Questions and CORRECT Answers
What does licensure, certification, and accreditation mean in regards to a healthcare facility?
- Correct Answer- Licensure is required and usually by the state government.
Certification is voluntary and usually provided by a professional organization.
Accreditation is not necessary and is voluntary. Accreditation is usually provided by an
external organization.
Hospital Committees and their function/purpose. - Correct Answer- 1. Credentials Committee
- essentially the personnel committee for the medical staff. Advisory in nature.
2. Executive Committee - highest committee level of the medical staff. It has the power to act
for the medical staff and make decisions between formal meetings.
3. Joint Conference Committee/Function - Serves as a liaison between the Governing Board,
the Chief Executive Officer of the hospital and the Medical Staff. Provides opportunity for
discussion.
4. Infection Control Committee - responsible for overseeing the infection control activities of
the institution. Responsible for reducing/eliminating hospital acquired (nosocomial)
infections.
5. Medical Record Committee - reviews the quality of patient records in the hospital.
6. Mortality Committee - reviews deaths and patterns of death.
7. Pharmacy and Therapeutics Committee - responsible for dealing w/ pharmacy policies and
practices.
8. Blood Utilization Committee - monitors blood ordered, used and wasted. Also monitors
blood transfusion reactions.
9. Surgical Case Review Committee - AKA tissue committee. Reviews surgeries and
unnecessary surgeries. Focuses on pre-operative, post-operative and pathological diagnoses.
10. Quality Assurance Committee - oversees/coordinates the overall quality improvement
efforts of the hospital.
11. Utilization Review Committee - reviews cases for the medical necessity of the admission,
treatment and length of stay.
12. Risk Management Committee - develops policies and procedures to enhance a safe
environment.
13. Forms Committee - approve the design of forms used in the medical record.
, Healthcare Institutions and Services - Correct Answer- HOSPITAL
Hospital Inpt. - a pt that occupies a hospital bed and stays overnight.
Hospital Newborn Inpt. - Hospital pt born in the hospital @ the begining of current
hospitalization.
Observation Pt. - a pt who needs to be monitored , evaluated and assessed to determine the
need for admission to inpt. status. Usually no longer than 36-48 hours.
LONG-TERM CARE FACILITIES
Skilled Nursing Facility -Inpt facility that provides treatment for PT, IM Injections, Tube
Feedings, IV Fluids.
Medicare reimburses for Skilled Level Care only.
Intermediate Care Facility - Provides health related services that do not require
hospital/skilled care nursing.
Assisted Living Facility - provides housing and personal services to those unable to live
independently.
Resident Care Facility - pts. unable to live independently. AKA Independent Living
Facility/Retirement Center.
OTHER CARE SETTINGS
Hospice Care - support to terminally ill pt and families.
Home Health Care - provides health, social and other supporting services to individuals in
their home. Must be ordered by physician.
Ambulatory care - Health care services provided in an outpt setting. Ex. PCP, freestanding
surery centers, walk-in clinics.
Hospital Outpt - Pt comes to the hospital for svcs but is not admitted as inpt.
Hospital Ambulatory - Clinics, ambulatory surgery, lab, radiology, therapy and pharmacy.
OUTPT CLASSIFICATIONS - 3 Categories
Emergency Otpt. - Treatment of a condition that requires immediate service (Life/Death
situations)
Clinic Outpts. - When a clinic holds regularly scheduled clinics.
Referred Outpts. - pt comes to receive exclusive services (diagnostic or therapeutic services
from a hospital).
What is the primary function of AHIMA? - Correct Answer- Foster professional development
of its members