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HCA Chapter 8 Exam Questions with correct Answers 2024/2025( A+ GRADED 100% VERIFIED).
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HCA Chapter 8 Exam Questions with correct Answers 2024/2025( A+ GRADED 100% VERIFIED).
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HCA Chapter 8Introduction - ANS -Inpatient requires overnight stay in a facility whereas outpatient doesn't
require stay at all
-Hospital
1) Institution with at least six beds
2) Delivers services including diagnostics and treatment
3) Must be licensed, have an organized staff, and provide continuous nursing services under
the supervision of registered nurses; have an identifiable governing body that is legally
responsible for the conduct of the hospital, a chief executive with continuous responsibility for
the operation of the hospital, maintenance of medical records on each patient, pharmacy
services maintained in the institution and supervised by a registered pharmacist, and food
service operations that meet the nutritional and therapeutic requirements of the patients
4) Has its construction and operation governed by federal laws; state health department
regulations; city ordinances; standards of the Joint Commission; and national codes for building,
fire protection, and sanitation
5) Evolved from institutions of refuge for homeless and the poor
6) Ultra modern facilities providing advanced services
inpatient days - ANS a night spent in the hospital by a patient
days of care - ANS cumulative number of patient days over a given period of time
-per 1,000 population over the course of 1 year reflect utilization of inpatient services
discharges - ANS patients who have received inpatient services
-because babies born in the hospital aren't included in admission, discharges provide a more
accurate count of inpatients served by a hospital
-deaths
hospital capacity - ANS average number of beds
-average size of a community hospital was approximately 160 beds in 2013
Average length of stay (ALOS) - ANS divide the total days of care (average daily census) over
the total number of discharges
-hospital access and utilization comparative data
average daily census - ANS total days of care (average number of inpatients receiving care
each day in a hospital)
-often used to define occupancy of inpatient beds in hospitals and other inpatient facilities
, occupancy rate - ANS divide the average daily census for a given period of time over hospital
capacity
-hospitals can compare them against industry benchmarks (in a competitive environment,
facilities with higher occupancy rates are considered more successful than those with lower
occupancy rates)
Five functions in the evolution of hospitals in the U.S. - ANS -Primitive institution of social
welfare
-Distinct institutions of care for the sick
1) voluntary hospitals: nonprofit hospitals
-Organized institutions of medical practice
1) Improvements in hygiene, advanced medical care, and surgical services made hospitals
more acceptable to the middle and upper classes
2) charitable institutions
-Advanced medical training and research
1) physicians receive most of their training in hospitals
2) collaboration between hospitals and universities
-Consolidated systems of health services delivery
1) Multihospital systems formed through mergers and acquisitions; hospital systems diversified
into non acute services, such as outpatient centers, home health care, long-term care, and
subacute care; and some hospitals affiliated with networks through contractual arrangements
Hospital Trends - ANS -beds: Trends in the number of U.S. community hospital beds per 1,000
resident population
-visits: Ratio of hospital outpatient visits to inpatient days for all U.S. hospitals, 1980-2013;
hospital admissions and average lengths of stay (decreased in federal hospitals, decreased
then increased in state/local government hospitals, decreased then remained constant in
nonprofit hospitals, and decreased then increased in for profit hospitals)
-size: Breakdown of U.S. community hospitals by size, 2013
-change in occupancy rates from 1960 to 2013: decrease
Expansion Phase: Late 1800s to Mid 1980s - ANS -increase in beds; new beds built=availability
ensured use
-Advances in medical science
-Development of specialized technology
-Advances in medical education
-Development of professional nursing
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