BRAINSCAPE1
HSA 452 Exam with complete
solutions latest version
How would you describe hospitals during the 1700s? - CORRECT ANSWER-Decrepit
pesthouses, segregated, contagious, diseased
Although hospitals had deplorable conditions during the 1700s, early hospital care
reflected American concepts of _____ and public responsibility, providing for society's
most ______ members - CORRECT ANSWER-charity, vulnerable
In the 1800s, physicians founded hospitals to protect the well from sick. True or False -
CORRECT ANSWER-True
In the 1800s, hospitals were not used to provide centrally located practice teaching
sites. True or False - CORRECT ANSWER-False
Religious Orders have never played a major role in "professionalizing" nursing care. -
CORRECT ANSWER-False. They did in the 1800s
Hospital financial management, patient education and empowerment, infection control,
medical records, medical triage, patient-centered care, positive culture, hospital
epidemiology, nutrition services, hospital architecture, and advocacy for soldiers were
all part of whose legacy? - CORRECT ANSWER-Florence Nightingale
Which act spurred hospital expansion? - CORRECT ANSWER-Hill-Burton Act
What are all of the forces that shaped the hospital industry? (three of them) -
CORRECT ANSWER-Health Insurance, Hospital Expansion, Specialization
_____ and _______ fueled costs and utilization of hospitals - CORRECT ANSWER-
Medicare and Medicaid
What became the national standard for hospital reimbursement? - CORRECT
ANSWER-Medicare
BRAINSCAPE1
, BRAINSCAPE1
What are the 5 types of hospitals? - CORRECT ANSWER-Acute care, Long-term care,
Teaching, Non-teaching, and VA Hospitals
What are five pressures on hospitals? - CORRECT ANSWER--Declining occupancy
-private insurer and Medicare pressure to cut utilization and costs
-Rising operational and capital costs for more advanced technology
- Competition with physician-owned facilities for profitable diagnostic and treatment
services
- Diagnosis Related Groups (DRGs)
Why is there declining occupancy in hospitals? - CORRECT ANSWER-because of
major shifts towards ambulatory settings
What is a DRG? - CORRECT ANSWER-Diagnosis-related Group
They are volume-based, retrospective reimbursement to promote utilization
What adopted DRGs in 1983? - CORRECT ANSWER-Medicare
What was the response to medical intervention over-use, rising costs, and corporate
demands? - CORRECT ANSWER-DRGs
What caused early market reforms during the 1980s-2000? - CORRECT ANSWER-
About 2,000 hospitals closed, inpatient days fell by 1/3, and many hospitals
consolidated into local/regional/multi-facility systems
Horizontal integration
What is and why did hospitals use horizontal integration? - CORRECT ANSWER-
Hospital mergers for economies of scale, increased access to capital and stronger
brand marketing
Which is the more successful model: vertical or horizontal integration? - CORRECT
ANSWER-vertical
Which model encompasses the full-service continuum? horizontal or vertical -
CORRECT ANSWER-vertical
There has not been a trend towards more mergers and acquisition. True or False -
CORRECT ANSWER-False.
Who is responsible for the accreditation of hospitals? - CORRECT ANSWER-the Joint
Commission
What are the three objectives to optimize health care under the Triple Aim? -
CORRECT ANSWER-1. Improve the patient experience of care (including quality and
satisfaction)
2. Improving the health of populations
BRAINSCAPE1
HSA 452 Exam with complete
solutions latest version
How would you describe hospitals during the 1700s? - CORRECT ANSWER-Decrepit
pesthouses, segregated, contagious, diseased
Although hospitals had deplorable conditions during the 1700s, early hospital care
reflected American concepts of _____ and public responsibility, providing for society's
most ______ members - CORRECT ANSWER-charity, vulnerable
In the 1800s, physicians founded hospitals to protect the well from sick. True or False -
CORRECT ANSWER-True
In the 1800s, hospitals were not used to provide centrally located practice teaching
sites. True or False - CORRECT ANSWER-False
Religious Orders have never played a major role in "professionalizing" nursing care. -
CORRECT ANSWER-False. They did in the 1800s
Hospital financial management, patient education and empowerment, infection control,
medical records, medical triage, patient-centered care, positive culture, hospital
epidemiology, nutrition services, hospital architecture, and advocacy for soldiers were
all part of whose legacy? - CORRECT ANSWER-Florence Nightingale
Which act spurred hospital expansion? - CORRECT ANSWER-Hill-Burton Act
What are all of the forces that shaped the hospital industry? (three of them) -
CORRECT ANSWER-Health Insurance, Hospital Expansion, Specialization
_____ and _______ fueled costs and utilization of hospitals - CORRECT ANSWER-
Medicare and Medicaid
What became the national standard for hospital reimbursement? - CORRECT
ANSWER-Medicare
BRAINSCAPE1
, BRAINSCAPE1
What are the 5 types of hospitals? - CORRECT ANSWER-Acute care, Long-term care,
Teaching, Non-teaching, and VA Hospitals
What are five pressures on hospitals? - CORRECT ANSWER--Declining occupancy
-private insurer and Medicare pressure to cut utilization and costs
-Rising operational and capital costs for more advanced technology
- Competition with physician-owned facilities for profitable diagnostic and treatment
services
- Diagnosis Related Groups (DRGs)
Why is there declining occupancy in hospitals? - CORRECT ANSWER-because of
major shifts towards ambulatory settings
What is a DRG? - CORRECT ANSWER-Diagnosis-related Group
They are volume-based, retrospective reimbursement to promote utilization
What adopted DRGs in 1983? - CORRECT ANSWER-Medicare
What was the response to medical intervention over-use, rising costs, and corporate
demands? - CORRECT ANSWER-DRGs
What caused early market reforms during the 1980s-2000? - CORRECT ANSWER-
About 2,000 hospitals closed, inpatient days fell by 1/3, and many hospitals
consolidated into local/regional/multi-facility systems
Horizontal integration
What is and why did hospitals use horizontal integration? - CORRECT ANSWER-
Hospital mergers for economies of scale, increased access to capital and stronger
brand marketing
Which is the more successful model: vertical or horizontal integration? - CORRECT
ANSWER-vertical
Which model encompasses the full-service continuum? horizontal or vertical -
CORRECT ANSWER-vertical
There has not been a trend towards more mergers and acquisition. True or False -
CORRECT ANSWER-False.
Who is responsible for the accreditation of hospitals? - CORRECT ANSWER-the Joint
Commission
What are the three objectives to optimize health care under the Triple Aim? -
CORRECT ANSWER-1. Improve the patient experience of care (including quality and
satisfaction)
2. Improving the health of populations
BRAINSCAPE1
