HADM 3000 FINAL EXAM
what had the greatest impact on the expansion of hospitals?
once hospitals became institutions of medial practice, serving the needs of all members of
society and making a profit.
Volume of surgical work, which at that time could be done only in hospitals.
Congress passing the Hospital survey and construction act of 1946 aka Hill-Burton Act
Difference between federal hospitals that are public hospitals but why they aren't community
hospitals
community hospitals- nonfederal, short-stay, services are available to the public (85% of
hospitals)
public hospitals- connotes government ownership, hospitals owned by agencies of federal state,
or local governments(25% of hospitals) more speciality hospitals
Difference between general hospitals and speciality hospitals
(The difference lies in the nature of services rather than the quality)
General hospitals- provides diagnostic, treatment, and surgical services for patients with a
variety of acute medical conditions
Speciality hospitals- admit only certain types of patients or those with specified illnesses of
conditions; specifically tuberculosis, psychiatric, rehab, children's hospitals.
, Review information about mental health, where its received and who is more likely to need it
ranks second as a nationwide burden on health and productivity. services are provided by the
de facto system which combines specialized services with generalized counseling services.
Homeless & women (anxiety, eating, depression). Services provided in Psychiatric Hospitals
(speciality hospitals)
What type of reimbursement method involves a fixed monthly payment-
captation; is used by HMO's under managed care. Under this reimbursement scheme a provider
is paid a set monthly fee per enrollee, regardless of whether the enrollee sees the provider or
not, and regardless of how often an enrollee sees the provider
Discussion of utilization of uninsurance companies, which has the tightest control?
HMO's employ higher utilization controls than other types of managed care plans. The methods
most commonly used for utilization monitoring are gatekeeping and utilization review
Managed care defined
a mechanism of providing health care services in which a single organization takes on the
management of financing, insurance, delivery, and payment
what had the greatest impact on the expansion of hospitals?
once hospitals became institutions of medial practice, serving the needs of all members of
society and making a profit.
Volume of surgical work, which at that time could be done only in hospitals.
Congress passing the Hospital survey and construction act of 1946 aka Hill-Burton Act
Difference between federal hospitals that are public hospitals but why they aren't community
hospitals
community hospitals- nonfederal, short-stay, services are available to the public (85% of
hospitals)
public hospitals- connotes government ownership, hospitals owned by agencies of federal state,
or local governments(25% of hospitals) more speciality hospitals
Difference between general hospitals and speciality hospitals
(The difference lies in the nature of services rather than the quality)
General hospitals- provides diagnostic, treatment, and surgical services for patients with a
variety of acute medical conditions
Speciality hospitals- admit only certain types of patients or those with specified illnesses of
conditions; specifically tuberculosis, psychiatric, rehab, children's hospitals.
, Review information about mental health, where its received and who is more likely to need it
ranks second as a nationwide burden on health and productivity. services are provided by the
de facto system which combines specialized services with generalized counseling services.
Homeless & women (anxiety, eating, depression). Services provided in Psychiatric Hospitals
(speciality hospitals)
What type of reimbursement method involves a fixed monthly payment-
captation; is used by HMO's under managed care. Under this reimbursement scheme a provider
is paid a set monthly fee per enrollee, regardless of whether the enrollee sees the provider or
not, and regardless of how often an enrollee sees the provider
Discussion of utilization of uninsurance companies, which has the tightest control?
HMO's employ higher utilization controls than other types of managed care plans. The methods
most commonly used for utilization monitoring are gatekeeping and utilization review
Managed care defined
a mechanism of providing health care services in which a single organization takes on the
management of financing, insurance, delivery, and payment
