Health Care USA Understanding Its Organization and Delivery 8th Edition by Harry A. Sultz – Test Bank
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Sample
Test
CHAPTER 03
Multiple Choice
1. Establishment
of the Office of the National Coordinator for Health Information Technology in
2004 was the federal government’s first step toward creating:
1. health
information exchanges (HIEs)
2. a
nationwide health network
3. “meaningful
use” criteria for electronic health record adoptions
4. training
programs for health information technologists
Ans.: B
Page: 71
2. The
central provision of the HITECH Act of 2009 was:
20. $
20.8 billion allocation through the Medicare and Medicaid programs to
incentivize physicians and health care organizations to adopt electronic health
records
21. federal
support for establishment of regional health information organizations (RHIOs)
22. enhanced
enforcement of patient privacy of information regulations
23. support
for implementing computerized physician order entry (CPOE) systems
Ans.: A
Page: 71
3. A
major challenge of creating health information systems using data from many
different sources is the feature known as “interoperability.” The solution
applied to achieving interoperability has been the development of:
1. monolithic
architecture
2. cultural
sensitivity training among organizations
3. health
information exchanges (HIEs)
4. the
Systematic Nomenclature of Medicine (SNOMED)
Ans.: C
Page: 90
4. The
federated model of health information exchange architecture is best described
as a model in which:
1. data
resides only within each institution’s system and the health information
exchange data base houses only a master patient index with unique patient
identifiers.
2. all
participating institutions agree to purchase their health information software
from the same vendor.
3. patient
data is maintained under control of federal regulations
4. all
participating institutions periodically send copies of clinical data to one
central repository where all data reside together in one format
Ans.: A
Page: 93
5. “Meaningful
use” of electronic health records is best described as:
1. physicians
and hospital managers passing federal examinations on electronic health record
creation and applications
2. physicians
and other providers making electronic health records accessible to patients
3. criteria
defined by the Office of the National Coordinator in collaboration with the
Centers for Medicare and Medicaid services that require meeting time-limited
objectives in order to quality for incentive payments under the HITECH Act.
4. efficient
applications of electronic health records under internal criteria established
within physician practices and hospitals.
Ans.: C
Page: 81
6. Three
organization elements essential for successful health information systems
implementation are:
1. time,
effort, and money
2. technology,
policies and procedures, and culture
3. training,
testing, and evaluation
4. competency,
character, and courage
Ans.: B
Page: 75
7. A
computerized decision support system (CDSS) is best described as an electronic
system that:
1. shows
physicians recommended schedules of preventive services based on patient
diagnosis
2. allows
physicians to list orders for patient treatment including prescriptions, in an
electronic health record
3. matches
individual patient data with a computerized knowledge base such as
evidence-based clinical guidelines
4. substitutes
computerized information for physician judgments
Ans.: C
Pages: 87-88
8. The
single most important factor in accelerating health information technology
adoption since 2008 has been:
1. widespread
recognition of technology’s contribution to the quality of patient care
2. financial
incentive programs that reward “meaningful use”
3. results
achieved by electronic health records in reducing expenditures
4. patients’
demands for electronic access to their personal health records
Ans.: B
Pages: 97-98
Chapter 4
Multiple Choice
1. In
colonial America, the primary functions of hospitals were to:
1. support
scientific research
2. shelter
older adults, the dying, orphans, and vagrants and protect community residents
from contagiously sick and mentally ill persons
3. provide
congregate sites for training of nurses
4. provide
entrepreneurial enterprises for business-minded physicians
Ans.: B
Page: 110
2. The
development that contributed most significantly to the decline of the social
mission of voluntary hospitals was the:
1. specialization
of clinical practice
2. enactment
of private and public insurance reimbursement for hospital care
3. development
of high-technology hospital care
4. passage
of 1973 HMO legislation
Ans.: B
Page: 112
3. The
ultimate responsibility for a hospital’s quality of care, including the medical
care provided, rests with a hospital’s:
1. medical
staff organization
2. department
of quality management
3. board
of directors
4. chief
executive officer
Ans.: C
Page: 130
4. A
major obligation of doctors when obtaining informed consent for a medical
procedure is to:
1. shield
the patient from information about possible negative side effects
2. ensure
that family members agree with the patient’s decision
3. ensure
that the patient understands the risks and benefits of the procedure
4. protect
themselves from malpractice claims
Ans.: C
Page: 133
5. Until
the mid-1980s, hospitals were reimbursed for whatever they charged on a
“retrospective” basis. Now they are paid a certain amount for each patient’s
care on a predetermined “prospective” basis. The amount they are paid is based
on:
1. empirical
data
2. diagnosis
related groups (DRGs)
3. Costs
of resources used
4. prospective
patient categories (PPCs)
Ans.: B
Page: 134
6. Through
discharge planning, hospitals help assure that safe and appropriate
post-hospital accommodations are arranged for each patient. Medicare patients
may appeal what they believe to be a premature or inappropriate discharge by
petitioning which of the following organizations?
