RHIA Domain 2 Exam | Questions And Answers Latest {2024- 2025} A+ Graded | 100%
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Types of Hospitals - for profit: able to use profits to put back into the organization, management,
investors, etc.
not for profit: must use excess profits to put back into education/community benefit
proprietary: usually privately owned, corporation, etc.
voluntary: non-profit, can give more access to lower income patients, owned by churches, charities,
universities, etc.
government owned: operated by type of government, sometimes called public, supported by tax dollars,
VA, department of defense, psych hospitals, etc.
Board of Directors - responsibility to set overall direction of the hospital, develop hospitals strategic
direction, mission, values, etc., establish bylaws, select qualified administrators, approve/manage org
and makeup of clinical staff, monitor quality of care, elect officers
Executive Staff - CEO (responsible for implementing the policies/strategic direction set by board), CIO,
COO, CFO, responsible for managing the hospitals finances, compliance with regulations, operations,
etc.
Medical Staff - physicians, extensive training, provide care, may serve on governing board, granted
permission to provider clinical services, clinical privileges, most are not employees of the hospital,
contracts, etc
Med staff bylaws, spell out what qualifications physicians must demonstrate to practice medicine at the
hospital
Ambulatory Care - type of outpatient care setting, do not receive inpatient services, preventative or
corrective healthcare services, provider office, clinic, hospital outpatient setting EX: primary care,
emergency care, ambulatory surgery/specialty care
2 types of physicians: work for private practice or ambulatory care organizations
ACCs - freestanding ambulatory care center, emergency services/urgent care for walk in patients, urgent
care centers
, Home healthcare - Skilled nursing care(both technical procedures and skilled nursing observations)
Voluntary Agencies - think clinics/community health, usually local level to low income patients, planning,
preventative, screenings, etc. community health center
LTC - consistent longer care, not an ACUTE inpatient, greater than 30 days of consecutive care, SNF,
nursing homes, LTC facilities, rehab centers
Post Acute Care - patients requiring ongoing medical management, rehab, skilled nursing care
SNF - skilled nursing facility, or nursing home, provide care around the clock, most over 65, most for
profit but can be not for profit
IDS - integrated delivery system, combining clinical and financial operations under the same
organization, uses a group of healthcare providers, comprehensive services over continuum of care
ACO - Accountable care organization, created by HIPAA, group of service providers that work together to
manage and coordinate care for Medicare fee/service beneficiaries
Managed Care - general term for healthcare that is controlled/managed the costs, quality, and access to
services
HMO -
PPO -
POS -
Value-Based Purchasing - Medicare launched in 2013, required by ACA, intent to pay for care that
rewards better value, patient outcomes, innovation rather than just volume of services, quality
reporting