ACM Week 1 questions and answers
graded A+ updated
What is acute care? Define and describe. - correct answer ✔✔a level of health care in which a
patient is treated for a brief but severe episode of illness, for conditions that are a result of
trauma and during recovery from surgery
Where is acute care usually provided? - correct answer ✔✔provided in a hospital by a variety of
clinical personnel using technical equipment, pharmaceuticals, and medical supplies
typically short term hospital
What are some hospital alternatives to acute care hospitals? - correct answer ✔✔SNF, acute
rehabilitation, home health, outpatient services, LTACH (discharge destinations)
Payment examples - correct answer ✔✔federal, private insurance/managed care plans, workers
comp, self pay, uninsured
what federal payment pays more than any other payer - correct answer ✔✔medicare/medicaid
what is a diagnostic related group? - correct answer ✔✔DRG: a case rate, one pot of money for
a diagnosis, strong incentive for early discharge to reduce hospital costs, will not pay for new
hospital acquired problems, limits to payment for readmissions within specific time frame
What is observation status? - correct answer ✔✔patient is not fully admitted to the hospital but
can remain physically in hospital for several days
(sick enough to be there)
, typically with medicare- tells them not to admit them so they are billed under O.S. which is like
an outpatient visit
they only readmit as inpatient if there is a reason (like an acute stroke)
Private insurance indemnity has limited - correct answer ✔✔cost control, but patients have
options for providers, and there is a fee for service
Private insurance managed care typically involves - correct answer ✔✔managed care: with a
pre-determined fee and contract
may include capitated plans or daily rates
there is significant control including admission decision
patients have fewer options
Cost containment - correct answer ✔✔patient aggregation (service line management, patients
grouped by diagnosis or needs)
process simplication/improvements (electronic medical record, critical/clinical pathways) which
are standardized order sets designed to improve patient outcomes
service redeployment (eliminate departments, service teams, nontraditional deployment)
cross training
use of aides
what are consequences for physical therapy - correct answer ✔✔interprofessional teams, aides
cross trained to work with PT, OT, and nursing, increased productivity,patient function, focus on
discharge, evolving and unique roles within hospital settings
graded A+ updated
What is acute care? Define and describe. - correct answer ✔✔a level of health care in which a
patient is treated for a brief but severe episode of illness, for conditions that are a result of
trauma and during recovery from surgery
Where is acute care usually provided? - correct answer ✔✔provided in a hospital by a variety of
clinical personnel using technical equipment, pharmaceuticals, and medical supplies
typically short term hospital
What are some hospital alternatives to acute care hospitals? - correct answer ✔✔SNF, acute
rehabilitation, home health, outpatient services, LTACH (discharge destinations)
Payment examples - correct answer ✔✔federal, private insurance/managed care plans, workers
comp, self pay, uninsured
what federal payment pays more than any other payer - correct answer ✔✔medicare/medicaid
what is a diagnostic related group? - correct answer ✔✔DRG: a case rate, one pot of money for
a diagnosis, strong incentive for early discharge to reduce hospital costs, will not pay for new
hospital acquired problems, limits to payment for readmissions within specific time frame
What is observation status? - correct answer ✔✔patient is not fully admitted to the hospital but
can remain physically in hospital for several days
(sick enough to be there)
, typically with medicare- tells them not to admit them so they are billed under O.S. which is like
an outpatient visit
they only readmit as inpatient if there is a reason (like an acute stroke)
Private insurance indemnity has limited - correct answer ✔✔cost control, but patients have
options for providers, and there is a fee for service
Private insurance managed care typically involves - correct answer ✔✔managed care: with a
pre-determined fee and contract
may include capitated plans or daily rates
there is significant control including admission decision
patients have fewer options
Cost containment - correct answer ✔✔patient aggregation (service line management, patients
grouped by diagnosis or needs)
process simplication/improvements (electronic medical record, critical/clinical pathways) which
are standardized order sets designed to improve patient outcomes
service redeployment (eliminate departments, service teams, nontraditional deployment)
cross training
use of aides
what are consequences for physical therapy - correct answer ✔✔interprofessional teams, aides
cross trained to work with PT, OT, and nursing, increased productivity,patient function, focus on
discharge, evolving and unique roles within hospital settings
