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FBLA Healthcare Administration Practice Questions
Terms in this set (310)
A good health triad does not include
Determinants of Health does not include
Epidemiological triad does not include
According to Gordon's classification of prevention of disease includes all except one
Prevent complications is included in which level of prevention?
Epidemiology does not include which study?
New cases in population during a fixed period is determined by
Cross sectional study is included in which type of epidemiology study?
Advantages of cohort study are all except
Incidence cannot be calculated
Study which proceed from effect to cause
Severity of epidemic does not depend upon
1st step of investigation of epidemic is
Verification of diagnosis
Which is not the step involved in preparedness of an epidemic
Which is not a type of screening
Low risk Screening
Capability to identify who has the disease is done by measuring
Peculiarity of hospital as an organization is all except
Organization effectiveness compromises all except
Flexibility in structure and strategy
Factors influencing core variables are all except
Types of models of effectiveness are all except
Close system model
Which is the skeleton of organization
Which services are not a part of the hospital services
All except one is the output indicator of hospital system
Quality of care
Supportive services of the hospital includes all except
Which is not the basis of classification of hospital
Which of the following is not a functional division of hospital
Concept behind changing the role of hospital from indoor care to outpatient care includes all except
Care provided by the hospital on day care basis includes all except
Which of the service is not a part of preventive care
Non communicable disease prevention
Care of disability includes all except
Treatment of fracture
Health premotive services not includes
The functions of the Out Patient Department include
Promotion of health, Training of medical and Nursing Personnel, Social Search
As norm for planning purpose, the average number of patients expected to visit the OPD daily are
2 for every Authorized Bed
The COPP had concluded that an OPD doctor examines
25-40 patients per day
McGibony has advocated that the number of patients visiting OPD vis a vis indoor hospital beds are
500 OPD Patients/bed ever year
COPP had advocated the following as reasons for overcrowding in OPD's except
Ineffective Public Relations
The type of Day Care Surgical Units include all except
Hospital Galaxy Unit
"Shopping Window" of a hospital is
Which of the following is best suited for walls and ceiling of OT
In Situ Mosaic Finish
For Electro Conduction of OT floors
Conduction should be sufficient of dispense with static electricity
Air change required per hour in an operation theater is
All of the following determine the workload of surgical cases except
Plot ratio of the hospital
Effective air conditioning in the OT complex decreases the chances of air borne infection. HEPA filters are?
0.3 to 0.4 micron in dimension
HEPA proviedes an atmosphere which is
90% Particulate free
For effective air changes in Operation Theater the best of the following is
Low Turbulence displacement airflow
Which of the following represents a behavior that is intended to protect oneself from a perceived threat?
Confidentiality is a major concern when
Leaving a message on a patient's answering machine
A bruise also know as a/an
Which definition best describes a tracheotomy
incision through the chest wall
Patient education is critical to prevent the onset of a repeat of illness. What is essential to assess before beginning patient education?
Readiness to learn
The Centers for Disease Control and Prevention is the principal agency concerned with the health and safety of people throughout the
What is the name of a service that may be employed by a medical practice to prepare and send all monthly statements and to place collection calls when needed?
The government requires businesses to report incomes on a regular basis. What is the required form to be sued in this reporting process?
Wage and taxable account form
Which of the following statements regarding interviewing a patient is correct?
Restate the patient's comments to be sure the information recorded is accurate
Moving your fingers across the screen, instead of using a mouse is known as which of the following technologies?
Which one of the following features liks several persons into one call?
________ are included in the employee handbood
employees' job descriptions
Mr. Anderson has health insurance. As he checks in for a routine exam, he is asked to pay a certain amount. He argues that he has insurance. What is the purpose of the upfront payment?
All of the following are signs and symptoms of shock except
Blood pressure is high
An abnormally slowed respiration rate is
What phrase best describes humoral immunity?
defense mechanisms coming from antibodies in the blood
The most common complaint from patients is
Identify an attitude that individuals from the same region believe are identical
Use of open-ended questions helps improve the quality of patient communication. What type of response is gained in this type of questioning
Response with points of clarification
The _______ prohibits job discrimination.
Equal Employment Opportunity Law
Which one of the following issues narcotics license to physicians?
Which one of the following requires attendance under penalty?
Email refers to which of the following?
