Ambulatory Care Nursing Exam
Ambulatory Care Nursing Exam | Nursing Certification Exam Study
Guide
Ambulatory Care - Correct Answer- -The broad array of health care services provided in
outpatient settings that involve routine non-emergency health care services.
-Health care services provided to non-institutionalized patients
Group Practice - Correct Answer- Provision of health care services by a group of at least THREE
licensed physicians engaged in a formally organized and legally recognized entity that SHARES
assets across multiple physicians
Importance of Ambulatory Care to Patients - Correct Answer- -Patients' initial and continuing
point of contact with the system
-Ambulatory Care promotes continuity of care/coordination of health care for patients
Several Constraints on the Growth of Medical Groups - Correct Answer- -Inability to quickly
deploy technology on processes
-Day-to-day operations consume majority of the time required for growth and talent management
-Inadequate visibility of performance and operations
-Limited standardization and workflow efficiency
-Inadequate mechanisms to drive process compliance at the point-of-care
-Lack of insight into organization patterns of community physicians
History of Group Practice - Correct Answer- -Medical care, since Roman and Egyptian times,
has been based on physicians working in solo practice
-Beginning in 18th century, trend has been for physicians to move to group practice and larger
groups
Forces Influencing Physician Practice Settings - Correct Answer- -Organized Labor
1
, Ambulatory Care Nursing Exam
-Scientific Advance
-Government Policy
-Hospitals
-Managed Care
-Schools of Medicine
-Medical Paradigm
-Military
Hospital influence on Physician Practice - Correct Answer- -Construct affiliated physician
groups
-Want to control flow of patients
Government Policy's influence on Physician Practice - Correct Answer- -Regulatory and finance
policies encourage group practice; it's cheaper than institutional care
Influence of Scientific Advancements on Physician Practice - Correct Answer- -New advances in
medical care benefit outpatient
Impact of Organized Labor on Physician Practice - Correct Answer- -Focus on care (medical
insurance) of workers
Impact of Military on Physician Practice - Correct Answer- -Standing armies/navies requried
physician care services in the field (M.A.S.H. units)
Impact of Medical Paradigm Shifts on Physician Practice - Correct Answer- -Shift from medicine
to the health of patients
-To specialization, germ, and disease prevention
2
, Ambulatory Care Nursing Exam
Impact of Schools of Medicine on Physician Practice - Correct Answer- -Flexner report impacts
on training of medical professionals, which embraced scientific knowledge and its advancement
as the defining ethos of a modern physician.
Impact of Managed Care on Physician Practice - Correct Answer- -Cost containment influence
plus policy
Until the 20th century, the vast majority of U.S. physicians _________________ - Correct
Answer- still practiced in solo or group practices
Dispensaries - Correct Answer- -Originated in France (1600s)
-Group of physicians employed to provide care to poor/disenfranchised
-Today the dispensary concept exists via: Community Health Centers (FQHCs), Rural Health
Clinics, Free Clinic movement
Academic Medical Centers (AMCs) - Correct Answer- -Began group practice with specialty
focus
-Training of professionals and service by specialty-trained physicians
-Focus on specialties increased number of physicians responsible for patients' conditions
Industrial Medical Programs - Correct Answer- -19th century lumber, mining, railroad industries
-Owners provided workers medical care via employer (company) physicians
-1929 (prepaid models) forerunners of managed care
-Ross and Loos Clinic in LA
Private Medical Clinics - Correct Answer- -Charles and William Mayo began a group practice in
small town Minnesota in the 1880's
-By 1929, they had 895 staff including 386 physicians
-Physicians could practice "better" in a collegial group environment
3
Ambulatory Care Nursing Exam | Nursing Certification Exam Study
Guide
Ambulatory Care - Correct Answer- -The broad array of health care services provided in
outpatient settings that involve routine non-emergency health care services.
-Health care services provided to non-institutionalized patients
Group Practice - Correct Answer- Provision of health care services by a group of at least THREE
licensed physicians engaged in a formally organized and legally recognized entity that SHARES
assets across multiple physicians
Importance of Ambulatory Care to Patients - Correct Answer- -Patients' initial and continuing
point of contact with the system
-Ambulatory Care promotes continuity of care/coordination of health care for patients
Several Constraints on the Growth of Medical Groups - Correct Answer- -Inability to quickly
deploy technology on processes
-Day-to-day operations consume majority of the time required for growth and talent management
-Inadequate visibility of performance and operations
-Limited standardization and workflow efficiency
-Inadequate mechanisms to drive process compliance at the point-of-care
-Lack of insight into organization patterns of community physicians
History of Group Practice - Correct Answer- -Medical care, since Roman and Egyptian times,
has been based on physicians working in solo practice
-Beginning in 18th century, trend has been for physicians to move to group practice and larger
groups
Forces Influencing Physician Practice Settings - Correct Answer- -Organized Labor
1
, Ambulatory Care Nursing Exam
-Scientific Advance
-Government Policy
-Hospitals
-Managed Care
-Schools of Medicine
-Medical Paradigm
-Military
Hospital influence on Physician Practice - Correct Answer- -Construct affiliated physician
groups
-Want to control flow of patients
Government Policy's influence on Physician Practice - Correct Answer- -Regulatory and finance
policies encourage group practice; it's cheaper than institutional care
Influence of Scientific Advancements on Physician Practice - Correct Answer- -New advances in
medical care benefit outpatient
Impact of Organized Labor on Physician Practice - Correct Answer- -Focus on care (medical
insurance) of workers
Impact of Military on Physician Practice - Correct Answer- -Standing armies/navies requried
physician care services in the field (M.A.S.H. units)
Impact of Medical Paradigm Shifts on Physician Practice - Correct Answer- -Shift from medicine
to the health of patients
-To specialization, germ, and disease prevention
2
, Ambulatory Care Nursing Exam
Impact of Schools of Medicine on Physician Practice - Correct Answer- -Flexner report impacts
on training of medical professionals, which embraced scientific knowledge and its advancement
as the defining ethos of a modern physician.
Impact of Managed Care on Physician Practice - Correct Answer- -Cost containment influence
plus policy
Until the 20th century, the vast majority of U.S. physicians _________________ - Correct
Answer- still practiced in solo or group practices
Dispensaries - Correct Answer- -Originated in France (1600s)
-Group of physicians employed to provide care to poor/disenfranchised
-Today the dispensary concept exists via: Community Health Centers (FQHCs), Rural Health
Clinics, Free Clinic movement
Academic Medical Centers (AMCs) - Correct Answer- -Began group practice with specialty
focus
-Training of professionals and service by specialty-trained physicians
-Focus on specialties increased number of physicians responsible for patients' conditions
Industrial Medical Programs - Correct Answer- -19th century lumber, mining, railroad industries
-Owners provided workers medical care via employer (company) physicians
-1929 (prepaid models) forerunners of managed care
-Ross and Loos Clinic in LA
Private Medical Clinics - Correct Answer- -Charles and William Mayo began a group practice in
small town Minnesota in the 1880's
-By 1929, they had 895 staff including 386 physicians
-Physicians could practice "better" in a collegial group environment
3
