FACHE Exam Questions and Correct
Answers
Sarbanes Oxley - correct answers:US federal law that set new or expanded requirements for all US public
company boards, management and public accounting firms. Cover responsibilities of a public
corporation's board of directors, adds criminal penalties and required SEC to create regulations
FMLA - correct answers:1993: law requiring covered employers to provide employees with job-protected
and unpaid leave for qualified medical family reasons
Purpose of any HCO - correct answers:to provide care to individual patients and is usually stated in
organization's "mission"
Population Health - correct answers:defining the population (by geography, sociodemographic factors,
disease state, risk, insurance coverage or in some other way), measuring the current state of health in
the population, setting goals for improvement and directing resources to making improvements. US HSS
specifies national goals and objectives for population health in the Healthy People 2020 program
Caregiving/Clinical/Logistic/Strategic Teams - correct answers:Caregiving Teams: Provide care to patients
with similar needs (PCP, ACUTE, rehab)
Clinical Support Teams: provide specific clinical services to Caregiving Teams (clinical laboratory,
pharmacy, imaging, cardiopulmonary)
Logistic Support Teams - provide trained personnel, information, facilities, accounting, cash,
management and supplies
Strategic Support Teams: provide marketing, governance, internal consulting, finance, stakeholder
relations management and strategic positioning
Service Lines - correct answers:Patient care teams coordinated around a set of similar diseases or patient
needs
Premise of a Healthy Community - correct answers:Costs tend to rise and benefits to decline as care
moves away from the healthy state. Therefore, optimum care maximizes use of prevention, health
maintenance, and health improvement
, PCP, Acute inpatient or specialty outpatient care, rehab, continuing care in home or nursing home
setting, continuing care in home or nursing home setting, palliative care and death
Stakeholders - correct answers:Individuals or groups who have a direct interest in the organization's
success and shape its mission and strategies. Include buyers, workers, suppliers, regulators and owners.
Patients are the MOST important HCO stakeholders. They expect and deserve care that meets the goals
summarized in IOM's report: Crossing the Quality Chasm
Patient-centered care - correct answers:care that is respectful of and responsive to individual patient
preferences, needs and values and involving patients and families in care planning and decision making
Fiscal intermediaries - correct answers:Outside contractor that processes claims for US government
programs such as medicare and medicaid and provide most of the revenue to HCOs, making them
essential stakeholders
Patient Protection and Affordable Care Act (ACA) - correct answers:A federal law providing for a
fundamental reform of the US healthcare and health insurance system, signed by President Obama in
2010. It includes: increase insurance coverage for many patients, new approaches to support those with
chronic disease, and a greater accountability for the cost and quality of care. Part of the "Triple Aim" -
improving the individual patient experience with healthcare, improving the health of the population, and
reducing per capita cost of care
Value-based purchasing - correct answers:Linking financial incentives to the quality of care provided -
reward HCOs for quality and sustained patient health
Certificate-of-need laws - correct answers:Certificate or approval of new services and construction and
renovation of hospitals or related facilities; issued in many states. Require that HCOs seek permission for
construction or expansion.
EMTALA - Emergency Medical Treatment and Active Labor Act - correct answers:Requires all HCOs
providing emergency care to accept all patients, regardless of ability to pay, until they are stabilized and
can be safely moved
The Joint Commission - correct answers:A voluntary consortium of professional provider organizations
that evaluates and accredits a wide range of different HCOs. HCOs MUST have an accreditation by a CMS
Answers
Sarbanes Oxley - correct answers:US federal law that set new or expanded requirements for all US public
company boards, management and public accounting firms. Cover responsibilities of a public
corporation's board of directors, adds criminal penalties and required SEC to create regulations
FMLA - correct answers:1993: law requiring covered employers to provide employees with job-protected
and unpaid leave for qualified medical family reasons
Purpose of any HCO - correct answers:to provide care to individual patients and is usually stated in
organization's "mission"
Population Health - correct answers:defining the population (by geography, sociodemographic factors,
disease state, risk, insurance coverage or in some other way), measuring the current state of health in
the population, setting goals for improvement and directing resources to making improvements. US HSS
specifies national goals and objectives for population health in the Healthy People 2020 program
Caregiving/Clinical/Logistic/Strategic Teams - correct answers:Caregiving Teams: Provide care to patients
with similar needs (PCP, ACUTE, rehab)
Clinical Support Teams: provide specific clinical services to Caregiving Teams (clinical laboratory,
pharmacy, imaging, cardiopulmonary)
Logistic Support Teams - provide trained personnel, information, facilities, accounting, cash,
management and supplies
Strategic Support Teams: provide marketing, governance, internal consulting, finance, stakeholder
relations management and strategic positioning
Service Lines - correct answers:Patient care teams coordinated around a set of similar diseases or patient
needs
Premise of a Healthy Community - correct answers:Costs tend to rise and benefits to decline as care
moves away from the healthy state. Therefore, optimum care maximizes use of prevention, health
maintenance, and health improvement
, PCP, Acute inpatient or specialty outpatient care, rehab, continuing care in home or nursing home
setting, continuing care in home or nursing home setting, palliative care and death
Stakeholders - correct answers:Individuals or groups who have a direct interest in the organization's
success and shape its mission and strategies. Include buyers, workers, suppliers, regulators and owners.
Patients are the MOST important HCO stakeholders. They expect and deserve care that meets the goals
summarized in IOM's report: Crossing the Quality Chasm
Patient-centered care - correct answers:care that is respectful of and responsive to individual patient
preferences, needs and values and involving patients and families in care planning and decision making
Fiscal intermediaries - correct answers:Outside contractor that processes claims for US government
programs such as medicare and medicaid and provide most of the revenue to HCOs, making them
essential stakeholders
Patient Protection and Affordable Care Act (ACA) - correct answers:A federal law providing for a
fundamental reform of the US healthcare and health insurance system, signed by President Obama in
2010. It includes: increase insurance coverage for many patients, new approaches to support those with
chronic disease, and a greater accountability for the cost and quality of care. Part of the "Triple Aim" -
improving the individual patient experience with healthcare, improving the health of the population, and
reducing per capita cost of care
Value-based purchasing - correct answers:Linking financial incentives to the quality of care provided -
reward HCOs for quality and sustained patient health
Certificate-of-need laws - correct answers:Certificate or approval of new services and construction and
renovation of hospitals or related facilities; issued in many states. Require that HCOs seek permission for
construction or expansion.
EMTALA - Emergency Medical Treatment and Active Labor Act - correct answers:Requires all HCOs
providing emergency care to accept all patients, regardless of ability to pay, until they are stabilized and
can be safely moved
The Joint Commission - correct answers:A voluntary consortium of professional provider organizations
that evaluates and accredits a wide range of different HCOs. HCOs MUST have an accreditation by a CMS
