U.S. Health Care Systems Latest Exam
2024
A health services administrator's job is to: - ANSWER Organize the operational, clinical, and
financial outcomes of the entire healthcare system.
A rural hospital - ANSWER is one that is located outside a metropolitan statistical area.
Academic medical center - ANSWER The term applies to an organization in which there is
active collaboration among a university, medical school, hospital/health system, and health care
professionals.
Access - ANSWER The ability of persons needing health services to obtain appropriate care
in a timely manner. Can you get medical care when you need it? If yes, you have access to medical
care. Access is not the same as health insurance coverage, although insurance coverage is a strong
predictor of access for primary care services.
Access to care - ANSWER Defined as the ability to obtain needed, affordable, convenient,
acceptable, and effective personal health services in a timely manner.
Accountable care organization - ANSWER An integrated group of providers—including
hospitals, physician group practices, and others—that take responsibility for improving the overall
health status, efficiency, and satisfaction with care for a defined population.
accreditation - ANSWER ..., Recognition that a health care organization has met an official
standard
Acquisition - ANSWER Purchase of one organization by another. The acquired organization
ceases to exist.
Activities of daily living - ANSWER Critical task of daily living: eating, bathing, dressing,
toileting, bowel and bladder control, transferring
Acute condition - ANSWER Relatively severe, episodic (of short duration), and often
treatable. It is subject to recovery, and treatment is generally provided in a hospital.
,U.S. Health Care Systems Latest Exam
2024
Administrative costs - ANSWER Costs associated with the management of the financing,
insurance, delivery, and payment functions. They include expenditures for management of the
enrollment process, setting up contracts with providers, claims processing, utilization monitoring,
denials and appeals, and marketing and promotional expenses.
Administrative information systems - ANSWER are designed to assist in carrying out
financial and administrative support activities such as payroll, patient accounting, materials
management, and office automation.
Adult day care - ANSWER A daytime, community-based, group program that is designed to
meet the needs of functionally and/or cognitively impaired adults and to provide partial respite to
family caregivers.
Adult foster care - ANSWER Services provided by small, family-run homes to non-related
adults who are unable to care for themselves
Advance directives - ANSWER A patient's expressed wishes with regard to continuation or
withdrawal of treatment.
Advanced practice nurse (APN) - ANSWER A general name for nurses who have education
and clinical experience beyond that required of an RN. APNs include four areas of specialization in
nursing: clinical nurse specialists (CNSs), certified registered nurse anesthetists (CRNAs), nurse
practitioners (NPs), and certified nurse midwives (CNMs).
After a patient has qualified for skilled nursing care and is admitted to a nursing facility, Medicare will
pay the full cost for how many days of care? - ANSWER 20
All of the following are voluntary for hospitals except? - ANSWER Licensure
All-payer systems - ANSWER Centralized controls allow cost-containment efforts to sweep
through the entire health care delivery system.
Alliance - ANSWER An agreement between two or more organizations to share their
resources without joint ownership of assets.
,U.S. Health Care Systems Latest Exam
2024
Allied health - ANSWER A broad category that includes services and professionals in many
health-related technical areas. Allied health professionals include technicians, assistants, therapists,
and technologists.
Allocative tools - ANSWER Policy used by government for the direct provision of income,
services, or goods to certain groups of individuals or institutions.
Allopathic medicine - ANSWER Views medical treatment as an active intervention to
produce a counteracting reaction in an attempt to neutralize the effects of disease.
Generalists: In the U.S., physicians trained in family medicine/general practice, general internal
medicine, and general pediatrics are considered primary care physicians or generalists.
almshouse - ANSWER or a poorhouse, was an unspecialized institution existing during the
18th and mid-19th centuries that mainly served general welfare functions, essentially providing
shelter to the homeless, the insane, the elderly, orphans, and the sick who had no family to care for
them.
Almshouses served as: - ANSWER Houses for inmates, elderly, the homeless, orphans, the
ill and disabled.
