Ambulatory Care Exam I Questions and Correct Answers
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Course
Ambulatory Care Nursing Certification
Institution
Ambulatory Care Nursing Certification
Ambulatory Care -The broad array of health care services provided in outpatient settings that involve routine non-emergency health care services. -Health care services provided to non-institutionalized patients
Group Practice Provision of health care services by a group of at least THREE licensed ...
Ambulatory Care Exam I Questions and
Correct Answers
Ambulatory Care ✅-The broad array of health care services provided in outpatient
settings that involve routine non-emergency health care services.
-Health care services provided to non-institutionalized patients
Group Practice ✅Provision of health care services by a group of at least THREE
licensed physicians engaged in a formally organized and legally recognized entity that
SHARES assets across multiple physicians
Importance of Ambulatory Care to Patients ✅-Patients' initial and continuing point of
contact with the system
-Ambulatory Care promotes continuity of care/coordination of health care for patients
Several Constraints on the Growth of Medical Groups ✅-Inability to quickly deploy
technology on processes
-Day-to-day operations consume majority of the time required for growth and talent
management
-Inadequate visibility of performance and operations
-Limited standardization and workflow efficiency
-Inadequate mechanisms to drive process compliance at the point-of-care
-Lack of insight into organization patterns of community physicians
History of Group Practice ✅-Medical care, since Roman and Egyptian times, has been
based on physicians working in solo practice
-Beginning in 18th century, trend has been for physicians to move to group practice and
larger groups
Forces Influencing Physician Practice Settings ✅-Organized Labor
-Scientific Advance
-Government Policy
-Hospitals
-Managed Care
-Schools of Medicine
-Medical Paradigm
-Military
Hospital influence on Physician Practice ✅-Construct affiliated physician groups
-Want to control flow of patients
,Government Policy's influence on Physician Practice ✅-Regulatory and finance
policies encourage group practice; it's cheaper than institutional care
Influence of Scientific Advancements on Physician Practice ✅-New advances in
medical care benefit outpatient
Impact of Organized Labor on Physician Practice ✅-Focus on care (medical
insurance) of workers
Impact of Military on Physician Practice ✅-Standing armies/navies requried physician
care services in the field (M.A.S.H. units)
Impact of Medical Paradigm Shifts on Physician Practice ✅-Shift from medicine to the
health of patients
-To specialization, germ, and disease prevention
Impact of Schools of Medicine on Physician Practice ✅-Flexner report impacts on
training of medical professionals, which embraced scientific knowledge and its
advancement as the defining ethos of a modern physician.
Impact of Managed Care on Physician Practice ✅-Cost containment influence plus
policy
Until the 20th century, the vast majority of U.S. physicians _________________ ✅still
practiced in solo or group practices
Dispensaries ✅-Originated in France (1600s)
-Group of physicians employed to provide care to poor/disenfranchised
-Today the dispensary concept exists via: Community Health Centers (FQHCs), Rural
Health Clinics, Free Clinic movement
Academic Medical Centers (AMCs) ✅-Began group practice with specialty focus
-Training of professionals and service by specialty-trained physicians
-Focus on specialties increased number of physicians responsible for patients'
conditions
Industrial Medical Programs ✅-19th century lumber, mining, railroad industries
-Owners provided workers medical care via employer (company) physicians
-1929 (prepaid models) forerunners of managed care
-Ross and Loos Clinic in LA
Private Medical Clinics ✅-Charles and William Mayo began a group practice in small
town Minnesota in the 1880's
-By 1929, they had 895 staff including 386 physicians
-Physicians could practice "better" in a collegial group environment
, Common Key Resources ✅1) Ability to manage full continuum of services
2) Strong information Technology system to manage financial and clinical outcomes
3) Strong clinical and managerial leadership
patient centered medical home ✅A model of primary care that provides
comprehensive and timely care to patients, while emphasizing teamwork and patient
involvement.
-Each patient has a personal physician
-The medical practice is physician directed with a team of providers
-Whole-person orientation
-Care is coordinated/integrated
-Quality and safety are ensured
-Enhanced access
-Value focused payment models
Wenzel Factors leading to emergence of ACC (Ambulatory Care Centers? * ask
cockley*) ✅-Increase in medical knowledge
-Development of formal medical schools with full time medical faculty
Factors influencing growth of group practice ✅-Need for "docs" in rural America
-End of World War 2
-Development of HC financing alternatives
Need for doctors in rural America ✅-Long term struggle to have medical services
distributed to align with the U.S. population
-Rural patients wanting healthcare providers closer to home
2-End of World War 2 ✅-Government actions following WWII
-Significant increase in number of group practices in 1950s
3-Development of HC financing alternatives ✅-Prevalence of health insurance models,
which provided money for hospital care
-Health care financing models have evolved since health insurance began: Managed
care models, primary care gatekeepers, value based health insurance
Benefits of Group Practice ✅-Interaction of providers
-community source for health information
-attract new physicians
-provide more complex services
-standardize office management procedures
-increase patient access
-efficiencies of administration
-cost containment (economies of scale)
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