Deck 1: Health Care Delivery Systems

Question 1

The number of beds that the facility actually has set up, equipped, and staffed is the:

A) Licensed beds
B) Bed count
C) Registered beds
D) Certified count

Answer 1

Bed count

Question 2

Another term for a consultation is a(n):

A) Therapy
B) Referral
C) Operation
D) Encounter

Answer 2

Referral

Question 3

Community Care Center has 200 beds. It has an average length of stay of 2.5 years. Most of the patients are elderly, but there are some younger patients with serious chronic illnesses. Community Care Center is most likely a(n) _____ facility.

A) Acute care
B) Behavioral health
C) Long-term care
D) Rehabilitation

Answer 3

Long-term care

Question 4

A hospitalist specializes in:

A) Patients in the home health care setting
B) Patients discharged from the hospital
C) Only patients in the acute care environment
D) Only reading x-rays

Question 5

Care that is consistent while a patient is receiving care from multiple medical specialties is called:

A) Care plan
B) Integrated delivery
C) Continuum of care
D) None of the above

Question 6

A synonym for "vocational nurse" is:

A) Registered nurse
B) Licensed practical nurse
C) Nurse practitioner
D) Advanced practice nurse

Question 7

Daisy Community Center is an acute care facility with 350 beds. On May 1, there were 305 inpatients. What is the percent occupancy?

A) 32%
B) 87%
C) 100%
D) 85%

Question 8

The patient was admitted to the hospital on Tuesday morning and died Tuesday evening. This patient is classified as a(n):

A) Inpatient
B) Outpatient
C) Both a and b
D) None of the above

Question 9

Which of the following patients is considered an inpatient for an acute care facility?

A) A patient who dies prior to arriving at the acute care facility
B) A patient who spent 10 hours in the Emergency Room and then returned home
C) A patient who checked in to complete an outpatient surgery, and then returned home
D) A patient who had an overnight stay to be evaluated and treated

Question 10

A facility that focuses totally on palliative care is a(n):

A) Ambulatory care facility
B) Hospice
C) Long-term care facility
D) Managed care

Question 11

How are physicians categorized?

A) Geographic location
B) Hospital
C) Medical specialty
D) Age

Question 12

Rehabilitation facilities are LEAST likely to have:

A) Inpatients
B) Outpatients
C) Laboratories
D) Operating rooms

Question 13

All of the following are ancillary services EXCEPT the _____ department.

A) Radiology
B) Laboratory
C) Emergency
D) Mammography

Question 14

Allied Health Professional Organizations exist to provide all of the following EXCEPT:

A) Standards of professional practice and safety
B) Professional knowledge and support
C) Acute patient care facilities
D) Continuing professional education

Question 15

A patient will most likely receive physical therapy in which type of health care facility?

A) Acute care
B) Long-term care
C) Rehabilitation
D) Hospice

Question 16

Which of the following is an example of a procedure?

A) Diabetes
B) Pneumonia
C) Tonsillectomy
D) Appendicitis

Question 17

Which one of the following is NOT considered a health care facility?

A) Primary Care Physician's Office
B) Home Health Care Agency
C) Gym
D) Skilled Nursing Facility

Question 18

Chapone Health Care is an organization that owns a number of different health care facilities: three acute care hospitals, two long-term care facilities, and a number of physician offices. Chapone also owns a rehabilitation hospital and an assisted living facility, which also delivers home care. The organization delivers care to patients at every point along the continuum of care. Chapone Health Care can be described as a(n):

A) Hospital
B) Chain
C) Fiscal intermediary
D) Integrated health care delivery system

Question 19

Acute care discharge includes the following EXCEPT:

A) A patient who did not have an overnight stay in the acute care facility
B) A patient dies in the acute care facility
C) Patient is transferred to another health care facility
D) Patient left acute care facility against medical advice

Question 20

Which of the following is an example of a diagnosis?

A) Tonsillitis
B) Appendectomy
C) Chest x-ray
D) Physical therapy

Question 21

Health Information Management professionals are responsible for all of the following EXCEPT:

A) Medical coding and billing
B) Management of all health records
C) Privacy, confidentiality, and security of patient information
D) Patient admission

Question 22

Which health care professional is responsible for educating patients about medication regimens from the patient care plan?

A) Health Information Technologist
B) Physician
C) Psychologist
D) Nurse

Question 23

Which health care professionals are responsible for orders that create the treatment plan?

A) Nurses
B) Physicians
C) Physical Therapists
D) Medical Assistants

Question 24

How is the support from the American Health Information Management Association (AHIMA) different from the American Academy of Professional Coders (AAPC)?

A) The AAPC only supports coders.
B) AHIMA supports health information management professionals whereas AAPC supports billing professionals.
C) AAPC supports health information management professionals whereas AHIMA supports billing professionals.
D) Both organizations support only medical coding and billing activities.

Question 25

Nonprofit health care facilities have the following characteristics EXCEPT:

A) Surplus income belongs to shareholders
B) Have a board of directors
C) All income beyond net income is used for charitable purposes
D) Receive federal tax breaks

Question 26

All health care professionals must adhere to their medical discipline's ____ standards.

