HMGT 3301 Chapter 8, All Questions and
answers, 100% Accurate, graded A+
What is the difference between inpatient and outpatient services? - ✔✔-Inpatient = an overnight stay in
a facility
hospital = a facility with at least 6 beds and a nursing staff 24 hrs/day
-hospitals consume the biggest share of national health care spending
-hospitals are being targeted by govt and insurers for control of expenses
How did hospitals' purpose and function evolve from 'custodial/quarantine' facilities to their current
state? - ✔✔-Hospital development 1840-1900
-primitive institutions of social welfare
-distinct institutions of care for the sick
-organized institutions of medical practice
-advanced institutions of medical training and research
-consolidated systems of health service delivery
What were the main factors responsible for the growth of hospitals until the latter part of the 20th
century? - ✔✔-1. Social and demographic changes
2. Advancement in medical sciences
3. Medical education and training
4. Development of professional nursing
5. Growth in health insurance
6. Role of the govt - Hill-Burton Act (1946): federal grants for new hospitals 1950s-60s - required new
hospitals to provide charity care (non-profit hospital growth), MC and MA (1965)
, Name three main forces that have been responsible for hospital downsizing. How has each of these
forces been responsible for the decline in inpatient hospital utilization? - ✔✔-1. 1965 - downturn in
hospital beds begins, associated with reduced occupancy rates (75% then to 64% now)
2. Three forces - changes in hospital reimbursement: prospective payment/DRGs by MC, impact of
managed care by commercial payers, hospital closures
What is a voluntary hospital? How did voluntary hospitals evolve? - ✔✔-1. Non-profit community
hospitals financed through local philanthropy (not taxes)
2. Care for indigent and paying patients
3. Charitable donations to hospital foundations necessary to support expenses
What are inpatient days? - ✔✔-A night spent in the hospital by a patient
-total days of care per 1,000 population over 12 months = total utilization of inpatient services
How does hospital utilization vary according to a person's age, gender, and SES? - ✔✔-1. Utilization
increases with age
2. Females greater than men
3. Low income greater than higher income populations
What are the factors that affect hospital employment? - ✔✔-1. Utilization
2. Change in demography of US population
3. Change in health insurance
4. Change in consumer demand
5. Change to outpatient service delivery
6. Change in the US economy - countercyclical (when general business conditions are weak, hospital
employment grows)
What are the different types of public hospitals and the roles they play? - ✔✔-1. Owned by agencies of
federal, state, or local govt
2. Not always open to the public (ex: VA hospital)
3. City/county inner city/urban hospitals
answers, 100% Accurate, graded A+
What is the difference between inpatient and outpatient services? - ✔✔-Inpatient = an overnight stay in
a facility
hospital = a facility with at least 6 beds and a nursing staff 24 hrs/day
-hospitals consume the biggest share of national health care spending
-hospitals are being targeted by govt and insurers for control of expenses
How did hospitals' purpose and function evolve from 'custodial/quarantine' facilities to their current
state? - ✔✔-Hospital development 1840-1900
-primitive institutions of social welfare
-distinct institutions of care for the sick
-organized institutions of medical practice
-advanced institutions of medical training and research
-consolidated systems of health service delivery
What were the main factors responsible for the growth of hospitals until the latter part of the 20th
century? - ✔✔-1. Social and demographic changes
2. Advancement in medical sciences
3. Medical education and training
4. Development of professional nursing
5. Growth in health insurance
6. Role of the govt - Hill-Burton Act (1946): federal grants for new hospitals 1950s-60s - required new
hospitals to provide charity care (non-profit hospital growth), MC and MA (1965)
, Name three main forces that have been responsible for hospital downsizing. How has each of these
forces been responsible for the decline in inpatient hospital utilization? - ✔✔-1. 1965 - downturn in
hospital beds begins, associated with reduced occupancy rates (75% then to 64% now)
2. Three forces - changes in hospital reimbursement: prospective payment/DRGs by MC, impact of
managed care by commercial payers, hospital closures
What is a voluntary hospital? How did voluntary hospitals evolve? - ✔✔-1. Non-profit community
hospitals financed through local philanthropy (not taxes)
2. Care for indigent and paying patients
3. Charitable donations to hospital foundations necessary to support expenses
What are inpatient days? - ✔✔-A night spent in the hospital by a patient
-total days of care per 1,000 population over 12 months = total utilization of inpatient services
How does hospital utilization vary according to a person's age, gender, and SES? - ✔✔-1. Utilization
increases with age
2. Females greater than men
3. Low income greater than higher income populations
What are the factors that affect hospital employment? - ✔✔-1. Utilization
2. Change in demography of US population
3. Change in health insurance
4. Change in consumer demand
5. Change to outpatient service delivery
6. Change in the US economy - countercyclical (when general business conditions are weak, hospital
employment grows)
What are the different types of public hospitals and the roles they play? - ✔✔-1. Owned by agencies of
federal, state, or local govt
2. Not always open to the public (ex: VA hospital)
3. City/county inner city/urban hospitals
