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92 Cards in this Set

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1. Which of the following historical events had the most influence on the US government's role in financing healthcare delivery?




a) Great depression


b) WW I


c) WW II


d) Civil War

a) Great depression

2. What federal legislation provides funding for the implementation of nationwide health information exchange?




a) Health Insurance Portability and Accountability Act of 1996


b) American Recovery and Reinvestment Act of 2009


c) Omnibus Quality Improvement Act of 1986

b) American Recovery and Reinvestment Act of 2009

3. Which of the following recent developments has a significant influence on the US healthcare delivery system?




a) Growth of managed care


b) Emphasis on patient-focused care


c) Shortage of well-trained physicians


d) Growth of subacute care

c) Shortage of well-trained physicians

4. What is the primary goal of integrated healthcare delivery system?




a) Ensure that every hospital that is part of an integrated delivery system is equipped to meet all of its patients' need


b) Ensure that patients receive high-quality, cost-effective care in the most appropriate setting


c) Ensure that every American has equal access to healthcare services


d) Ensures that healthcare-related information can be shared among all the facilities operating in the same community

b) Ensure that patients receive high-quality, cost-effective care in the most appropriate setting

5. I had surgery this morning. My surgery only lasted 30 mins and I was ready to leave the facility 2 hours later. I must have had surgery at which type of facility?




a) Freestanding ambulatory care center


b) Freestanding ambulatory surgery center


c) Subacute care


d) Integrated delivery system

b) Freestanding ambulatory surgery center

6. I started a new job. I have several choices for my health insurance. I want a managed care plan so my obvious choice is:




a) Health savings account


b) Blue Cross / Blue Shield


c) TRICARE


d) Preferred provider organization

d) Preferred provider organization

7. Which of the following factor(s) may be considered in classifying the various types of hospitals?




a) Type of services provided


b) For-profit or not-for-profit status


c) Type of ownership


d) All of the above

d) All of the above

8. I started a new job. I have several choices for my health insurance. I want one with a high deductible and more control over how my money is spent. I should consider which of the following?




a) Health saving account


b) Health maintenance organization


c) TRICARE


d) Preferred provider organization

a) Health saving account

9. Which of the following pieces of federal legislation did not have a significant effect on the American healthcare system?




a) Public Law 98-21 of 1983


b) Public Law 89-97 of 1965


c) The Social Security Act of 1935


d) The Tax Equity and Fiscal Responsibility Act of 1982

c) The Social Security Act of 1935

10. What was the main result of the publication of the Flexner report?




a) Medical school standards were established.


b) Nursing school standards were established.


c) Hospital standards were established.


d) Health information management standards were established.

a) Medical school standards were established.

11. Which organization developed the first hospital standardization program?




a) Joint Commission


b) American Osteopathic Association


c) American College of Surgeons


d) American Association of Medical Colleges

c) American College of Surgeons

12. Which of the following can be defined as a voluntary system of institutional review in which a quasi independent body periodically evaluates the quality of the services provided by healthcare organizations against written criteria?




a) Accreditation


b) Standardization


c) Licensure


d) Professionalization

a) Accreditation

13. Which federal legislation enacted the Medicare and Medicaid programs?




a) Public Law 92-603 of 1972


b) Public Law 89-97 of 1965


c) Public Law 98- 21 of 1983


d) Utilization Review Act of 1977

b) Public Law 89-97 of 1965

14. Which of the following nest describes the Medicaid program?




a) Provides healthcare benefits for people aged 65 and older.


b) Provides healthcare benefits to low-income persons and their children


c) Authorizes states to construct new hospitals


d) Requires extensive changes in the Medicare program

b) Provides healthcare benefits to low-income persons and their children

15. Which of the following statements best describes Medicaid?




a) State program that finances healthcare services for the elderly


b) Federal program that finances healthcare services for the elderly


c) State program that finances healthcare services for low-income families


d) Federal program that finances healthcare services for low-income families

d) Federal program that finances healthcare services for low-income families

16. Which governmental entity (entities) administer(s) the Medicaid program?




a) Federal government


b) State government


c) County governments


d) Peer review organization

b) State government

17. Which of the following types of healthcare organization are privately owned; that is, which of the following healthcare organizations pay out their excess revenues in the form of bonuses and dividends to managers, owners, and investors?




