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 (C)</p> Signup and view all the answers

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

<p>Emergent cases (D)</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 (D)</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 (D)</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 (C)</p> Signup and view all the answers

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

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

What is the main focus of pharmaceutical care?

<p>Enhancing clinical training for pharmacists (B)</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 (C)</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 (D)</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 (C)</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 (D)</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 (A)</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 (B)</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 (C)</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 (D)</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 (D)</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 (A)</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 (D)</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 (B)</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 (A)</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 (C)</p> Signup and view all the answers

What influenced the role and function of the modern hospital?

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

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

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

How did the Flexner Report influence hospitals?

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

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

<p>Almshouses and pesthouses (A)</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 (B)</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 (A)</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 (C)</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 (D)</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 (C)</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 (D)</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 (D)</p> Signup and view all the answers

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

<p>Surgery and research (C)</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 (B)</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 (D)</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 (B)</p> Signup and view all the answers

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