BA-505-001 Test #2 JSU (Dr. Collum) || All Questions
Answered Correctly.
Diagnostic and surgical technology resulted in cost _____ (addition/reduction) initiatives;
consumer and insurer preferences drove expanded ambulatory services, resulting in hospital
inpatient decline. correct answers reduction
T/F) With the implementation of the Patient Protection and ACA, as well as accompanying
proliferation of new care delivery models (ie: patient-centered medical homes, accountable care
organizations, etc) which emphasize population health, the roles of both primary and specialty
ambulatory services are evolving along with their respective reimbursement systems. correct
answers True
T/F) Physician office practices are starting to compete with hospital outpatient services. correct
answers True
T/F) Hospital emergency departments are starting to be considered sophisticated specialty care
centers and community "safety nets." correct answers True
T/F) Federally qualified community health centers in both urban and rural communities are still
remaining as "_____ _____." correct answers safety nets
T/F) Corporate-owned urgent care facility chains and retail clinics are starting to challenge
private medical practices. correct answers True
Medical care not requiring overnight hospitalization is known as _____ care. correct answers
ambulatory
Ambulatory care may consist of _____. (Select all that apply)
A) Private medical office practice
B) Ambulatory care services of hospitals
C) Hospital emergency services
D) Free-standing (non-hospital based) facilities correct answers A-D
_____ is/are the predominant mode of ambulatory care, with 929,000,000 visits in 2012.
A) Private medical office practice
B) Ambulatory care services of hospitals
C) Hospital emergency services
D) Free-standing (non-hospital based) facilities correct answers A) Private medical office
practice
In the late _____s, a group practice of salaried doctors with Mayo Clinic took place, which was
seen as controversial. Then, in _____, the Committee on the Costs of Medical Care actually
recommended group practice as economically efficient. The Committee also promoted insurance,
as a means to improve access. Then, from 1930-1950, the AMA condemned group practice by
,salaried doctors, as they saw it as unethical. But, beginning in the _____s, office technology
costs and overhead invited economies of scale opportunities for sharing equipment and staff,
making group practice more acceptable. By _____, almost 2/3 of physicians were participating in
group practices. correct answers 1800s; 1932; 1960; 2012
In recent years, physicians choose _____.
A) private practice over employment by hospitals
B) employment by hospitals over private practice correct answers B) employment by hospitals
over private practice
Physicians who engage in _____ experience freedom from reimbursement rate fluctuations,
information technology requirements, malpractice insurance premiums, and work/life balance
demands.
A) private practices
B) employment by hospitals correct answers B) employment by hospitals
T/F) Hospitals which employ physicians experience the following advantages:
1. Gain market share for admissions
2. Guaranteed use of diagnostic testing and other outpatient services
3. Referrals to high-revenue specialty services
4. Position with physician networks for health plan negotiations, care coordination, quality
monitoring, and cost containment correct answers True
There is _____ (weak/strong) indication hospital leaders will continue active physician
recruitment in the foreseeable future. In the past, hospitals targeted primary care physicians for
employment but now are also seeking employment from specialists in anticipation of creating
"closed integrated healthcare delivery systems." correct answers strong
ACA system reforms include healthcare delivery and reimbursement principles which make
_____ (delivery of discrete services/patient health outcomes) , rather than _____ (delivery of
discrete services/patient health outcomes), the primary focus. correct answers patient health
outcomes; delivery of discrete services
What does PCMH stand for? correct answers Patient-Centered Medical Home
What does ACO stand for? correct answers Accountable Care Organization
PCMHs and ACOs are both examples of integrated _____ care models, supported by the ACA.
correct answers ambulatory
What is the overarching goal of the PCMH and ACO models? correct answers To make medical
care more effective and efficient, thereby improving the health of populations and reducing
costs, while increasing both patient and provider satisfaction.
What does ED stand for? correct answers Emergency Department
, "_____ _____" refers to improved health, improved patient care, and reductions in costs. correct
answers Triple Aim
What does APC stand for? correct answers Advanced Primary Care
What does AHRQ stand for? correct answers Agency for Healthcare Research and Quality
A _____ is the main policy vehicle to reinvigorate U.S. primary care. correct answers PCMH
A _____ is a team-based care model led by a physician, who provides continuous, coordinated
care throughout a patient's lifetime. correct answers PCMH
T/F) A patient-centered medical home is a physical home for a patient to receive continuous,
coordinated care throughout their lifetime. correct answers False (It is a concept; not a "place")
T/F) Evidence reports Patient-Centered Medical Homes (PCMHs) reduce emergency department
(ED) use, hospitalizations, and costs. correct answers True
The _____ (ACO/ACA) supports the Patient-Centered Medical Home (PCMH) model using the
following provisions:
1. Expanded Medicaid eligibility
2. Funding to place primary care providers in shortage areas
3. Medicare and Medicaid payment increases for primary care and designated preventive
services
4. Center for Medicare and Medicaid Innovation testing new payment and delivery models [ie:
Comprehensive Primary Care (CPC) Initiative] correct answers ACA
What does CPC stand for? correct answers Comprehensive Primary Care
As described by the Agency for Healthcare Research and Quality (AHRQ), the patient-centered
medical home (PCMH) model embodies a philosophy of advanced primary care (APC) based on
what five core principles? correct answers 1. Ensures patients/families/caregivers are included in
care plans
2. Comprehensive
3. Coordinated
4. Accessible
5. Committed to Quality & Safety
What does PCPCC stand for? correct answers Patient-Centered Primary Care Collaborative
The PCMH model _____ (is/is not) new. It was first described in 1967, became the patient-
centered primary care collaborative (PCPCC) in 2006, and then transformed into the patient-
centered medical home (PCMH) sometime after 2016. correct answers is not
A(n) _____ _____ _____ is an example of an integrated ambulatory care model. It is a legally
constituted, not-for-profit state entity, which aims at linking physicians, providers, and hospitals
