ways in which hospitals can be classified (not mutually exclusive)?

Answer 2

Ownership
Public access
Multiunit affiliation
Type of service
Length of stay
Location
Size
Other

Question 3

Types of hospital ownership

Answer 3

Public
Private
Nonprofit
Private for-profit

Question 4

Types of public access hospitals

Answer 4

Community
Non-community

Question 5

What percentage of US hospitals were multiunit affiliation in 2014?

Answer 5

65%

Question 6

Categories of length of stay in hospitals

Answer 6

Short stay
Long stay
LTC

Question 7

Location categories of hospitals

Answer 7

Urban
Rural (swing bed, critical access)

Question 8

Beyond what bed size are costs significantly higher?

Answer 8

150

Question 9

What types of hospitals are in the “other” category?

Answer 9

Teaching hospitals
Church affiliated hospitals
Osteopathic hospitals

Question 10

What percentage of the hospitals in 2014 were private non-profit or voluntary?

Answer 10

Over 50%

Question 11

What are different types hospitals based on service?

Answer 11

General hospital
Specialty hospital
Psychiatric hospital
Rehab hospital
Children’s hospital

Question 12

What type of hospital are most US hospitals?

Answer 12

General

Question 13

What is the ownership of specialty hospitals?

Answer 13

Mostly physician-owned

Question 14

Svcs for specialty hospital

Answer 14

Narrow range for specific conditions of pt types

Question 15

What is the purpose of a psychiatric hospital?

Answer 15

Provide psychiatric, psychological, and social work svcs

Question 16

Who treat ppl with severe and persistent mental illness?

Answer 16

State mental hospitals

Question 17

What is the Meidcare rule for a rehab hospital?

Answer 17

75% of inpts must require intensive rehab (at least 3 hrs of therapy per day)

Question 18

Purpose of a rehab hospital

Answer 18

Therapeutic svcs to restore maximum function in pts

Question 19

Composition of rehab hospitals

Answer 19

80% are hospital-based units rather than freestanding

Question 20

What do children’s hospitals specialize in?

Answer 20

Complex, severe, or chronic illnesses among children

Question 21

What are children’s hospitals in most communities?

Answer 21

General hospitals

Question 22

Which hospitals tend to serve a lower share of Medicaid pts?

Answer 22

Physician-owned specialty hospitals

Question 23

Other tendencies of physician-owned specialty hospitals

Answer 23

Admit less severe, more profitable cases
Draw pts from community hospitals
Severity adjusted costs are not lower and provider-induced demand may be occurring

Question 24

Key issues in non-profit hospitals

Answer 24

Competing head on with for-profit hospitals (institutional theory)
Mixed performance on charity care
-Tax exemption is controversial
-IRS now requires documentation on community benefit expenditures
Some debate over what constitutes a community benefit

Question 25

Details about tax-exempt status in non-profit hospitals

Answer 25

Must provide some defined public good (svc, education, welfare- charity care)
No distribution of profits to any individual
Executive pay may not be deemed unreasonably high

Question 26

Rules about nonprofit institutions under the ACA

Answer 26

Establish written financial assistance and emergency care policies
Limit charges for those eligible for assistance under hospital’s financial assistance policy
Limit billing and collection actions against those within the guidelines of financial assistance
Conduct a community health needs assessment