A computerized process of sending, receiving, storing, or forwarding messages
Health Information Management focuses on
healthcare data and the management of healthcare information resources
What phrase best explains capitation?
payment system that reimburses the provider a fixed dollar amount for patients enrolled
The system developed to convert descriptions of medical procedures into five-digit numeric code with two-digit numeric modifiers is called
The electronic medical record has been mandated by the federal government for use in health care. What is a major benefit of its use
a patient's medical history is quickly available anywhere in an emergency
Dr. Rogers asked you to review and summarize all bills greater than 90 days old. What file should you review?
aging summary report
The system developed to classify all known diseases to assist in maintaining statistical records of morbidity and mortality is called
RMA is referred to as
registered medical assistant
What does the acronym POMR stand for?
patient oriented medical record
A________ reads codes found on items in grocery and retail stores.
bar code reader
Hardware that provides the workspace for data and computer instructions is called
___________ provides a hard copy of data on paper.
Health care facilities that do not pay state or federal income tax on their profits are called
What statement best explains appropriate procedures for use of a petty cash fund?
receipts are provided for each withdrawl
What is an example of fixed costs in a medical practice?
depreciation of equipment
When is the patient's medical cart prepared?
on or before the day of the first visit
What is the proper procedure to use when making a correction in the medical record?
draw a line through the error, initial, and date
What process is described by the acronym POMR?
placement of importance medical information in a very obvious location with charting problems in a numerical order
Droplet isolation zone
Payers who still need to send funds. Assets are still accessible, but not tangible
Settles payment on insurance claims
Admitting patients that need more care
attracting patients that are sicker than usual
sworn statement of facts in an incident
inhibits microbrial growth on surfaces and tissues
Ambulatory services center. Line by line billing allows for less costs
Payment defined by policy that grants access to the treatment. Payed the day of the visit
Codes for treatments
Positive account changes, right side of ledger
expenses to be payed
negative account changes, left side of ledger
destroy microbes on non living matter
do not recessetate order
Electronic record for a population
Electronic record for individual patients
Equal Pay Act
Pay equality among genders
act that allows employers to set up insurance plans
Evidence based medicine
uses EMR of patient to determine the best treatment
Fair Labor Standards Act of 1938
establishes minimum wage, ages, overtime pay for workers
Financial data for external users
allows collection of taxes in order to fund state programs
healthcare common procedure coding system, codes used for outpatient services and supplies
insurance plan for high risk individuals
compares health plan preformance
health information privacy and portability act
health maintenance organization, individuals pay a fixed amount and get access to facilities within the plan
international disease classification codes
ICD-9 Codes 0-739
codes for diseasesor disorders
ICD-9 codes 740-999
codes for injuries
incubation, itching/chills phase, peak stage with vomiting/aches/chills, recovery stage
In Loco Parentis
court makes decisions in place of the parents
Reviews and accredits hospitals
knowledgeable on the law
incubation period, infections are persistent and go into relapse
financial data for internal users
health care plan granted by states to low income individuals
health care plan entitled to people 65 and older
Medicare Part A
inpatient coverage, home health, hospice, also defines limits of medicare usage
Medicare Part B
outpatient care, extends medicare to supplemental treatments, and physicians
Medicare Part C
allows people with medicare to enroll in supplemental idenity plans
Medicare Part D
medicare drug coverage
national labor relations act
allows hospital/health care provdersto use bargaining units
reviews and accredits health plans
records of practitioner credentials
8-20 digit number for medicare providers
reimbursement for home health care plans
establishes and regulates workspace safety
Patient Bill of Rights
acces to closest ER, choice of doctor, pediatrician, ect.
helps track treatments in medical records
similar to a HMO, but with extentions through payment similar to a PPO plan
typical; insurance style, individuals pay a fee for service along with copay and deductibles through a network of providers
interview of patient to obtain signs and symptoms
money paid to insurers to negate the risk of loss. lower payments result in high treatment costs
protected health information
records of a patient's past and present health condition, how the care was provided and how the patient paid
Provisions of HIPPA
cannot be denied coverage for group insurance, coverage wait cannot exceed 12-18 months, safeguards electronic information, privacy of health records
program that helps needy families with children get insurance
single payer system
government run, care triad (cost, quality, access)
prohibits physicians from making referrals to medicare
disease affects multiple organs
determining which patients to admit first
Military health insurance program
uniform health discharge data set. needed for medicare reporting
Short simplify sweep standardize self-disipline/sustain
6 management functions
planning, organizing, staffing, controlling, decision-making, directing
how many years must patient records be kept?
what is the sales maximum to be eligible for an SBA loan?
how many million people are underinsured
how many million people are uninsured
percentage of expenditures in healthcare that go to pay the workforce
number of thousands of patients who die each year from medical errors
acceptance authority theory
addresses the role of subordinates in managerial authority in bottom up-approach
what is the most important factor in choosing a location for your practice?