a) Not-for-profit hospitals


b) Voluntary hospitals


c) For-profit hospitals


d) Government hospitals

c) For-profit hospitals

18. Which of the following would be categorized as voluntary hospitals?




a) US Air Force hospitals


b) University hospitals


c) Investor-owned hospitals


d) Propriety hospitals

b) University hospitals

19. Who is primarily responsible for setting the overall direction of an acute-care hospital?




a) Chief executive officer


b) Medica Staff


c) Board of directors


d) Organization's stockholders

c) Board of directors

20. Which of the following refers to the organization of physicians according to clinical assignment?




a) Medical staff classification


b) Medical staff bylaws


c) Medical staff credentialing


d) Case management

a) Medical staff classification

21. Which of the following dictates how the medical staff operates?




a) Medical staff classification


b) Medical staff bylaws


c) Medical staff credentialing


d) Medical staff committees

b) Medical staff bylaws

22. Who is responsible for implementing the policies and strategic direction of the hospital or healthcare organization and for building an effective executive management team?




a) Board of direction


b) Chief executive officer


c) Chief information officer


d) Chief of staff

b) Chief executive officer

23. Accountable care organizations were initiated from what law?




a) Omnibus Budget Reconciliation Act of 1990


b) American Recovery and Reinvestment Act of 2009


c) Health Insurance Portability and Accountability Act of 1996


d) Patient Protection and Affordable Care Act of 2010

d) Patient Protection and Affordable Care Act of 2010

648-1. What healthcare professional assists physicians in clinical assessments and patient education?




a) Diagnostic Medical Sonographers


b) Health information managers


c) Clinical laboratory technicians


d) Physician assistants



d) Physician assistants

648-2. Licensure tests to practice medicine are administered by:




a) Medical schools


b) Federal licensure board


c) Department oh Health and Human Services


d) State licensure boards

d) State licensure boards

648-3. Which of the following statement is true about registered nurses?




a) Nurses serve the same roles within an organization.


b) Nurses are required to have a license in the state in which they practice.


c) Nurses are graduates of nonacademic training program.


d) Nurses must have a bachelor's degree from an approved nursing school.

b) Nurses are required to have a license in the state in which they practice.

649-4. Which of the following professions is generally considered to be an allied health career?




a) Clinical laboratory science


b) Physician


c) Nurse


d) Medical student

a) Clinical laboratory science

649-5. To become board-certified in pediatrics, which of the following would an internal medicine physician need to do?




a) Complete continuing education courses in pediatric medicine and pass a national examination


b) Complete graduate training in pediatric medicine and pass a national examination


c) Apply for a new credential from the state licensure board


d) Attend continuing medical education programs

b) Complete graduate training in pediatric medicine and pass a national examination

649-6. The adoption of the Minimum Standards marked the beginning of what modern practice for healthcare organization?




a) Accreditation


b) Licensing


c) Reform


d) Educational

a) Accreditation

649-7. According to the AMA, which of the following incorporates the healthcare-related professions that function to assist, facilitate, and/or complete the work of physicians and other clinical specialists?




a) Home health


b) Nursing care


c) Ambulatory care


d) Allied health

d) Allied health

649-8. T or F


Respiratory therapists treat patients with limited mobility.

F

649-9. T or F


Physical therapy assistants develop treatment plans.

F

649-10. T or F


A sonographer is a specialization of diagnostic imaging technologist.

T

663-1. Which of the following laws created the Health Insurance Portability and Accountability Act?




a) Health Insurance Portability and Accountability Act


b) American Recovery and Reinvestment Act


c) Consolidated Omnibus Budget Reconciliation Act


d) Healthcare Quality Improvement Act





d) Healthcare Quality Improvement Act

663-2. What government agency supports medical research?




a) Social Security Administration


b) Centers for Medicare and Medicaid Services


c) US Public Health Service


d) National Institutes of Health

d) National Institutes of Health

663-3. A HIT student has asked you why Medicare reimburses healthcare providers through prospective payment systems. Which of the following pieces of legislation would you see as your explanation?




a) Peer Review Improvement Act of 1982


b)Consolidated Budget Reconciliation Act of 1986


c) Tax Equity and Fiscal Responsibility Act of 1982


d) Omnibus Budget Reconciliation Act of 1986



c) Tax Equity and Fiscal Responsibility Act of 1982

663-4. A friend and I are debating cell-based technologies. Which of the hollowing is a reason why I might argue for this technology?




a) It uses magnetic and radio-frequency to record images of soft tissue.


b) Diseases could be diagnosed earlier.


c) It studies the blood to diagnose conditions.


d) It looks for microorganisms.

b) Diseases could be diagnosed earlier.

