CAPSTONE EXIT EXAM WITH
CORRECT ANSWERS
2025
The Flexner report and its significance for health care ( correct
answers ) Relates to the standard
care and practice which led to evidence based practice. Set up the
standards in medicine in 1906.
The IOM reports "To Err is Human" (2000) and "Crossing the Quality
Chasm" (2001): The significance of these reports as related to quality of
care by physicians and hospitals in the U.S. in relationship to the number
of deaths due to medical errors.
( correct answers )
Article by James (2013) in the Journal of Patient Safety and the data that
quoted the number of preventable deaths in the U.S. ( correct answers )
is it the people's fault or the system's
fault? 90% of the time it is the system's fault because the employees can tell
them how to fix the problems. Deming is worried about outcomes and not
profit like many healthcare administrators. 98,000 - 400,000
Describe and understand the following: medicaid and medicare, CHIP,
private pay, MCOs (HMOs-the different types, PPOs, POSs), FFS, and IPAs,
HSAs, and FSAs ( correct answers )
MCO- Managed Care Organization
HMO-prepaid by the insured, independent group. The goals is to keep you
healthy, they stress preventive care.
PPO-Preffered Provider Option
POS-Point of
Service FFS- Fee-
for-service IPA-
HSA-
FSA-
Third party payers ( correct answers ) Third party payer an entity other
than the patient or health care provider that reimburses and manages
health care expenses. 3rd party payers include insurance companies,
governmental agencies, and employers.
Drug related diagnosis (DRG) ( correct answers ) DRGs- Drug
related diagnosis. It is a patient classification system that standardizes
prospective payment to hospitals and encourages cost containment
initiatives. In general, a DRG payment covers all charges associated with an
inpatient stay from time of admission to discharge.
GRADED
A+
ICD-10 ( correct answers ) international classification of diseases-10th
revision. ) is a system used by physicians and other healthcare providers to
classify and code all
, diagnoses, symptoms and procedures recorded in conjunction with hospital
care in the United States.
Block grants ( correct answers ) a grant from central government
which a local authority can allocate to a wide range of services
entilement program ( correct answers ) a
government program that guarantees certain benefits to a particular
group or segment of the population
safety net providers ( correct answers ) Providers who serve
disproportionately high numbers of uninsured, underinsured, or publicly
insured
Donut Hole ( correct answers ) Medicare part D coverage gap - a period of
consumer payment for prescription medication costs which lies between the
initial coverage limit and the catastrophic-coverage threshold, when the
consumer is a member of a Medicare Part D prescription-drug program
administered by the United States federal government.
Left (Health Policy) ( correct answers ) Trust in
government Right (Health Policy) ( correct
answers ) Trust in marketplace
•HR management: concepts of turnover, retention, recruitment,
unstructured and structured interviews (behavioral based questions),
selection, and job analysis;
( correct answers )
Federal and/or State laws/regulations that relate to HR. turnover: the number
of the employees at the end of the year and how many did you keep. The
ratio that provides the summary that the number of times the employee that
must be replaced.
Licensure ( correct answers ) state's grant of legal authority to practice a
profession within a designated scope of practice. licensure is that, under a
licensing law, practitioners of the licensed occupation must have a license
in order to practice
Certification ( correct answers ) Administered by a
governing/national board. certification is voluntary. One does not
have to be certified in order to practice
Licensure of Hospitals ( correct answers ) - All hospitals must be
licensed to operate
- Each state's department of health oversees licensure
-Licensure standards emphasize compliance with building and fire
safety codes, sanitation, equipment and personnel
GRADED
A+
certification of hospitals( correct answers ) Enables them to obtain
Medicare and Medicaid reimbursement
Accreditation of Hospitals ( correct answers ) - JCAHO
accredits many hospitals and health care facilities
CORRECT ANSWERS
2025
The Flexner report and its significance for health care ( correct
answers ) Relates to the standard
care and practice which led to evidence based practice. Set up the
standards in medicine in 1906.
The IOM reports "To Err is Human" (2000) and "Crossing the Quality
Chasm" (2001): The significance of these reports as related to quality of
care by physicians and hospitals in the U.S. in relationship to the number
of deaths due to medical errors.
( correct answers )
Article by James (2013) in the Journal of Patient Safety and the data that
quoted the number of preventable deaths in the U.S. ( correct answers )
is it the people's fault or the system's
fault? 90% of the time it is the system's fault because the employees can tell
them how to fix the problems. Deming is worried about outcomes and not
profit like many healthcare administrators. 98,000 - 400,000
Describe and understand the following: medicaid and medicare, CHIP,
private pay, MCOs (HMOs-the different types, PPOs, POSs), FFS, and IPAs,
HSAs, and FSAs ( correct answers )
MCO- Managed Care Organization
HMO-prepaid by the insured, independent group. The goals is to keep you
healthy, they stress preventive care.
PPO-Preffered Provider Option
POS-Point of
Service FFS- Fee-
for-service IPA-
HSA-
FSA-
Third party payers ( correct answers ) Third party payer an entity other
than the patient or health care provider that reimburses and manages
health care expenses. 3rd party payers include insurance companies,
governmental agencies, and employers.
Drug related diagnosis (DRG) ( correct answers ) DRGs- Drug
related diagnosis. It is a patient classification system that standardizes
prospective payment to hospitals and encourages cost containment
initiatives. In general, a DRG payment covers all charges associated with an
inpatient stay from time of admission to discharge.
GRADED
A+
ICD-10 ( correct answers ) international classification of diseases-10th
revision. ) is a system used by physicians and other healthcare providers to
classify and code all
, diagnoses, symptoms and procedures recorded in conjunction with hospital
care in the United States.
Block grants ( correct answers ) a grant from central government
which a local authority can allocate to a wide range of services
entilement program ( correct answers ) a
government program that guarantees certain benefits to a particular
group or segment of the population
safety net providers ( correct answers ) Providers who serve
disproportionately high numbers of uninsured, underinsured, or publicly
insured
Donut Hole ( correct answers ) Medicare part D coverage gap - a period of
consumer payment for prescription medication costs which lies between the
initial coverage limit and the catastrophic-coverage threshold, when the
consumer is a member of a Medicare Part D prescription-drug program
administered by the United States federal government.
Left (Health Policy) ( correct answers ) Trust in
government Right (Health Policy) ( correct
answers ) Trust in marketplace
•HR management: concepts of turnover, retention, recruitment,
unstructured and structured interviews (behavioral based questions),
selection, and job analysis;
( correct answers )
Federal and/or State laws/regulations that relate to HR. turnover: the number
of the employees at the end of the year and how many did you keep. The
ratio that provides the summary that the number of times the employee that
must be replaced.
Licensure ( correct answers ) state's grant of legal authority to practice a
profession within a designated scope of practice. licensure is that, under a
licensing law, practitioners of the licensed occupation must have a license
in order to practice
Certification ( correct answers ) Administered by a
governing/national board. certification is voluntary. One does not
have to be certified in order to practice
Licensure of Hospitals ( correct answers ) - All hospitals must be
licensed to operate
- Each state's department of health oversees licensure
-Licensure standards emphasize compliance with building and fire
safety codes, sanitation, equipment and personnel
GRADED
A+
certification of hospitals( correct answers ) Enables them to obtain
Medicare and Medicaid reimbursement
Accreditation of Hospitals ( correct answers ) - JCAHO
accredits many hospitals and health care facilities
