2025 HSA 6115 MIDTERM TEST BANK QUESTIONS WITH
ANSWERS 2025/2026 GRADED A +
Population health - ■ Distribution of health outcomes within a specific population
■ Use to measure organizational success
■ Determine reimbursement
patient-family centeredness - ■ Providers empower patients and their families
■ Making more direct health care decisions
■ Patient experience is the new heart of healthcare leadership
Patient partnership - patient-centered care, trust, and loyalty with patients, caregivers,
and patient's family
Organizational culture - Supportive structure, trust in leadership, senior management,
fair treatment and respect to peers
Community partnership - Healthy community, significant relationship of social
determinants of health and HSOs
Operations and business practice - effective management practices associated w better
quality of care and high performing board of trustees. Focus not only on economic
value, achievements, but also on quality improvement, safety and satisfaction
Healthcare system - corporate or govt structure including one or more hospitals and
often other HCO services
Caregiving teams
Clinical support teams
Logistic support teams
Strategic support teams - 4 major components (teams) of HCOs
logistic and strategy - smaller HCOs sometimes contract w external orgs for ________
and __________support when needed
Acute care hospital - Major functions of what type of hospital?
■ Diagnosis and treatment
■ Preventive care and promoting health
■ Educate health professionals
■ Research
LOS (long-term vs. short term)
General vs. Specialty
Type of control/ownership - 3 ways to classify HCOs
Hill-Burton Act - Law that provides funds for nonprofit community hospitals
, Nursing facility - provides more comprehensive care to older nursing home population
Clinical support services - lab, radiology, pharmacy are what type of services?
Clinical services - physician/dental care, nursing, rehabilitation, speech-language
pathology are what types of services?
Home health services - Medicare part A covers limited amount of which type of service?
Custodial care - What part of nursing home care does Medicare part A not cover?
Hospital insurance - Medicare part A is also known as __________
Ambulatory health services - short stay type of facility
EDs, outpatient clinics, walk-in clinics
Ambulatory surgery centers - Provide same-day surgical care (within 24 hr) - due to
modern anesthesia and surgical techniques
B - Medicare part ___ coverage of facility services w surgical procedure (aka
ambulatory surgery centers)
Free-standing hospital-affiliated units - type of hospice that has home-like atmosphere
with family rooms; provides both residential and inpatient care
A - Which part of Medicare reimburses hospice care?
1-7 days - The majority of people stay in hospice for how long?
Managed care - Establish arrangements with hospitals, physicians, and other licensed
independent practitioners (LIPs) to provide a defined set of health services to members
utilization and costs - The goal of MCOs is to to monitor and control _______ and
________
HMOs and PPOs - What are the two most common types of MCOs?
HMO - hospitals and physicians are contracted to provide care; enrolled people pay a
fixed monthly fee so that providers are guaranteed a fixed amount of revenue from
enrolled patients
HMO Staff model - HMO model:
- The least complex and most tightly controlled approach
- Staff are salaried employees who provide care only for HMO patients and only work
for HMOs
ANSWERS 2025/2026 GRADED A +
Population health - ■ Distribution of health outcomes within a specific population
■ Use to measure organizational success
■ Determine reimbursement
patient-family centeredness - ■ Providers empower patients and their families
■ Making more direct health care decisions
■ Patient experience is the new heart of healthcare leadership
Patient partnership - patient-centered care, trust, and loyalty with patients, caregivers,
and patient's family
Organizational culture - Supportive structure, trust in leadership, senior management,
fair treatment and respect to peers
Community partnership - Healthy community, significant relationship of social
determinants of health and HSOs
Operations and business practice - effective management practices associated w better
quality of care and high performing board of trustees. Focus not only on economic
value, achievements, but also on quality improvement, safety and satisfaction
Healthcare system - corporate or govt structure including one or more hospitals and
often other HCO services
Caregiving teams
Clinical support teams
Logistic support teams
Strategic support teams - 4 major components (teams) of HCOs
logistic and strategy - smaller HCOs sometimes contract w external orgs for ________
and __________support when needed
Acute care hospital - Major functions of what type of hospital?
■ Diagnosis and treatment
■ Preventive care and promoting health
■ Educate health professionals
■ Research
LOS (long-term vs. short term)
General vs. Specialty
Type of control/ownership - 3 ways to classify HCOs
Hill-Burton Act - Law that provides funds for nonprofit community hospitals
, Nursing facility - provides more comprehensive care to older nursing home population
Clinical support services - lab, radiology, pharmacy are what type of services?
Clinical services - physician/dental care, nursing, rehabilitation, speech-language
pathology are what types of services?
Home health services - Medicare part A covers limited amount of which type of service?
Custodial care - What part of nursing home care does Medicare part A not cover?
Hospital insurance - Medicare part A is also known as __________
Ambulatory health services - short stay type of facility
EDs, outpatient clinics, walk-in clinics
Ambulatory surgery centers - Provide same-day surgical care (within 24 hr) - due to
modern anesthesia and surgical techniques
B - Medicare part ___ coverage of facility services w surgical procedure (aka
ambulatory surgery centers)
Free-standing hospital-affiliated units - type of hospice that has home-like atmosphere
with family rooms; provides both residential and inpatient care
A - Which part of Medicare reimburses hospice care?
1-7 days - The majority of people stay in hospice for how long?
Managed care - Establish arrangements with hospitals, physicians, and other licensed
independent practitioners (LIPs) to provide a defined set of health services to members
utilization and costs - The goal of MCOs is to to monitor and control _______ and
________
HMOs and PPOs - What are the two most common types of MCOs?
HMO - hospitals and physicians are contracted to provide care; enrolled people pay a
fixed monthly fee so that providers are guaranteed a fixed amount of revenue from
enrolled patients
HMO Staff model - HMO model:
- The least complex and most tightly controlled approach
- Staff are salaried employees who provide care only for HMO patients and only work
for HMOs
