Deck 4: Organization of Health Services
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Deck 4: Organization of Health Services
1
1Which of the following is NOT a function of state governments?
A) Operate facilities for American Indians
B) Regulate the insurance industry
C) License health care personnel and facilities
D) Establish health codes
A) Operate facilities for American Indians
B) Regulate the insurance industry
C) License health care personnel and facilities
D) Establish health codes
Operate facilities for American Indians
2
What are the primary consumers of home health care?
A) Accident victims
B) Terminally ill patients
C) The elderly
D) Mentally ill patients
A) Accident victims
B) Terminally ill patients
C) The elderly
D) Mentally ill patients
The elderly
3
Which of the following types of treatment are NOT included with hospice care?
A) Legal needs of family
B) Emotional needs of family
C) Relief of pain
D) Curative care
A) Legal needs of family
B) Emotional needs of family
C) Relief of pain
D) Curative care
Curative care
4
The current average length of stay (ALOS) for long-term care hospitals (LTHCs) is approximately how many days?
A) 5 days
B) 10 days
C) 25 days
D) 30 days
A) 5 days
B) 10 days
C) 25 days
D) 30 days
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5
Which of the following is NOT an advantage experienced by physicians in a solo practice?
A) Autonomy
B) Better personal relationships with patients
C) Longer on-call hours
D) Lower financial risk
A) Autonomy
B) Better personal relationships with patients
C) Longer on-call hours
D) Lower financial risk
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6
The average size of a hospital in the United States is approximately how many beds?
A) less than 100
B) 164
C) 250
D) 364
A) less than 100
B) 164
C) 250
D) 364
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7
Approximately what percentage of home health care agencies are for-profit?
A) 25 percent
B) 52 percent
C) 10 percent
D) 76 percent
A) 25 percent
B) 52 percent
C) 10 percent
D) 76 percent
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8
Approximately what percentage of psychiatric hospitals are for-profit?
A) 43 percent
B) 25 percent
C) 19 percent
D) 72 percent
A) 43 percent
B) 25 percent
C) 19 percent
D) 72 percent
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9
Approximately how many teaching hospitals are there in the United States?
A) 400
B) 200
C) 500
D) 600
A) 400
B) 200
C) 500
D) 600
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10
Approximately what percentage of all hospital admissions originate in the Emergency Department?
A) 25 percent
B) 15 percent
C) 75 percent
D) 45 percent
A) 25 percent
B) 15 percent
C) 75 percent
D) 45 percent
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11
Allocation of resources in health care involves determining which of the following?
A) Where to place training centers
B) How many seats should be offered
C) Where and in what specialties residencies should be offered
D) All of the above
A) Where to place training centers
B) How many seats should be offered
C) Where and in what specialties residencies should be offered
D) All of the above
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12
Which of the following describes sub-acute care?
A) Always occurs following an acute care hospitalization
B) May be given in nursing homes, rehabilitation and long-term care hospitals, or through outpatient physical and occupational therapy
C) Does not have to be provided in an inpatient setting
D) Is delivered inpatient and may be used after a hospital stay or in place of an acute care hospital stay
A) Always occurs following an acute care hospitalization
B) May be given in nursing homes, rehabilitation and long-term care hospitals, or through outpatient physical and occupational therapy
C) Does not have to be provided in an inpatient setting
D) Is delivered inpatient and may be used after a hospital stay or in place of an acute care hospital stay
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13
Which of the following describes a type of ambulatory care?
A) Hospice care for the terminally ill
B) Surgical care requiring an overnight stay
C) Physical therapy delivered in freestanding centers or outpatient hospital clinics
D) Admission to a psychiatric ward for evaluation and therapy
A) Hospice care for the terminally ill
B) Surgical care requiring an overnight stay
C) Physical therapy delivered in freestanding centers or outpatient hospital clinics
D) Admission to a psychiatric ward for evaluation and therapy
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14
Which of the following is NOT an advantage experienced by physicians in a group practice?
