HSM 4215 FINAL EXAM QUESTIONS AND ANSWERS GRADED A+
Which of the following are good sources of information for the practice manager? - Answers Centers for
Medicare and Medicaid Services , Dartmouth Atlas, Institute for Healthcare Improvement, and Kaiser
family foundation
Which of the following best describes accounting? - Answers A system for keeping score in business
using dollars
A group practice is defined as a medical practice consisting of two or more practitioners working in a
common management and administrative structure. - Answers True
Which of the following is not a medical practice form? - Answers A licensed medical organization
What is the approximate number of physicians licensed in the United States? - Answers 1 million
What are the components of the "Practice Conundrum?" - Answers Cost, quality and access
In what manner is "the perfect storm" is a metaphor for medical practice today? - Answers It symbolizes
the convergence of many of today's challenges on the medical practice.
The United States has fewer physicians per capita than many other OECD countries. - Answers True
What is the approximate percentage of medical are purchased by government entities? - Answers 35%
Which of the following is not a major piece of healthcare legislation? - Answers IHI
According to the National Center for Health Statistics, what percentage of visits involved dug therapy? -
Answers More than 75%
Which of the following would best be described as a chronic condition or disease? - Answers Diabetes
Chronic conditions in the United States have been decreasing rapidly over the last 20 years - Answers
False
The United States has more specialty practitioners per capita than many other industrialized countries -
Answers True
Which of the following is not a cause of escalating medical costs in the United States? - Answers Too few
hospitals
The process that practices use to make significant decisions is which of the following - Answers
Governance
Which of the following are direct reports to the governing board who are held accountable for the
practice's achievement of its objectives? - Answers Management
,Which of the following best describes accountability? - Answers accepting responsibility for decisions
that affect organizational performance
The American healthcare delivery system can be described as _____________? - Answers Diversified,
fragmented, complex, expensive
Relative to systems in other nations, the United States healthcare system tends to be characterized as
___________? - Answers low in quality, proportional to its high cost
A fundamental aspect of any organization, including a medical practice is _______________? - Answers
its governance structure
Which of the following is not typically included in a practice's governance structure? - Answers
Community members
The medical practice manager or administrator provides as essential link between which of the
following? Please choose the best answer - Answers The organization's employees and the governing
board
Which of the following is not a stand-alone practice form? - Answers Accountable care organizations
Which of the following features of an employment agreement tends to be most controversial? - Answers
Restrictive covenants
Decision making in the medical practice is most influenced by ___________? - Answers A and B are both
very important (culture and mission, vision and values)
Which of the following was a central feature of the Affordable Care Act (ACA)? - Answers The
accountable care organizations (ACO) and A standardized benefit structure.
What is the difference between a merger and an acquisition of a medical practice? - Answers An
acquisition involves the purchase of a practice's assets by another practice or healthcare organization
and typically includes the employment of the physicians and staff by the acquiring practice, whereas the
merger of two practices involves the combining of assets of both practices to form a new entity.
Mergers and acquisitions are on the increase, resulting in practices of larger sizes - Answers True
Accountable care organizations (ACOs) focus on improving population health, improving patient
experience and reducing the total cost of care. - Answers True
Clinical integration is an alternative care delivery model that aligns the incentives of physcians - Answers
the statement is true but integration also involves many additional elements
Which of the following best describes a patient-centered medical home (PCMH)? - Answers A practice
model focusing on prevention and early intervention for patient care
To be a certified PCMH, the practice must be certified by the NCQA - Answers True
, What are some of the positive benefits of integration? - Answers Economies of scale can be leveraged,
cost-effectiveness is more likely to be achieved, clinical care can better be coordinated, more specialty
staff with greater expertise may be hired and allows greater access to capital
Why do mergers and acquisitions frequently produce suboptimal results - Answers a clash of culture
occurs
Physicians who treat patients are known as which of the following - Answers Clinical staff and Providers
Relative to the systems of other developed countries, what is the most unique feature of the American
healthcare system? - Answers the number of citizens without healthcare coverage (insurance or other
forms of third-party payment)
The PCMH would be more likely to practice which of the following? - Answers Patient-directed care
An osteopathic medical school graduate may take an allopathic residency - Answers true
Judging from the merger checklist in the text, mergers and acquisitions are relatively simple if the
checklist is followed - Answers False
An electronic health record (EHR) is a absolute requirement for the medical practice - Answers False
Which of the following are important characteristics of an IT system in the medical practice? - Answers
Usable, Specific,Scalable, and Secure
IT systems have a significant learning curve, and initially productivity ___________ until staff is fully
trained and adapted to the system. - Answers Likely decrease
Which of the following is the best definition of meaningful use? - Answers A three-stage process
requiring practices to effectively use electronic record systems for the benefit of patients, allowing
providers to receive incentives under the Medicare and Medicaid EHR incentive programs
What is the most important benefit of an easy interface for an IT system? - Answers The system is more
likely to be accepted by stakeholders.
