HA 3309 Exam All Questions with
Complete Rationales 2026-2027
Updated.
technology diffusion - Answer describes how wide spread the use of technology and its
influence on values and culture and shows how rapidly technology is spread
-based on innovations theory
-technology is good medicine
-consumers equate technology with quality
technology imperative - Answer if technology is good medicine, then you should have it in
your facility
-pts want the newest technology regardless of what it costs you or the pt
-you need to be careful about what is really valuable long term
cost benefit analysis - Answer -benefits of technology vs costs
-balance against all costs, not just cost per pt
-availability~ how it relates to income and pt
-diffusion~it can lead to expectation that technology is always available
-staffing changes/costs~retraining
technology addiction - Answer -addiction to social media, texting
-1/8 people suffer from internet use addictions
-6-10% show symptoms of addiction to smart phones, on phone for 7+ hours a day, chemical
changes in brain
-physical symptoms of back strain, vision problems, infections from germs on phones
-impact on studying and social skills
examples of health info technology - Answer -clinical decision support, computerized disease
registries, computerized order entry
-consumer health IT applications
-electronic medical records
-electronic prescribing
-telehealth
,technology imperative - Answer there is an expectation of using the latest technology
regardless of its cost
-prevalent among specialty areas of medicine
-advances in technology have improved the quality of care by providing mechanisms for less
invasive surgeries, reducing morbidity and managing pain, pt specific treatment, more effective
pharmaceuticals, sophisticated surgical techniques, contributes to quality of life through its
ability to treat formerly terminal illnesses, improve the quality of life for those with disabilities
and decrease pain and suffering
-tech advances have created new ethical dilemmas
-benefits come at a higher cost of providing care
-admin. need to address concerns about whether medical technology increases or decreases
the overall cost of pt care and remember that tech support and replacement are ongoing
process
-diversity of technology options and the costs of using these technologies raises issues related
to utility and justice
technology diffusion - Answer term used to describe technology's influence on values and
culture
-many americans equate good medicine with the amount of technology that is used
private business vs health care - Answer -customer choice: we don't have to serve customers if
they can't pay vs we have to serve everyone
-payment: pay for service vs figuring out how we are going to get paid
-regulation: depends on business vs heavy and expensive
-profit: want as much as you can get vs we have to be careful with how much we get bc people
will start asking questions and taxing us
mystery of hc finance - Answer -av cost of a day in the hospital is 4,293, in texas it is 2,062
-having a baby can be over 10,000
-costs vary by state and type of facility
-gov vs non profit vs for profit
-rates vary depending on who is paying for them ~ cheapest is medicare/medicaid
-room charge mystery~ you don't know what you are going to get charged, no set formula for
what you get billed (usually housekeeping, electricity, water, trash, biohazard, administration)
the coding mystery - Answer -icd 10 has over 87000 codes to classify diagnosis, symptoms,
and procedures
-HCPCS- healthcare common procedure coding system covers areas not included by CPT 4 codes
,-CPT codes cover current procedural areas and include medical offices, laboratories, and
psychotherapy
-we have all this oversight due to potential for upcoding
How does HC get its funding - Answer -insurance: paid for by person being insured, employers,
business profits
-government: paid for by taxpayers
-self pay: paid for by yourself
-hospital pays for charity care by donations from foundations connected to companies that sell
products
what are we getting for the money - Answer -costs are projected to be 20% GDP in 2020
-forbes (2015) 3207 trillion or avg of 10000 per person
-3% of pop represents 50% of the expense (care gets more expensive as you age)
-we do not have the best comprehensive and quality hc in the world
-we are the worst in the world among comparison counties
-some areas of hc are more neglected than others(mental health)
mental healthcare - Answer -mental health not well addressed even though we spend 113
billion dollars on it
-most of money goes to drugs and op services
-access is limited bc of shortage of professionals
-attitudes are still a barrier toward treatment
-mill would be upset bc this is not providing greatest good for greatest number
-rawls would say this is not just
business ethics issues - Answer -fraud and abuse
-billing for services not delivered, upcoding, excessive prescriptions, kickbacks
-waste is also a problem. national antifraud association says 1/4 of our spending is waste
top issues for finance - Answer -gov mandates
-fee for services vs population health
-software vendors
-drug costs
-technology changes
, ethics in organization - Answer -not all orgs are ethics based
-can you be part of the problem~ yes
-changing #s to look good, approving unethical behaviors, creating policies that encourage false
data and conflicts of interest
how can you prevent ethics issues? - Answer -hire ethical ees ~ interview well
-be a role model ~ set a good example for your staff
career suicide and ethics - Answer avoid:
1) getting drunk at organizational functions
2) dating a subordinate (Someone who reports to you) ~ can lead to sexual harrassment
3) telling ethnic or other inappropriate jokes
4) sending offensive emails or tweets
5) knowingly and repeatedly violating corporate culture including its ethics
6)getting arrested
7) falsifying records
8)getting into a fight
9) violating patient or ee confidentiality
10)invading privacy
11) taking kickbacks from vendors
12) giving away proprietary information to competitors
what about a code of ethics - Answer -provide a guideline
-decision models are tools to help you make decisions
-facts, stakeholders, drivers, principles, people for decisions, actions for prevention, best
solution and stakeholders, prevention in the future, implement and evaluate
new area for ethics committee - Answer -ethics codes are not just for pt situations
-nurses and others can call a code for ethics consulting (when someone knows the right thing to
doubt is scared to do it)
what is your role in ethics - Answer -have mechanisms for self reporting
-encourage information related to ethics concerns
-remember to evaluate and act appropriately
-set the environment, no snitches
Complete Rationales 2026-2027
Updated.
