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CAHIMS EXAM PREP STUDY QUESTIONS
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CAHIMS EXAM PREP STUDY QUESTIONS
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CAHIMS EXAM PREP STUDY QUESTIONSPrimary care - Answers- majority of patient healthcare needs, often the entry point into
healthcare, includes screening, prevention, diagnosis, and treatment for acute and
chronic health problems
Secondary care - Answers- generally more specialized care and can include surgery,
cardiology, and other care provided by specialists
Tertiary care - Answers- complex, highly specialized healthcare, often university
hospitals, requires sophisticated technology, multiple specialists and subspecialists, a
diagnostic support group and intensive care facilities. Examples include trauma centers,
burn centers, and neonatal care
Hospitals - Answers- physical structures that house patients who are sick or injured.
Person may be admitted in one of two ways: emergency room and evaluated by a team
of clinicians- if patient is sick enough then admitted, and a patient may also be directly
admitted from a physician's office
Rehabilitative facilities or acute rehabilitation hospitals - Answers- provide care for
patients needing comprehensive rehabilitation and medical management often
associated with stroke, joint replacement or other serious injury. After surgery or acute
illness, a patient may be too frail to return home and may need to spend time in a
rehabilitation center for specialized speech, physical, and occupational therapy
Skilled nursing facility - Answers- provide full medical care after a hospitalization. Also
provide assistance with activities of daily living, such as meals, personal care,
housekeeping, and laundry, while the patient is recovering. Manage transition of acute
illness or injury to return home, Avg stay in a SNF is greater than 25 days. Provide long-
term care for patients needing residential nursing services for an extended period of
time
Long-term acute care hospital - Answers- specialized hospitals designed for patients
who need intensive, hospital-level care for weeks or months
Adult day care - Answers- provides meals and activities during the day
Independent living - Answers- typically retirement communities consisting of
condominiums or apartments. Residents can usually purchase added services such as
meals or housekeeping
Assisted living - Answers- separate apartments or private rooms in a common building
where a number of services, such as personal care, medication administration, meals,
and housekeeping are provided
, Hospice care - Answers- specialized healthcare designed to serve patients with a
terminal illness. Focuses on maximizing the quality of life and providing palliative care,
including pain control. Families are typically involved in the hospice care of thei r loved
ones, and services such as grief counseling and help with managing patient's final
affairs are often provided to them. Hospice care can be provided in a variety of settings.
Hospice programs can involve both inpatient care as well as hospice care provided in
ambulatory environments, including the home
Ambulatory surgery centers (ASC) - Answers- 60% US surgeries are outpatient.
Equipped to handle surgery, pain management and certain diagnostic procedures that
do not require overnight hospitalization. May be part of a hospital, specialty hospital, or
own facility
ED - Answers- department of the hospital responsible for the provision of medical and
surgical care to patients arriving at the hospital in need of immediate care. ED
personnel may respond to certain situations in hospital, such as cardiac arrest. If the
patient is discharged directly from the ED then the episode is considered an outpatient
event. In ED considered observation patient
Outpatient specialty medicine - Answers- Such as sports medicine and rehabilitation,
provided in outpatient settings- hospital based clinics, physician offices, non-hospital
clinic settings
Diagnostic services - Answers- clinical services such as pathology and laboratory
medicine, radiology, and nuclear medicine
Diagnostic imaging facilities - Answers- Typically perform tests such as x-rays, CT
scans, MRI, mammograms, and position emission tomography scans
Medical laboratories - Answers- primarily evaluate biological specimens including
blood. Divisions of a laboratory include chemistry, hematology, microbiology and
toxicology
Specialized medical laboratories - Answers- dedicated to a particular type of testing.
Include DNA testing, medical pathology, parasitology and mycology, and toxicology.
Specialized labs also provide nonradiologic testing services
Community health clinics - Answers- Provide care to underserved populations, are run
by nonprofit organizations or state and local governments
Home healthcare - Answers- Provided to patients in their home by a skilled nursing
professional. Usually prescribed by PCP for: patients who are disabled or who suffer
chronic debilitating illness, seniors who are still able to live at home by require regular
health oversight, patients who might otherwise require a stay in a more expensive long-
term care hospital or rehabilitation facility, post-hospitalization recovery fro patients just
released from a long-term care hospital or rehabilitation center who require a few weeks
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