A) Accreditation
B) Certification
C) Professional
D) Licensure

Question 27

A facility is reviewing its policies and procedures to ensure that it complies with Joint Commission standards. This facility is concerned about its:

A) Accreditation
B) Certification
C) Licensure
D) Registration

Question 28

A nurse is responsible for:

A) Delivering and managing patient care
B) Ordering prescriptions
C) Ordering the patient to be admitted or discharged
D) Developing a patient treatment care plan

Question 29

The state approves the number of beds a hospital is allowed to have as part of its:

A) Licensure
B) Accreditation
C) Registration
D) Certification

Question 30

A primary care physician will usually NOT:

A) Provide specialty medical care
B) Evaluate and consult
C) Refer patients to a specialist
D) Coordinate all patient care

Question 31

Which of the following is NOT an AHIMA credential?

A) RHIT
B) CCS
C) CHP
D) CHS

Question 32

Medicare is administered by:

A) FDA
B) CMS
C) Individual states
D) NCQA

Question 33

Which is not an example of an allied health professional?

A) Respiratory Therapist
B) Surgical Technologist
C) Gastroenterologist
D) Dietician

Question 34

Which of the following is a requirement of obtaining the RHIT credential?

A) Having an Associate's Degree in Health Information Technology
B) Medical coding experience
C) Obtaining an Associate's degree from a CAHIIM accredited Health Information Technology Program
D) Having work experience in Health Information Technology

Question 35

HIT Pro Courses and Examinations are used to prepare professionals to:

A) Manage paper-based health records
B) Address issues related to patient health care confidentiality and privacy
C) Design a medical records department
D) Implement an electronic health records system

Question 36

Which of the following agencies can qualify an acute care facility for "deemed status"?

A) State department of health
B) CARF
C) The Joint Commission (TJC)
D) COP

Question 37

Which health care professional is responsible to assist in exercises under a patient care plan?

A) Nurse Anesthetist
B) Gastroenterologist
C) Behavioral Specialist
D) Physical Therapist

Question 38

A Primary Care Physician will be most likely to perform which of the following?

A) Remove breast tumor
B) Take a chest x-ray
C) Analyze routine blood test results
D) A colonoscopy

Question 39

Unlike Medicare, eligibility for Medicaid is primarily based on:

A) Age
B) Disability
C) Economic circumstances
D) Military service

Question 40

Nurse midwives and nurse anesthetists are examples of a(n):

A) LVN
B) RN
C) MSN
D) APRN

Question 41

When one physician asks another physician for an opinion regarding the care of a patient, the first physician is asking for a ____________.

Question 42

A health care organization that has permanent facilities, 24-hour nursing care, and an organized medical staff is a type of _________.

Question 43

Voluntary compliance with a set of standards developed by an independent agency is part of the _________ process.

Question 44

Is a physician an allied health professional? Why or why not?

Question 45

Patients whose care requires them to remain in the hospital overnight are called _______.

Question 46

List six medical specialties and describe what they do.

Question 47

An ________ provides care to patients at all or most points along the continuum of care.

Question 48

Palliative care for the terminally ill is the focus of ________care.

Question 49

The actual number of beds that a hospital has available for inpatients is called the _________.

Question 50

Medicare waives compliance audits for appropriately accredited facilities by granting them _________.

Question 51

Health care professionals must adhere to their discipline's ____________.

Question 52

List six health-related (allied health) professions and describe what they do.

Question 53

Is there a difference between an MD and a DO? What kind of professionals are these?

Question 54

A hospital with an average length of stay of less than 30 days, an emergency department, operating suite, and clinical departments to handle a broad range of diagnoses and treatments is most likely an ________.

Question 55

Match the following terms with their definitions.

A) Administers substances that cause loss of sensation
B) Specializes in patients with cancer
C) Care related to the female reproductive system
D) Cares for women before, during, and after delivery
E) Delivers primary health care for children
F) Delivers primary health care for patients of all ages
G) Diseases and abnormal conditions of newborns
H) Diseases of the digestive system
I) Diseases of the heart and blood vessels
J) Diseases of the muscles and bones
K) Disorders of the skin
L) Diseases of the mind
M) Eye diseases
N) Patients who have strong reactions to pollen and insect bites
O) Studies changes in cells, tissues, and organs
1. Allergist
2. Anesthesiologist
3. Cardiologist
4. Dermatologist
5. Family practitioner
6. Gastroenterologist
7. Gynecologist
8. Neonatologist
9. Obstetrician
10. Oncologist
11. Ophthalmologist
12. Orthopedist
13. Pathologist
14. Pediatrician
15. Psychiatrist

Question 56

Occupational therapy is an example of a(n) ________.

Question 57

List at least six duties that the Health Information Management Department is responsible for.

Question 58

_________ focuses on treating patients where they reside.

Question 59

A specialty inpatient facility that focuses on the treatment of individuals who are not adults is a _________.

Question 60

Distinguish between diagnosis and procedure. Give examples of both.

Question 61

The broad range of services that may be required by a patient in his/her lifetime is referred to as the __________.

Question 63

List and describe in your own words how facilities can be different from each other.

Question 64

Describe how government regulates and pays for health care.

Question 65

What problems arise in an acute care facility in distinguishing between an outpatient and an inpatient?

Question 66

Compare and contrast acute care and ambulatory care.

Question 67

What is the difference between licensure and accreditation?

Question 68

List and define three health care settings other than acute care and ambulatory care.

Question 69

What is accreditation?

Question 70

List four accrediting bodies and which health care facilities or professionals they can accredit.

Question 71

Define licensure.