Hospitals and Ambulatory Care
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Questions and Answers

What percentage of primary care services for adults could non-physician providers (NPs, PAs) perform according to the text?

  • 50%
  • 90%
  • 25%
  • 75% (correct)
  • In a private medical practice partnership, how many physicians are typically involved?

  • No physicians
  • One physician
  • Two physicians (correct)
  • Three or more physicians
  • What type of health plan pre-pays providers in an HMO?

  • Insurance companies
  • Healthcare professionals
  • Government
  • Patients (correct)
  • What is the main reason Ambulatory Surgery Centers are preferred by 3rd party payers?

    <p>Lower cost</p> Signup and view all the answers

    Which type of cases require immediate medical care according to the text?

    <p>Emergent cases</p> Signup and view all the answers

    What is the main criterion for determining eligibility for services at Neighborhood and Community Health Centers?

    <p>High infant mortality</p> Signup and view all the answers

    Which program was established in 1992 to reduce pharmaceutical expenses for safety-net programs?

    <p>$340B Discount Drug Pricing Program</p> Signup and view all the answers

    How many hospitals are covered by the Indian Health Services (IHS) for Native American tribes according to the text?

    <p>49 hospitals</p> Signup and view all the answers

    Which of the following is NOT a service provided by Ambulatory Pharmacy Services?

    <p>Surgical procedures</p> Signup and view all the answers

    What is the main focus of pharmaceutical care?

    <p>Enhancing clinical training for pharmacists</p> Signup and view all the answers

    In Ambulatory Pharmacy Services, which drug category is specifically mentioned in the text as part of infused therapies?

    <p>Monoclonal antibodies</p> Signup and view all the answers

    What type of clinics are involved in interdisciplinary practice with physicians and other health care providers?

    <p>Primary-care and Family Practice clinics</p> Signup and view all the answers

    According to a Gallup Poll, pharmacists are among the most trusted individuals in society due to their:

    <p>Accessibility and trustworthiness</p> Signup and view all the answers

    Which group of individuals is eligible for Medication Therapy Management under Medicare Part D according to the text?

    <p>$5,330 annual prescription drug costs exceeding recipients</p> Signup and view all the answers

    Who were the pioneers of pharmaceutical care, as mentioned in the text?

    <p>Dr. Charles D. Hepler &amp; Dr. Linda Strand</p> Signup and view all the answers

    What was the main requirement triggered by pharmaceutical care that necessitated more clinical training for pharmacists?

    <p>A commitment to higher patient care standards</p> Signup and view all the answers

    What impact did Medicare Part A changing to DRGs have on hospitals?

    <p>Caused hospitals to eat the difference if the cost was more</p> Signup and view all the answers

    Which of the following is an example of a managed care cost containment measure adopted by private 3rd party payers?

    <p>Capitation</p> Signup and view all the answers

    What is one purpose of horizontal integration in hospitals?

    <p>To affiliate with other hospitals to improve efficiency and purchasing power</p> Signup and view all the answers

    How are teaching hospitals classified based on their association with medical education?

    <p>They serve as clinical training sites for physicians and are affiliated with medical schools</p> Signup and view all the answers

    What is one responsibility of the Director of Pharmacy in a hospital setting?

    <p>Set quality standards, policies, and procedures</p> Signup and view all the answers

    What is a primary role of pharmacy technicians in a hospital's drug distribution system?

    <p>Manage inventory and dispense medications</p> Signup and view all the answers

    Which service falls under non-distributive responsibilities of clinical pharmacists in a hospital?

    <p>Conducting drug therapy monitoring</p> Signup and view all the answers

    What is a common function of the Pharmacy and Therapeutics Committee in a hospital?

    <p>Review drug therapy protocols and determine hospital formulary</p> Signup and view all the answers

    What influenced the role and function of the modern hospital?

    <p>Changes in financing of health care</p> Signup and view all the answers

    How did the adoption of the germ theory of diseases impact hospitals?

    <p>Improved aseptic and surgical techniques</p> Signup and view all the answers

    What was the major impact of health insurance becoming more common on hospitals?

    <p>Stabilization of finances</p> Signup and view all the answers

    How did the Flexner Report influence hospitals?

    <p>Changed medical education</p> Signup and view all the answers

    What type of facilities were hospitals originally in the historical perspective described?

    <p>Almshouses and pesthouses</p> Signup and view all the answers

    Which factor led to increased demand for healthcare services according to the text?

    <p>Health insurance removing barriers to care</p> Signup and view all the answers

    In what way did health insurance impact the financial stability of hospitals?

    <p>Reduced reliance on charity and patient's ability to pay</p> Signup and view all the answers

    What major advancement resulted from the adoption of the germ theory of diseases?

    <p>Improved aseptic/antiseptic practices</p> Signup and view all the answers

    What type of medical testing was typically done as a hospital admission in the early days of insurance coverage?

    <p>Routine medical testing</p> Signup and view all the answers

    Which Act financed a significant portion of the expansion of the health care infrastructure after insurance started covering only hospitalizations?

    <p>The Hill-Burton Act</p> Signup and view all the answers

    What major shift occurred in hospitals due to immunizations, antibiotics, and public health systems?

    <p>Shift from acute infectious diseases to chronic diseases</p> Signup and view all the answers

    In what way were hospitals primarily paid despite the rise of managed care in the 1970s?

    <p>Retrospectively on a fee-for-service basis</p> Signup and view all the answers

    What aspect of hospitals has been a significant focus of technology and innovation?

    <p>Surgery and research</p> Signup and view all the answers

    What was one of the major consequences of insurance initially only covering hospitalizations in terms of medical testing?

    <p>Increased demand for hospital beds</p> Signup and view all the answers

    Which factor became more influential in the 1970s despite hospitals primarily being paid retrospectively on a fee-for-service basis?

    <p>Managed care</p> Signup and view all the answers

    What led to a transformation in the types of diseases predominantly seen in hospitals from acute infectious diseases to chronic diseases?

    <p>Immunizations and antibiotics</p> Signup and view all the answers

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