Deck 9: Health Care Facilities

Question 1

Which of the agencies that regulate components of the health care delivery system is responsible for certifying home care and community health organizations?

A) Council on Accreditation (COA)
B) Commission for Accreditation of Rehabilitation Facilities (CARF)
C) Continuing Care Accreditation Commission (CCAC)
D) Accreditation Commission for Health Care, Inc. (ACHC)

Answer 1

Accreditation Commission for Health Care, Inc. (ACHC)

Question 2

Match the term with the appropriate definition or description:
Which of the following is NOT a function of the board of directors in a hospital?

A) It selects the CEO of the hospital.
B) It is responsible for licensing physicians.
C) It reviews major managerial decisions and performance.
D) It raises funds.

Answer 2

It is responsible for licensing physicians.

Question 3

Match the term with the appropriate definition or description:
What type of facility provides care to patients with clinically complex problems who need acute care for long time periods?

A) Long-term care hospitals
B) Short-term care hospitals
C) General acute care hospitals
D) Rehabilitative hospitals

Answer 3

Long-term care hospitals

Question 4

Match the term with the appropriate definition or description:
How do hospitals respond to negative changes in economic conditions?

A) By reducing staff
B) By eliminating emergency department treatment
C) By reducing Medicare-reimbursed procedures
D) By increasing post-acute care

Question 5

Match the term with the appropriate definition or description:
What two major medical breakthroughs in the late 1800s led to the dramatic growth in the number of hospitals?

A) Development of the germ theory of disease and the development of safe anesthesia
B) Development of antibiotics and the development of safe anesthesia
C) Development of the germ theory of disease and the development of antibiotics
D) The development of antibiotics and the development of vaccinations for common diseases

Question 6

Match the term with the appropriate definition or description:
What type of facility provides emergency care, general surgery, and admits patients for a wide range of conditions and procedures?

A) Specialty hospitals
B) Skilled nursing facilities
C) General acute care hospitals
D) Rehabilitative hospitals

Question 7

Match the term with the appropriate definition or description:
What is the fastest growing medical specialty?

A) Orthodontics
B) Hospitalists
C) Pediatrics
D) Obstetrics

Question 8

Which of the agencies that regulate components of the health care delivery system is responsible for certifying hospital-based or freestanding medical rehabilitation centers, adult day services, and assisted living centers?

A) Council on Accreditation (COA)
B) Commission for Accreditation of Rehabilitation Facilities (CARF)
C) Continuing Care Accreditation Commission (CCAC)
D) Accreditation Commission for Health Care, Inc. (ACHC)

Question 9

Match the term with the appropriate definition or description:
What type of facility must be located in a rural area and be more than 35 miles from any other hospital or 15 miles from another hospital in mountainous terrain or areas with only secondary roads?

A) Critical access hospitals
B) Skilled nursing facilities
C) Physician-owned specialty hospitals
D) Behavioral hospitals

Question 10

Match the term with the appropriate definition or description:
During which decade did hospitals, physicians, or other health professionals begin to engage in advertising?

A) 1980s
B) 1950s
C) 1960s
D) 1990s

Question 11

Match the term with the appropriate definition or description:
Which of the following describes the ruling in the Darling Case (1968)?

A) The Board of Directors was not held liable for errors made by admitting physicians.
B) The physician, and not the Board of Directors, was held liable.
C) The Board of Directors was held liable because it failed to put a quality-control mechanism in place to oversee the granting of admitting privileges for physicians.
D) None of the above

Question 12

Match the term with the appropriate definition or description:
Who developed the germ theory of disease?

A) Dr. Thomas Bond and Robert Koch
B) Louis Pasteur and Benjamin Franklin
C) Ignaz Semmelweis and Dr. Thomas Bond
D) Louis Pasteur and Robert Koch

Question 13

Match the term with the appropriate definition or description:
What type of facility is referred to as a boutique hospital?

A) Critical access hospitals
B) Skilled nursing facilities
C) Physician-owned specialty hospitals
D) Behavioral hospitals

Question 14

Match the term with the appropriate definition or description:
Who founded The Pennsylvania Hospital, the first hospital in the United States?

A) Robert Koch
B) Benjamin Franklin and Dr. Thomas Bond
C) Louis Pasteur and Benjamin Franklin
D) Thomas Edison and Robert Koch

Question 15

Match the term with the appropriate definition or description:
When hospital beds are empty, they cost approximately what percentage of what the full cost is when beds are filled?

A) 70 percent
B) 50 percent
C) 90 percent
D) 25 percent

Question 16

Which of the agencies that regulate components of the health care delivery system is responsible for outpatient mental health, residential treatment centers, alcohol and other substance abuse treatment centers, and therapeutic foster care?

A) Council on Accreditation (COA)
B) Commission for Accreditation of Rehabilitation Facilities (CARF)
C) Continuing Care Accreditation Commission (CCAC)
D) Accreditation Commission for Health Care, Inc. (ACHC)

Question 17

Which of the agencies that regulate components of the health care delivery system is responsible for continuing care retirement communities?

