HIT, Chapter 2

11 August 2023
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Integrated Delivery System (IDS)
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healthcare systems that combine financial and clinical aspects of healthcare and use a group of healthcare providers to provide comprehensive health services across the continuum of care
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Continuum of care
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places an emphasis on treating individual patients at the level of care required by their course of treatment and extends their PCPs to specialist and ancillary providers
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Integrated delivery networks (IDNs)
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comprises a group of hospitals, physicians, other providers, insurers, or community agencies that work together to delivery health services
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Managed Care Organization (MCO)
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a type of healthcare organization that delivers medical care and manages all aspects of patient care or the payment for care by limiting providers of care or limiting access to care
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Allied health professional
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a credentialed healthcare worker who is not a physician, nurse, psychologist, or pharmacist (for example, a physical therapist, dietitian, social worker, or occupational therapist)
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Public Law 89-97 of 1965
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created amendments to the Social Security Act, which created Medicare and Medicaid
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Medicare
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program that provides healthcare benefits to people 65 and older who are covered by Social Security
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Medicaid
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provides healthcare benefits to low-income people and children
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Public Law 92-603 of 1972
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required concurrent review of Medicare and Medicaid patients
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Utilization review (UR)
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the process of determining whether the medical care provided to a patient is necessary
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Quality improvement organizations (QIOs)
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ensure the quality, efficiency, and cost-effectiveness of the healthcare services provided to Medicare beneficiaries
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Health Insurance Portability and Accountability Act (HIPAA)
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addresses issues related to the portability of health insurance after leaving employment, and national identifiers for providers, health plans, and employers. Also addresses the security and privacy of health information
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American Recovery and Reinvestment Act of 2009 (ARRA)
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provided stimulus funds to the US economy in the midst of a major economic downturn.
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HITECH Act
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part of the American Recovery and Reinvestment Act of 2009 that provides financial incentives to physicians and hospitals to adopt EHRs
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Critical Access Hospital (CAH)
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located in rural area; provide 24-hour emergency care services 7 days a week; located more than 35-mile distance from any other hospital
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Home healthcare
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fastest-growing sector to offer services for Medicare recipients
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Subacute care
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offers patients access to constant nursing care while recovering at home
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Skilled Nursing Facility (SNF)
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primary provides inpatient skilled nursing care but does not provide the level of care or treatment available in a hospital
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Centers for Disease Control and Prevention (CDC)
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leading federal agency charged with protecting the public health and safety through control and prevention
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Which of the following places an emphasis on treating individual patients at the level of care required by their course of treatment and extends from their primary care providers to specialists and ancillary providers? a. Continuum of care b. Integrated delivery systems c. Case management d. Integrated delivery networks
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a. Continuum of care
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As of 2014, what percent of the U.S. economy was represented by healthcare spending? a. 10 b. 17.5 c. 21 d. 26
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b. 17.5
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What is the ideal ratio of medical generalist to specialist? a. 20:80 b. 40:60 c. 60:40 d. 80:20
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b. 40:60
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Registered Nurses are only formally educated at the bachelor's degree. a. True b. False
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b. False
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Which of the following is considered an Allied Health professional? a. Physicians b. Physician Assistants c. Registered Nurses d. Licensed Practical Nurses
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d. Licensed Practical Nurses
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Occupational Therapists are concerned with a patient's activities of daily living. a. True b. False
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a. True
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Which of the following federal laws created Medicare and Medicaid? a. Social Security Act of 1935 b. Public Law 92-603 of 1972 c. Public Law 89-97 of 1965 d. Tax Equity and Fiscal Responsibility Act of 1982
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c. Public Law 89-97 of 1965
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Medicare will pay the Medicaid premiums, deductibles, and coinsurance costs for some low-income Medicaid beneficiaries. a. True b. False
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b. False
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What is the name of the process to determine whether medical care provided to a specific patient is necessary according to pre-established objective screening criteria at time frames specified. a. Case management b. Continuum of care c. Quality improvement d. Utilization review
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d. Utilization review
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HITECH was a portion of which bill? a. Health Insurance Portability and Accountability Act of 1996 b. Patient Protection and Affordable Care Act of 2010 c. American Recovery and Reinvestment Act of 2009 d. Public Law 98-21 of 1983
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c. American Recovery and Reinvestment Act of 2009
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What is the name of the type of beds in a hospital that are defined by those authorized by the state? a. Staffed b. Licensed c. Regulated d. Certified
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b. Licensed
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To qualify as a Critical Access Hospital one of the criteria is to be located in a rural area. a. True b. False
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a. True
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One of the functions of the board of directors is to approve the organization and makeup of the clinical staff. a. True b. False
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a. True
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The "C" in CIO stands for: a. Corporate b. Corporate c. Clinical d. Chief
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d. Chief
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Health information management departments are considered which of the following? a. Rehabilitation Services b. Ancillary Support Service c. Administrative Support Services d. Clinical Support Services
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b. Ancillary Support Service
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Hospital-owned group practices are considered ambulatory care organizations. a. True b. False
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a. True
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One group of patients that prefer treatment at urgent care centers are those whose insurance carriers treat urgent care centers preferentially when compared with physician offices. a. True b. False
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a. True
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Which of the following is the fastest-growing sector to offer services for Medicare recipients? a. Urgent care b. Long term care c. Hospice d. Home health
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d. Home health
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Rehabilitation hospitals are categorized as an acute care type of facility in treating patients. a. True b. False
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b. False
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Which of the following is a main goal in treating hospice patients? a. Curing the patient of their illness b. Relive the family of providing care c. Minimize the stress and trauma of death d. Reduce the costs for the patient's family
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c. Minimize the stress and trauma of death
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Which of the following is the health profession that focuses on the eyes and related structures? a. Occupational therapy b. Optometry c. Diagnostic sonography d. Dietetics
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b. Optometry
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Public Law 89-97 of 1965 created a number of amendments to which Act? a. Affordable Care Act b. Health Insurance Portability and Accountability Act c. Social Security Act d. Medicare and Medicaid
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c. Social Security Act
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The Office of the National Coordinator for Health Information Technology was created as part of which Act? a. Health Insurance Portability and Accountability Act b. Social Security Act c. Patient Protection and Affordable Care Act d. American Recovery and Reinvestment Act
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d. American Recovery and Reinvestment Act
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Who has the primary responsibility for setting the overall direction of the hospital? a. Board of directors b. Chief executive officer c. Chief financial officer d. All employees of the hospital
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a. Board of directors
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The medical staff operates according to a pre-determined set of policies called ___________. a. Policies and procedures b. Medical staff bylaws c. Medical staff credentials d. Legal guidelines
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b. Medical staff bylaws