Fellow of the American College of
Healthcare Executives (FACHE)
Exam Questions and Answers with
Complete Solutions
Sarbanes Oxley - ANSWER>>US federal law that set new or expanded
requirements for all US public company boards, management and public
accounting firms. Cover responsibilities of a public corporation's board of
directors, adds criminal penalties and required SEC to create regulations
FMLA - ANSWER>>1993: law requiring covered employers to provide
employees with job-protected and unpaid leave for qualified medical family
reasons
Purpose of any HCO - ANSWER>>to provide care to individual patients and is
usually stated in organization's "mission"
Population Health - ANSWER>>defining the population (by geography,
sociodemographic factors, disease state, risk, insurance coverage or in some
other way), measuring the current state of health in the population, setting
goals for improvement and directing resources to making improvements. US
HSS specifies national goals and objectives for population health in the
Healthy People 2020 program
Caregiving/Clinical/Logistic/Strategic Teams - ANSWER>>Caregiving Teams:
Provide care to patients with similar needs (PCP, ACUTE, rehab)
Clinical Support Teams: provide specific clinical services to Caregiving Teams
(clinical laboratory, pharmacy, imaging, cardiopulmonary)
Logistic Support Teams - provide trained personnel, information, facilities,
accounting, cash, management and supplies
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Strategic Support Teams: provide marketing, governance, internal consulting,
finance, stakeholder relations management and strategic positioning
Service Lines - ANSWER>>Patient care teams coordinated around a set of
similar diseases or patient needs
Premise of a Healthy Community - ANSWER>>Costs tend to rise and benefits
to decline as care moves away from the healthy state. Therefore, optimum
care maximizes use of prevention, health maintenance, and health
improvement
PCP, Acute inpatient or specialty outpatient care, rehab, continuing care in
home or nursing home setting, continuing care in home or nursing home
setting, palliative care and death
Stakeholders - ANSWER>>Individuals or groups who have a direct interest in
the organization's success and shape its mission and strategies. Include
buyers, workers, suppliers, regulators and owners. Patients are the MOST
important HCO stakeholders. They expect and deserve care that meets the
goals summarized in IOM's report: Crossing the Quality Chasm
Patient-centered care - ANSWER>>care that is respectful of and responsive
to individual patient preferences, needs and values and involving patients
and families in care planning and decision making
Fiscal intermediaries - ANSWER>>Outside contractor that processes claims
for US government programs such as medicare and medicaid and provide
most of the revenue to HCOs, making them essential stakeholders
Patient Protection and Affordable Care Act (ACA) - ANSWER>>A federal law
providing for a fundamental reform of the US healthcare and health
insurance system, signed by President Obama in 2010. It includes: increase
insurance coverage for many patients, new approaches to support those with
chronic disease, and a greater accountability for the cost and quality of care.
Part of the "Triple Aim" - improving the individual patient experience with
healthcare, improving the health of the population, and reducing per capita
cost of care