HCMG LATEST QUESTIONS AND ANSWERS UPDATE: A
MASTERING A+ MATERIAL!
what happened to provena covenant medical center
Illinois supreme court ruled that provena covenant medical center did not meet requirements
for tax exemption. it waived only 0.7% of its revenue, less than tax benefits it received from
being a nonprofit. also only 302 of the hospital's admissions involved charitable care
what has been the trend in hospital payment shortfall relative to costs for Medicare and
Medicaid?
no shortfall in 97 and 98 and shortfall since then. now at 30 billion dollars of shortfall.
what are the percentages of charity care provided by different hospital types?
4.7% for nonprofits, 4.2% for for profits, and 13% for government
what was the free care monitoring project?
wanted to see whether nonprofits are providing benefits to community in return for tax-
exempt status. sent monitors to call/visit more than 60 hospitals. most callers are told that free
care is not available. if there is a free care policy, front-line hospital staff did not know that it
existed or how to find more information. when the staff knew about free care, they refused to
send information about it and said the policy would only be available after patient was
admitted. if the community had a public "safety net" hospital, the staff tell the monitors to go
there for free care
what is guy David’s opinion on tax exempt status of nonprofits
1. better ways exist to serve the indigent and uninsured 2. after universal healthcare kicks in,
there is less need to finance for the poor on the hospital's behalf so hospitals don't deserve it
what were Kane et al.'s findings about value of tax exemption vs. value of uncompensated
care
value of uncompensated care was higher, but Guy David contests this because of accounting
issues
until ___, medicine was fairly limited in its capabilities and health services were generally
provided by family
mid-1800s
when was the nursing profession born
late 19th and early 20th century
, how many people work in healthcare
15.7 million people or more than 1 in 10 americans
what 3 type of paid workers take on nursing work
unlicensed aides, practical nurses, registered nurses
how prevalent is the LPN profession
it is the third largest single health occupation
what is the LPN population like
older than RNs, more likely to live in the South than in the Northeast. Less LPNs in NE than RNs
because hospitals don't employ them anymore
which nursing worker group is more likely to work in hospitals
RNs (but more LPNs are employed in the private sector than RNs). 62% of RNs work in hospitals
what typically determine RNs daily job duties
work setting, but state laws govern the tasks that RNs are able to perform
how many RNs work in the US and how has teh number increased
3.1 million, a 5.3% increase over 2004
how many fields of entry are there for nursing and what are they
4 fields. BSN, Associate Degree, hospital diploma, graduate level post baccalaureate programs
(MSN, ND)
what point of entry into nursing do most nursing students prefer and why
associate degree - salary doesn't vary much based on which degree you got
how has entry into nursing changed
diploma programs have decreased from 60% in 1980 to 20% in 2008. Associate degrees have
increased from 20% to 45%. BSNs have increased from 17% to 34%
how many nurses have terminal degree in MSN/ND program as of 2008
13.2% (up from 5.2% in 1980)
what are causes of nursing shortage
supply: aging workforce, ill repute of nursing profession, lack of faculty means less spots in
SONs, salary and benefits, geographic distribution, workforce participation
MASTERING A+ MATERIAL!
what happened to provena covenant medical center
Illinois supreme court ruled that provena covenant medical center did not meet requirements
for tax exemption. it waived only 0.7% of its revenue, less than tax benefits it received from
being a nonprofit. also only 302 of the hospital's admissions involved charitable care
what has been the trend in hospital payment shortfall relative to costs for Medicare and
Medicaid?
no shortfall in 97 and 98 and shortfall since then. now at 30 billion dollars of shortfall.
what are the percentages of charity care provided by different hospital types?
4.7% for nonprofits, 4.2% for for profits, and 13% for government
what was the free care monitoring project?
wanted to see whether nonprofits are providing benefits to community in return for tax-
exempt status. sent monitors to call/visit more than 60 hospitals. most callers are told that free
care is not available. if there is a free care policy, front-line hospital staff did not know that it
existed or how to find more information. when the staff knew about free care, they refused to
send information about it and said the policy would only be available after patient was
admitted. if the community had a public "safety net" hospital, the staff tell the monitors to go
there for free care
what is guy David’s opinion on tax exempt status of nonprofits
1. better ways exist to serve the indigent and uninsured 2. after universal healthcare kicks in,
there is less need to finance for the poor on the hospital's behalf so hospitals don't deserve it
what were Kane et al.'s findings about value of tax exemption vs. value of uncompensated
care
value of uncompensated care was higher, but Guy David contests this because of accounting
issues
until ___, medicine was fairly limited in its capabilities and health services were generally
provided by family
mid-1800s
when was the nursing profession born
late 19th and early 20th century
, how many people work in healthcare
15.7 million people or more than 1 in 10 americans
what 3 type of paid workers take on nursing work
unlicensed aides, practical nurses, registered nurses
how prevalent is the LPN profession
it is the third largest single health occupation
what is the LPN population like
older than RNs, more likely to live in the South than in the Northeast. Less LPNs in NE than RNs
because hospitals don't employ them anymore
which nursing worker group is more likely to work in hospitals
RNs (but more LPNs are employed in the private sector than RNs). 62% of RNs work in hospitals
what typically determine RNs daily job duties
work setting, but state laws govern the tasks that RNs are able to perform
how many RNs work in the US and how has teh number increased
3.1 million, a 5.3% increase over 2004
how many fields of entry are there for nursing and what are they
4 fields. BSN, Associate Degree, hospital diploma, graduate level post baccalaureate programs
(MSN, ND)
what point of entry into nursing do most nursing students prefer and why
associate degree - salary doesn't vary much based on which degree you got
how has entry into nursing changed
diploma programs have decreased from 60% in 1980 to 20% in 2008. Associate degrees have
increased from 20% to 45%. BSNs have increased from 17% to 34%
how many nurses have terminal degree in MSN/ND program as of 2008
13.2% (up from 5.2% in 1980)
what are causes of nursing shortage
supply: aging workforce, ill repute of nursing profession, lack of faculty means less spots in
SONs, salary and benefits, geographic distribution, workforce participation
