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MHA 707 EXAM 2 BOST – QUESTIONS AND ANSWERS
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MHA 707 EXAM 2 BOST – QUESTIONS ANDANSWERS
Community-based care - -self and ambulatory care
-Hospital based care - -inpatient acute care
-Postacute care - -long-term care, ambulatory rehab centers, long term care
hospitals
-Self-care (80-95% of health problems stop here) - -OTC meds, vitamins and
supplements and change of habits
-Ambulatory healthcare - -medical services performed without admission to
a hospital or other health care facility for an overnight stay
-Freq settings for ambulatory care - -physician offices, emergency
departments, and hospital outpatient clinics
-Emerging and expanding ambulatory HC - -telehealth, physician home
visits, retail pharmacies, diagnostic imaging and laboratory centers,
ambulatory surgery centers, and urgent care centers
-Most freq reasons for visits - -general medical exam, routine prenatal, post
op, medication, cough, well baby exams, hypertension, knee symptoms, and
pre-op visit
-Majority of OVs in NE - ->65 and female
-Majority of ED - -visits occur in NFP 70.9%
-How many ED visits are taught IN hospitals? - -around 15%
-in 2016, how many patients are insured - -the majority. 85% were private
ins, Medicaid and Medicare. Only 8.4% had no ins.
-ED functions related to providing highly technical resources for acutely ill
persons - -life threatening, prompt hospitalizations, and serve as secondary
private physician's office.
-ED functions related to restricted access to HC - -cannot reach private
physician, reg clinic is not open or available, geographically isolated, or have
no ins so no place to go when sick.
-Top 3 reasons for visits to ED - -abdominal pains, chest pain, or fever
,-Level of urgency- Level I - -Resuscitation
-Level of urgency- Level II - -emergent (likely to deteriorate and/or time
sensitive)
-Level of urgency- Level III - -urgent (stable but complex)
-Level of urgency- Level IV - -semi-urgent (stable, one level of diagnosis or
significant pain- lacerations/pain when voiding)
-Level of urgency- Level V - -non-urgent
-Most ED visits are considered? - -level 3 or level 4
-Medicare and Medicaid - -more likely to be level II (and most likely to be
persons over 65)
-in 2017, less than __ of the population experience an overnight stay in a
hospital during a 12mo period - -10%
-account for about 1/3 of national health expenditures - -hospitals in 2017
-AHA classifies hospitals as one of 4 types based on primary function of its
diagnostic therapeutic services - -general, special, rehab and chronic
disease, and psychiatric.
-General - -patients presenting with a variety of medical conditions
-Special - -patient who have specified medical conditions (cardiac hospital)
-Rehab ad chronic disease - -handicapped or disabled individuals requiring
restorative and adjustive services
-psychiatric - -patients who have psychiatric-related illnesses
-hospitals are categorized by - --ownership and control
-# of beds
-average length of patient stay
-annual admissions
-average daily census
-Ownership and control - -the AHA defines control as the type of
organization responsible for establishing policy concerning the overall
operation of hospitals
, -What are the three major categories of ownership and control? - -
Government, non-government NP, and non-government FP
-Community hospital (85%) - -All nonfederal, short-term general, and
special hospitals whose facilities and services are available to the public
(gyno, ENT, rehab, orthopedic, and short term general hospitals are
considered community hospitals)
-Community Hospital- % of beds - -NFP- 68.2% FP- 17.8% and State/local-
14%
-Community hospital- % of annual admissions - -NFP- 72.3% FP-15.8% and
state/local- 11.9%
-Postacute care defined - -to restore patient health and mobility and to
provide continuing care for people with chronic conditions who can no longer
live at home or without assistance.
-Other postacute care settings include - --long-term care acute hospitals
(LTACHS)
-other specialty hospitals
-ambulatory rehab facilities
-Long-term postacute care - -encompasses a range of supportive, rehab,
nursing and palliative services provided to people- young to old- whose
capacity to perform daily activities is restricted due to chronic disease or
disability.
-5 major sectors of long-term care (postacute) - -adult day services, home
health, hospice, nursing homes, and residential care facilities.
-In 2016, majority of home health agencies - -were FP centers (i.e. hospice,
nursing homes etc)
-In 2016, the minority of adult day services centers were - -for profit (FP)
-In 2016, majority of nursing homes and residential care communities and
minority adult day service centers were - -chain-affiliated
-Adult day services centers - -4600 adult day services centers and 286,300
participants (safe, professional care settings for adults who need supervision
outside the home during the day)
-Home health agencies - -provided to individuals and families in their place
of residence to promote, maintain, or restore health or to maximize the level
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