664-5. Which of the following best describes Medicaid?




a) Federal program targeted principally for those 65 years and older


b) Federally mandated healthcare program for low-income people


c) Healthcare program limited to those under 65 years old


d) Healthcare program for low-income persons regardless of age that is totally financially supported and operated by the states

b) Federally mandated healthcare program for low-income people

664-a. Authorized grants for states to construct new hospitals




6) Healthcare Quality Improvement Act of 1986


7) Omnibus Budget Reconciliation Act of 1990


8) Public Law 92-603 of 1972


9) Omnibus Budget Reconciliation Act of 1989


10) Hill-Burton Act

10) Hill-Burton Act

664-b. Required concurrent review of Medicare and Medicaid patients




6) Healthcare Quality Improvement Act of 1986


7) Omnibus Budget Reconciliation Act of 1990


8) Public Law 92-603 of 1972


9) Omnibus Budget Reconciliation Act of 1989


10) Hill-Burton Act

8) Public Law 92-603 of 1972

664-c. Established the National Practitioner Data Bank




6) Healthcare Quality Improvement Act of 1986


7) Omnibus Budget Reconciliation Act of 1990


8) Public Law 92-603 of 1972


9) Omnibus Budget Reconciliation Act of 1989


10) Hill-Burton Act

6) Healthcare Quality Improvement Act of 1986

664-d. Required PROs to report actions taken against physicians to state medical boards and licensing agencies




6) Healthcare Quality Improvement Act of 1986


7) Omnibus Budget Reconciliation Act of 1990


8) Public Law 92-603 of 1972


9) Omnibus Budget Reconciliation Act of 1989


10) Hill-Burton Act

7) Omnibus Budget Reconciliation Act of 1990

664-e. Instituted and researched the Agency for Healthcare Policy




6) Healthcare Quality Improvement Act of 1986


7) Omnibus Budget Reconciliation Act of 1990


8) Public Law 92-603 of 1972


9) Omnibus Budget Reconciliation Act of 1989


10) Hill-Burton Act

9) Omnibus Budget Reconciliation Act of 1989

669-1. What organization has the mission of promoting the science and art of medicine and to improve public health?




a) The Joint Commission


b) American Medical Association


c) American Hospital Association


d) American College of Healthcare Executives

b) American Medical Association

670-2. Which of following organization can certify the EHR?




a) The Joint Commission


b) Commission of Certification of Health Information Technology


c) American Hospital Association


d) American College of Healthcare Executives

b) Commission of Certification of Health Information Technology

670-3. A college wants to start a new HIT program. Who should the staff contract for program accreditation information?




a) Commission on Certification for Health Informatics and Information Management


b) Commission on Certification of Health Information Technology


c) Commission on Accreditation for Health Informatics and Information Management Education


d) The Joint Commission

c) Commission on Accreditation for Health Informatics and Information Management Education

670-4. At out hospital, a patient died in childbirth. As this is a sentinel event, what do we need to do?




a) Check the National Patient Safety Goals


b) Write an article in the next newsletter


c) Check to see if there is a universal protocol to address this issue


d) Perform a root cause analysis

d) Perform a root cause analysis

670-5. I need to order the Coding Clinic for our coders. Who should I contact?




a) The Joint Commission


b) American Medical Association


c) American Hospital Association


d) American College of Healthcare Executives

c) American Hospital Association

670-a. This association was founded in 1928 under the name of the Association of Record Librarians of North America.




6) The joint Commission


7) Commission on Certification of Heath Information Technology


8) American Nurses Association


9) American Medical Association


10) American Health Information Management Association

10) American Health Information Management Association

670-b. Part of this organization's mission is to work for the improvement of health standards and the availability of healthcare services




6) The joint Commission


7) Commission on Certification of Heath Information Technology


8) American Nurses Association


9) American Medical Association


10) American Health Information Management Association



8) American Nurses Association

670-c. This organization's mission is to certify electronic health records




6) The joint Commission


7) Commission on Certification of Heath Information Technology


8) American Nurses Association


9) American Medical Association


10) American Health Information Management Association

7) Commission on Certification of Heath Information Technology

670-d. This organization developed the National Patient Safety Guidelines




6) The joint Commission


7) Commission on Certification of Heath Information Technology


8) American Nurses Association


9) American Medical Association


10) American Health Information Management Association

6) The joint Commission

670-e. This organization shares information on health and medical practices.