technology diffusion - Answer describes how wide spread the use of technology and its
influence on values and culture and shows how rapidly technology is spread
-based on innovations theory
-technology is good medicine
-consumers equate technology with quality
technology imperative - Answer if technology is good medicine, then you should have it in
your facility
-pts want the newest technology regardless of what it costs you or the pt
-you need to be careful about what is really valuable long term
cost benefit analysis - Answer -benefits of technology vs costs
-balance against all costs, not just cost per pt
-availability~ how it relates to income and pt
-diffusion~it can lead to expectation that technology is always available
-staffing changes/costs~retraining
technology addiction - Answer -addiction to social media, texting
-1/8 people suffer from internet use addictions
-6-10% show symptoms of addiction to smart phones, on phone for 7+ hours a day, chemical
changes in brain
-physical symptoms of back strain, vision problems, infections from germs on phones
-impact on studying and social skills
examples of health info technology - Answer -clinical decision support, computerized disease
registries, computerized order entry
-consumer health IT applications
-electronic medical records
-electronic prescribing
-telehealth
,technology imperative - Answer there is an expectation of using the latest technology
regardless of its cost
-prevalent among specialty areas of medicine
-advances in technology have improved the quality of care by providing mechanisms for less
invasive surgeries, reducing morbidity and managing pain, pt specific treatment, more effective
pharmaceuticals, sophisticated surgical techniques, contributes to quality of life through its
ability to treat formerly terminal illnesses, improve the quality of life for those with disabilities
and decrease pain and suffering
-tech advances have created new ethical dilemmas
-benefits come at a higher cost of providing care
-admin. need to address concerns about whether medical technology increases or decreases
the overall cost of pt care and remember that tech support and replacement are ongoing
process
-diversity of technology options and the costs of using these technologies raises issues related
to utility and justice
technology diffusion - Answer term used to describe technology's influence on values and
culture
-many americans equate good medicine with the amount of technology that is used
private business vs health care - Answer -customer choice: we don't have to serve customers if
they can't pay vs we have to serve everyone
-payment: pay for service vs figuring out how we are going to get paid
-regulation: depends on business vs heavy and expensive
-profit: want as much as you can get vs we have to be careful with how much we get bc people
will start asking questions and taxing us
mystery of hc finance - Answer -av cost of a day in the hospital is 4,293, in texas it is 2,062
-having a baby can be over 10,000
-costs vary by state and type of facility
-gov vs non profit vs for profit
-rates vary depending on who is paying for them ~ cheapest is medicare/medicaid
-room charge mystery~ you don't know what you are going to get charged, no set formula for
what you get billed (usually housekeeping, electricity, water, trash, biohazard, administration)
the coding mystery - Answer -icd 10 has over 87000 codes to classify diagnosis, symptoms,
and procedures
-HCPCS- healthcare common procedure coding system covers areas not included by CPT 4 codes
,-CPT codes cover current procedural areas and include medical offices, laboratories, and
psychotherapy
-we have all this oversight due to potential for upcoding
How does HC get its funding - Answer -insurance: paid for by person being insured, employers,
business profits
-government: paid for by taxpayers
-self pay: paid for by yourself
-hospital pays for charity care by donations from foundations connected to companies that sell
products
what are we getting for the money - Answer -costs are projected to be 20% GDP in 2020
-forbes (2015) 3207 trillion or avg of 10000 per person
-3% of pop represents 50% of the expense (care gets more expensive as you age)
-we do not have the best comprehensive and quality hc in the world
-we are the worst in the world among comparison counties
-some areas of hc are more neglected than others(mental health)
mental healthcare - Answer -mental health not well addressed even though we spend 113
billion dollars on it
-most of money goes to drugs and op services
-access is limited bc of shortage of professionals
-attitudes are still a barrier toward treatment
-mill would be upset bc this is not providing greatest good for greatest number
-rawls would say this is not just
business ethics issues - Answer -fraud and abuse
-billing for services not delivered, upcoding, excessive prescriptions, kickbacks
-waste is also a problem. national antifraud association says 1/4 of our spending is waste
top issues for finance - Answer -gov mandates
-fee for services vs population health
-software vendors
-drug costs
-technology changes
, ethics in organization - Answer -not all orgs are ethics based
-can you be part of the problem~ yes
-changing #s to look good, approving unethical behaviors, creating policies that encourage false
data and conflicts of interest
how can you prevent ethics issues? - Answer -hire ethical ees ~ interview well
-be a role model ~ set a good example for your staff
career suicide and ethics - Answer avoid:
1) getting drunk at organizational functions
2) dating a subordinate (Someone who reports to you) ~ can lead to sexual harrassment
3) telling ethnic or other inappropriate jokes
4) sending offensive emails or tweets
5) knowingly and repeatedly violating corporate culture including its ethics
6)getting arrested
7) falsifying records
8)getting into a fight
9) violating patient or ee confidentiality
10)invading privacy
11) taking kickbacks from vendors
12) giving away proprietary information to competitors
what about a code of ethics - Answer -provide a guideline
-decision models are tools to help you make decisions
-facts, stakeholders, drivers, principles, people for decisions, actions for prevention, best
solution and stakeholders, prevention in the future, implement and evaluate
new area for ethics committee - Answer -ethics codes are not just for pt situations
-nurses and others can call a code for ethics consulting (when someone knows the right thing to
doubt is scared to do it)
what is your role in ethics - Answer -have mechanisms for self reporting
-encourage information related to ethics concerns
-remember to evaluate and act appropriately
-set the environment, no snitches
