Healthcare Systems Chapter 12

Questions and Answers

Which of the following statements best describes an integrated delivery system?

A network exclusively for pediatric care.

A service that offers only emergency care.

A system that only involves hospitals.

A healthcare system that contracts directly with physicians in an independent practice. (correct)

Where was the first hospital organized in the British colonies of North America?

Philadelphia

What was the primary objective of the original Social Security Act, which became law in 1935?

To provide healthcare insurance for the elderly

Why was the American Medical Association established?

To represent the interest of physicians across the country Signup and view all the answers

Which of the following occupations is not usually considered to be an allied health profession?

Surgeon Signup and view all the answers

Under which president was legislation on national health insurance passed?

Harry Truman Signup and view all the answers

Which of the following descriptions best describes the Medicaid program?

Provides healthcare benefits to low-income persons and their children Signup and view all the answers

Individuals who receive acute care services in a hospital are considered what?

Inpatients Signup and view all the answers

Hospitals can be classified by which of the following?

Type of services provided, type of ownership, and number of beds Signup and view all the answers

Which of the following defines a hospital's mission statement?

Describes the organization's purpose and the customers it services Signup and view all the answers

In almost every hospital, the largest clinical department in terms of staffing, budget, specialized services offered, and clinical expertise required is which of the following?

Diagnostic services Signup and view all the answers

What is the goal of managed care?

To manage Medicare and Medicaid programs Signup and view all the answers

Which is the best definition of ambulatory surgery?

Any surgical procedure that does not require an overnight stay in a hospital Signup and view all the answers

Why are home health care services the fastest-growing sector of Medicare?

Because of increased economic pressure from third-party payers Signup and view all the answers

The VA hospital system was originally established to provide hospital, nursing home, residential, and outpatient medical and dental care to the veterans of which war?

Second World War Signup and view all the answers

Which federal legislation enacted the Medicare and Medicaid programs?

Public Law 98-21 of 1965 Signup and view all the answers

Which of the following statements best describes Medicare?

A federal program that finances healthcare services for the elderly Signup and view all the answers

Which of the following statements best describes Medicaid?

A federal program that finances healthcare services for low-income families Signup and view all the answers

Which governmental entity (entities) administer(s) the Medicaid program?

State governments Signup and view all the answers

Which of the following types of healthcare organizations are privately owned?

For-profit hospitals Signup and view all the answers

Which of the following would be categorized as voluntary hospitals?

University hospital Signup and view all the answers

Who is primarily responsible for setting the overall direction of an acute care hospital?

Medical staff classification Signup and view all the answers

Which of the following refers to the organization of physicians according to clinical assignment?

Medical staff bylaws Signup and view all the answers

Which of the following professions is generally considered to be an allied health career?

The chief executive officer Signup and view all the answers

To become board-certified in pediatrics, which of the following would an internal medicine physician need to complete?

Complete a residency in pediatrics Signup and view all the answers

The adoption of minimum standards marked the beginning of what modern practice for healthcare organizations?

Complete graduate training in pediatric medicine and pass a national examination Signup and view all the answers

According to the AMA, which of the following incorporates the healthcare-related professions that function to assist, facilitate, and/or complement the work of physicians?

Accreditation Signup and view all the answers

Which of the following laws created the healthcare integrity and protection data bank?

Allied health Signup and view all the answers

Who is responsible for implementing the policies and strategic direction of the hospital or healthcare organization?

Health information portability and accountability act Signup and view all the answers

What government agency supports medical research?

National Institutes of Health Signup and view all the answers

A HIT student has asked you why Medicare reimburses healthcare providers through the prospective payment system. Which of the following pieces of legislation would you use as your example?

Tax equity and fiscal act of 1982 Signup and view all the answers

Which of the following best describes Medicaid?

Federally mandated health program for low-income people Signup and view all the answers

Who is Aziza Ibrahim?

A student working toward a medical office clerk certificate Signup and view all the answers

Study Notes

Integrated Delivery Systems and Healthcare Overview

Integrated delivery systems contract directly with independent physicians or group practices.
The first hospital in British North America was organized in Philadelphia.

The original Social Security Act of 1935 aimed to provide healthcare insurance for the elderly.
National health insurance legislation was passed under President Harry Truman.

Medicare and Medicaid Programs

Medicaid offers healthcare benefits to low-income individuals and families.
Medicare is a federal program financing healthcare services for the elderly.
Federal legislation for Medicare and Medicaid was enacted in 1965 under Public Law 98-21.

Hospital Classification and Structure

Hospitals can be categorized by the type of services provided, ownership, and number of beds.
Inpatients refer to individuals receiving acute care services in a hospital.
Diagnostic services typically represent the largest clinical department in a hospital.

Managed Care and Home Health Services

The primary goal of managed care is to oversee Medicare and Medicaid programs.
Home health care services are the fastest-growing part of Medicare, driven by economic pressures from third-party payers.

VA Hospital System and Allied Health Professions

The VA hospital system was created to provide care for veterans of World War II.
Surgeons are typically not classified as allied health professionals; allied health roles assist physicians.

Hospital Administration and Medical Staff

Medical staff classifications determine the overall direction of an acute care hospital.
Medical staff bylaws organize physicians according to clinical assignments.

Education and Certification in Healthcare

Board certification in pediatrics requires clinical laboratory science and graduate training.
Accreditation incorporates healthcare-related professions that support the work of physicians.

Technology and Legislation in Healthcare

The Health Information Portability and Accountability Act ensures patient information protection.
The National Institutes of Health supports medical research.

Reimbursement and Legislation

Medicare providers are reimbursed through a prospective payment system; referenced example includes the Tax Equity and Fiscal Responsibility Act of 1982.
Medicaid is defined as a federally mandated health program for low-income people.

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Description

This quiz focuses on key concepts from Chapter 12 covering integrated delivery systems and historical aspects of healthcare in North America. Test your knowledge on the origin of hospitals and the impact of legislation like the Social Security Act. Perfect for students of healthcare systems!