Chapter 7 What is Outpatient Care/Ambulatory Care? | Assessment
Questions and Answers with 100% Correct Answers | Latest Version
Question 1.
What is Outpatient Care/Ambulatory Care?
Correct Answer: Consists of: · Diagnostic and therapeutic Services provided to
walk in patients · Care for patients who visit physicians, outpatient departments
of hospitals
Question 2.
Outpatient Services refer to as:
Correct Answer: · No overnight stay · Offered at long term care facilities ·
Hospitals that offer outpatient surgeries, rehab and specialized clinics · Basic
routine physical exams and minor treatments that are performed in physician
office Advanced outpatient services required are sometimes done at hospitals
with outpatient departments
Question 3.
Scope of Outpatient Services
Correct Answer: · Access remains a problem for uninsured and racial/ethnic
minorities. · Visits are higher in metropolitan areas than in rural areas,
reflecting poorer access to primary care in rural areas · Outpatient care do much
more than primary care services; most surg- eries are now performed in
outpatient settings and could be performed at hospitals · Services shift towards
outpatient care and hospital occupancy have declined · Establishing more
Outpatient care market has become a threat to hospitals due to services are
expanding more and has been a competition for medical services between
hospitals and community based providers
Question 4.
· Home health · Ambulatory clinics for routine services · Urgent care · Outpatient surgery ·
Dental and optometric services
Correct Answer: Examples of competition:
Question 5.
Hospitals have developed outpatient care services to offset the declining inpatient income
because: · Outpatient care cost less · MD discharges their patient quicker under
prospective and capitated reimbursement. · These financial factors have provided a major
growth of home health care.
Correct Answer: Reimbursement:
,Question 6.
· Less invasive surgical methods and new diagnostic treatment procedures can be done
outpatient that require inpatient hospitals stays · Less traumatic procedures such as
shorter acting anesthetics and minimal invasive technology leads to shorter recovery
times · Physicians have expanded their capacity to perform outpatient services
Correct Answer: Technologic Factors:
Question 7.
· Inpatient hospitals stays are discouraged by various payors. · Prior auth for inpatient
admissions and minimizing hospitals stays controls costs
Correct Answer: Utilization Factors:
Question 8.
· Patients would prefer health care in the home and community-based settings. · Being
home gives individuals a sense of independence.
Correct Answer: Social Factors:
Question 9.
OUTPATIENT CARE SETTINGS AND METHODS OF DELIVERY Private Practice
Correct Answer: · Physicians in and office settings form the backbone of
ambulatory care. Provides: · Limited examinations and testing · Encounters with
doctors in short duration · Waiting time is longer than the time actually spent
with the doctors.
Question 10.
OUTPATIENT CARE SETTINGS AND METHODS OF DELIVERY
Correct Answer: Several factors why physicians why fewer physicians open their
own practice: · Unknown rapid changes in health care delivery systems ·
Contracting with Managed care instead of going solo · Competition from large
organizations · High Costs to open a new practice · Complex billing and
collections in a multipayer system · Increased external controls over the
practice of medicine
Question 11.
Group Practice offers several benefits:
Correct Answer: · Patient referrals in network · Leverage in negotiating with
MCOs · Able to take some time off with other colleagues covering your patients ·
Higher salaries Available Profit Sharing
Question 12.
Hospital Outpatient clinics in inner city areas function as:
Correct Answer: · Community Safety Net · Provides primary care to the
, uninsured population · Key profits to many hospitals · Hospitals have expanded
their outpatient department and utilization has grown and are cutting costs.
Question 13.
Hospitals have both inpatient and outpatient services to enhance their revenues.
Correct Answer: For examples: · Referring post-surgical cases to its affiliated
units for rehab · Home care follow up · Patients who receive services that are
hospital affiliated are referred back to the hospital for inpatient care.
Question 14.
Hospital Based outpatient services are classified as:
Correct Answer: · Clinical for the uninsured or research studies · Surgical for
patients discharged on the day of surgery · Home health care (post-acute and
rehab) · Women's health · Emergency care
Question 15.
What are freestanding Facilities?
Correct Answer: Freestanding Proprietary and community-based facilities such
as: · Walk in clinics (non- routine episodic basis, convenient) · Urgent care
Centers (routine services for basic and acute conditions) · Surgical Centers
(does not require overnight stay)
Question 16.
Mobile Facilities for medical, diagnostics, and screening services
Correct Answer: Mobile health care services: · Transported to patients · Routine
services such as mammograms and MRI · Provides diagnostics services in small
towns and rural communities · Screening vans, staffed by trained volunteers
employed by non-profit agencies · BP checks and cholesterol screenings
Question 17.
Telephone Triage/Tele- phone access:
Correct Answer: · Brings expert opinions and advices when physicians are
generally closed · Staffed by trained nurses who have access to patient medical
records and provide guidance with the use of standardized protocols ·
Physicians can provide consults and refer patients to urgent care centers or ED.
Question 18.
· Services provided to patients at home (changing dressings, monitoring medications,
bathing, short term rehab, PT, OT, ST, homemakers, help w/ chores, transportations,
ostomy supplies, hospitals beds, O2, walkers and wheelchairs) · Provides nursing at home
and keeps patients from going to the hospitals · Provides a least restrictive environment
Correct Answer: Home Health Care
Questions and Answers with 100% Correct Answers | Latest Version
Question 1.
