HHP 4040 EXAM 2 QUESTIONS WITH VERIFIED
ANSWERS
Ambulatory and primary care domains - Answers - - acute care
- post acute care
- behavioral health care
- long term care
Private medical office practice - Answers - - medical specialist
- surgical specialist
- primary care physicians ( predominant)
Shift from solo to group practice - Answers - - solo mode: accountable for the whole
practice
- group practice: single field ( everyone is in the same specialty), multidisciplinary group
practices ( multiple specialities)
What caused the shift from solo to group? - Answers - - specializations
- work/ life balance
- medicare: difficulty billings
- inflation
Integrated ambulatory care models - Answers - - The ACA placed an emphasis on
provider responsibility for overall health outcomes of populations of patients
- the patient centered medical home (PCMH) and Accountable Care Organizations
(ACO)
Patient centered medical homes - Answers - A team-based model of care led by a
personal physician who provides continuous and coordinated care throughout a
patient's lifetime to maximize health outcomes.
Core functions of patient centered medical homes - Answers - - patient centered
- comprehensive
- coordinated
- accesible
- committed to quality and safety
Outpatient clinics - Answers - - medical clinics and specialty clinics
- use of the primary care group model
Hospital emergency services - Answers - - continued increased in ED visits due to
population growth, increase in illness related diagnoses, and lack of private health
insurance
, - medical students and residents replaced with board certified emergency room
physicians
- expand hours using the PCMH model can help to reduce unnecessary ED visits
Non hospital based facilities - Answers - - urgent care centers
- retail clinics
- ambulatory surgery centers
- federally qualified health centers
- public health ambulatory services
- not for profit agency ambulatory services
Urgent care centers - Answers - - provide immediate care, screening, diagnostic
services
- operate with extended hours - convenience factor
Retail clinics - Answers - - operated at pharmacies and supermarkets
- typically staffed by NP or PA
- lower cost, higher coverage
Ambulatory surgery centers - Answers - - surgeon autonomy
- advancements in medical technology and changes in reimbursement
- highly regulated
- improved patient outcome
Federally qualified health centers - Answers - must comply with federal requirements to:
- serve a medically underserved population
- provide services with fees adjusted based on patients' ability to pay
- demonstrate sound clinical and financial management
- be governed by a board, a majority includes health center patients
HRSA- funded health center enrollment fast facts - Answers - - funded through grants
by the health resources and services administration and donations
- in addition to medical services may provide transportation, language translation, and
health education services
- no patient can be denied services due to inability to pay
Public health ambulatory - Answers - - disease prevention
- immunizations
- maternal and infant care
- family planning
- tobacco control
- STI screening and treatment
Not for profit agency ambulatory services - Answers - - address needs of certain
population, often affected by certain disease or condition
- may be all volunteer or have paid professional staff
ANSWERS
Ambulatory and primary care domains - Answers - - acute care
- post acute care
- behavioral health care
- long term care
Private medical office practice - Answers - - medical specialist
- surgical specialist
- primary care physicians ( predominant)
Shift from solo to group practice - Answers - - solo mode: accountable for the whole
practice
- group practice: single field ( everyone is in the same specialty), multidisciplinary group
practices ( multiple specialities)
What caused the shift from solo to group? - Answers - - specializations
- work/ life balance
- medicare: difficulty billings
- inflation
Integrated ambulatory care models - Answers - - The ACA placed an emphasis on
provider responsibility for overall health outcomes of populations of patients
- the patient centered medical home (PCMH) and Accountable Care Organizations
(ACO)
Patient centered medical homes - Answers - A team-based model of care led by a
personal physician who provides continuous and coordinated care throughout a
patient's lifetime to maximize health outcomes.
Core functions of patient centered medical homes - Answers - - patient centered
- comprehensive
- coordinated
- accesible
- committed to quality and safety
Outpatient clinics - Answers - - medical clinics and specialty clinics
- use of the primary care group model
Hospital emergency services - Answers - - continued increased in ED visits due to
population growth, increase in illness related diagnoses, and lack of private health
insurance
, - medical students and residents replaced with board certified emergency room
physicians
- expand hours using the PCMH model can help to reduce unnecessary ED visits
Non hospital based facilities - Answers - - urgent care centers
- retail clinics
- ambulatory surgery centers
- federally qualified health centers
- public health ambulatory services
- not for profit agency ambulatory services
Urgent care centers - Answers - - provide immediate care, screening, diagnostic
services
- operate with extended hours - convenience factor
Retail clinics - Answers - - operated at pharmacies and supermarkets
- typically staffed by NP or PA
- lower cost, higher coverage
Ambulatory surgery centers - Answers - - surgeon autonomy
- advancements in medical technology and changes in reimbursement
- highly regulated
- improved patient outcome
Federally qualified health centers - Answers - must comply with federal requirements to:
- serve a medically underserved population
- provide services with fees adjusted based on patients' ability to pay
- demonstrate sound clinical and financial management
- be governed by a board, a majority includes health center patients
HRSA- funded health center enrollment fast facts - Answers - - funded through grants
by the health resources and services administration and donations
- in addition to medical services may provide transportation, language translation, and
health education services
- no patient can be denied services due to inability to pay
Public health ambulatory - Answers - - disease prevention
- immunizations
- maternal and infant care
- family planning
- tobacco control
- STI screening and treatment
Not for profit agency ambulatory services - Answers - - address needs of certain
population, often affected by certain disease or condition
- may be all volunteer or have paid professional staff
