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US healthcare systems practice Exam Questions And Already Passed Answers.

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1. In colonial America, the primary functions of hospitals were to: - Answer shelter older adults, the dying, orphans, and vagrants and protect community residents from contagiously sick and mentally ill persons. The development that contributed most significantly to the decline of the charit...

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  • October 26, 2024
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  • 2024/2025
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US healthcare systems practice Exam
Questions And Already Passed Answers.
1. In colonial America, the primary functions of hospitals were to: - Answer shelter older adults, the
dying, orphans, and vagrants and protect community residents from contagiously sick and mentally ill
persons.



The development that contributed most significantly to the decline of the charitable or social mission of
voluntary hospitals was the: - Answer enactment of private and public insurance reimbursement for
hospital care.



The ultimate responsibility for everything that happens within a hospital, including the medical and
nursing care provided, rests with a hospital's: - Answer board of directors



A major obligation of doctors when obtaining informed consent for a medical procedure is to: - Answer
ensure that the patient understands the risks and benefits of the procedure



Through discharge planning, hospitals help assure that safe and appropriate post-hospital
accommodations are arranged for each patient. Medicare patients may appeal what they believe to be a
premature or inappropriate discharge by petitioning which of the following organizations? - Answer
Medicare quality improvement organization (QIO)



Until the mid-1980s, hospitals were reimbursed for whatever they charged on a "retrospective" basis.
Now they are paid a certain amount for each patient's care on a "prospective" basis. The amount they
are paid is based on: - Answer diagnosis related groups (DRGs)



Hospitals in the future health care system will: - Answer no longer be the axis of health care delivery
but will retain core roles as sites of sophisticated care, professional teaching and clinical research.



Which of the following terms refers to a health care system that includes several service components
with each addressing one or more dimensions of a population's health care needs? - Answer Vertically
integrated

, For many years, the standard for assessing hospital quality of care was peer review using physician audits
of selected patient records to judge "the degree of conformity with preset standards." All of the
following were reasons for the ineffectiveness of these audits EXCEPT - Answer Hospital administrators
influenced how reviewers were selected.



In its landmark report on hospital errors, "To Err is Human," the Institute of Medicine emphasized that
errors in care most typically originate from which one of the following sources? - Answer Deficiencies
in the systems of care



Hospitals can no longer live in a four-walls, brick and mortar world." This statement refers to which
encompassing principle of health care reform? - Answer The focus will be on population health status
with community-based care delivered in multiple provider sites.



A major trend is hospital corporate organization over the past few years as hospitals strategically
prepared for system reforms has included: - Answer Mergers and consolidations into larger systems of
care



Hospital value-based purchasing now required by the ACA for over 3,000 Medicare participating
hospitals is a program that may be best described as using - Answer Incentive payments for
achievements and improvements in clinical care and patient satisfaction.



The primary organizational mode of medical care in the United States, in terms of volume of services
delivered, is: - Answer hospital ambulatory clinics



Which of the following is not a principle of a patient-centered medical home practice? - Answer
Appointment systems adhere to strictly enforced, advance scheduling



In today's hospitals, outpatient clinics frequently provide: - Answer A. care for those without private
physicians.

B. primary-care services organized similarly to private physician offices.

C. teaching sites for medical residents.

D. *all of the above*.

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