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, Test Bank for
THE WELL-MANAGED
AMBULATORY
PRACTICE
Elizabeth W. Woodcock, DrPH, MBA, FACMPE, CPC
Mark J. Bittle, DrPH, MBA, FACHE
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2
, CONTENTS
1. The Ambulatory Landscape 4
2. Strategy and Leadership 12
With Contributing Author Jalana McCasland
3. Organizational Structure 22
Carol K. Lucas
4. Quality, Safety, and Patient Experience 27
With Contributing Author Kristin Baird
5. Operations 36
Case Study: Lemonaid Health: Pursuing a New Strategy in Mental Health
6. Financial Management 51
7. Human Resources 58
Case Study: Disruptive Behavior by Iris Grimm
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,CHAPTER 1
Multiple Choice Questions
1. In the 17th century, physicians in major urban centers in Europe created consultation centers to
serve the poor. What did these centers later become referred to as?
a. Hospitals
b. Clinics
c. Pharmacies
*d. Dispensaries
2. What industry began giving the first form of medical insurance to their workers?
a. Banking
*b. Railroad
c. Healthcare
d. Education
3. The Social Security Amendments of 1965 introduced what key part of the U.S. healthcare system?
a. Private insurance
b. Blood bank
c. Cancer research
*d. Medicare and Medicaid
4. What is the NAMCS?
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,*a. A data repository
b. The organization that accredits hospitals in the United States
c. The first public health clinic
d. None of the above
5. The United States spent approximately $3.8 trillion in 2019 on healthcare. On which category of
healthcare was the largest portion spent?
a. Dental services
b. Government administration and net cost of health insurance
*c. Hospital care
d. Physician and clinical services
e. Other
RATIONALE: Thirty-one percent (31%) of the nation’s healthcare dollar in 2019 was spent on
hospital care, representing the single largest category. The next largest category—Physician and
Clinical Services—received 20% of the spend. Government administration and net cost of health
insurance landed at 8% and dental services at 4%.
6. Which of these is NOT one of the CDC’s five key headings that comprise the Social Determinants
of Health?
a. Healthcare access and quality
*b. Air quality
c. Social and community context
d. Economic stability
5
,7. When was the first ambulatory surgery center (ASC) erected?
a. 1850
*b. 1970
c. 2000
d. 1900
RATIONALE: The first ambulatory surgery center (ASC) was erected in 1970.
8. The Institute of Medicine (IOM) issued a report titled, “The Future of Public Health,” advocating
that local health departments concentrate on three core functions. Which of the following was not one
of the three?
a. Assessment
b. Policy development
*c. The workforce
d. Assurance
RATIONALE: The Institute of Medicine’s 1988 report titled, “The Future of Public Health,”
advocated that local health departments concentrate on three essential functions: assessment, policy
development, and assurance.
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,9. This quote from Lemuel Shattuck, a Massachusetts bookseller and statistician, in 1850 from
Shattuck’s Report of the Massachusetts Sanitary Commission revealed the importance of and
established the basis for what field?
Even those persons who attempted to maintain clean and decent homes were foiled in their efforts
to resist diseases if the behavior of others invited the visitation of epidemics
*a. Public health
b. Medicine
c. Outpatient clinics
d. Travel restrictions
RATIONALE: Lemuel Shattuck, a Massachusetts-based bookseller and statistician, issued the
“Report of the Sanitary Commission of the State of Massachusetts,” revealing the importance of
public health.
10. In 1966, Dr. John Deitrick, the Dean of Cornell University Medical Center, wrote: “For the
patient, there are long waiting periods and delays… the ___ does not seem to be designed for the
convenience of the administration of the hospital… there is considerable disregard for the comfort
and convenience of the patient and for the efficient and effective use for the physician’s time.” What
place is Dr. Deitrick referring to?
a. Hospital
b. The surgical wing
c. Pharmacy
*d. Outpatient department
7
, True/False
1. A hospital-based outpatient clinic is considered an ambulatory care setting.
True
2. By 1900, only two states had formed health departments.
False
RATIONALE: 40 states and local areas had formed health departments by 1900.
3. For much of the 20th century, outpatient clinics in hospitals primarily served the poor and
uninsured.
True
4. In 2019, 9% of patients served by health centers were in or near poverty.
False
RATIONALE: Ninety-one percent (91%) of patients served by health centers in 2019 were in or near
poverty.
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