6) The joint Commission


7) Commission on Certification of Heath Information Technology


8) American Nurses Association


9) American Medical Association


10) American Health Information Management Association

9) American Medical Association

681-1. Which of the following is an example of a voluntary hospital?




a) A hospital owned by a for-profit organization


b) VA hospital


c) Military hospitals


d) A not-for-profit hospital owned by a church

d) A not-for-profit hospital owned by a church

681-2. I have been asked who has the primary responsibility to guide the direction of the hospital. My response should be:




a) Board of directors


b) Chief executive officer


c) Medical staff


d) Chief operating officer

a) Board of directors

681-3. The HIM Department is considered to be what type of department?




a) Patient care services


b) Diagnostic and therapeutic servies


c) Administrative support services


d) Clinical suport services

d) Clinical suport services

681-4. Which service uses work and play to help the patient improve independent functioning?




a) Occupational therapy


b) Physical therapy


c) Respiratory therapy


d) Clinical laboratory services



a) Occupational therapy

681-5. Dr. Smith has been granted permission by Community hospital to perform cardiac catheterizations. This permission is called:




a) Clinical privileges


b) Clinical assignment


c) Clinical classification


d) Case management



a) Clinical privileges

682-6. T or F


General hospital provides short-term care to diagnose and/or treat an illness.

T

682-7. T or F


A registered nurse qualified by advanced education and clinical and management experience usually administers patient care services.

T

682-8. T or F


Healthcare reform results in closing of some hospitals.

T

682-9. T or F


The average length of stay for an acute care hospital is 21 days or less.

F

682-10. T or F


Rehabilitation services include only physical therapy and occupational therapy.

F

688-1. I have been asked to describe quality of healthcare. Which of the following would I include in my definition?




a) Care that is provided at the lowest cost


b) The right care is provided at the right time


c) Care that is paid for by an insurance company


d) Care that is administered only in an accredited healthcare facility

b) The right care is provided at the right time

688-2. I work for an organization that owns a hospital, a skilled nursing facility, and physician practices. I work for what type of organization?




a) A managed care organization


b) A state department of public health


c) An accreditation organization


d) An integrated delivery system

d) An integrated delivery system

689-3. Which of the following is true regarding Medicare certification of hospitals?




a) Must be Joint Commission accredited


b) Must be Joint Commission or AOA accredited


c) Must be in compliance with the Conditions of Participation


d) Must be accredited by the Joint Commission and the AOA

c) Must be in compliance with the Conditions of Participation

689-4. I have asked what is the purpose of evidence-based guidelines. How would I respond?




a) They organize the continuum of care.


b) They help to improve the quality of patient care.


c) They provide flexibility to the care provider.


d) They are mandated by Medicare and Medicaid as well as many states.

b) They help to improve the quality of patient care.

689-5. At our facility, our staff on the nursing units are cross-trained to perform many tasks for a small group of patients. This concept is called:




a) Continuous quality improvement


b) Integrated delivery system


c) Reengineering


d) Patient-focused care

d) Patient-focused care

689-6. Quality has several components, including appropriateness, technical excellence, acceptability, and:




a) Accuracy of diagnosis


b) Continuous improvement


c) Connectivity


d) Accessibility

d) Accessibility

689-7. What type of program has been in hospitals for years and required by the Medicare and Medicaid programs as well as accreditation standards?




a) Quality improvement


b) Patient-focused care


c) Managed care


d) Integrated delivery system

a) Quality improvement

689-8. Which of the following is a true statement about peer review?




a) Usually does not improve patient care


b) Is not required by the joint Commission or CMS


c) Involves assessment of the work of colleagues by those in the same profession


d) Involves assessment of the work of physicians by those outside of the medical prodession



c) Involves assessment of the work of colleagues by those in the same profession

689-9. What program attempts to contain hospital inpatient costs and improve quality by restructuring services so that more is done in the nursing unit?




