Ambulatory Care Questions with
100% Correct Answers
effect of changing from retrospective payment to prospective hospital
reimbursement Correct Answer: provided financial incentives to decrease the
duration of inpatient stays and to increase service delivery efficiency --> more
outpatient
beginning in the 1980s, hosptials expanded their service networks to include
Correct Answer: geographically distributed freestanding ambulatory care
facilities throughout their service areas
two factors contributed to hospitals expanding their service networks Correct
Answer: 1. increased consumer demand for conveniently located, easily
accessible facilities and services
2. competition with other institutions
A significant corollary to developments in ambulatory care delivery for hospital-
operated and independent organizations has been Correct Answer: physicians'
entry into the business of outpatient diagnostic, treatment, and surgical services
previously available to their practices in only the hospital setting
predominant mode of ambulatory care Correct Answer: private medical office
practice
(1932) the AMA had long opposed this model Correct Answer: group practice
model (declared that salaried physicians practicing in groups were unethical)
before 1960, mot physicians operated Correct Answer: solo practices
after 1960s, physicians started to Correct Answer: group together
, causes for shift to group practice Correct Answer: 1. lifestyle adaptations to
balance work and personal life
2. medical specialization due to growth in knowledge and technology
3. inflation (sharing costs) and economies of scale
group practice evolved in two forms Correct Answer: 1. groups of physicians in
same discipline
2. multidisciplinary specialty practices
group practice enabled physicians to access each other's Correct Answer:
knowledge and experience in an informal consultative environment, which also
introduced an informal system of peer review
benefits of multispecialty group practices Correct Answer: 1. reduced reliance
of patient referrals because staying within group was economically beneficial to
doctors and patients
2. all services are available at one location
The ACA and MACRA system reforms include healthcare delivery and
reimbursement principles that make this the primary focus Correct Answer:
patient health outcomes, rather than delivery of discrete services
Patient-Centered Medical Home (PCMH) Correct Answer: A team-based model
of care led by a personal physician who provides continuous and coordinated
care throughout a patient's lifetime to maximize health outcomes
five functions of patient-centered medical home Correct Answer: 1. patient-
centered
2. comprehensive
100% Correct Answers
effect of changing from retrospective payment to prospective hospital
reimbursement Correct Answer: provided financial incentives to decrease the
duration of inpatient stays and to increase service delivery efficiency --> more
outpatient
beginning in the 1980s, hosptials expanded their service networks to include
Correct Answer: geographically distributed freestanding ambulatory care
facilities throughout their service areas
two factors contributed to hospitals expanding their service networks Correct
Answer: 1. increased consumer demand for conveniently located, easily
accessible facilities and services
2. competition with other institutions
A significant corollary to developments in ambulatory care delivery for hospital-
operated and independent organizations has been Correct Answer: physicians'
entry into the business of outpatient diagnostic, treatment, and surgical services
previously available to their practices in only the hospital setting
predominant mode of ambulatory care Correct Answer: private medical office
practice
(1932) the AMA had long opposed this model Correct Answer: group practice
model (declared that salaried physicians practicing in groups were unethical)
before 1960, mot physicians operated Correct Answer: solo practices
after 1960s, physicians started to Correct Answer: group together
, causes for shift to group practice Correct Answer: 1. lifestyle adaptations to
balance work and personal life
2. medical specialization due to growth in knowledge and technology
3. inflation (sharing costs) and economies of scale
group practice evolved in two forms Correct Answer: 1. groups of physicians in
same discipline
2. multidisciplinary specialty practices
group practice enabled physicians to access each other's Correct Answer:
knowledge and experience in an informal consultative environment, which also
introduced an informal system of peer review
benefits of multispecialty group practices Correct Answer: 1. reduced reliance
of patient referrals because staying within group was economically beneficial to
doctors and patients
2. all services are available at one location
The ACA and MACRA system reforms include healthcare delivery and
reimbursement principles that make this the primary focus Correct Answer:
patient health outcomes, rather than delivery of discrete services
Patient-Centered Medical Home (PCMH) Correct Answer: A team-based model
of care led by a personal physician who provides continuous and coordinated
care throughout a patient's lifetime to maximize health outcomes
five functions of patient-centered medical home Correct Answer: 1. patient-
centered
2. comprehensive