Stand-alone system are the most efficient and effective IT system. - Answers False
When training physicians and non physician staff on a new IT system, which of the following approaches
is best? - Answers Carefully plan and designed training for each group that will be using the system
There is substantial evidence that electronic records increase clinical productivity - Answers False
Which statement best describes the decision-support functions of an IT system? - Answers Decision
support assists practices in justifying the business case for actions it plans to take
Which of the following is not typically part of the electronic medical record? - Answers Billing records
Which of the following is not an ancillary service - Answers Physician services
Which of the following are good sources of information for the practice manager? - Answers Centers for
Medicare and Medicaid Services , Dartmouth Atlas, Institute for Healthcare Improvement, and Kaiser
family foundation
Which of the following best describes accounting? - Answers A system for keeping score in business
using dollars
A group practice is defined as a medical practice consisting of two or more practitioners working in a
common management and administrative structure. - Answers True
Which of the following is not a medical practice form? - Answers A licensed medical organization
What is the approximate number of physicians licensed in the United States? - Answers 1 million
What are the components of the "Practice Conundrum?" - Answers Cost, quality and access
In what manner is "the perfect storm" is a metaphor for medical practice today? - Answers It symbolizes
the convergence of many of today's challenges on the medical practice.
The United States has fewer physicians per capita than many other OECD countries. - Answers True
What is the approximate percentage of medical are purchased by government entities? - Answers 35%
Which of the following is not a major piece of healthcare legislation? - Answers IHI
According to the National Center for Health Statistics, what percentage of visits involved dug therapy? -
Answers More than 75%
Which of the following would best be described as a chronic condition or disease? - Answers Diabetes
Chronic conditions in the United States have been decreasing rapidly over the last 20 years - Answers
False
The United States has more specialty practitioners per capita than many other industrialized countries -
Answers True
Which of the following is not a cause of escalating medical costs in the United States? - Answers Too few
hospitals
The process that practices use to make significant decisions is which of the following - Answers
Governance
Which of the following are direct reports to the governing board who are held accountable for the
practice's achievement of its objectives? - Answers Management
,Which of the following best describes accountability? - Answers accepting responsibility for decisions
that affect organizational performance
The American healthcare delivery system can be described as _____________? - Answers Diversified,
fragmented, complex, expensive
Relative to systems in other nations, the United States healthcare system tends to be characterized as
___________? - Answers low in quality, proportional to its high cost
A fundamental aspect of any organization, including a medical practice is _______________? - Answers
its governance structure
Which of the following is not typically included in a practice's governance structure? - Answers
Community members
The medical practice manager or administrator provides as essential link between which of the
following? Please choose the best answer - Answers The organization's employees and the governing
board
Which of the following is not a stand-alone practice form? - Answers Accountable care organizations
Which of the following features of an employment agreement tends to be most controversial? - Answers
Restrictive covenants
Decision making in the medical practice is most influenced by ___________? - Answers A and B are both
very important (culture and mission, vision and values)
Which of the following was a central feature of the Affordable Care Act (ACA)? - Answers The
accountable care organizations (ACO) and A standardized benefit structure.
What is the difference between a merger and an acquisition of a medical practice? - Answers An
acquisition involves the purchase of a practice's assets by another practice or healthcare organization
and typically includes the employment of the physicians and staff by the acquiring practice, whereas the
merger of two practices involves the combining of assets of both practices to form a new entity.
Mergers and acquisitions are on the increase, resulting in practices of larger sizes - Answers True
Accountable care organizations (ACOs) focus on improving population health, improving patient
experience and reducing the total cost of care. - Answers True
Clinical integration is an alternative care delivery model that aligns the incentives of physcians - Answers
the statement is true but integration also involves many additional elements
Which of the following best describes a patient-centered medical home (PCMH)? - Answers A practice
model focusing on prevention and early intervention for patient care
To be a certified PCMH, the practice must be certified by the NCQA - Answers True
, What are some of the positive benefits of integration? - Answers Economies of scale can be leveraged,
cost-effectiveness is more likely to be achieved, clinical care can better be coordinated, more specialty
staff with greater expertise may be hired and allows greater access to capital
Why do mergers and acquisitions frequently produce suboptimal results - Answers a clash of culture
occurs
Physicians who treat patients are known as which of the following - Answers Clinical staff and Providers
Relative to the systems of other developed countries, what is the most unique feature of the American
healthcare system? - Answers the number of citizens without healthcare coverage (insurance or other
forms of third-party payment)
The PCMH would be more likely to practice which of the following? - Answers Patient-directed care
An osteopathic medical school graduate may take an allopathic residency - Answers true
Judging from the merger checklist in the text, mergers and acquisitions are relatively simple if the
checklist is followed - Answers False
An electronic health record (EHR) is a absolute requirement for the medical practice - Answers False
Which of the following are important characteristics of an IT system in the medical practice? - Answers
Usable, Specific,Scalable, and Secure
IT systems have a significant learning curve, and initially productivity ___________ until staff is fully
trained and adapted to the system. - Answers Likely decrease
Which of the following is the best definition of meaningful use? - Answers A three-stage process
requiring practices to effectively use electronic record systems for the benefit of patients, allowing
providers to receive incentives under the Medicare and Medicaid EHR incentive programs
What is the most important benefit of an easy interface for an IT system? - Answers The system is more
likely to be accepted by stakeholders.
Stand-alone system are the most efficient and effective IT system. - Answers False
When training physicians and non physician staff on a new IT system, which of the following approaches
is best? - Answers Carefully plan and designed training for each group that will be using the system
There is substantial evidence that electronic records increase clinical productivity - Answers False
Which statement best describes the decision-support functions of an IT system? - Answers Decision
support assists practices in justifying the business case for actions it plans to take
Which of the following is not typically part of the electronic medical record? - Answers Billing records
Which of the following is not an ancillary service - Answers Physician services
