Deck 1: Health Care Delivery Systems

Question 1

Associate medical staff members include former members who are honored with emeritus status.

Answer 1

False

Question 2

Hippocrates was the first physician to consider medicine a science.

Answer 2

True

Question 3

The American College of Surgeons (ACS) improved the quality of care for surgical patients by establishing standards for surgical.

Answer 3

True

Question 4

The utilization review process was strengthened through formation of professional standards review organizations (PSROs) to monitor the appropriateness, quality, and outcome of services provided to beneficiaries of Medicare, Medicaid, and Maternal and Child Health programs.

Question 5

Preadmission testing on an outpatient basis is more frequently performed than is admitting patients a day or two early to perform such tests.

Question 6

Antyllos, a Roman physician appointed to treat gladiators, gained anatomical insight by tending to their fractures and wounds.

Question 7

The Health Care Financing Administration was created to replace the Centers for Medicare and Medicaid Services.

Question 8

Hospital administrators are responsible for appointing medical staff members.

Question 9

The Health Care Quality Improvement Act of 1986 requires that consumers to be provided with informed consent guidance and with information about state laws that impact health care decisions.

Question 10

The focus of health care consumers is on primary and preventative care.

Question 11

The primary purpose of the Joint Commission is the mandatory accreditation of health care facilities.

Question 12

Rhazes produced the Canon of Medicine, which summarized medical knowledge and accurately described many diseases.

Question 13

Individual state laws require health care facilities to obtain licenses to operate from state departments of health.

Question 14

During ancient times, Antyllos performed and described new procedures, and he became an authority on aneurysms.

Question 15

Prehistoric medicine and ancient medicine were characterized by an interest in the arts and sciences.

Question 16

In 1918, just 89 of 692 hospitals surveyed as part of the Hospital Standardization Program met requirements of the Minimum Standard for Hospitals.

Question 17

Osteopathic physicians founded the American Medical Association (AMA) in Philadelphia to elevate the standard of medical education in the United States.

Question 18

Avicenna summarized the knowledge of medieval medicine in the Canon of Medicine.

Question 19

Sally Slip fell and broke her arm. Her fracture would most likely be treated by an orthopedic specialist.

Question 20

Hospital-originated infections are also known as nosocomial infections.

Question 21

Which surgeon and surgical writer educated by the army after being rejected by medical schools saved thousands of lives by the use of ligatures in amputations?

A) Vesalius
B) Paré
C) Papyrus
D) Fracastoro

Question 22

The preparation of a final meeting agenda is the joint responsibility of the committee chairperson and secretary.

Question 23

The anatomist who revolutionized anatomy by writing De Humani Corporis Fabrica was

A) Girolamo Fracastoro.
B) Galen.
C) Edwin Smith Papyrus.
D) Andreas Vesalius.

Question 24

Which medical staff committee is responsible for the review of preoperative and pathologic diagnosis to determine the necessity of surgery?

A) Tissue review
B) Joint conference
C) Infection control
D) Credentials

Question 25

The National Practitioner Data Bank (NPDB) was established by the

A) Consolidated Omnibus Budget Reconciliation Act.
B) Health Care Quality Improvement Act.
C) Health Insurance Portability and Accountability Act.
D) Hospital Standardization Program.

Question 26

Which hospital department directs the facility-wide program that monitors standards of conduct, implements sanctions for noncompliance, and maintains a confidential integrity hot line?

A) Compliance
B) Human resources
C) Quality management
D) Ethics

Question 27

When taking minutes, the committee secretary should record only the final decisions made by the committee.

Question 28

The drug utilization review committee is responsible for maintaining the hospital formulary.

Question 29

Abstracted patient information is used to generate diagnosis and procedure indexes.

Question 30

Medical staff members are granted clinical privileges by the

A) chief executive officer.
B) medical staff.
C) governing board.
D) chief of medical services.

Question 31

Which medical staff membership category includes physicians who deliver most of a hospital's inpatient medical services?

A) Active
B) Associate
C) Honorary
D) Consulting

Question 32

The purpose of contracting out health information services is to improve quality and contain costs.

