AMBULATORY CARE EXAM I QUESTIONS AND
ANSWERS UPDATED 2024 - 2025
Care,ANS --The broad array of health care services provided in outpatient settings that involve routine
non-emergency health care services.
-Health care services provided to non-institutionalized patients
Group Practice,ANS -Provision of health care services by a group of at least THREE licensed physicians
engaged in a formally organized and legally recognized entity that SHARES assets across multiple
physicians
Importance of Ambulatory Care to Patients,ANS --Patients' initial and continuing point of contact with
the system
-Ambulatory Care promotes continuity of care/coordination of health care for patients
Several Constraints on the Growth of Medical Groups,ANS --Inability to quickly deploy technology on
processes
-Day-to-day operations consume majority of the time required for growth and talent management
-Inadequate visibility of performance and operations
-Limited standardization and workflow efficiency
-Inadequate mechanisms to drive process compliance at the point-of-care
-Lack of insight into organization patterns of community physicians
History of Group Practice,ANS --Medical care, since Roman and Egyptian times, has been based on
physicians working in solo practice
-Beginning in 18th century, trend has been for physicians to move to group practice and larger groups
Forces Influencing Physician Practice Settings,ANS --Organized Labor
-Scientific Advance
-Government Policy
,-Hospitals
-Managed Care
-Schools of Medicine
-Medical Paradigm
-Military
Hospital influence on Physician Practice,ANS --Construct affiliated physician groups
-Want to control flow of patients
Government Policy's influence on Physician Practice,ANS --Regulatory and finance policies encourage
group practice; it's cheaper than institutional care
Influence of Scientific Advancements on Physician Practice,ANS --New advances in medical care benefit
outpatient
Impact of Organized Labor on Physician Practice,ANS --Focus on care (medical insurance) of workers
Impact of Military on Physician Practice,ANS --Standing armies/navies requried physician care services in
the field (M.A.S.H. units)
Impact of Medical Paradigm Shifts on Physician Practice,ANS --Shift from medicine to the health of
patients
-To specialization, germ, and disease prevention
Impact of Schools of Medicine on Physician Practice,ANS --Flexner report impacts on training of medical
professionals, which embraced scientific knowledge and its advancement as the defining ethos of a
modern physician.
Impact of Managed Care on Physician Practice,ANS --Cost containment influence plus policy
, Until the 20th century, the vast majority of U.S. physicians _________________,ANS -still practiced in
solo or group practices
Dispensaries,ANS --Originated in France (1600s)
-Group of physicians employed to provide care to poor/disenfranchised
-Today the dispensary concept exists via: Community Health Centers (FQHCs), Rural Health Clinics, Free
Clinic movement
Academic Medical Centers (AMCs),ANS --Began group practice with specialty focus
-Training of professionals and service by specialty-trained physicians
-Focus on specialties increased number of physicians responsible for patients' conditions
Industrial Medical Programs,ANS --19th century lumber, mining, railroad industries
-Owners provided workers medical care via employer (company) physicians
-1929 (prepaid models) forerunners of managed care
-Ross and Loos Clinic in LA
Private Medical Clinics,ANS --Charles and William Mayo began a group practice in small town Minnesota
in the 1880's
-By 1929, they had 895 staff including 386 physicians
-Physicians could practice "better" in a collegial group environment
Common Key Resources,ANS -1) Ability to manage full continuum of services
2) Strong information Technology system to manage financial and clinical outcomes
3) Strong clinical and managerial leadership
patient centered medical home,ANS -A model of primary care that provides comprehensive and timely
care to patients, while emphasizing teamwork and patient involvement.
-Each patient has a personal physician
ANSWERS UPDATED 2024 - 2025
Care,ANS --The broad array of health care services provided in outpatient settings that involve routine
non-emergency health care services.
-Health care services provided to non-institutionalized patients
Group Practice,ANS -Provision of health care services by a group of at least THREE licensed physicians
engaged in a formally organized and legally recognized entity that SHARES assets across multiple
physicians
Importance of Ambulatory Care to Patients,ANS --Patients' initial and continuing point of contact with
the system
-Ambulatory Care promotes continuity of care/coordination of health care for patients
Several Constraints on the Growth of Medical Groups,ANS --Inability to quickly deploy technology on
processes
-Day-to-day operations consume majority of the time required for growth and talent management
-Inadequate visibility of performance and operations
-Limited standardization and workflow efficiency
-Inadequate mechanisms to drive process compliance at the point-of-care
-Lack of insight into organization patterns of community physicians
History of Group Practice,ANS --Medical care, since Roman and Egyptian times, has been based on
physicians working in solo practice
-Beginning in 18th century, trend has been for physicians to move to group practice and larger groups
Forces Influencing Physician Practice Settings,ANS --Organized Labor
-Scientific Advance
-Government Policy
,-Hospitals
-Managed Care
-Schools of Medicine
-Medical Paradigm
-Military
Hospital influence on Physician Practice,ANS --Construct affiliated physician groups
-Want to control flow of patients
Government Policy's influence on Physician Practice,ANS --Regulatory and finance policies encourage
group practice; it's cheaper than institutional care
Influence of Scientific Advancements on Physician Practice,ANS --New advances in medical care benefit
outpatient
Impact of Organized Labor on Physician Practice,ANS --Focus on care (medical insurance) of workers
Impact of Military on Physician Practice,ANS --Standing armies/navies requried physician care services in
the field (M.A.S.H. units)
Impact of Medical Paradigm Shifts on Physician Practice,ANS --Shift from medicine to the health of
patients
-To specialization, germ, and disease prevention
Impact of Schools of Medicine on Physician Practice,ANS --Flexner report impacts on training of medical
professionals, which embraced scientific knowledge and its advancement as the defining ethos of a
modern physician.
Impact of Managed Care on Physician Practice,ANS --Cost containment influence plus policy
, Until the 20th century, the vast majority of U.S. physicians _________________,ANS -still practiced in
solo or group practices
Dispensaries,ANS --Originated in France (1600s)
-Group of physicians employed to provide care to poor/disenfranchised
-Today the dispensary concept exists via: Community Health Centers (FQHCs), Rural Health Clinics, Free
Clinic movement
Academic Medical Centers (AMCs),ANS --Began group practice with specialty focus
-Training of professionals and service by specialty-trained physicians
-Focus on specialties increased number of physicians responsible for patients' conditions
Industrial Medical Programs,ANS --19th century lumber, mining, railroad industries
-Owners provided workers medical care via employer (company) physicians
-1929 (prepaid models) forerunners of managed care
-Ross and Loos Clinic in LA
Private Medical Clinics,ANS --Charles and William Mayo began a group practice in small town Minnesota
in the 1880's
-By 1929, they had 895 staff including 386 physicians
-Physicians could practice "better" in a collegial group environment
Common Key Resources,ANS -1) Ability to manage full continuum of services
2) Strong information Technology system to manage financial and clinical outcomes
3) Strong clinical and managerial leadership
patient centered medical home,ANS -A model of primary care that provides comprehensive and timely
care to patients, while emphasizing teamwork and patient involvement.
-Each patient has a personal physician
