HADM 6100 UPDATED EXAM SCRIPT QUESTIONS AND
SOLUTIONS GRADED A+
✔✔patients have the legal right to refuse medical treatment - ✔✔true
✔✔The Hill-Burton was passed to - ✔✔relieve the shortage of hospitals
✔✔How did the PPS based on DRGs lead to hospital downsizing in the US - ✔✔It
created financial incentives to minimize the patient's length of stay
✔✔ALOS is an indicator of - ✔✔severity of illness
✔✔The biggest share of national health spending is attributed to - ✔✔hospitals
✔✔which of the following can not be classified as a community hospital - ✔✔long-stay
hospital
✔✔According to US law, nonprofit organizations - ✔✔are tax exempt
✔✔Which entity oversees the licensure of healthcare facilities - ✔✔state government
✔✔to participate in medicare and Medicaid, a health care facility must be - ✔✔certified
✔✔Case management is mainly recommended for patients who need secondary and
tertiary care more often than primary care - ✔✔true
✔✔Disease management is highly individualized - ✔✔false
✔✔One distinguishing feature of HMOs is that they use discounted fees as the primary
method of paying providers - ✔✔false
✔✔research shows that quality of care has declined as managed care has continued to
grow - ✔✔false
✔✔what is the purpose of risk sharing with providers - ✔✔it makes providers cost
conscious
✔✔gatekeeping _____ secondary care services - ✔✔requires a referral for
✔✔In which of the following does an experienced health care professional, such as a
nurse practitioner, coordinate an individual's total health care - ✔✔case management
, ✔✔review of underutilization or over-utilization is undertaken as part of -
✔✔retrospective utilization review
✔✔in general, integrated organizations that delivery higher quality of care do so mainly
because of - ✔✔incorporation of a managed care component
✔✔which of the following is an example of diversificaiton - ✔✔an acute-care hospital
opens a subacute unit
✔✔Access, quality, and cost are three unrelated components - ✔✔false
✔✔whether payment for health care services is made by the government or by a private
insurance company, individual patients pay a price for higher than the actual cost of the
service - ✔✔true
✔✔administrative costs are charges associated with management of the financing,
insurance, delivery, and payment functions of health care - ✔✔true
✔✔telehealth coverage has traditionally varied across payers and may be contingent on
how service is delivered, where it is being delivered, and to whom it is delivered -
✔✔true
✔✔The purpose of clinical practice guidelines is to provide a plan to manage a clinical
based on evidence or consensus, to lower costs, and to improve health outcomes -
✔✔true
✔✔the elements of the Donabedian model are outcomes, structure, and process -
✔✔true
✔✔what is the primary purpose of certificate-of-need statuses - ✔✔to control capital
expenditures by health facilities
✔✔a study on telehealth in the form of electronic consultation platforms found their use
was not associated with which of the following - ✔✔higher costs
✔✔which of the following was the most reported issue faced by the newly insured -
✔✔provider capacity
✔✔a service is cost-efficient when - ✔✔the benefit received is greater than the cost
incurred to provide the service
✔✔most elderly needing long-term care reside in nursing homes - ✔✔true
SOLUTIONS GRADED A+
✔✔patients have the legal right to refuse medical treatment - ✔✔true
✔✔The Hill-Burton was passed to - ✔✔relieve the shortage of hospitals
✔✔How did the PPS based on DRGs lead to hospital downsizing in the US - ✔✔It
created financial incentives to minimize the patient's length of stay
✔✔ALOS is an indicator of - ✔✔severity of illness
✔✔The biggest share of national health spending is attributed to - ✔✔hospitals
✔✔which of the following can not be classified as a community hospital - ✔✔long-stay
hospital
✔✔According to US law, nonprofit organizations - ✔✔are tax exempt
✔✔Which entity oversees the licensure of healthcare facilities - ✔✔state government
✔✔to participate in medicare and Medicaid, a health care facility must be - ✔✔certified
✔✔Case management is mainly recommended for patients who need secondary and
tertiary care more often than primary care - ✔✔true
✔✔Disease management is highly individualized - ✔✔false
✔✔One distinguishing feature of HMOs is that they use discounted fees as the primary
method of paying providers - ✔✔false
✔✔research shows that quality of care has declined as managed care has continued to
grow - ✔✔false
✔✔what is the purpose of risk sharing with providers - ✔✔it makes providers cost
conscious
✔✔gatekeeping _____ secondary care services - ✔✔requires a referral for
✔✔In which of the following does an experienced health care professional, such as a
nurse practitioner, coordinate an individual's total health care - ✔✔case management
, ✔✔review of underutilization or over-utilization is undertaken as part of -
✔✔retrospective utilization review
✔✔in general, integrated organizations that delivery higher quality of care do so mainly
because of - ✔✔incorporation of a managed care component
✔✔which of the following is an example of diversificaiton - ✔✔an acute-care hospital
opens a subacute unit
✔✔Access, quality, and cost are three unrelated components - ✔✔false
✔✔whether payment for health care services is made by the government or by a private
insurance company, individual patients pay a price for higher than the actual cost of the
service - ✔✔true
✔✔administrative costs are charges associated with management of the financing,
insurance, delivery, and payment functions of health care - ✔✔true
✔✔telehealth coverage has traditionally varied across payers and may be contingent on
how service is delivered, where it is being delivered, and to whom it is delivered -
✔✔true
✔✔The purpose of clinical practice guidelines is to provide a plan to manage a clinical
based on evidence or consensus, to lower costs, and to improve health outcomes -
✔✔true
✔✔the elements of the Donabedian model are outcomes, structure, and process -
✔✔true
✔✔what is the primary purpose of certificate-of-need statuses - ✔✔to control capital
expenditures by health facilities
✔✔a study on telehealth in the form of electronic consultation platforms found their use
was not associated with which of the following - ✔✔higher costs
✔✔which of the following was the most reported issue faced by the newly insured -
✔✔provider capacity
✔✔a service is cost-efficient when - ✔✔the benefit received is greater than the cost
incurred to provide the service
✔✔most elderly needing long-term care reside in nursing homes - ✔✔true