A term used in the patient protection and affordable care act to define an ideal healthcare organization able to have very low costs caused by successful capitalization on medical goods and services.
accountable care organization
How we're going to resolve disputes
what on your record is very bad for credentialing criteria?
affordable health choices act
same as house bill but more emphasis on prevention and wellness
1967 law that prohibits discrimination of employees 40 years and up
age discrimination in employment act
data that are collected on large populations of individuals and stored in databases
1990 law that gives people with disabilities access to public services and requires employers to provide reasonable accommodation for applicants and employees
american's with disabilities act
A minimally incasive operation to repair a damaged joint
What is the best deal for employer in a contract?
at will contract with or without restrictive covenant
in your insurance, what does regulatory liability cover the costs of?
audits and penalties
good place to start on how to set up your practice executive summary, mission statement, ownership/management,market analysis, financing, projected patient base/referral sources, services, location, assets, operational plan, human resources, marketing
quality cost access
the care triad
responsibilities include planning rather than executing, relations with governing board, external relations, leadership, ceremonial functions
chief financial officer responsibilities include finance, accounting, protections of assets, reimbursement job
wrongs against a particular person or organixation
1964 law that prohibits discrimination based on gender, race, or religion
civil rights las
responsibilities include medical staff relations, medical education, physician recruitment, top manager that takes care of all staff issues
responsibilities include nursing, staff planning, recruitment, inpatient care, top nurse plans
consolidated omnibus budget reconciliation act; 1986 law that gives benefits like health coverage for a limited time due to a various circumstances like termination, layoff, death, reduction of hours per week, and divorce.
a civil law established by following earlier judicial decisions
the % of goods and services used in hospitals that have been negotiated with the GPO's
Ability to critically analyze and solve complex problems
the most basic/important item in business relationships
what is the best deal for you in a contract?
contract with money/stability and free agency
monitoring, adjusting, and improving aggregate preformace
Process that checks performance against standards; ensures that performance is consistent with plans and that the organizational and departmental goals and objectives and achieved
COO responsibilities include
mostly internal and execution delivers short-term, expectations for cost, demands quality, patient satisfaction, emplayee satisfaction, link between strategy/preformance; can be chief medical officers or chief nursing officers
Corporate structure of hospitals
Department heads, medical executive committee, board
restriction on free agency
a critical early step in designing an EHR is to develop a(n) ______ in which the characteristics of each data element are defined
evaluating alternatives and making choices
less resources to recruit, compensate, and develop workforce
declining supply of workerss
shortage of skilled workers
Deals directly with the patients such as a hospital, nursing home, physician practice, and assisted living facilities
initiating action in the organization by leading, motivating, and communicating
design, measure, assess, improve, redesign
protects directors and officers in corporations
domains of management
self, team/work unit, organization
Prohibits use of polygraph by most private employers
Employee polygraph protection act
1973 law that grants protection to employees for retirement benefets to which they are entitled
employee retirement income security act
who does arbitration favor?