Question 33

Funding for health care for the homeless was provided by the ____ Act.

A) McKinney
B) Migrant Health
C) Patient Self-Determination
D) Social Security

Question 34

A patient's entry to the health care system in most nonemergency situations-which include health maintenance and coordination of referrals-is called ____ care.

A) preventative
B) secondary
C) primary
D) tertiary

Question 35

The first physician to document accurate descriptions of measles and smallpox was

A) Rhazes.
B) Papyrus.
C) Hippocrates.
D) Avicenna.

Question 36

To advance the health of individuals and communities, hospitals and health care networks are represented by the

A) National Medical Association.
B) American Medical Association.
C) American Hospital Association.
D) American College of Surgeons.

Question 37

Which committee acts on reports and recommendations from medical staff committees?

A) Quality management committee
B) Executive committee
C) Ethics committee
D) Credentials committee

Question 38

Which coding system is used in the United States to collect information about diseases and injuries and to classify diagnoses and procedures?

A) CDT
B) CPT
C) HCPCS
D) ICD-10-CM/ICD-10-PCS

Question 39

Which physician produced the Canon of Medicine?

A) Rhazes
B) Papyrus
C) Hippocrates
D) Avicenna

Question 40

Which organization was founded to improve the quality of care for surgical patients by establishing standards for surgical education and practice?

A) American College of Surgeons
B) American Hospital Association
C) American Medical Association
D) National Medical Association

Question 41

Ms. Organized has developed a draft strategic plan for Sunny Valley Hospital and will present the plan at the hospital board of trustees meeting next month. Ms. Organized's role at Sunny Valley is most likely

A) chairperson of the board.
B) chief executive officer.
C) chief information officer.
D) chief operating officer.

Question 42

Which of the following authorized the implementation of a PQRI that established a financial incentive for eligible professionals who participate in a voluntary quality reporting program?

A) Deficit Reduction Act of 2005
B) Patient Safety and Quality Improvement Act
C) HITECH Act
D) Tax Relief and Health Care Act of 2006

Question 43

Which of the following is not a primary care service?

A) Family planning
B) Vision and hearing screening
C) Hysterectomy
D) Annual physical examination

Question 44

Mark Smith, a victim of a motor vehicle accident, has instructed his physician that if he stops breathing or his heartbeat stops, he does not want to be revived. The physician should complete which of the following for the patient?

A) Do not resuscitate order
B) Health care proxy form
C) Standing order
D) Living will

Question 45

Which of the following encourages the reporting of health care mistakes to patient safety organizations by making the reports confidential and providing a shield from their use in civil and criminal proceedings?

A) Tax Relief and Health Care Act of 2006
B) Patient Safety and Quality Improvement
C) Genetic Information Nondiscrimination Act
D) Deficit Reduction Act

Question 46

Dr. Jones examines Sally Sick in the office and completes a history and physical exam for the treatment of an upper respiratory infection. Dr. Jones writes a prescription for antibiotics and instructs her to return to his office in 10 to 14 days. This is classified as a(n) ____ care service.

A) secondary
B) tertiary
C) acute
D) primary

Question 47

Which organization currently provides voluntary accreditation of health care organizations?

A) AMA
B) ACS
C) The Joint Commission
D) World Health Organization

Question 48

Since 1951, the organization that has developed professionally based standards to evaluate the compliance of health care organizations is the

A) The Joint Commission.
B) AAAHC.
C) CARF.
D) NCQA.

Question 49

Which committee ensures patient safety by analyzing trends of incidents and establishing priorities for dealing with high-risk areas?

A) Risk management
B) Disaster control
C) Utilization review
D) Safety

Question 50

Most hospitals in the United States are ____ and are operated by religious or other charitable groups.

A) teaching
B) voluntary
C) government
D) proprietary

Question 51

The quality assurance committee has completed a study that reviewed preoperative and pathologic diagnosis. Upon review of the statistical findings, it appears that three surgeons may be performing surgeries that cannot be justified. These findings should also be reviewed by the ____ committee.

