HSA 3111 STUDY EXAMS GUIDE ANSWERS AND
QUESTIONS SET A+
✔✔healthcare administrators - ✔✔- most require grad degree (MBA, MHA, MPH, DHA)
- emplyed top/middle/entry level management positions of various orgs
- responsible for the operational, clinical, and fincancial outcomes of the entire
healthcare org
- cost/finance, leadership, professional staff interaction, healthcare delivery concepts,
accessibility, ethics, quality and risk managements, technology, marketing
✔✔levels of care - ✔✔- primary: first contact
- secondary: referred specialist
- tertiary: complex care/usually hospital
- quaternary: experimental/complex
✔✔healthcare continuum - ✔✔- pre-acute: home, wellness, fitness, retail pharmacy,
physician office, urgent care, diagnostic imaging, ambulatory, ER
- acute care: ER, hospital, inpatient
- post-acute care: inpatient, outpatient, extended care, SNF, home health, hospice
✔✔Inpatient Care - ✔✔- hospitals most common setting for care including diagnostic
and therapeutic services
- require stay of 1+ night
- patients admitted for an acute illness or scheduled elective procedure
- other hospitals for extended periods (rehab, mental health, etc.)
- inpatient stays have remained pretty consistent
✔✔most hospitals are ________ - ✔✔community
- most are not-for-profit
- 2/3 system affiliated and urban (65% ish)
✔✔teaching hospitals - ✔✔have 1+ graduate resident programs designated by the
AMA/ACGME
- don't grant/award degrees
, ✔✔critical access hospitals (CAH) - ✔✔created by the Balanced Budget Act of 1997
- 25 beds or less
✔✔"Safety Net" hospitals - ✔✔determination made by CMS for disproportionate share
hospitals
✔✔primary care cost impact - ✔✔- readmission rates: keep people out of hospital for 30
days post visit otherwise no reimbursement if connected to previous care (ex: surgery
complications) -> determines quality
- uncompensated care: people enter ER w/out insurance
✔✔emerging primary care trends - ✔✔- retail clinics (CVS)
- patient-centered medical homes (PCMHs)
- accountable care organizations (ACOs)
✔✔outpatient care - ✔✔- no overnight stay
- primary care services are one of the most utilized outpatient and are entry point for
healthcare system
- significant trend of transitioning from inpatient to outpatient setting to reduce costs, but
INPATIENT admission has NOT decreased
- settings: physician's office, urgent care, ambulatory surgery centers, home health,
hospice/palliative, public health depts., community health, federally qualified health
centers (FQHCs)
✔✔Emergency services - ✔✔- EMTALA 1986
- emergency depts. have significant increases in utilization, especially for the uninsured
✔✔Public health departments - ✔✔- population focused to safeguard health of
community
- local depts. provide individual-focused services: immunizations, tuberculosis skin
tests, WIC, STDs
- community health centers
- federally qualified health centers (FQHCs)
✔✔post-acute services - ✔✔- for patients recently discharged and needing on-going
management
- settings: long-term acute care hospitals (LTACHs), rehab facilities (inpatient and
outpatient), skilled nursing facilities (SNFs)
✔✔Long-Term Care Services - ✔✔- short-term or long-term basis for patients who
cannot perform ADLs without assistance
- most provided at home by unpaid family/friends but also in facilities
- settings: nursing homes, adult day care, assisted living, continuing care retirement
communities (CCRCs)
QUESTIONS SET A+
✔✔healthcare administrators - ✔✔- most require grad degree (MBA, MHA, MPH, DHA)
- emplyed top/middle/entry level management positions of various orgs
- responsible for the operational, clinical, and fincancial outcomes of the entire
healthcare org
- cost/finance, leadership, professional staff interaction, healthcare delivery concepts,
accessibility, ethics, quality and risk managements, technology, marketing
✔✔levels of care - ✔✔- primary: first contact
- secondary: referred specialist
- tertiary: complex care/usually hospital
- quaternary: experimental/complex
✔✔healthcare continuum - ✔✔- pre-acute: home, wellness, fitness, retail pharmacy,
physician office, urgent care, diagnostic imaging, ambulatory, ER
- acute care: ER, hospital, inpatient
- post-acute care: inpatient, outpatient, extended care, SNF, home health, hospice
✔✔Inpatient Care - ✔✔- hospitals most common setting for care including diagnostic
and therapeutic services
- require stay of 1+ night
- patients admitted for an acute illness or scheduled elective procedure
- other hospitals for extended periods (rehab, mental health, etc.)
- inpatient stays have remained pretty consistent
✔✔most hospitals are ________ - ✔✔community
- most are not-for-profit
- 2/3 system affiliated and urban (65% ish)
✔✔teaching hospitals - ✔✔have 1+ graduate resident programs designated by the
AMA/ACGME
- don't grant/award degrees
, ✔✔critical access hospitals (CAH) - ✔✔created by the Balanced Budget Act of 1997
- 25 beds or less
✔✔"Safety Net" hospitals - ✔✔determination made by CMS for disproportionate share
hospitals
✔✔primary care cost impact - ✔✔- readmission rates: keep people out of hospital for 30
days post visit otherwise no reimbursement if connected to previous care (ex: surgery
complications) -> determines quality
- uncompensated care: people enter ER w/out insurance
✔✔emerging primary care trends - ✔✔- retail clinics (CVS)
- patient-centered medical homes (PCMHs)
- accountable care organizations (ACOs)
✔✔outpatient care - ✔✔- no overnight stay
- primary care services are one of the most utilized outpatient and are entry point for
healthcare system
- significant trend of transitioning from inpatient to outpatient setting to reduce costs, but
INPATIENT admission has NOT decreased
- settings: physician's office, urgent care, ambulatory surgery centers, home health,
hospice/palliative, public health depts., community health, federally qualified health
centers (FQHCs)
✔✔Emergency services - ✔✔- EMTALA 1986
- emergency depts. have significant increases in utilization, especially for the uninsured
✔✔Public health departments - ✔✔- population focused to safeguard health of
community
- local depts. provide individual-focused services: immunizations, tuberculosis skin
tests, WIC, STDs
- community health centers
- federally qualified health centers (FQHCs)
✔✔post-acute services - ✔✔- for patients recently discharged and needing on-going
management
- settings: long-term acute care hospitals (LTACHs), rehab facilities (inpatient and
outpatient), skilled nursing facilities (SNFs)
✔✔Long-Term Care Services - ✔✔- short-term or long-term basis for patients who
cannot perform ADLs without assistance
- most provided at home by unpaid family/friends but also in facilities
- settings: nursing homes, adult day care, assisted living, continuing care retirement
communities (CCRCs)