inspection of body organs or cavities using a lighted scope that may be inserted through an existing opening or through a small incision
entities and influences outside of the organization's boundaries
environments for HSO's
1963 law prohibits discrepancies in pay between men and women
equal pay act
offer a means to explain and justify actions and services as guides for making moral decisions and thus influence behavior
used EMR's to compile statistics to determine the "best practice"
transaction between 2+ organizations where something of value is exchanged and both gain value
a rule issued by the president that has the force of law
HR must ensure high performance in HSO
external pressure on HSO's
1938 law regulating minimum wage, overtime pay, and minimum worker ages
fair labor standards act
minimum wage, overtime pay, and record keeping
fair labor standards act of 1938
what are the 2 key principles in hiring
fairness and consistency
19993 Law that permits employees in organizations to take up to 12 weeks of unpaid leave each year for family or medical reasons
family medical and leave act
information on how the system is doing is obtained by the supervisor or the sensor who then monitors the system by comparing the actual results with the desired preformance
supervisors who organize how things get done using resources
first like managers
this budget is prepared with a range of activity levels so that adjustments can be made throughout the year if changes in activity levels occur
originates at the top of the organizational hierarchy and is delegated downward from superiors to subordinates
formal authority theory
Most common organizational structure; pyramid shaped; used in larger organizations; deep vertical structures; strict chain of command ensures that communication and assignment and evaluation of tasks are carried out; used most frequently in HSO's
functional organizational structure
as many private and public standards groups promulgate health informatics standards, the office of the national coordinator of health information technology has been given responsibility for
harmonization of standards from multiple sources
2003 law that guarantees employees protection from outside access to personal health info and limits employers' ability to use employee health info under health insurance plans
Health insurance portability and accountability act
The federal law that directed the secretary of health and human survives to develop healthcare standards governing electronic data interchange and data security
health insurance portability and accountability act of 1996
comparison of the preformance of health plans
leveled production, no bottlenecks or waste
department of health and human services
instigated after WW2; most community hospitals est. as a results of this act, provided funds for community hospitals
hill burton act
health insurance coverage
A prepaid health insurance plan in which patients receive health care from designated providers
health maintenance organization
1986 law that establishes penalties for employees who knowingly hire illegal aliens
immigration reform and control
increased volumes of patients and workload for HSO
increasing population need
couples with the rolling or flexible budget the base is treated as through it were already authorized and requires no review - adjustments amounts become the manager's new budget
standard type of health insurance individuals can purchase, provides comprehensive major medical benefits and allows insured individuals to choose any physician or hospital when seeking medical care
supports the care of individuals through products and services made available to direct care settings
management acquires inputs, uses inputs to provide services, and creates ouputs
input/output management model
tells us what the whole deal is
enables a manager to communicate with and work well with other individuals
interpersonal/human relation skills
the safety element/be watchful for all defects
Risk is that if one person screws up, all in the partnership are liable.
joint several liability
The patient comes first. Care must be of the highest quality. Promote efficiency. ID/remove practice/treatment defects. Maximize business safety. Organize all elements of practice. Eliminate all waste.
key LEAN principles
People left to do their work—minimal amount of supervision—most useful in an organization of professionals.
Laparotomy performed with a laparoscope that makes a small incision to examine the abdominal cavity (esp. ovaries and Fallopian tubes).
Main goal = reducing waste reduces risk to practice. Achieve high quality, defect-free medicine.
What is the most important possible LEAN benefit?
less waiting time for patients
Those that supervise other employees.
Risk is that liability is limited individually.
LLP-limited liability partnership
Include core tasks, routine add-ons, and specialty add-ons.
Persons appointed to positions of authority who enable others to do their work effectively, who have responsibility for resource utilization, and who are accountable for work results.
Administrative structure; dual authority system where individuals are assigned to complete specific work tasks; advantages are improved coordination and communication, also increases flexibility of organization to carry out work.
matrix management method
What provisions are best for you in a termination without cause?
maximum notice possible and severance
In long term care, the resident's care plan is based on data collected in the:
MDS Version 2.0
Collect data and reward specific behaviors is a way to determine performance.
measurement and control systems
(#2) Largest category--they lead and follow at the same time, comprised mostly of dept. heads.
Use of fiber optics, guide images, microwaves and other technologies to do surgery rather than cutting large sections of tissue.
minimally invasive surgery
Purpose is to recommend common data elements to be collected in health records.
minimum data set
State of mind and emotion affecting the attitudes, feelings, and sentiments of individuals and groups towards their work, environment administration, and colleagues.
Process affecting the inner needs or drives that arouse, move, energize, direct, channel and sustain human behavior.
The non-profit advocacy group for pediatric hospitals in the US. National Association of Children's Hospitals and Related Institutions.
National Committee on Vital and Health Statistics
Government agency that has led the development of basic data sets for health records and computer databases.
National Health Information Network
A network of networks.