a) Continuous quality improvement


b) Patient-focused care


c) Managed care


d) Acute care

b) Patient-focused care

699-1. I am patient. I went to see the doctor who owns her own office practice. This type of care is called which of the following?




a) Hospital-based ambulatory care services


b) Community-based ambulatory care services


c) Private medical practice


d) Freestanding ambulatory care center

c) Private medical practice

699-2. My daughter fell and cut herself tonight. I believe that she needs stitches. It is not an emergency but I believe that she really needs to see someone tonight for treatment. What type of setting would I most likely access?




a) Hospital-based ambulatory services


b) Community-based ambulatory care services


c) Private medical practice


d) Freestanding ambulatory care center

d) Freestanding ambulatory care center

699-3. I work for a healthcare provider that provides ambulatory care to low-income patients. We receive funding from many sources. What type of setting do I work for?




a) Voluntary agency


b) Subacute care service


c) Private medical practice


d) Skilled nursing facility

a) Voluntary agency

699-4. A physician needs to find palliative are services for a terminally ill parent. What type of long-term care setting is the most appropriate?




a) Residential care facilities


b) Hospice


c) Skilled nursing facilities


d) Nursing home

b) Hospice

699-5. Which of the following statements is true about behavioral health?




a) It provides only day-hospital and day-treatment programs.


b) The quality of the treatment provided has not changed in the past 20 years.


c) Psychiatric care is restricted to ambulatory care settings.


d) Insurance coverage generally places restrictions on the psychiatric care such as a limit on the number of outpatient visits.

d) Insurance coverage generally places restrictions on the psychiatric care such as a limit on the number of outpatient visits.

699-a. Are designed to meet patient's daily living, schooling, recreational, socialization, and routine medical care needs




6) Day-treatment program


7) Skilled nursing facility


8) Residential care facility


9) Public health services


10) Continuum of care

8) Residential care facility

699-b. Has an analysis and leadership role for health promotion and disease prevention




6) Day-treatment program


7) Skilled nursing facility


8) Residential care facility


9) Public health services


10) Continuum of care

9) Public health services

600-c. Provides alternative to inpatient care or serves as a transition from inpatient to outpatient care or discharge




6) Day-treatment program


7) Skilled nursing facility


8) Residential care facility


9) Public health services


10) Continuum of care

6) Day-treatment program

699-d. Care provided by different caregivers at several different levels of the healthcare system




6) Day-treatment program


7) Skilled nursing facility


8) Residential care facility


9) Public health services


10) Continuum of care

10) Continuum of care

699-e. Healthcare rendered in a non-acute care facility to patients who require inpatient nursing and related services for more than 30 consecutive days




6) Day-treatment program


7) Skilled nursing facility


8) Residential care facility


9) Public health services


10) Continuum of care

7) Skilled nursing facility

705-1. A disadvantage of individual health plan is:




a) They do not cover inpatient hospitalizations.


b) They are part of fringe benefits.


c) They have low deductibles.


d) They cost more than group policies.

d) They cost more than group policies.

705-2. I am retired from the military. I am seeing a civilian healthcare provider for my care. What insurance do I most likely have?




a) Medicaid


b) Medicare


c) TRICARE


d) VA

c) TRICARE

705-3. An HMO is a model of a prepaid healthcare plan that falls under what type of reimbursement philosophy?




a) Healthcare saving account


b) Managed care


c) Commercial insurance


d) Consumer-driven healthcare

b) Managed care

705-4. Which of the following best describes workers' compensation insurance?




a) Insurance plan administered by the federal government


b) Insurance system covering healthcare costs associated with work-related injuries


c) Insurance coverage restricted to Medicaid and Medicare recipients


d) Insurance plan usually including all federal workers

b) Insurance system covering healthcare costs associated with work-related injuries

705-5. Which of the following allows the patient to pay for the deductible with pretax dollars?




a) TRICARE


b) HMOs


c) Medicare


d) Health savings accounts

d) Health savings accounts

706-6. T or F


The development of managed care was a direct result of the federal government's enactment of the Medicare and Medicaid laws in 1965.

F

706-7. T or F


Medicare Part B is optional.

T

706-8. T or F


Workers' compensation plans are operated by the state governments.

T

F706-9. T or F


One of the disadvantages of the health savings accounts is that the deductible is paid with pretax dollars.

F

706-10. T or F


Medicaid is co-funded by federal and state governments.

T