HSCC 311 Exam 2

25 July 2022
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question
What is the main advantage of interoperability within an electronic health records (EHR) system?
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Information can be shared between physicians, pharmacists, and hospitals
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The Health Insurance Portability and Accountability Act requires:
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Protection of personal medical information.
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What is the main intent of the Stark laws?
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Prohibit self-referral by physicians to facilities in which they have an ownership interest
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Which department of the DHHS supports research on health care quality, cost, and access?
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Agency for Healthcare Research and Quality
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What is the main function of the National Institutes of Health?
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Conduct and support biomedical research
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Evaluation of the appropriateness of medical technology is referred to as:
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Health-technology assessment
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What main purpose do Clinical Practice Guidelines serve?
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They assist practitioners in adopting a best practice approach
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Analytical tools for advanced decision making are examples of:
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Decision support systems
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Electronic patient charts are examples of:
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Clinical Information Systems
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Some states use _______________ to control technology diffusion.
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Certificate of Need (CON)
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Telemedicine technology that allows a specialist located at a distance to directly interview and examine a patient is referred to as:
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Synchronous
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What is the main application of quality-adjusted life years?
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They are used as a measure of health benefits
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The Health Insurance Portability and Accountability Act requires:
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Protection of patients' personal health information
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The asynchronous form of telemedicine uses which type of technology?
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Store-and-forward
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The expectations that Americans have about what medical technology can do to cure illness are driven by which of the following?
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Cultural beliefs and values
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Resource inputs, such as staff time, required to increase patient satisfaction or increase the number of sick days avoided is one example of the elements that pertain to which of the following?
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Cost-effective analysis
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Which of the following is true regarding President Donald Trump's pledge to repeal and replace the ACA?
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Innovation and diffusion of technology is not likely to be affected in any major way.
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The United States controls the diffusion of medical technology through central planning.
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False
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The ACA of 2010 imposes an excise tax on the sale of certain medical devices.
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False
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Technological diffusion precedes innovation.
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False
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State children's health insurance programs (CHIP):
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Covers children from low-income families but are not eligible for Medicaid
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Physician practices that participate in Medicare received reimbursement based on:
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Resource based relative value scale (RBRVS)
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What is the main advantage of group insurance?
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Risk is spread out among a large number of insured
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A health insurance plan pays for medical care only after the insured has first paid $500 out of pocket on an annual basis. The $500 annual cost is called:
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Deductible
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A copayment is generally paid:
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Each time the insured receives health care services
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What is the main function of the Medicare payment advisory commission (MedPAC)?
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To advise the us congress on various issues affecting the Medicare program
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For Medicare beneficiaries, the maximum covered stay in a SNF during a benefit period cannot exceed:
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100 days
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Medicare part B premiums are:
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income-based
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Medigap policies are sold by:
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comercial insurance companies
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The amount of reimbursement is determined before the services are delivered under:
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Prospective reimbursement
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The phenomenon called "moral hazard" results directly from:
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Health insurance coverage
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Self-insurance was spurred by:
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government policy
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When a fixed monthly fee per enrollee is paid to a provider, it is called:
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Capitation
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What is the incentive under fee-for-service reimbursement?
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Providers have an incentive to deliver nonessential services
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An MS-DRG is a refined DRG that includes:
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patient severity
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Under retrospective reimbursement, a health care organization is paid according to:
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The costs incurred in operating the institution
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By law, a health insurance plan must cover work-related injuries.
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False
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Under the ACA, private health insurance will no longer be the main source of coverage.
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False
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The government plays a significant role in financing health care services in the United States.
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True
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You don't have to be enrolled in Medicare par A and B to be enrolled in Medicare part C.
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False
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Men visit health care providers more often than women.
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False
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Typically, tertiary care is highly specialized.
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True
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The percentage of medical school graduates choosing careers in primary care is:
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Decreasing
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What is palliation?
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pain and symptom management
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Why have hospitals been in a competitive position to develop outpatient services?
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They have excess (under-utilized) capacity
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Countries whose health systems are oriented more toward primary care achieve:
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Higher satisfaction with health services among their populations
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The most prominent reason for the decline in the number of procedures performed in hospitals is:
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Most of these procedures were shifted to outpatient setting
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What does "PPS" stand for?
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Prospective payment system
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One reason women's health centers were created is:
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Women Seek Care More Often Than Men.
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What advantage would a physician have in joining a group practice versus solo practice?
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All of the above
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What is gatekeeping?
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The process by which primary care physicians refer patients to specialists
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How is community-oriented primary care (COPC) different from primary care?
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COPC adds a population-based approach to identifying and addressing community health problems
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Prior authorization and pre-certification are examples of:
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Utilization controls
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Reasons for growth in outpatient services include:
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All of the above
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A patient with special needs could expect to receive efficient, appropriate, team-approach care from which of the following?
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Patient-centered medical home
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Which of the following is a reason for the growth in outpatient services?
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The most common surgeries in the majority of the United States were lens and cataract procedures
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The most prominent reason for the decline in the number of procedures performed in hospitals is:
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Most of these procedures were shifted to the outpatient setting
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There are more solo physician practices than group physician practices in the US.
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False
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Historically, inpatient care developed ________ outpatient care.
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After
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A hospital that is accredited by the Joint Commission:
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Is deemed to have met certification requirements
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Non-profit hospitals:
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Exist primarily for some public good
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Which entity in hospital governance is legally responsible for the hospital's operations?
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The board of trustees
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The first voluntary hospitals in the United States were financed
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Through local philanthropy
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Unlike the United States, the first hospitals in Europe were established by:
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Religious orders
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What is the main drawback of a living will?
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it cannot cover all possible situations
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An organization that covers a large geographic area with a variety of facilities such as satellite hospitals, physician clinics, rehab centers, etc. is called a:
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Health system
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In recent years, the nonprofit hospital sector has continued to gain market share.
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False
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What is the meaning of "excess capacity" in the health care inpatient sector?
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Empty beds
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The first proprietary hospitals in the United States were established by
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Physcians
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Magnet hospitals have been found to:
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Attract and retain well-qualified nurses
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According to U.S. law, nonprofit organizations:
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are tax exempt
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Which ownership type constitutes the larges group of hospitals and hospital beds in the United States?
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Prprivate nonprofit
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The ethical principle of fidelity requires a medical practitioner to:
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Perform his or her duty
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Which principle of ethics requires caregivers to involve the patient in medical decision making?
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Autonomy
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The affluent use hospital services more intensively than the poor.
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False
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How did the PPS based on DRGs lead to hospital downsizing in the United States?
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It created financial incentives to minimize the patient's length of stay
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A hospital that offers a wide variety of specialized services is called a:
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Medical center
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In terms of hospital governance, the Chief Executive Officer (CEO) reports to:
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The board of directors
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A hospital that admits only certain types of patients or only patients with certain types of conditions is a:
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Specialty hospital