Ambulatory care - ANSWER Also referred to as outpatient services. Ambulatory care
includes (1) care rendered to patients who come to physicians' offices, outpatient departments of
hospitals, and health centers to receive care; (2) outpatient services intended to serve the
surrounding community (community medicine); and (3) certain services that are transported to the
patient.
An alliance does not involve which of the following? - ANSWER Joint ownership
As a method of reimbursement, PPOs use: - ANSWER Discounted fee-for-service
Asylum - ANSWER A forerunner of today's inpatient psychiatric facilities. These institutions
were operated by state governments for patients with untreatable, chronic mental illness.
, U.S. Health Care Systems Latest Exam
2024
Average daily census - ANSWER Average census over a given period of time.
Average length of stay: - ANSWER The average number of days a patient spends in the
hospital.
Balance bill - ANSWER The practice of billing the patient for the difference between the
provider's actual charges and the amounts paid by third parties.
Behavioral factors - ANSWER Individual lifestyles are also a key determinant of health. For
example, diet, exercise, a stress-free lifestyle, risky or unhealthy behaviors, and other individual
choices have been found to play a major role in most of the significant health problems of today.
Beneficence - ANSWER An ethical obligation to do everything possible to relieve suffering.
Beneficiary - ANSWER A participant in a health insurance plan. Also called the insured or
enrollee.
Benefit period - ANSWER For Medicare coverage, a benefit period is determined by a spell
of illness beginning with hospitalization and ending when a beneficiary has not been an inpatient in a
hospital or a skilled nursing facility for 60 consecutive days.
Bundled charges - ANSWER (package pricing): Set fees that include all related services.
Capacity - ANSWER Number of beds set up, staffed, and available for inpatient use.
Capitalism and lack of government intervention play a major role in the desire to have the state-of-
the-art technology. What three qualities are necessary to determine effectiveness of technology
regarding patient care? - ANSWER Does it work; is it valuable; is it safe.
Capitation - ANSWER A method of reimbursement used by HMOs in which the provider is
paid a set monthly fee per enrollee and is required to provide all needed services within the set
amount.
2024
A health services administrator's job is to: - ANSWER Organize the operational, clinical, and
financial outcomes of the entire healthcare system.
A rural hospital - ANSWER is one that is located outside a metropolitan statistical area.
Academic medical center - ANSWER The term applies to an organization in which there is
active collaboration among a university, medical school, hospital/health system, and health care
professionals.
Access - ANSWER The ability of persons needing health services to obtain appropriate care
in a timely manner. Can you get medical care when you need it? If yes, you have access to medical
care. Access is not the same as health insurance coverage, although insurance coverage is a strong
predictor of access for primary care services.
Access to care - ANSWER Defined as the ability to obtain needed, affordable, convenient,
acceptable, and effective personal health services in a timely manner.
Accountable care organization - ANSWER An integrated group of providers—including
hospitals, physician group practices, and others—that take responsibility for improving the overall
health status, efficiency, and satisfaction with care for a defined population.
accreditation - ANSWER ..., Recognition that a health care organization has met an official
standard
Acquisition - ANSWER Purchase of one organization by another. The acquired organization
ceases to exist.
Activities of daily living - ANSWER Critical task of daily living: eating, bathing, dressing,
toileting, bowel and bladder control, transferring
Acute condition - ANSWER Relatively severe, episodic (of short duration), and often
treatable. It is subject to recovery, and treatment is generally provided in a hospital.
,U.S. Health Care Systems Latest Exam
2024
Administrative costs - ANSWER Costs associated with the management of the financing,
insurance, delivery, and payment functions. They include expenditures for management of the
enrollment process, setting up contracts with providers, claims processing, utilization monitoring,
denials and appeals, and marketing and promotional expenses.
Administrative information systems - ANSWER are designed to assist in carrying out
financial and administrative support activities such as payroll, patient accounting, materials
management, and office automation.
Adult day care - ANSWER A daytime, community-based, group program that is designed to
meet the needs of functionally and/or cognitively impaired adults and to provide partial respite to
family caregivers.