A) credentials
B) executive
C) ethics
D) tissue review

Question 52

Dr. Jones has examined Tom Smith's eye and determined that Tom has a suspicious area on the cornea. Dr. Jones refers Tom to an eye specialist in the field of

A) ophthalmology.
B) urology.
C) dermatology.
D) gynecology.

Question 53

The assembly and analysis of discharged patient records is called

A) coding.
B) abstracting.
C) universal chart ordering.
D) incomplete record processing.

Question 54

The Joint Commission and _____ work together to standardize common measures called the National Hospital Quality Measures.

A) AHIMA
B) AMA
C) CMS
D) WHO

Question 55

Pam Paper reviews inpatient admissions to assess patients who may require posthospital services on discharge. She works for the

A) admissions office.
B) business office.
C) case management department.
D) compliance department.

Question 56

Which identifier measures an individual's unique physical characteristics or behavior and compares it to a stored digital template to authenticate the identity of the individual?

A) Biometrics
B) Electronic signature
C) Smart card
D) Digital signature

Question 57

Which joint state and federal program(s) assist(s) with medical costs for those with low incomes and limited resources?

A) Medicaid
B) Medicare
C) Medicaid and Medicare
D) Title 18 of the Social Security Amendment of 1965

Question 58

The implementation of standards for sanitation, hygiene, ventilation, and nutrition occurred during the ____ centuries.

A) 16th and 17th
B) 18th and 19th
C) 17th and 18th
D) 15th and 16th

Question 59

The Medicaid Integrity Program, a fraud and abuse detection program, was established by the

A) Deficit Reduction Act.
B) American Recovery and Reinvestment Act.
C) Hill-Burton Act.
D) Genetic Information Nondiscrimination Act.

Question 60

The use of the microscope allowed ____ to discover certain microbes that later became known as bacteria.

A) Jenner
B) Koch
C) Leeuwenhoek
D) Pasteur

Question 61

The National Practitioner Data Base (NPDB) was established by the ____________________ to gather information about a practitioner's credentials, previous malpractice, and adverse action histories.

Question 62

Long and Morton discovered that ether gas could be used during surgery as a(n) ____________________ to put patients to sleep.

Question 63

The Peer Review Improvement Act of 1982 replaced professional standard review organizations with ____________________, which review statewide utilization of services and quality of care provided to Medicare and Medicaid patients.

Question 64

From 500 AD through 1347 AD, a series of epidemics known as the ____________________ killed 42 million people in Europe.

Question 65

Lister believed that germs caused many surgical deaths, and he began using carbolic acid to ____________________ surgical wounds.

Question 66

In the De Contagione, the modern theory of the spread of infection by invisible germs and modes of disease transmission was written by _________________________.

Question 67

Paul Ehrlich destroyed microbes responsible for particular diseases by using ____________________.

Question 68

Measurements of a health care organization's level of performance in specific areas that are created by accrediting agencies are called ____________________.

Question 69

A plastic card that contains a small central processing unit and memory, and can interact with a reader is known as a ____________________.

Question 70

Laws against dissection were relaxed and the first scientific studies of the human body occurred during the ____________________ period.

Question 71

A digital signature uses ______________________________ to attach an alphanumeric code to a document to represent the person signing the document.

Question 72

Louis Pasteur and Robert Koch established the microbial, or ____________________, theory of disease.

Question 73

GINA is the abbreviation for ____________________.

Question 74

The Health Care Financing Administration, now known as ____________________, was created to manage the Medicare and Medicaid programs.

Question 75

An interpretation of a law as written by an administrative agency is called a(n) ____________________.

Question 76

A universal chart is created when inpatient and ____________________ patient records are organized in the same order.

Question 77

The abbreviation HITECH Act means ________________ Act.

Question 78

Regulations that govern privacy, security, and electronic transactions for health care information were mandated by the _____________________________________________ Act.

Question 79

Voluntary compliance with standards is known as ____________________.

Question 80

Benjamin Franklin established the first United States hospital, known as the ____________________ Hospital.