The US Healthcare Delivery System worksheet

Learning Goal: I’m working on a health & medical multi-part question and need an explanation and answer to help me learn.

Chapter 1: The US Healthcare Delivery System


Application Exercises

1.What legislation has been enacted to insure the quality of healthcare for Medicare eligible beneficiaries?

2.What do you think the HIM profession must do to contribute to the success of achieving the goals and objectives of the HITECH initiatives?

3.What mechanisms are in place to ensure that hospitals provide quality care and patient safety?

Essay Question

Have each student select an issue or topic related to healthcare system issues (for example, Medicare prescription drug coverage, or access to healthcare for the uninsured). Have them read a specified number of professional journal articles and a specified number of general press articles (newspapers and/or news magazines) and write a brief paper comparing the information that is available to healthcare professionals with the information that is available to the public. Have the students share their readings and reactions in a class discussion.

Review Quiz

Instructions: Choose the most appropriate answer for the following questions.

1.Which of the following statements best describes an integrated delivery system?

a.A system of healthcare delivery that ensures that patients obtain appropriate, cost-effective services.

b.A group of healthcare organizations that collectively provides a full range of coordinated health-related services.

c.A healthcare system that contracts directly with physicians in an independent practice or with one or more multispecialty group practices.

d.A healthcare system made up of two or more hospitals that are owned by the same organization.

2.Where in the British colonies of North America was the first hospital organized?


b.New York City



3.The ancient _____ introduced ethics into medicine.





4.Why was the American Medical Association established?

a.To represent the interests of physicians across the country

b.To standardize the curriculum for US medical schools

c.To develop state licensure systems

d.To close most of the existing medical schools to address the problem of oversupply

5.Which of the following occupations is not usually considered to be an allied health profession?


b.Physical therapist

c.Emergency medical technician


6.Which president expressed unreserved support for national health insurance, for which legislation never passed?

a.Harry Truman

b.Bill Clinton

c.Franklin Roosevelt

d.Lyndon Johnson

7.Which of the following descriptions best describes the Medicaid program?

a.Provides healthcare benefits for people aged 65 and older

b.Provides healthcare benefits to low-income persons and their children

c.Authorizes states to construct new hospitals

d.Requires extensive changes in the Medicare program

8.What factors are considered when deciding a patient should be admitted to the hospital as an inpatient?

a.The severity of signs and symptoms of the patient

b.The cost of care

c.What payer is responsible for paying for the hospitalization

d.The state in which the hospital is located

9.Hospitals can be classified by which of the following?

a.Type of services provided

b.Type of ownership

c.Number of beds

d.All of the above

10. Which of the following defines a hospital’s mission statement?

a.Describes the organization’s purpose and the customers it serves

b.Describes the organization’s ideal future

c.Describes the organization’s fundamental principles

d.Describes the organization’s legal and licensing requirements

11. In almost every hospital, the largest clinical department in terms of staffing, budget, specialized services offered, and clinical expertise required is which of the following?

a.Diagnostic services

b.Patient care services

c.Occupational therapy services

d.Rehabilitation services

12. A patient suffered a stroke and following her hospitalization cannot return to her home.The arrangements for transfer to a nursing home and communicating with her family are completed by _____.

a.Physical therapy

b.Occupational therapy

c.Social services


13. Which is the best definition of ambulatory surgery?

a.Any surgical procedure that is done in an emergency department

b.Any surgical procedure that does not require an overnight hospital stay

c.Any surgical procedure that is done on a patient who is brought to the hospital in an ambulance

d.Any surgical procedure that is performed in a surgicenter

14. What are the two reasons for the increase in home healthcare services?

a.Because patients prefer to receive care at home and the variety of services available

b.Because of the impact of recent Medicare legislation and lower costs

c.Because of increased number of seniors and lower costs

d.Because hospitals prefer to send patients home early and they need the available beds

15. It is Saturday morning and your 6-month-old baby is fussy, running a fever of 102, and pulling on his ear. What is the most appropriate setting to seek healthcare services?

a. Emergency department

b. Physician’s office

c. Urgent care

d. Pharmacy

16. _____ hospitals provide long-term care services to patients recuperating from debilitating or chronic illnesses and injuries.

a. Acute care

b. Specialty

c. Rehabilitation

d. Psychiatric

17. Today, medical school students must pass a test before they can obtain a _____ to practice medicine.





18. The _____ required concurrent review for Medicare and Medicaid patients.

a.Tax Equity and Fiscal Responsibility Act

b. Public Law 92-603 of 1972

c. American Recovery and Reinvestment Act of 2009

d. Utilization Review Act

19. _____ govern(s) the operation of a hospital medical staff.

a.Medical staff classification

b.Medical staff bylaws

c.Medical staff credentialing

d.Medical staff committees

20. How have behavioral health care settings changed since the mid-20th century?

a.More long-term hospital facilities

b.More community and outpatient services

c.More acute care beds for severe cases

d.Behavioral health is only delivered on an outpatient basis

21. The _____ bears the ultimate responsibility for the quality of care in a hospital.


b.Board of directors

c.Medical staff

d.Medical director

22. Which of the following statements most accurately describes funding for the Medicaid program?

a.Funding comes from the federal government.

b.Funding comes from each state government.

c.Funding is a joint federal and state initiative.

d.Funding is from private sources.

23. How can organizations qualify for Medicare reimbursement?

a.Pass a state department of health survey

b.Pass a Joint Commission survey

c.Employ licensed physicians

d.Be licensed by the state

24. Which services are not provided by retail clinics?

a.Sports physicals


c.Chest x-rays

d.Prescription refills

25. The federal government became involved in the _______ and malpractice issue through the establishment of the National Practitioner Data Bank under the Healthcare Quality Improvement Act of 1986.

a.Employment of physicians

b.Quality of care


d.Pay for performance

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