The average US family pays $14,000 a year for insurance coverage with 3/4 being paid by the employer and 1/4 being plaid by the employee.
national insurance costs
1935 law that provides bargaining units and collective bargaining in hospitals and health service organizations.
National Labor Relations Act
Abdominal surgery where the entrance wound is through either the stomach or through the vagina.
natural orifice surgery
Can unemployment or worker's comp be waived?
Nursing Relief for Disadvantaged Areas Act
Permits temporary employment of illegal aliens/foreign Registered Nurses.
Reimbursement for home health services in dependent of data collected from:
1970 law that requires employers to maintain a safe workplace and adhere to standards specific to healthcare employers.
Occupational Safety and Health Act
Organizations which are affected by, and also affect, their environment.
Ingrained patterns of shared beliefs, values and behaviors, with associated symbols and rituals, that are acquired over time by members.
Establishing authority and responsibility management.
Patient Protection and Affordable Care Act
This is the health care reform law. Focuses on reform of the private health insurance market; providing better coverage for those with pre-existing conditions; improving prescription drug coverage in Medicare.
As a physician what are your bargaining tools in a contract?
patients and skills
The worst waste in healthcare.
Both HEDIS and the Joint Commission's ORYX program are designed to collect data to be used for:
performance improvement programs
Method to remove cataracts in which an ultrasonic needle probe breaks up the lens, which is then aspirated.
Preferred Provider Organization. A prepaid health insurance plan in which providers agree to deliver services for discount fees; patients can go to any provider, but using nonparticipating providers results in higher costs to the patient. Part of managed care.
Pregnancy Discrimination Act
1978 law stating that pregnancy is considered a medical condition and prohibits exclusion of pregnancy in benefits and leave policies.
Activities that anticipate and prevent problems.
Focus on design, operations, control and optimization of processes through the aid of systemic efforts.
Organized around selected services to control service delivery; Advantages are resource control, accountability, enhanced clinical quality of service.
product/service line management
What is the biggest risk in a practice?
In regards to suppliers and equipment what is most important?
Activities aimed at fixing structural and functional arrangements.
While the focus of inpatient data collection is on the principal diagnosis, the focus of outpatient data collection is on:
reason for encounter
1973 law that protects rights of handicapped.
These must be credentialed!
reimbursements for physician services
The institution--employer--is legally responsible for the negligent or wrongful acts or omission of the employee even though the facility itself is committed no wrong; the negligence of the employee is imputed to, or placed on the employer.
respondent superior doctrine
Worst provision for the employee in a contract.
4 philosophies: 1) Avoidance; 2) Reduction of effect--or risks; 3) Transfer; 4) Acceptance.
Manager initially prepares the 12 month budget as he/she would in a traditional budget—when the first month of the new budget ends the manager projects that month's budget for the following year and so on.
What is everyone's job in a practice?
Government run healthcare system. Healthcare system is made up of a) cost, b) access and c) quality.
single payer system
Acquiring and retaining human resources.
Those that carry out work and advise their bosses.
Most healthcare information standards have been implemented by:
What says that leases/realty agreements must be in writing?
statute of frauds
Laws enacted by a state or federal legislature that in certain cases can overwrite common law.
Taking raw materials and processing them until they become a usable good.
Expertise or ability to perform a specific work task.
Belief that the average employee hates work, avoids work and tries to get by with doing as little as possible.
Belief that most employees consider work natural and that most are eager to do the right thing, seek responsibility under the proper conditions, exercise self-control and do not need to be constantly reminded to do their work.
(#1) CEO, Chief Executive officer, COO, owners, VP's of finance, marketing.
A legal wrong or an act of omission of acting that results in injury to another.
Any wrongdoing for which an action for damages may be brought.
Involves projections for the following year based on current expenditures and the previous annual budget.
According to this, ethnicity should be recorded as either: Hispanic, non-Hispanic, or unknown.
The inpatient data set that has been incorporated into federal law and is required for Medicare reporting.
Uniform Hospital Discharge Data Set
1986 law that requires employers who will make a mass layoff or plant closing to give 60 days advance notice to affected employees.
Worker Adjustment and Retraining Notification Act
What is MOST critical to LEAN?
world class leadership
A standard that allows data to be transferred across the Internet.
Used by many corporations--ignores the previous years budget--every activity submitted for funding must be justified of each budget item from the ground up.
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