ACHE Week 8 & 9 Healthcare Study Questions

ACHE Week 8 & 9 Healthcare Study Questions 1. Which one of the following is a function of a physician organization? a) Improvement of clinical quality and cost expectation b) Credentialing and privileging of physicians c) Continuing education for physicians and other clinical professionals d) All - ANSWER Answer: D. The Well-Managed Healthcare Organization, Organized Physician Services, pp. 283 2. What is the purpose of the Health Care Quality Improvement Act, Title IV of P.L. 100-177 of 1986? a) Improve the quality of care b) Reduce the chance of incompetent physicians moving to a new location c) Reduce the chance for physicians to misrepresent his or her skills d) B & C e) All - ANSWER Answer: D. The Well-Managed Healthcare Organization, Organized Physician Services, pp. 289 3. Current forces for change to healthcare delivery system from a fee-for-service to managed care include all but the following: a) Lack of incentives for the fee-for-service model b) Increased cost to employers c) Overall societal belief that optimal use of limited resources is more appropriate than maximal use d) Need to increase efficiency in the overall health system - ANSWER Answer: A. Source: Chapter 19 - Online Packet Which of the following is an approval granted by government that allows someone to engage in an occupation after a finding that the applicant has achieved a certain minimum competency? __________ is a state function under the police powers. Physicians and dentists are always ________, for example. a) Certification b) Licensure c) Registration d) Accredited - ANSWER Answer: B. Source: first handout, page 63. 5. The privileged process for physicians includes the following criteria as recognized by NCQA and JCAHO except: a) Bylaws b) Privileges c) Peer Review d) Cost effectiveness - ANSWER Answer: D. p. 287, Chapter 8, The Well Managed Healthcare Organization 6. The purposes of nursing include which of the following: a) Promote health, including emotional and social well-being b) Prevent disease and disability c) To promote environmental, physical, cognitive, and emotional support in illness d) All of the above - ANSWER Answer: D. P372, Chapter 10, The Well Managed Healthcare Organization