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Solutions Manual For Essentials of Health Information Management: Principles and Practices, 5th Edition by Mary Jo Bowie ISBN. 9780357624258. Essentials of Health Information Management 5e solutions. Bowie 5e solutions manual.:TOC-=1. Healthcare Delivery Systems. 2. Health Information Managemen...

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Solution and Answer Guide Essentials of Health
Information Management 5E

CHAPTER 1: HEALTH CARE DELIVERY SYSTEMS

TABLE OF CONTENTS

Exercises ...................................................................................................................................................... 1
Exercise 1-1 History of Medicine and Health Care Delivery in the United States ................................... 1
Exercise 1-2 Continuum of Care ............................................................................................................... 2
Exercise 1-3 Health Care Facility Ownership ........................................................................................... 2
Exercise 1-4 Health Care Facility ............................................................................................................. 3
Exercise 1-5 Licensure, Regulation, and Accreditation ............................................................................ 4
End of Chapter Review Solutions .............................................................................................................. 4
True/False ................................................................................................................................................. 4
Multiple Choice ........................................................................................................................................ 5
Fill-in-the-Blank ....................................................................................................................................... 7
Short Answer ............................................................................................................................................ 7




EXERCISES

EXERCISE 1-1 HISTORY OF MEDICINE AND HEALTH CARE DELIVERY IN THE
UNITED STATES
Short Answer: Identify the significant act established in each year for the purpose listed.
1. 1946-provided federal grants to modernize hospitals.
Answer: Hill-Burton Act

2. 1982-established the first Medicare Prospective Payment System.
Answer: Tax Equity and Fiscal Responsibility Act

3. 1986-established the National Practitioner Data Bank.
Answer: Health Care Quality Improvement Act

4. 1996-mandated administrative simplification regulations that govern health care information.
Answer: Health Insurance Portability and Accountability Act

5. 2003-provided Medicare recipients with prescription drug savings.
Answer: Medicare Prescription Drug, Improvement, and Modernization Act

,6. 2006-established financial incentives for healthcare professionals that participate in a voluntary
quality reporting program.
Answer: Tax Relief and Health Care Act

7. 2009-authorized an expenditure of $1.5 billion for grants for projects including the acquisition of
health information technology systems.
Answer: American Recovery and Reinvestment Act

8. 2015-established the Merit-Based Incentive Payment System.
Answer: Medicare Access and CHIP Reauthorization Act


EXERCISE 1-2 CONTINUUM OF CARE
True/False:
1. Primary care services include patient immunizations and education.
Answer: T

2. Secondary care services include a patient being seen by a specialist because of angina.
Answer: T

3. Stabilization services are provided by a tertiary care facility to ensure that no material deterioration of
a patient’s medical condition occurs during the transfer to another facility.
Answer: T

4. Tertiary care services include a patient’s annual history and physical.
Answer: F

5. The continuum of care contains two levels.
Answer: F


EXERCISE 1-3 HEALTH CARE FACILITY OWNERSHIP
Fill-in-the-Blank:
1. A hospital that is affiliated with a medical school is called a ________.
Answer: teaching hospital

2. A physician who has completed an internship and is engaged in a program of training designed to
increase his or her knowledge of the clinical disciplines to prepare for a practice of specialty is called
a(n) ________.
Answer: resident

3. A hospital that is privately owned and distributes excess income to shareholders and owners is
________.
Answer: for-profit

,4. Public hospitals represent about 25 percent of all health care facilities in the United States and are
also known as ________.
Answer: government supported

5. A not-for-profit hospital run by a religious or volunteer organization is known as a ________.
Answer: voluntary hospital


EXERCISE 1-4 HEALTH CARE FACILITY
Short Answer: Identify the medical specialty for each description.
1. Diagnosis and treatment of skin disorders.
Answer: Dermatology

2. Management of pregnancy from prenatal to puerperium.
Answer: Obstetrics

3. Diagnosis and treatment of eye disorder.
Answer: Ophthalmology

4. Surgical management of diseases with the chest
Answer: Thoracis surgery

5. Diagnosis and treatment of musculoskeletal disease/injury
Answer: Orthopedics

6. Diagnosis and treatment of diseases of the nervous system
Answer: Neurology

7. Diagnosis and treatment of behavioral health diseases
Answer: Psychiatry

Short Answer II: Identify the committee described.
8. Concerned with quality care provided to patients
Answer: Quality management committee

9. Acts on reports and recommendations from medical staff committees
Answer: Executive committee


10. Reviews preoperative and pathologic diagnoses to determine the necessity of surgery
Answer: Tissue review committee

11. Serves as liaison between the governing body and administration
Answer: Joint conference committee

12. Meets to discuss ethical issues and problems

, Answer: Ethics committee


EXERCISE 1-5 LICENSURE, REGULATION, AND ACCREDITATION
Matching: Enter a 1 if the abbreviation represents an accrediting agency and a 2 if it represents a
regulatory agency.
1. AAAHC Answer: 1
2. AOA Answer: 1
3. CARF Answer: 1
4. CMS Answer: 2
5. CDC Answer: 2

Short Answer: Enter the meaning of each abbreviation.
6. AAAHC Answer: Accreditation Association for Ambulatory Health Care
7. AOA Answer: American Osteopathic Association
8. CARF Answer: Commission of Accreditation of Rehabilitation Facilities
9. CMS Answer: Centers for Medicare and Medicaid Services
10. NCQA Answer: National Committee for Quality Assurance


END OF CHAPTER REVIEW SOLUTIONS
TRUE/FALSE
1. Administrative simplification regulations that govern privacy, security, and electronic transactions
standards for health care information were mandated by the Health Insurance Portability and
Accountability Act.
Answer: T

2. Anton van Leeuwenhoek established the germ theory of disease.
Answer: F

3. Diagnosis-related groups required hospitals to be reimbursed a per diem amount.
Answer: F

4. Hippocrates was the first physician to consider medicine a science and art separate from the practice
of religion.
Answer: T

5. Medicare, also known as Title 19, was established to provide comprehensive health care for people 65
years of age or older, certain younger people with disabilities, and people with End-Stage Renal
Disease.
Answer: F

6. The American Medical Association was established in 1901 as a national organization of state and
local associations.
Answer: F

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