A) Autonomy
B) Less financial risk
C) More flexible work schedules
D) Lower overhead costs
A) Autonomy
B) Less financial risk
C) More flexible work schedules
D) Lower overhead costs
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15
Most special care units in nursing homes are dedicated to what condition(s)?
A) Heart disease
B) Alzheimer's disease or related dementias
C) Hospice care
D) Cancer and physical therapy
A) Heart disease
B) Alzheimer's disease or related dementias
C) Hospice care
D) Cancer and physical therapy
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16
Approximately what percentage of community hospitals are for-profit?
A) 75 percent
B) 25 percent
C) 19 percent
D) 50 percent
Completion
Complete each statement.
A) 75 percent
B) 25 percent
C) 19 percent
D) 50 percent
Completion
Complete each statement.
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17
Which of the following describes the largest percentage of hospitals in the United States?
A) Nongovernmental and not-for-profit
B) For-profit and privately subsidized
C) Governmental and for-profit
D) Nongovernmental and for-profit
A) Nongovernmental and not-for-profit
B) For-profit and privately subsidized
C) Governmental and for-profit
D) Nongovernmental and for-profit
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18
Which of the following is not one of the three primary components of the medical care system?
A) Patients
B) Insurers
C) Providers
D) Health-care system
A) Patients
B) Insurers
C) Providers
D) Health-care system
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19
Which of the following is a reason why the use of ambulatory care, especially ambulatory surgical care, has increased since the 1980s?
A) New medical and diagnostic procedures and better technology have enabled providers to perform more procedures safely in an outpatient setting.
B) There is consumer demand for convenient and accessible services that do not necessitate an inpatient stay.
C) Changes in reimbursement.
D) All of the above
A) New medical and diagnostic procedures and better technology have enabled providers to perform more procedures safely in an outpatient setting.
B) There is consumer demand for convenient and accessible services that do not necessitate an inpatient stay.
C) Changes in reimbursement.
D) All of the above
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20
Approximately what percentage of nursing homes are for-profit?
A) 43 percent
B) 67 percent
C) 19 percent
D) 92 percent
A) 43 percent
B) 67 percent
C) 19 percent
D) 92 percent
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21
We call the organization that pays for care the "__party" in a health care transaction, because the payer is outside of the first- (patient) and second- (provider) party contract.
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22
The __component determines how we pay for care.
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23
Match the term with the definition or description:
A network of doctors and hospitals that shares responsibility for providing care to patients
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
A network of doctors and hospitals that shares responsibility for providing care to patients
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
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24
The __is the largest single payer of health care.
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25
Match the term with the definition or description:
Personal health or medical care services that are provided to a patient who is not institutionalized
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
Personal health or medical care services that are provided to a patient who is not institutionalized
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
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26
Ambulatory care is often used synonymously with the term __care.
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27
Match the term with the definition or description:
A majority are voluntary, not-for-profit, community, general hospitals.
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
A majority are voluntary, not-for-profit, community, general hospitals.
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
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28
The organization and __component includes the different organizations that deliver care to patients.
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29
Medicare changed hospital reimbursement from a cost-based system to the __payment system in 1983.
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30
Match the term with the definition or description:
A type of long-term care service for patients who have limitations in some activities of daily living or instrumental activities of daily living, but do not need full-time nursing care
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
A type of long-term care service for patients who have limitations in some activities of daily living or instrumental activities of daily living, but do not need full-time nursing care
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
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31
Match the term with the definition or description:
Care that is provided in a person's private residence
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
Care that is provided in a person's private residence
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
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32
Match the term with the definition or description:
Three or more physicians forming a single-specialty practice or a multi-specialty practice
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
Three or more physicians forming a single-specialty practice or a multi-specialty practice
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
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33
__in New York City is the nation's largest not-for-profit, nonsectarian hospital in the United States.
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34
Match the term with the definition or description:
Regulates drugs and medical devices
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
Regulates drugs and medical devices
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
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35
The most common type of hospital is a general medical/surgical __hospital.