Adult foster care - ANSWER Services provided by small, family-run homes to non-related
adults who are unable to care for themselves
Advance directives - ANSWER A patient's expressed wishes with regard to continuation or
withdrawal of treatment.
Advanced practice nurse (APN) - ANSWER A general name for nurses who have education
and clinical experience beyond that required of an RN. APNs include four areas of specialization in
nursing: clinical nurse specialists (CNSs), certified registered nurse anesthetists (CRNAs), nurse
practitioners (NPs), and certified nurse midwives (CNMs).
After a patient has qualified for skilled nursing care and is admitted to a nursing facility, Medicare will
pay the full cost for how many days of care? - ANSWER 20
All of the following are voluntary for hospitals except? - ANSWER Licensure
All-payer systems - ANSWER Centralized controls allow cost-containment efforts to sweep
through the entire health care delivery system.
Alliance - ANSWER An agreement between two or more organizations to share their
resources without joint ownership of assets.
,U.S. Health Care Systems Latest Exam
2024
Allied health - ANSWER A broad category that includes services and professionals in many
health-related technical areas. Allied health professionals include technicians, assistants, therapists,
and technologists.
Allocative tools - ANSWER Policy used by government for the direct provision of income,
services, or goods to certain groups of individuals or institutions.
Allopathic medicine - ANSWER Views medical treatment as an active intervention to
produce a counteracting reaction in an attempt to neutralize the effects of disease.
Generalists: In the U.S., physicians trained in family medicine/general practice, general internal
medicine, and general pediatrics are considered primary care physicians or generalists.
almshouse - ANSWER or a poorhouse, was an unspecialized institution existing during the
18th and mid-19th centuries that mainly served general welfare functions, essentially providing
shelter to the homeless, the insane, the elderly, orphans, and the sick who had no family to care for
them.
Almshouses served as: - ANSWER Houses for inmates, elderly, the homeless, orphans, the
ill and disabled.
Ambulatory care - ANSWER Also referred to as outpatient services. Ambulatory care
includes (1) care rendered to patients who come to physicians' offices, outpatient departments of
hospitals, and health centers to receive care; (2) outpatient services intended to serve the
surrounding community (community medicine); and (3) certain services that are transported to the
patient.
An alliance does not involve which of the following? - ANSWER Joint ownership
As a method of reimbursement, PPOs use: - ANSWER Discounted fee-for-service
Asylum - ANSWER A forerunner of today's inpatient psychiatric facilities. These institutions
were operated by state governments for patients with untreatable, chronic mental illness.
, U.S. Health Care Systems Latest Exam
2024
Average daily census - ANSWER Average census over a given period of time.
Average length of stay: - ANSWER The average number of days a patient spends in the
hospital.
Balance bill - ANSWER The practice of billing the patient for the difference between the
provider's actual charges and the amounts paid by third parties.
Behavioral factors - ANSWER Individual lifestyles are also a key determinant of health. For
example, diet, exercise, a stress-free lifestyle, risky or unhealthy behaviors, and other individual
choices have been found to play a major role in most of the significant health problems of today.
Beneficence - ANSWER An ethical obligation to do everything possible to relieve suffering.
Beneficiary - ANSWER A participant in a health insurance plan. Also called the insured or
enrollee.
Benefit period - ANSWER For Medicare coverage, a benefit period is determined by a spell
of illness beginning with hospitalization and ending when a beneficiary has not been an inpatient in a
hospital or a skilled nursing facility for 60 consecutive days.
Bundled charges - ANSWER (package pricing): Set fees that include all related services.
Capacity - ANSWER Number of beds set up, staffed, and available for inpatient use.
Capitalism and lack of government intervention play a major role in the desire to have the state-of-
the-art technology. What three qualities are necessary to determine effectiveness of technology
regarding patient care? - ANSWER Does it work; is it valuable; is it safe.
Capitation - ANSWER A method of reimbursement used by HMOs in which the provider is
paid a set monthly fee per enrollee and is required to provide all needed services within the set
amount.
