US healthcare systems practice Questions
With Verified Answers.
1. In colonial America, the primary functions of hospitals were to: - answer✔shelter older adults,
the dying, orphans, and vagrants and protect community residents from contagiously sick and
mentally ill persons.
The development that contributed most significantly to the decline of the charitable or social
mission of voluntary hospitals was the: - answer✔enactment of private and public insurance
reimbursement for hospital care.
The ultimate responsibility for everything that happens within a hospital, including the medical
and nursing care provided, rests with a hospital's: - answer✔board of directors
A major obligation of doctors when obtaining informed consent for a medical procedure is to: -
answer✔ensure that the patient understands the risks and benefits of the procedure
Through discharge planning, hospitals help assure that safe and appropriate post-hospital
accommodations are arranged for each patient. Medicare patients may appeal what they believe
to be a premature or inappropriate discharge by petitioning which of the following
organizations? - answer✔Medicare quality improvement organization (QIO)
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Until the mid-1980s, hospitals were reimbursed for whatever they charged on a "retrospective"
basis. Now they are paid a certain amount for each patient's care on a "prospective" basis. The
amount they are paid is based on: - answer✔diagnosis related groups (DRGs)
Hospitals in the future health care system will: - answer✔no longer be the axis of health care
delivery but will retain core roles as sites of sophisticated care, professional teaching and clinical
research.
Which of the following terms refers to a health care system that includes several service
components with each addressing one or more dimensions of a population's health care needs? -
answer✔Vertically integrated
For many years, the standard for assessing hospital quality of care was peer review using
physician audits of selected patient records to judge "the degree of conformity with preset
standards." All of the following were reasons for the ineffectiveness of these audits EXCEPT -
answer✔Hospital administrators influenced how reviewers were selected.
In its landmark report on hospital errors, "To Err is Human," the Institute of Medicine
emphasized that errors in care most typically originate from which one of the following sources?
- answer✔Deficiencies in the systems of care
Hospitals can no longer live in a four-walls, brick and mortar world." This statement refers to
which encompassing principle of health care reform? - answer✔The focus will be on population
health status with community-based care delivered in multiple provider sites.