MHA 707 EXAM 2 BOST QUESTIONS &
ANSWERS 2023/2024
Community-based care - Correct Answer - self and ambulatory care
Hospital based care - Correct Answer - inpatient acute care
Postacute care - Correct Answer - long-term care, ambulatory rehab centers, long term care hospitals
Self-care (80-95% of health problems stop here) - Correct Answer - OTC meds, vitamins and
supplements and change of habits
Ambulatory healthcare - Correct Answer - medical services performed without admission to a hospital
or other health care facility for an overnight stay
Freq settings for ambulatory care - Correct Answer - physician offices, emergency departments, and
hospital outpatient clinics
Emerging and expanding ambulatory HC - Correct Answer - telehealth, physician home visits, retail
pharmacies, diagnostic imaging and laboratory centers, ambulatory surgery centers, and urgent care
centers
Most freq reasons for visits - Correct Answer - general medical exam, routine prenatal, post op,
medication, cough, well baby exams, hypertension, knee symptoms, and pre-op visit
Majority of OVs in NE - Correct Answer - >65 and female
Majority of ED - Correct Answer - visits occur in NFP 70.9%
How many ED visits are taught IN hospitals? - Correct Answer - around 15%
in 2016, how many patients are insured - Correct Answer - 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 - Correct Answer - life
threatening, prompt hospitalizations, and serve as secondary private physician's office.
,ED functions related to restricted access to HC - Correct Answer - 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 - Correct Answer - abdominal pains, chest pain, or fever
Level of urgency- Level I - Correct Answer - Resuscitation
Level of urgency- Level II - Correct Answer - emergent (likely to deteriorate and/or time sensitive)
Level of urgency- Level III - Correct Answer - urgent (stable but complex)
Level of urgency- Level IV - Correct Answer - semi-urgent (stable, one level of diagnosis or significant
pain- lacerations/pain when voiding)
Level of urgency- Level V - Correct Answer - non-urgent
Most ED visits are considered? - Correct Answer - level 3 or level 4
Medicare and Medicaid - Correct Answer - 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 -
Correct Answer - 10%
account for about 1/3 of national health expenditures - Correct Answer - hospitals in 2017
AHA classifies hospitals as one of 4 types based on primary function of its diagnostic therapeutic services
- Correct Answer - general, special, rehab and chronic disease, and psychiatric.
General - Correct Answer - patients presenting with a variety of medical conditions
Special - Correct Answer - patient who have specified medical conditions (cardiac hospital)
Rehab ad chronic disease - Correct Answer - handicapped or disabled individuals requiring restorative
and adjustive services
psychiatric - Correct Answer - patients who have psychiatric-related illnesses
hospitals are categorized by - Correct Answer - -ownership and control
-# of beds
-average length of patient stay
-annual admissions
-average daily census
, Ownership and control - Correct Answer - 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? - Correct Answer - Government, non-
government NP, and non-government FP
Community hospital (85%) - Correct Answer - 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 - Correct Answer - NFP- 68.2% FP- 17.8% and State/local- 14%
Community hospital- % of annual admissions - Correct Answer - NFP- 72.3% FP-15.8% and state/local-
11.9%
Postacute care defined - Correct Answer - 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 - Correct Answer - -long-term care acute hospitals (LTACHS)
-other specialty hospitals
-ambulatory rehab facilities
Long-term postacute care - Correct Answer - 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) - Correct Answer - adult day services, home health,
hospice, nursing homes, and residential care facilities.
In 2016, majority of home health agencies - Correct Answer - were FP centers (i.e. hospice, nursing
homes etc)
In 2016, the minority of adult day services centers were - Correct Answer - for profit (FP)
In 2016, majority of nursing homes and residential care communities and minority adult day service
centers were - Correct Answer - chain-affiliated
Adult day services centers - Correct Answer - 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 - Correct Answer - provided to individuals and families in their place of residence
to promote, maintain, or restore health or to maximize the level of independence while minimizing the
effects of disability and illness, including terminal illness.