Physician Practice Management Midterm Questions And Answers 2024 Solutions

The _____ is the first line of care delivery - ANS-Physician practice The physician provides _____ care that sustains health and well-being - ANS-Longitudinal The father of modern quality managemenr - ANS-W. Edwards Deming Holds that every organization is composed of four main inter-related components, people, and processes which depend on management to carefully orchestrate the interaction - ANS-Profound knowledge 4 components, processes, and people contained in the profound knowledge theory - ANS-Appreciation of system; theory of knowledge; psychology of change; knowledge about variation Practice managers need to be committed to ______ and be active in professional organizations to ensure they are up-to-date on current knowledge - ANS-Lifelong learning Academic arm of MGMA - ANS-ACMPE The premier practice management education and networking group for practice managers - ANS-MGMA _____ offers a rigorous certification program in practice management that is widely recognized in the industry - ANS-ACMPE 8 areas that are essential for practice manager to understand - ANS-Business operations, HR management, organizational governance, quality management, financial management, information management, patient care systems, risk management A voluntary system of standards that practitioners meet to demonstrate accomplishment or ability in their profession - ANS-Certification Medical practice and the healthcare system both are built on the foundation of the ________ - ANS-Physician-patient relationship The ______ accounts for the most healthcare system costs - ANS-Physician's pen How an individual acts, especially toward others - ANS-Behavior T/F: Medicine, whether directly or indirectly influences every aspect of human life - ANS-True Aristotle lives ans says the body is made up of 4 humors or liquids - ANS-384-322 BC Andreas Vesalius publishes The Fabric of the Human Body - ANS-1543 Edward Jenner invents vaccination against smallpox - ANS-1796 Chloroform is used as an anesthetic by James Simpson - ANS-1847 American Association of Medical Colleges is founded - ANS-1876 Louis Pasteur invents a vaccine for chicken pox - ANS-1880 The Abraham Flexner report on medical education is published - ANS-1910 Medicare and Medicaid are passed into law - ANS-1965 The HMO Act is passed - ANS-1973 President Bush signs the Omnibus Budget Reconciliation Act, enacting a physician payment schedule based on a resource-based relative value scale - ANS-1989 HIPAA is passed when? - ANS-1996 The Triple Aim is introduced by IOM - ANS-2008 A system for keeping score in business, using dollars - ANS-Accounting Recent years have seen more medical practices embedded in _____ - ANS-Large HCOs A medical practice consisting of two or more practitioners working in a common management and administrative structure - ANS-Group practice Groups that focus on one aspect of medicine, such as general surgery, family practice, cardiology, etc. - ANS-Single-specialty Medical groups that contain more than one medical specialty in the organization and are highly integrated, with a common governance leadership, and common management structure, and they have a highly developed corporate system for managing finances - ANS-Multispecialty Network of healthcare organizations under a single holding company or parent organization that contain multiple components of healthcare delivery - ANS-Integrated delivery system A system of policies and procedures designed to facilitate oversight of the management of the enterprise - ANS-Governance The goal of an IDS - ANS-Provide continuum of care The providers are the primary _____ and the primary ______, and they are held _____ for the performance of the practice in a ____ way - ANS-Producers; governing body; accountable; personal What is True North of physician practice? - ANS-Patient focus True North is a concept taken from _____ - ANS-Lean A ____ is often the first contact for a patient with an undiagnosed health concern - ANS-PCP A ______ is a nationally certified and state-licensed medical professional that practices medicine with physicians and other providers and are allowed to prescribe medication sin all 50 states - ANS-Physician assistant A _____ is a registered nurse qualified, through advanced training, to assume some of the duties and responsibilities of a physician - ANS-NP PAs and NPs are often referred to as ______ professionals or _____ providers - ANS-Advanced practice; mid-level T/F: State laws vary as to the specific duties PAs and NP are allowed to perform - ANS-True T/F: Advanced practice professionals are becoming important because they can replace physicians in care delivery for many services, reserving the physician for more complex care - ANS-True How many states require physicians and medical providers to hold a license? - ANS-50 The licensing of medical providers is performed under the control of a ______ - ANS-Medical examining board T/F: Licenses provide the practitioner a general right and privilege to practice medicine and also grant specific privileges to practice a particular specialty - ANS-False A mandatory system of state-imposed standards that practitioners must meet to practice a given profession - ANS-Licensure Criminal background checks and reviews of practitioners can be viewed in the _____ - ANS-National Practitioner Data Bank T/F: The terms licensure and certification can be used interchangeably - ANS-False DOs have a _____ approach to medicine, while MDs have a ____ approach - ANS-Osteopathic; allopathic T/F: The internet has a profound impact on healthcare because patients are now able to read about any condition, diagnosis, or treatment - ANS-True T/F: Patients have strayed away from alternative forms of healthcare as of recently - ANS-False Include acupuncture, energy therapies, magnetic field therapies, therapeutic touch, herbal medicine, etc. - ANS-Complementary and alternative medicine The ______ metaphor describes the coalescing of multiple events to create dramatic and unique consequences - ANS-Perfect storm No factor has affected the sense of urgency to reform the US HC system more than the _____ - ANS-Cost US healthcare spending has increased _____% to 3 trillion - ANS-5.3 Growth in spending was primarily the result of the coverage expansions under the ____ - ANS-ACA The IOM estimates that roughly a ____ of US HC dollars is wasted - ANS-1/3 Since the passage of Medicare and Medicaid in 1965, no other law has had greater impact on HC delivery than the ____ - ANS-ACA The impact of a health problem as measured by financial cost, mortality, morbidity, or other indicators - ANS-Disease burden Major causes of mortality in the US - ANS-Cancer and heart disease Almost ___ of US residents have at least ___ chronic condition - ANS-1/2; 1 More than ___% of those older than ____ have a chronic disease - ANS-85; 65 Diseases that persist for three months or more are said to be ____ - ANS-Chronic T/F: Chronic diseases may be treated by vaccinations or cured by mediciations - ANS-False Seeks to avoid the onset of a disease using risk-reduction strategies such as altering behaviors or eliminating exposures that can lead to disease, or by enhancing resistance to the effects of exposure to a disease agent - ANS-Primary prevention Procedures that detect and treat so-called preclinical health status changes and controlling disease progression - ANS-Secondary prevention Reduces the impact of disease on the patient's functioning longevity and quality of life - ANS-Tertiary prevention The US HC system currently does not pay adequate attention to the _____ - ANS-Continuum of care 3 major broad determinants of health - ANS-Societal, political, biological One concern related to ______ care is that the patient may have little understanding about the treatment being received, and therefore be less committed to complying with insructions - ANS-Provider-directed Provides a starting place for the patient to receive all his or her non-emergency medical care - A