CAHIMS 1-12 Questions and Answers

CAHIMS 1-12 Questions and Answers Multivariant statistical analysis is an example of public health methodology for data analysis usually provide an apartment or private room that becomes the person's permanent residence. The individual maintains some degree of independence but in a monitored environment. Assisted living facilites Which of the following types of nurse requires a master's degree in nursing? Certified registered nurse anesthetist In the SOAP process, all aspects of the patient's plan of care are addressed in a single, final stage. How many steps of the nursing process address different aspects of the plan of care? 3 a nongovernmental, nonprofit agency, is the nation's oldest and largest standards-setting and accrediting body in healthcare. Joint Commission In which type of setting would an occupational nurse most likely found? a hazardous worksite How are medical diagnoses different from nursing diagnoses? Medical diagnoses refer to diseases, such as cancer. What is the main difference between certification and licensure in healthcare? Only licensure allows a clinician to legally practice in the issuing state. is a private acute care hospital that provides the same basic services as those provided by community hospitals. (HMO patients) Managed care hospitals are The chief operating officer (COO) reports to the chief executive officer (CEO). True The continuum of care can be defined as the provision of care for a particular episode of care beginning with diagnosis or onset until return to normal function. True A small country where the entire population has access to healthcare facilities owned and operated by the government and funded by a tax on citizens is an example of what kind of healthcare system model? Public healthcare system model Which of the statements about epidemiology is false? Epidemiology is a qualitative science built around concepts of probability and statistics. Epidemiology is not a qualitative science. It is a quantitative science built around concepts of probability and statistics. Who is the elected head of the medical staff at a typical hospital? Chief of staff The World Health Organization (WHO) adopted a definition of health that has not been amended since 1948- "Health is a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity." healthcare services performed by clinicians who are responsible for addressing the patient's overall healthcare needs, establishing and maintaining a sustained relationship with the patient within the realm of family and community. Primary Care treatment by specialists to whom a patient has been referred by a primary care provider. secondary care -provided by physicians that specialize in areas of medicine such as cardiology, dermatology, and psychology. healthcare delivered by specialists who work for a facility that performs specialty healthcare research, development, and treatment. Tertiary Care -provided when the patient receives a referral from a primary or secondary provider and is more likely to require an inpatient hospital stay with accompanying specialization for advanced investigation and treatment of specific conditions or diseases. -burn treatment, cancer, neurosurgery, and reconstructive surgery centers. Both traditional public health efforts and the new science of population health are supported by the federal government with initiatives such as Healthy People 2020. True Inpatient care that is not highly specialized is considered -- care. secondary Healthcare costs in the United States have been rising at about the same rate as the US population is growing. False are sometimes called long-term care residential facilities. Residential facility usually provide an apartment or private room that becomes the person's permanent residence. assisted living What two divisions may be combined to form a single diagnostic and therapeutic division? Clinical support and ancillary services The US healthcare system is a mixed model because it incorporates both public and private healthcare options. True Which division of a typical hospital comes closest to the medical staff in terms of responsibility for patient care? Nursing Which integrated health delivery system (IHDS) is the largest in the United States? Veterans Health Administration (VHA) The continuum of care can be defined as birth-to-death healthcare. True To which of the following types of providers do primary care physicians (PCPs) typically refer patients? Both secondary and tertiary care providers Hospitals provide services that include treatment of minor injuries or illnesses. False is controlled by the government and financed through public funds. public healthcare system provides healthcare through privately funded organizations. private healthcare system The public aspects of the healthcare system in the United States include each of the following except commercial healthcare systems The private aspect of the healthcare system in the United States is made up of which of the following? commercial healthcare systems Acute conditions are of short duration but typically are severe-example is heart attack because it happens quickly -secondary care hospitals Chronic illnesses are persistent, of long duration, and often recurrent The average patient's stay in a _______________________ is greater than 25 days. skilled nursing facility CEO (Chief Executive Officer) Reports to board of directors Carries out the mission of the organization and addresses global issues Directs hospital staff Oversees corporate strategies COO (Chief Operating Officer) Reports to CEO Responsible for delegation of day-to-day operations Develops business policies and procedures Responsible for quality and delivery of service CFO (Chief Financial Officer) Reports to CEO Responsible for the strategic plan of financial operations Manages legal matters, properties, and partnerships Manages operating budget CMO (chief medical officer) Responsible for quality of patient care Ensures compliance with federal and state government regulations A physician CIO (Chief Information Officer) Responsible for all patient information Ensures health information technology (HIT) systems comply with regulatory requirements such as HIPAA and meaningful use Responsible for all aspects of creation and maintenance of medical and information technology tools, including EHR system CMIO (Chief Medical Information Officer) Responsible for oversight and utilization of electronic health record (EHR) and other clinical systems Facilitates use and development of health information systems (health information management and health IT) Liaison between the CMO and CIO Examples of outpatient providers and facilities include the following: Primary care physicians Community health clinics Private clinics Urgent care clinics Specialized outpatient clinics A party must be determined to be accountable for charges in the medical billing cycle. During which step of the cycle is the legal promise-to-pay relationship established? Registration Which of the following is not true of Medicaid? Medicaid is entirely funded by the federal government. Jody can choose between a variety of private health providers. However, her medical expenses are paid for by the government. What kind of system is Jody participating in? Single Payer Where was most healthcare provided in the late 19th and early 20th centuries? At patients' or doctors' homes Which of the following is not a key role of the federal government in health care? Originator of self-funded plans for business Which of the following is a main factor in steadily increasing healthcare costs in the United States? Technological inventions and improvements and an aging population Which is an advantage of fee-for-service insurance plans over managed care plans? They offer a wider choice of healthcare providers. Which of the following is not a third-party payer? a physician Which of the following is not considered a characteristic of the bundled payment model? Provides maximum flexibility for physicians when planning a patient's care Self-funded insurance is employer-provided health benefits that the employer pays for with its own funds. Private healthcare financing is offered through a variety of companies and other organizations. United Health Group Wellpoint Inc. Group Kaiser Foundation Group Aetna Group Humana Group Public sources are government-funded programs such as Medicare, Medicaid, the Children's Health Insurance Program (CHIP), the Veterans Health Administration (VHA), and others. Most of the funding for these programs is through the federal government rather than state or local sources. is any health insurance system by which a single government entity collects medical fees and premiums and then pays for all medical services. single payer health insurance is funded mainly by private healthcare insurance companies, and in contrast to single-payer insurance, it relies on the ability of the insured individual to pay. multiple payer health insurance is a system implemented by the US government for determining how much Medicare should reimburse hospitals for medical care Diagnosis relation group (DRG) makes a single sum payment for all medical services for an illness over a specific time period. The episode of care model Charge capture is most often associated with which of the following? diagnoses What is a moral hazard? A risk that individuals will behave immorally because insurance or some other agency protects them nongovernmental, general hospitals that are available to the public for inpatient acute care treatment. Community hospitals are _____________________ becomes their home. ____________________are sometimes called long-term care residential facilities. Residential facilities is for patients with profound and significant health needs who require round-the-clock nursing services. Nursing homes is the state of legally being able to practice or work in a profession as stipulated by a license, which is a document giving permission to practice. Licensure