Health Services Management exam 2024/2025 with 100% correct answers
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Course
Health Services Management
Institution
Health Services Management
Healthcare industry as a percent of employed positions correct answers11.5% of all employed positions
BLS projected growth of healthcare industry in next 10 years correct answers15%
Healthcare industry positions of note correct answersRegistered Nurses
Physicians
Physician Assistants
phy...
Physician credentialing - specific to the speciality
Pathway to becoming a physician correct answersEveryone takes USMLE Step 1, Step 2 CK
FIMG obtain visa and then everyone takes USMLE Step 2 CS
All IMGs takes ECFMG certification for residency and match (20% don't match)
FIMG need a J-1 or H-1B visa, greencard, or citizenship to join USMG and USIMGs in residencies or
fellowships
,USMLE Step 3 (except J-1, need to wait 2 years to become perm resident).
1 more year of residency or internship for an unrestricted license
FIMGs must become permanent residents before joining USMGs and USIMGs as US permanent
physicians
Healthcare Manager's responsibilities in credentialing correct answersAllowing no gaps in resumes
Identifying imposters (ex pretend physicians forging docs)
Checking the national practitioner data bank
confirming state board of medicine licensure status
Searching the US DHHS Exclusions Databse
http://exclusions.oig.hhs.gov
International Medical Graduates (IMGs) correct answersUS citizens who attend school abroad, or
foreign-born nationals who come to the US.
What percent of US physician workforce do IMGs represent? correct answers25% or 245,005 physicians
Three countries with the most foreign-born physicians in the US? correct answersIndia (19% of IMGs),
Philippines (8.7%), and Pakistan (4.80%)
Other countries that have large IMG pops in US? correct answersMexico, the Caribbean countries,
Grenada
IMGs Serve Poor & Inner City correct answersby providing services where US medical graduates won't go
Pass english tests, clinical skills, and written exams before being allowed to apply to residency
,Projection for IMGs in US physician workforce correct answersWorkforce will have more US-born IMGs
Future Physician Shortage correct answersDemographic shifts contributing to future physician shortage,
causing controversy between IMGs and USMGs to continue
Healthcare Manager's role with IMGs correct answersEnsuring credentialing and legal work status
Employed vs Independent Physician Projections correct answersMore physicians will become employed
in healthcare organizations as opposed to independent contractors
Primary Care Physician (PCP) correct answersThe physician responsible for directing all of a patient's
medical care and determining whether the patient should be referred for specialty care.
Primary Care Physician (PCP) turnover correct answersconcern to all healthcare organizations, but
especially ACOs and facilities with a PCMH model
ACOs correct answersAccountable Care Organizations
PCMH-patient centered medical home correct answersA model of patient care designed to provide
preventative services and comprehensive care facilitated by a personal physician who coordinates the
patient's health care services with other health care professionals, including Pharmacists.
Direct Costs of PCP Turnover correct answersRecruitment and replacement costs for an individual PCP
are $230,000-$270,000
Indirect costs of PCP Turnover correct answersIncreases burden of workload on remaining PCPs
Decreases morale
Decreases productivity
Loss of continuity of care for patients
Loss of patients and revenue stream
, Registered Nurses correct answersNurses that provide direct patient care and can also work in an
administrative capacity as managers in hospitals or other types of healthcare facilities.
Requirements for being a Registered Nurse (RN) correct answersNCLEX exam
Education setting for RNs correct answersShifted from hospitals to degree-setting school. Standard is
BSN moving to Masters
RN shortage cause: correct answersLack of teaching faculty in nursing schools
RN Turnover reduction plans correct answersMoving the RN role into a residency model to reduce
turnover
increase specialization and certifications
Foreign Educated Nurses correct answers3.5% of US RN population
Practicing RNs in the US completed their basic nursing education outside the US and its territories
>50% have come from Philippines
~50% have a baccalaureate degree of higher
Foreign Educated Nurses certification correct answersCommission on Graduates of Foreign Nursing
Schools (CGFNS) certification program
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) correct answersWork under
supervision of physicians and nurses
25% in hospitals
25% in nursing care facilities
12% in physician offices
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