What is Outpatient Care/Ambulatory Care?
Correct Answer: Consists of: · Diagnostic and therapeutic Services provided to
walk in patients · Care for patients who visit physicians, outpatient departments
of hospitals
Question 2.
Outpatient Services refer to as:
Correct Answer: · No overnight stay · Offered at long term care facilities ·
Hospitals that offer outpatient surgeries, rehab and specialized clinics · Basic
routine physical exams and minor treatments that are performed in physician
office Advanced outpatient services required are sometimes done at hospitals
with outpatient departments
Question 3.
Scope of Outpatient Services
Correct Answer: · Access remains a problem for uninsured and racial/ethnic
minorities. · Visits are higher in metropolitan areas than in rural areas,
reflecting poorer access to primary care in rural areas · Outpatient care do much
more than primary care services; most surg- eries are now performed in
outpatient settings and could be performed at hospitals · Services shift towards
outpatient care and hospital occupancy have declined · Establishing more
Outpatient care market has become a threat to hospitals due to services are
expanding more and has been a competition for medical services between
hospitals and community based providers
Question 4.
· Home health · Ambulatory clinics for routine services · Urgent care · Outpatient surgery ·
Dental and optometric services
Correct Answer: Examples of competition:
Question 5.
Hospitals have developed outpatient care services to offset the declining inpatient income
because: · Outpatient care cost less · MD discharges their patient quicker under
prospective and capitated reimbursement. · These financial factors have provided a major
growth of home health care.
Correct Answer: Reimbursement:
,Question 6.
· Less invasive surgical methods and new diagnostic treatment procedures can be done
outpatient that require inpatient hospitals stays · Less traumatic procedures such as
shorter acting anesthetics and minimal invasive technology leads to shorter recovery
times · Physicians have expanded their capacity to perform outpatient services
Correct Answer: Technologic Factors:
Question 7.
· Inpatient hospitals stays are discouraged by various payors. · Prior auth for inpatient
admissions and minimizing hospitals stays controls costs
Correct Answer: Utilization Factors:
Question 8.
· Patients would prefer health care in the home and community-based settings. · Being
home gives individuals a sense of independence.
Correct Answer: Social Factors:
Question 9.
OUTPATIENT CARE SETTINGS AND METHODS OF DELIVERY Private Practice
Correct Answer: · Physicians in and office settings form the backbone of
ambulatory care. Provides: · Limited examinations and testing · Encounters with
doctors in short duration · Waiting time is longer than the time actually spent
with the doctors.
Question 10.
OUTPATIENT CARE SETTINGS AND METHODS OF DELIVERY
Correct Answer: Several factors why physicians why fewer physicians open their
own practice: · Unknown rapid changes in health care delivery systems ·
Contracting with Managed care instead of going solo · Competition from large
organizations · High Costs to open a new practice · Complex billing and
collections in a multipayer system · Increased external controls over the
practice of medicine
Question 11.
Group Practice offers several benefits:
Correct Answer: · Patient referrals in network · Leverage in negotiating with
MCOs · Able to take some time off with other colleagues covering your patients ·
Higher salaries Available Profit Sharing
Question 12.
Hospital Outpatient clinics in inner city areas function as:
Correct Answer: · Community Safety Net · Provides primary care to the
, uninsured population · Key profits to many hospitals · Hospitals have expanded
their outpatient department and utilization has grown and are cutting costs.
Question 13.
Hospitals have both inpatient and outpatient services to enhance their revenues.
Correct Answer: For examples: · Referring post-surgical cases to its affiliated
units for rehab · Home care follow up · Patients who receive services that are
hospital affiliated are referred back to the hospital for inpatient care.
Question 14.
Hospital Based outpatient services are classified as:
Correct Answer: · Clinical for the uninsured or research studies · Surgical for
patients discharged on the day of surgery · Home health care (post-acute and
rehab) · Women's health · Emergency care
Question 15.
What are freestanding Facilities?
Correct Answer: Freestanding Proprietary and community-based facilities such
as: · Walk in clinics (non- routine episodic basis, convenient) · Urgent care
Centers (routine services for basic and acute conditions) · Surgical Centers
(does not require overnight stay)
Question 16.
Mobile Facilities for medical, diagnostics, and screening services
Correct Answer: Mobile health care services: · Transported to patients · Routine
services such as mammograms and MRI · Provides diagnostics services in small
towns and rural communities · Screening vans, staffed by trained volunteers
employed by non-profit agencies · BP checks and cholesterol screenings
Question 17.
Telephone Triage/Tele- phone access:
Correct Answer: · Brings expert opinions and advices when physicians are
generally closed · Staffed by trained nurses who have access to patient medical
records and provide guidance with the use of standardized protocols ·
Physicians can provide consults and refer patients to urgent care centers or ED.
Question 18.
· Services provided to patients at home (changing dressings, monitoring medications,
bathing, short term rehab, PT, OT, ST, homemakers, help w/ chores, transportations,
ostomy supplies, hospitals beds, O2, walkers and wheelchairs) · Provides nursing at home
and keeps patients from going to the hospitals · Provides a least restrictive environment
Correct Answer: Home Health Care