1. hospital
board of directors
2. hospital
medical staff organization
3. quality
improvement organization (QIO)
4. American
hospital association
Ans.: C
Page: 136
7. In
health care, which of the following terms refers to a system that includes
several service components with each addressing one or more dimensions of a
population’s health care needs?
1. Vertically
integrated
2. Laterally
integrated
3. Parallel
structured
4. Horizontally
integrated
Ans.: A
Page: 139
8. For
many years, the standard for assessing hospital quality of care was peer review
using physician audits of selected patient records to judge “the degree of conformity
with preset standards.” Which of the following was not a
reason for the ineffectiveness of such audits?
1. Reviewers
used implicit standards to make qualitative judgments
2. Hospital
administrators influenced how reviewers were selected
3. No
rational basis existed for chart selection to permit extrapolation of sample
findings to the larger patient population
4. When
deficiencies were identified, reviewers were reluctant to pass judgment on
their colleagues
Ans.: B
Page 140
9. In
its landmark report on hospital errors, “To Err is Human,” the Institute of
Medicine emphasized that errors in care most typically originate from which one
of the following sources?
1. Distracted,
fatigued physicians
2. Inadequate
nurse training
3. Medical
equipment failures
4. Deficiencies
in the systems of care
Ans.: D
Page 143
10. “Hospitals
can no longer live in a four-walls, brick and mortar world.” This statement
refers to which encompassing principle of health care reform?
1. Primary
doctors will be the system leaders, not specialists
2. Almost
every American will have health insurance coverage
3. focus
on population health status with community-based care delivered in multiple
provider sites
4. measures
of hospital quality will become more transparent and available to the public
Ans.: C.
Page: 149
11. A
major trend is hospital corporate organization over the past few years as
hospitals strategically prepared for system reforms has included:
1. Mergers
and consolidations into larger systems of care
2. Downsizing
of nursing and related support personnel
3. Closures
of ambulatory clinics
4. Publicly
disclosing fees and charges to improve competitive market position
Ans.: A
Page 149
12. Hospital
value-based purchasing now required by the ACA for over 3,000 Medicare
participating hospitals is a program that may be best described as using:
1. Hospital
fines and penalties for readmissions with the same diagnosis within 30 days of
discharge
2. Consolidated
Medicare payments based on a complete “episode of care” rather than piecemeal payments
for individual services
3. Incentive
payments for achievements and improvements in clinical care and patient
satisfaction
4. Organizations
composed of multiple providers which are paid incentives for enabling Medicare
patients to avoid hospitalization
Ans.: C
Page: 152
13. Hospitals
in the future health care system will:
1. expand
as hubs of more technologically sophisticated health care systems
2. no
longer be the axis of health care delivery but retain core roles as sites of
sophisticated care, professional teaching and clinical research
3. surrender
their charitable missions to embrace profit-making principles
4. emphasize
competition with community physicians
Ans.: B
Page: 154
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