HCAD 760 MIDTERM 2026 REVISION NOTES
AND STRUCTURED HEALTHCARE
ADMINISTRATION OVERVIEW GUIDE
◉ Many HCO started as ___ care hospitals and then grew as care sites
broadened and specialized. Answer: acute
◉ Opportunities for Improvement (OFIs). Answer: Any situation
where current performance is inferior to benchmark. Excellent HCOs
seek and resolve OFIs, creating an environment where improvement
is a central part of the culture.
◉ Patient-centered care. Answer: Care that is respectful and
responsive to individual patient preferences, needs, and values.
◉ Associates. Answer: People (employees, trustees and other
volunteers, medical staff members, and agents of contract suppliers)
who give their time and energy to the HCO and its activities.
◉ Value-based Insurance Design. Answer: Linking financial
incentives to the quality and efficiency of care provided.
◉ Affordable Care Act (ACA). Answer: ?
,◉ Certificate-of-need. Answer: Approval for new services and
construction, expansion, or renovation of hospitals or related
facilities; issued in many states.
◉ Health Insurance Portability and Accountability Act. Answer:
Federal law that addresses issues of health insurance but also
requires HCOs and their workers to protect patient information and
confidentiality diligently.
◉ Emergency Treatment and Labor Act. Answer: Federal act
requiring all HCOs that provide emergency care to accept all
patients, regardless of ability to pay, until the patients are stabilized
and can be safely moved.
◉ Quality improvement organizations are ___ that review the quality
of care and use of insurance benefits for ___. Answer: external
agencies, Medicare and other insurers
◉ Community Benefit Value. Answer: Services provided gratis by
HCOs to their surrounding communities. Current law requires
hospitals to satisfy a community benefit standard to qualify as tax-
exempt charities under section 501(c)(3) of the Internal Revenue
Service code. The standard addresses charitable care, educational
services, and other benefits.
, ◉ What is the Centers for Medicare and Medicaid Services. Answer:
CMS
◉ Deemed Status. Answer: organizations allowed to grant
accreditation outside of CMS
◉ The Joint Commission (TJC). Answer: A voluntary consortium of
professional provider organizations that evaluates and accredits a
wide range of HCOs.
◉ External Auditors. Answer: A firm certified to review corporate
financial statements and attest to their accuracy.
◉ Why do HCOs join purchasing collaboratives?. Answer: to
strengthen their bargaining with suppliers
◉ What is the relationship between HCOs and their suppliers of
goods?. Answer: commercial contracts
◉ The American Hospital Association. Answer: One of the largest
HCO coalitions that lobbies for HCO at the federal level
AND STRUCTURED HEALTHCARE
ADMINISTRATION OVERVIEW GUIDE
◉ Many HCO started as ___ care hospitals and then grew as care sites
broadened and specialized. Answer: acute
◉ Opportunities for Improvement (OFIs). Answer: Any situation
where current performance is inferior to benchmark. Excellent HCOs
seek and resolve OFIs, creating an environment where improvement
is a central part of the culture.
◉ Patient-centered care. Answer: Care that is respectful and
responsive to individual patient preferences, needs, and values.
◉ Associates. Answer: People (employees, trustees and other
volunteers, medical staff members, and agents of contract suppliers)
who give their time and energy to the HCO and its activities.
◉ Value-based Insurance Design. Answer: Linking financial
incentives to the quality and efficiency of care provided.
◉ Affordable Care Act (ACA). Answer: ?
,◉ Certificate-of-need. Answer: Approval for new services and
construction, expansion, or renovation of hospitals or related
facilities; issued in many states.
◉ Health Insurance Portability and Accountability Act. Answer:
Federal law that addresses issues of health insurance but also
requires HCOs and their workers to protect patient information and
confidentiality diligently.
◉ Emergency Treatment and Labor Act. Answer: Federal act
requiring all HCOs that provide emergency care to accept all
patients, regardless of ability to pay, until the patients are stabilized
and can be safely moved.
◉ Quality improvement organizations are ___ that review the quality
of care and use of insurance benefits for ___. Answer: external
agencies, Medicare and other insurers
◉ Community Benefit Value. Answer: Services provided gratis by
HCOs to their surrounding communities. Current law requires
hospitals to satisfy a community benefit standard to qualify as tax-
exempt charities under section 501(c)(3) of the Internal Revenue
Service code. The standard addresses charitable care, educational
services, and other benefits.
, ◉ What is the Centers for Medicare and Medicaid Services. Answer:
CMS
◉ Deemed Status. Answer: organizations allowed to grant
accreditation outside of CMS
◉ The Joint Commission (TJC). Answer: A voluntary consortium of
professional provider organizations that evaluates and accredits a
wide range of HCOs.
◉ External Auditors. Answer: A firm certified to review corporate
financial statements and attest to their accuracy.
◉ Why do HCOs join purchasing collaboratives?. Answer: to
strengthen their bargaining with suppliers
◉ What is the relationship between HCOs and their suppliers of
goods?. Answer: commercial contracts
◉ The American Hospital Association. Answer: One of the largest
HCO coalitions that lobbies for HCO at the federal level
