MHA 707 EXAM 2 BOST COMPLETE
QUESTIONS AND SOLUTIONS
Community-based care CORRECT ANSWERS self and ambulatory care
Hospital based care CORRECT ANSWERS inpatient acute care
Postacute care CORRECT ANSWERS long-term care, ambulatory rehab centers, long
term care hospitals
Self-care (80-95% of health problems stop here) CORRECT ANSWERS OTC meds,
vitamins and supplements and change of habits
Ambulatory healthcare CORRECT ANSWERS medical services performed without
admission to a hospital or other health care facility for an overnight stay
Freq settings for ambulatory care CORRECT ANSWERS physician offices, emergency
departments, and hospital outpatient clinics
Emerging and expanding ambulatory HC CORRECT ANSWERS telehealth, physician
home visits, retail pharmacies, diagnostic imaging and laboratory centers, ambulatory
surgery centers, and urgent care centers
Most freq reasons for visits CORRECT ANSWERS general medical exam, routine
prenatal, post op, medication, cough, well baby exams, hypertension, knee symptoms,
and pre-op visit
Majority of OVs in NE CORRECT ANSWERS >65 and female
Majority of ED CORRECT ANSWERS visits occur in NFP 70.9%
How many ED visits are taught IN hospitals? CORRECT ANSWERS around 15%
in 2016, how many patients are insured CORRECT ANSWERS the majority. 85% were
private ins, Medicaid and Medicare. Only 8.4% had no ins.
ED functions related to providing highly technical resources for acutely ill persons
CORRECT ANSWERS life threatening, prompt hospitalizations, and serve as
secondary private physician's office.
ED functions related to restricted access to HC CORRECT ANSWERS cannot reach
private physician, reg clinic is not open or available, geographically isolated, or have no
ins so no place to go when sick.
,Top 3 reasons for visits to ED CORRECT ANSWERS abdominal pains, chest pain, or
fever
Level of urgency- Level I CORRECT ANSWERS Resuscitation
Level of urgency- Level II CORRECT ANSWERS emergent (likely to deteriorate and/or
time sensitive)
Level of urgency- Level III CORRECT ANSWERS urgent (stable but complex)
Level of urgency- Level IV CORRECT ANSWERS semi-urgent (stable, one level of
diagnosis or significant pain- lacerations/pain when voiding)
Level of urgency- Level V CORRECT ANSWERS non-urgent
Most ED visits are considered? CORRECT ANSWERS level 3 or level 4
Medicare and Medicaid CORRECT ANSWERS more likely to be level II (and most likely
to be persons over 65)
in 2017, less than __ of the population experience an overnight stay in a hospital during
a 12mo period CORRECT ANSWERS 10%
account for about 1/3 of national health expenditures CORRECT ANSWERS hospitals
in 2017
AHA classifies hospitals as one of 4 types based on primary function of its diagnostic
therapeutic services CORRECT ANSWERS general, special, rehab and chronic
disease, and psychiatric.
General CORRECT ANSWERS patients presenting with a variety of medical conditions
Special CORRECT ANSWERS patient who have specified medical conditions (cardiac
hospital)
Rehab ad chronic disease CORRECT ANSWERS handicapped or disabled individuals
requiring restorative and adjustive services
psychiatric CORRECT ANSWERS patients who have psychiatric-related illnesses
hospitals are categorized by CORRECT ANSWERS -ownership and control
-# of beds
-average length of patient stay
-annual admissions
-average daily census
, Ownership and control CORRECT ANSWERS the AHA defines control as the type of
organization responsible for establishing policy concerning the overall operation of
hospitals
What are the three major categories of ownership and control? CORRECT ANSWERS
Government, non-government NP, and non-government FP
Community hospital (85%) CORRECT ANSWERS All nonfederal, short-term general,
and special hospitals whose facilities and services are available to the public (gyno,
ENT, rehab, orthopedic, and short term general hospitals are considered community
hospitals)
Community Hospital- % of beds CORRECT ANSWERS NFP- 68.2% FP- 17.8% and
State/local- 14%
Community hospital- % of annual admissions CORRECT ANSWERS NFP- 72.3% FP-
15.8% and state/local- 11.9%
Postacute care defined CORRECT ANSWERS to restore patient health and mobility
and to provide continuing care for people with chronic conditions who can no longer live
at home or without assistance.
Other postacute care settings include CORRECT ANSWERS -long-term care acute
hospitals (LTACHS)
-other specialty hospitals
-ambulatory rehab facilities
Long-term postacute care CORRECT ANSWERS encompasses a range of supportive,
rehab, nursing and palliative services provided to people- young to old- whose capacity
to perform daily activities is restricted due to chronic disease or disability.
5 major sectors of long-term care (postacute) CORRECT ANSWERS adult day
services, home health, hospice, nursing homes, and residential care facilities.
In 2016, majority of home health agencies CORRECT ANSWERS were FP centers (i.e.
hospice, nursing homes etc)
In 2016, the minority of adult day services centers were CORRECT ANSWERS for profit
(FP)
In 2016, majority of nursing homes and residential care communities and minority adult
day service centers were CORRECT ANSWERS chain-affiliated
Adult day services centers CORRECT ANSWERS 4600 adult day services centers and
286,300 participants (safe, professional care settings for adults who need supervision
outside the home during the day)