CPHIMS 2026/2027 QUESTIONS AND SOLUTIONS RATED
A+
✔✔Ambulatory centers/clinics - ✔✔Provide services to patients without an overnight
stay. E.g., doctors offices, outpatient treatment and surgery, diagnostic services,
primary care, etc. Usually first point of entry into the healthcare system.
✔✔Long term care services - ✔✔30 plus day length of stay. Often called nursing homes
or nursing facilities and can include skilled care, intermediate care, rehabilitation, mental
health care, or even home health care.
✔✔Skilled care - ✔✔Full time care of an RN for chronic and serious conditions.
✔✔Intermediate care - ✔✔Personal, broad based care with assistance for activities of
daily living.
✔✔Rehabilitation - ✔✔Long term care that may range from several weeks to years. May
include mental health care.
✔✔Home health care - ✔✔Outpatient and at home. May be free standing or part of a
health system. Profit or non-profit.
✔✔Public health agencies and programs - ✔✔Funded by the government. In the USA,
mostly primary care and public health services, but may affect public policy. In US
mostly for folks below the poverty line, but serve a larger audience in other countries.
✔✔Community health programs - ✔✔Usually funded by grants. Mostly for folks without
access to care and who are indigent or migrant. Also for targeting key medical issues
such as obesity, smoking, breast feeding, etc.
✔✔Group practices - ✔✔Physician practices. Can be a single specialty or multiple
specialties. Can be private but funded by the government at the same time. May also
work under the governance of a hospital.
✔✔Solo practice - ✔✔A single physician practice. Becoming less common and harder
to sustain financially.
✔✔CPOE - ✔✔Computerized practitioner order entry. Applies mostly to pharmacies.
Decreases ordering errors.
✔✔Pharmacies - ✔✔Key component of health care system that provides medication
either in house at a hospital or as a free standing retail outlet. Pharmacists are key
members of the team.
, ✔✔Integrated Delivery Network (IDN) - ✔✔AKA IDS (Integrated delivery system). An
organization of a variety of providers offering services across a continuum of care and
integrated in administration and information sharing. Their aim is to decrease costs,
increase effectiveness, improve outcomes, and improve quality. Formed through merger
and acquisition, joint ventures, alliances, and networks.
✔✔Merger and acquisition - ✔✔When two or more organizations merge their assets to
create a single new organization.
✔✔Joint venture - ✔✔When two or more organizations join to create a third, new
organization.
✔✔Alliance - ✔✔When two or more organizations share resources without owning any
common assets.
✔✔Network - ✔✔An alliance of serveral providers. Very ambitious.
✔✔Key factors for IDN/IDS success - ✔✔Physician involvement and interoperable
information systems.
✔✔Private financing payment system - ✔✔Commericial private insurance (most
common in developed countries) or out-of-pocket payments (fee for service) to pay for
healthcare services.
✔✔Fee-for-service - ✔✔Payment system based on per day or per procedure payment.
The incentive for the provider is to add services or days of care, so case managers are
used to manage the care episode.
✔✔National health insurance system - ✔✔A type of public health care financing. Paid
for by taxes, but the providers are private. An example is Canada, and works somewhat
like Medicaid in the US.
✔✔National health system - ✔✔A health care delivery system where the government is
responsible for both the delivery and payment of health care. This is the European
Union model.
✔✔Public health care financing - ✔✔Either national health insurance system or national
health system. It leads to a more widespread provision and use of primary care and
increased life expectancy.
✔✔Primary care physicians - ✔✔Pediatrics, family care, general practitioners, internists
A+
✔✔Ambulatory centers/clinics - ✔✔Provide services to patients without an overnight
stay. E.g., doctors offices, outpatient treatment and surgery, diagnostic services,
primary care, etc. Usually first point of entry into the healthcare system.
✔✔Long term care services - ✔✔30 plus day length of stay. Often called nursing homes
or nursing facilities and can include skilled care, intermediate care, rehabilitation, mental
health care, or even home health care.
✔✔Skilled care - ✔✔Full time care of an RN for chronic and serious conditions.
✔✔Intermediate care - ✔✔Personal, broad based care with assistance for activities of
daily living.
✔✔Rehabilitation - ✔✔Long term care that may range from several weeks to years. May
include mental health care.
✔✔Home health care - ✔✔Outpatient and at home. May be free standing or part of a
health system. Profit or non-profit.
✔✔Public health agencies and programs - ✔✔Funded by the government. In the USA,
mostly primary care and public health services, but may affect public policy. In US
mostly for folks below the poverty line, but serve a larger audience in other countries.
✔✔Community health programs - ✔✔Usually funded by grants. Mostly for folks without
access to care and who are indigent or migrant. Also for targeting key medical issues
such as obesity, smoking, breast feeding, etc.
✔✔Group practices - ✔✔Physician practices. Can be a single specialty or multiple
specialties. Can be private but funded by the government at the same time. May also
work under the governance of a hospital.
✔✔Solo practice - ✔✔A single physician practice. Becoming less common and harder
to sustain financially.
✔✔CPOE - ✔✔Computerized practitioner order entry. Applies mostly to pharmacies.
Decreases ordering errors.
✔✔Pharmacies - ✔✔Key component of health care system that provides medication
either in house at a hospital or as a free standing retail outlet. Pharmacists are key
members of the team.
, ✔✔Integrated Delivery Network (IDN) - ✔✔AKA IDS (Integrated delivery system). An
organization of a variety of providers offering services across a continuum of care and
integrated in administration and information sharing. Their aim is to decrease costs,
increase effectiveness, improve outcomes, and improve quality. Formed through merger
and acquisition, joint ventures, alliances, and networks.
✔✔Merger and acquisition - ✔✔When two or more organizations merge their assets to
create a single new organization.
✔✔Joint venture - ✔✔When two or more organizations join to create a third, new
organization.
✔✔Alliance - ✔✔When two or more organizations share resources without owning any
common assets.
✔✔Network - ✔✔An alliance of serveral providers. Very ambitious.
✔✔Key factors for IDN/IDS success - ✔✔Physician involvement and interoperable
information systems.
✔✔Private financing payment system - ✔✔Commericial private insurance (most
common in developed countries) or out-of-pocket payments (fee for service) to pay for
healthcare services.
✔✔Fee-for-service - ✔✔Payment system based on per day or per procedure payment.
The incentive for the provider is to add services or days of care, so case managers are
used to manage the care episode.
✔✔National health insurance system - ✔✔A type of public health care financing. Paid
for by taxes, but the providers are private. An example is Canada, and works somewhat
like Medicaid in the US.
✔✔National health system - ✔✔A health care delivery system where the government is
responsible for both the delivery and payment of health care. This is the European
Union model.
✔✔Public health care financing - ✔✔Either national health insurance system or national
health system. It leads to a more widespread provision and use of primary care and
increased life expectancy.
✔✔Primary care physicians - ✔✔Pediatrics, family care, general practitioners, internists