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36
The __component includes such activities as state government licensure of hospitals and physicians and federal government oversight of the pharmaceutical industry.
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37
Match the term with the definition or description:
Freestanding urgent care centers
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
Freestanding urgent care centers
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
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38
For short-stay hospitals, the __(ALOS) is less than 30 days.
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39
Match the term with the definition or description:
Designed to care for very complex patients with longer-term needs
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
Designed to care for very complex patients with longer-term needs
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
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40
Match the term with the definition or description:
States that if a hospital does have an emergency department, it must examine and stabilize all patients who seek care there, regardless of their willingness or ability to pay.
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
States that if a hospital does have an emergency department, it must examine and stabilize all patients who seek care there, regardless of their willingness or ability to pay.
A)Accountable care organization (ACO)
B)Ambulatory care
C)Assisted living
D)Home health care
E)Short-stay hospitals
F)"Docs in a box"
G)Emergency Medical Treatment and Labor Act of 1986
H)Food and Drug Administration (FDA)
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41
Match the term with the definition or description:
Organization through which the federal government operates facilities for American Indians
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
Organization through which the federal government operates facilities for American Indians
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
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42
Match the term with the definition or description:
Takes place in many settings including hospitals, nursing homes, assisted living, and home health and hospice care
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
Takes place in many settings including hospitals, nursing homes, assisted living, and home health and hospice care
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
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43
Match the term with the definition or description:
Have been shown time and again to lead to higher costs and lower quality
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
Have been shown time and again to lead to higher costs and lower quality
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
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44
Match the term with the definition or description:
Is delivered in the inpatient setting to patients who are suffering from an injury or acute illness or an exacerbation of an existing condition
A)Skilled nursing facilities (SNFs)
B)Solo practitioner
C)Sub-acute care
D)Teaching hospitals
Is delivered in the inpatient setting to patients who are suffering from an injury or acute illness or an exacerbation of an existing condition
A)Skilled nursing facilities (SNFs)
B)Solo practitioner
C)Sub-acute care
D)Teaching hospitals
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45
Match the term with the definition or description:
Palliative care to the terminally ill and their families
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
Palliative care to the terminally ill and their families
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
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46
Match the term with the definition or description:
A physician practicing independently without any partner
A)Skilled nursing facilities (SNFs)
B)Solo practitioner
C)Sub-acute care
D)Teaching hospitals
A physician practicing independently without any partner
A)Skilled nursing facilities (SNFs)
B)Solo practitioner
C)Sub-acute care
D)Teaching hospitals
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47
Match the term with the definition or description:
Provide short-term skilled nursing care on an inpatient basis, usually following hospitalization
A)Skilled nursing facilities (SNFs)
B)Solo practitioner
C)Sub-acute care
D)Teaching hospitals
Provide short-term skilled nursing care on an inpatient basis, usually following hospitalization
A)Skilled nursing facilities (SNFs)
B)Solo practitioner
C)Sub-acute care
D)Teaching hospitals
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48
Match the term with the definition or description:
Always occurs following an acute care hospitalization and does not have to be provided in an inpatient setting
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
Always occurs following an acute care hospitalization and does not have to be provided in an inpatient setting
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
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49
Match the term with the definition or description:
Establishments with three or more beds that provide nursing or personal care services to the senior, infirm, or chronically ill populations
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
Establishments with three or more beds that provide nursing or personal care services to the senior, infirm, or chronically ill populations
A)For-profit organizations
B)Group practice
C)Hospice care
D)Post-acute care
E)Indian Health Service
F)Inpatient care
G)Long-stay hospitals
H)Nursing homes
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50
Match the term with the definition or description:
Provide training for residents and interns and must have at least one approved residency program for medicine or dentistry
A)Skilled nursing facilities (SNFs)
B)Solo practitioner
C)Sub-acute care
D)Teaching hospitals
Provide training for residents and interns and must have at least one approved residency program for medicine or dentistry
A)Skilled nursing facilities (SNFs)
B)Solo practitioner
C)Sub-acute care
D)Teaching hospitals
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