A) Council on Accreditation (COA)
B) Commission for Accreditation of Rehabilitation Facilities (CARF)
C) Continuing Care Accreditation Commission (CCAC)
D) Accreditation Commission for Health Care, Inc. (ACHC)

Question 18

Match the term with the appropriate definition or description:
What type of facility specializes in providing services to stabilized patients who are diagnosed with trauma or disease and need to learn how to function again in an inpatient setting?

A) Specialty hospitals
B) Skilled nursing facilities
C) General acute care hospitals
D) Rehabilitative hospitals
Completion
Complete each statement.

Question 19

Match the term with the appropriate definition or description:
What type of facility provides inpatient care with highly technical tertiary or services for specific conditions, such as cancer or pediatrics?

A) Specialty hospitals
B) Skilled nursing facilities
C) General acute care hospitals
D) Rehabilitative hospitals

Question 20

Match the term with the appropriate definition or description:
What type of facility specializes in treating individuals with a mental health diagnosis?

A) Critical access hospitals
B) Skilled nursing facilities
C) Physician-owned specialty hospitals
D) Behavioral hospitals

Question 21

A multi-hospital chain is an example of __integration of corporate structure.

Question 22

__is patient care for which a hospital does not expect to be reimbursed.

Question 23

A __is a physician who specializes in the care of inpatients in place of the primary care physician.

Question 24

The prospective payment system (PPS) method of payment uses __(DRGs) to reimburse hospitals based on the primary diagnosis of the patient they treat.

Question 25

Match the term with the appropriate definition or description:
Provides assistance to CAHs, encourages the development of rural health networks, assists with quality improvement efforts, and improves rural emergency medical services

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 26

Vertical integration can encompass __vertical integration, where hospitals purchase a manufacturer of medical supplies or technology, a biotech company, or a producer of biotech products used in hospitals.

Question 27

Small hospitals, with fewer than 100 beds are predominantly located in __areas and are at high risk for closure.

Question 28

__(ALFs) bridge the gap between a skilled nursing facility and the patient's home.

Question 29

Match the term with the appropriate definition or description:
Incurred from services not reimbursed that are provided with the expectation of being reimbursed

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 30

__is incurred from services not reimbursed that are provided with the expectation of being reimbursed.

Question 31

Match the term with the appropriate definition or description:
Patient care for which a hospital does not expect to be reimbursed

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 32

Hospitals obtain patients from a __system composed of office-based physicians who typically refer patients needing further care to hospitals.

Question 33

Hospitals that operate joint ventures were found to have a higher occupancy rate and a longer average length of stay, more __strategies, lower long-term debt, and more managed care contracts.

Question 34

The difference between the hospital cost of care and the amount paid to the hospital for providing care is called a(n) ______.

Question 35

Match the term with the appropriate definition or description:
The difference between the hospital cost of care and the amount paid to the hospital for providing care

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 36

Vertical integration can include __vertical integration, where hospitals purchase health maintenance organizations (HMOs), wellness clinics, surgi-centers, or rehab centers.

Question 37

__care is a large category that includes all care for which there was no payment received from a patient or a payer.

Question 38

The final authority for hospital operations rests with the __or trustees.

Question 39

A unique organizational characteristic of hospitals is that they have physicians who are not employees, but __with admitting privileges.

Question 40

Match the term with the appropriate definition or description:
The merger of similar organizations, such as hospitals with hospitals, and nursing homes with nursing homes

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 41

Match the term with the appropriate definition or description:
Combines multiple units in which people can live on their own but with access to some care assistance

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 42

Match the term with the appropriate definition or description:
Must be located in a rural area and be more than 35 miles from any other hospital or 15 miles from another hospital in mountainous terrain or areas with only secondary roads

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 43

Match the term with the appropriate definition or description:
Provide inpatient care with highly technical tertiary or specialized services for specific conditions, such as cancer or pediatrics

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 44

Match the term with the appropriate definition or description:
Include freestanding outpatient diagnostic services, inpatient rehabilitation, freestanding outpatient surgery services, industrial medicine, and women's medicine and are implemented to increase both profits and patient volume

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 45

Match the term with the appropriate definition or description:
Success is dependent on nurses who work closely with the doctors to oversee the patients' care

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 46

Match the term with the appropriate definition or description:
One of the main economic drivers in the local economy, offering stable employment throughout economic cycles

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 47

Match the term with the appropriate definition or description:
Hospitals and physicians work together to improve services and/or increase market share

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 48

Match the term with the appropriate definition or description:
Designed to bring hospital beds to areas that were previously underserved

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 49

Match the term with the appropriate definition or description:
When a hospital joins with one or more health maintenance organizations (HMOs), outpatient clinics, home health agencies, rehabilitation centers, long-term care facilities, or wellness clinics

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment

Question 50

Match the term with the appropriate definition or description:
Furnishes outpatient surgical procedures to patients who do not require an overnight stay following the procedure

A)ambulatory surgical center
B)bad debt
C)charity care
D)critical access hospital (CAH)
E)diversification strategies
F)Hill-Burton Act
G)hospital
H)horizontal integration
I)independent living facility
J)joint ventures
K)medical home
L)rural hospital flexibility program
M)vertical integration
N)specialty hospital
O)underpayment