HCM 388 EXAM 1 QUESTIONS WITH
CORRECT ANSWERS
What are some of the basic criteria for medical staff privileges? - Answer-ability to work
with others, requirement to treat indigent patients, take calls, history of legal difficulties,
minimum amount of med. malpractice insurance, proximity to the facility,
physical/mental health, language proficiency may be necessary
How were minimum qualifications not met in the Sosa case? - Answer-character,
qualifications, and standing in the community
Why are exclusive contracts needed and how can they go too far? - Answer-legally
binding agreement between at least two parties, services are to be purchased from only
one seller: can go to far by saying they can't work 3 years after quitting or 200 mile
radius
When physicians’ utilization patterns begin to affect the bottom line negatively, financial
considerations may creep into credentialing decisions - Answer-economic credentialing
What is HCQIA and what does it do? - Answer-Healthcare Quality Improvement Act,
part of an overall disciplinary process to monitor quality of care
what is peer review and why is it so important? - Answer-a quality control measure for
medical research, prevents injury to a patient, helps with quality of care
What is CAM and some examples? - Answer-Complementary and Alternative Medicine,
examples are acupuncture, herbalism, meditation, hypnotherapy
a system of principles and rules devised by organized society or groups within society to
set norms for human conduct - Answer-law
a fundamental principle of fairness in legal matters, both civil and criminal, the
requirement that all legal procedures set by statute and court practice be followed so
that no unjust treatment results - Answer-due process
difference between civil and criminal - Answer-civil involves money
criminal involves jail time
4 sources of law - Answer-constitution (state & federal)
statutes (federal, state, local)
administrative law (regulations-osha, ADA)
, judicial decisions (common law)
stare decisis and precedent as it relates to court decisions - Answer-to abide by decided
cases is based on precedent, once a case has been decided on then all cases of similar
nature should follow that case example
"supreme law of the land"-sets standard against which all other laws are judged -
Answer-US Consitution
positive law enacted by a legislative body, judged interpret statutes, the police power to
enact statutes that protect its people - Answer-statutes
deals with the rules of government agencies, executive branch makes laws through
administrative regulations, exist at the local state and federal levels - Answer-
administrative law
how courts decide cases, based on constitutionality of laws dictates contracts and torts -
Answer-judicial decisions
enacts statutes - Answer-legislature
enforces laws - Answer-executive
interprets laws - Answer-judiciary
3 tier system at federal and state level - Answer-state trial
appeal
supreme courts
general matters and limited - Answer-trial
hear appeals from trial courts - Answer-intermediate appellate courts
hears appeals from appellate courts - Answer-supreme
submission of a dispute for decision by a third person or a panel of experts outside of
the judicial process - Answer-arbitration
not binding-mediator just suggests - Answer-mediation
established basic principles of nursing by focusing on hygiene and sanitation,
advocated for higher nursing standards and established the first official nursing school
during Crimean War - Answer-Florence Nightingale
when did the US healthcare system make its greatest turning point in US history? -
Answer-civil war
CORRECT ANSWERS
What are some of the basic criteria for medical staff privileges? - Answer-ability to work
with others, requirement to treat indigent patients, take calls, history of legal difficulties,
minimum amount of med. malpractice insurance, proximity to the facility,
physical/mental health, language proficiency may be necessary
How were minimum qualifications not met in the Sosa case? - Answer-character,
qualifications, and standing in the community
Why are exclusive contracts needed and how can they go too far? - Answer-legally
binding agreement between at least two parties, services are to be purchased from only
one seller: can go to far by saying they can't work 3 years after quitting or 200 mile
radius
When physicians’ utilization patterns begin to affect the bottom line negatively, financial
considerations may creep into credentialing decisions - Answer-economic credentialing
What is HCQIA and what does it do? - Answer-Healthcare Quality Improvement Act,
part of an overall disciplinary process to monitor quality of care
what is peer review and why is it so important? - Answer-a quality control measure for
medical research, prevents injury to a patient, helps with quality of care
What is CAM and some examples? - Answer-Complementary and Alternative Medicine,
examples are acupuncture, herbalism, meditation, hypnotherapy
a system of principles and rules devised by organized society or groups within society to
set norms for human conduct - Answer-law
a fundamental principle of fairness in legal matters, both civil and criminal, the
requirement that all legal procedures set by statute and court practice be followed so
that no unjust treatment results - Answer-due process
difference between civil and criminal - Answer-civil involves money
criminal involves jail time
4 sources of law - Answer-constitution (state & federal)
statutes (federal, state, local)
administrative law (regulations-osha, ADA)
, judicial decisions (common law)
stare decisis and precedent as it relates to court decisions - Answer-to abide by decided
cases is based on precedent, once a case has been decided on then all cases of similar
nature should follow that case example
"supreme law of the land"-sets standard against which all other laws are judged -
Answer-US Consitution
positive law enacted by a legislative body, judged interpret statutes, the police power to
enact statutes that protect its people - Answer-statutes
deals with the rules of government agencies, executive branch makes laws through
administrative regulations, exist at the local state and federal levels - Answer-
administrative law
how courts decide cases, based on constitutionality of laws dictates contracts and torts -
Answer-judicial decisions
enacts statutes - Answer-legislature
enforces laws - Answer-executive
interprets laws - Answer-judiciary
3 tier system at federal and state level - Answer-state trial
appeal
supreme courts
general matters and limited - Answer-trial
hear appeals from trial courts - Answer-intermediate appellate courts
hears appeals from appellate courts - Answer-supreme
submission of a dispute for decision by a third person or a panel of experts outside of
the judicial process - Answer-arbitration
not binding-mediator just suggests - Answer-mediation
established basic principles of nursing by focusing on hygiene and sanitation,
advocated for higher nursing standards and established the first official nursing school
during Crimean War - Answer-Florence Nightingale
when did the US healthcare system make its greatest turning point in US history? -
Answer-civil war
