Deck 10: Healthcare Institutions

Question 1

All of the following are true of hospitals in the United States, except:

A) the average length of stay has declined substantially in recent decades.
B) the percentage of hospital services provided to outpatients has increased substantially in recent decades.
C) hospitals receive a greater percentage of the healthcare dollar than any other healthcare institution.
D) hospitals are owned and operated as governmental or not-for-profit institutions, but they are not owned by for-profit corporations.

Answer 1

D

Question 2

All of the following are true of outpatient care in the United States, except:

A) there is a wide range of options for receiving outpatient health care in the United States.
B) the average person in the United States visits an outpatient facility less than once a year.
C) emergency departments are considered outpatient facilities despite the fact that they are often located in the same building as an inpatient hospital.
D) outpatient facility is defined as a facility in which patients cannot stay more than 24 hours.

Answer 2

B

Question 3

Which of the following is not true of nonprofit community health centers that qualify for federal support under a "330 grant"?

A) Must be located in a federally designated, medically underserved area (MUA) or serve a federally designated, medically underserved population (MUP)
B) Must provide comprehensive primary healthcare services, referrals, and other services needed to facilitate access to care, such as case management, translation, and transportation
C) Must have a governing board, the minority of whose members are patients of the health center
D) Must provide services to all in the service area regardless of ability to pay and offer a sliding fee schedule that adjusts according to family income

Answer 3

C

Question 4

A patient is transferred to a nursing home without arrangements for follow-up being discussed with the family or a clinician responsible for follow-up care. This is an example of which of the following issues with the coordination of care?

A) Clinician-patient relationship
B) Institutional coordination
C) Financial coordination
D) Coordination between health care and public health

Question 5

A patient is billed for a single procedure by three clinicians, a hospital, and a laboratory. This is an example of which of the following issues with coordination of care?

A) Clinician-patient relationship
B) Institutional coordination
C) Financial coordination
D) Coordination between health care and public health

Question 6

A patient with tuberculosis is discharged from the hospital without effort to coordinate case finding and follow-up through the local health department. This is an example of which of the following issues with coordination of care?

A) Clinician-patient relationship
B) Institutional coordination
C) Financial coordination
D) Coordination between health care and public health

Question 7

The electrical system in a hospital operating room is checked regularly to avoid sparks that could set off a fire or explosion. This is an example of which type of quality assurance?

A) Structure
B) Process
C) Outcome

Question 8

The death rates after coronary artery surgery, taking into account the severity of each patient's disease, are used to compare the quality of care. This is an example of which type of quality assurance?

A) Structure
B) Process
C) Outcome

Question 9

Hospital documentation for disclosure of medical errors is used as a measurement to monitor the quality of care. This is an example of which type of quality assurance?

A) Structure
B) Process
C) Outcome

Question 10

Which of the following is required to establish medical malpractice?

A) Duty
B) Breach of duty
C) Breach was the proximal cause of injury
D) Damages
E) All of these are correct.