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Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
1 © 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.Solution and Answer Guide
BOWIE, ESSENTIALS OF HEALTH INFORMATION MANAGEMENT, 5E, 9780357624258, CHAPTER 1:
HEALTH CARE DELIVERY SYSTEMS
TABLE OF CONTENTS
Exercises .................................................................................................................................. 1 Exercise 1-1 History of Medicine and Health Care Delivery in the United States .................... 1 Exercise 1-2 Continuum of Care ............................................................................................. 2 Exercise 1-3 Health Care Facility Ownership .......................................................................... 2 Exercise 1-4 Health Care Facility ............................................................................................ 3 Exercise 1-5 Licensure, Regulation, and Accreditation ........................................................... 4 End of Chapter Review Solutions ........................................................................................... 4 True/False .............................................................................................................................. 4 Multiple Choice ....................................................................................................................... 5 Fill-in-the-Blank ...................................................................................................................... 7 Short Answer .......................................................................................................................... 7
EXERCISES
EXERCISE 1-1 HISTORY OF MEDICINE AND HEALTH CARE DELIVERY IN THE
UNITED STATES
Short Answer: Identify the significant act established in each year for the purpose listed.
- 1946-provided federal grants to modernize hospitals.
Answer: Hill-Burton Act
- 1982-established the first Medicare Prospective Payment System.
Answer: Tax Equity and Fiscal Responsibility Act
- 1986-established the National Practitioner Data Bank.
Answer: Health Care Quality Improvement Act
- 1996-mandated administrative simplification regulations that govern health care information.
Answer: Health Insurance Portability and Accountability Act
- 2003-provided Medicare recipients with prescription drug savings.
Answer: Medicare Prescription Drug, Improvement, and Modernization Act 1 / 4
Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
2 © 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
- 2006-established financial incentives for healthcare professionals that participate in a
voluntary quality reporting program.
Answer: Tax Relief and Health Care Act
- 2009-authorized an expenditure of $1.5 billion for grants for projects including the
acquisition of health information technology systems.
Answer: American Recovery and Reinvestment Act
- 2015-established the Merit-Based Incentive Payment System.
Answer: Medicare Access and CHIP Reauthorization Act
EXERCISE 1-2 CONTINUUM OF CARE
True/False:
- Primary care services include patient immunizations and education.
Answer: T
- Secondary care services include a patient being seen by a specialist because of angina.
Answer: T
- Stabilization services are provided by a tertiary care facility to ensure that no material
deterioration of a patient’s medical condition occurs during the transfer to another facility.
Answer: T
- Tertiary care services include a patient’s annual history and physical.
Answer: F
- The continuum of care contains two levels.
Answer: F
EXERCISE 1-3 HEALTH CARE FACILITY OWNERSHIP
Fill-in-the-Blank:
- A hospital that is affiliated with a medical school is called a ________.
Answer: teaching hospital
- A physician who has completed an internship and is engaged in a program of training
designed to increase his or her knowledge of the clinical disciplines to prepare for a practice of specialty is called a(n) ________.
Answer: resident
- A hospital that is privately owned and distributes excess income to shareholders and owners
is ________.
Answer: for-profit
- / 4
Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
3 © 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
- Public hospitals represent about 25 percent of all health care facilities in the United States
and are also known as ________.
Answer: government supported
- A not-for-profit hospital run by a religious or volunteer organization is known as a ________.
Answer: voluntary hospital
EXERCISE 1-4 HEALTH CARE FACILITY
Short Answer: Identify the medical specialty for each description.
- Diagnosis and treatment of skin disorders.
Answer: Dermatology
- Management of pregnancy from prenatal to puerperium.
Answer: Obstetrics
- Diagnosis and treatment of eye disorder.
Answer: Ophthalmology
- Surgical management of diseases with the chest
Answer: Thoracis surgery
- Diagnosis and treatment of musculoskeletal disease/injury
Answer: Orthopedics
- Diagnosis and treatment of diseases of the nervous system
Answer: Neurology
- Diagnosis and treatment of behavioral health diseases
Answer: Psychiatry
Short Answer II: Identify the committee described.
- Concerned with quality care provided to patients
Answer: Quality management committee
- Acts on reports and recommendations from medical staff committees
Answer: Executive committee
- Reviews preoperative and pathologic diagnoses to determine the necessity of surgery
Answer: Tissue review committee
- Serves as liaison between the governing body and administration
Answer: Joint conference committee
- Meets to discuss ethical issues and problems 3 / 4
Solution and Answer Guide: Bowie, Essentials of Health Information Management, 5e, 9780357624258;
Chapter 1: Health Care Delivery Systems
4 © 2022 Cengage. All Rights Reserved. May not be scanned, copied or duplicated, or posted to a publicly accessible website, in whole or in part.
Answer: Ethics committee
EXERCISE 1-5 LICENSURE, REGULATION, AND ACCREDITATION
Matching: Enter a 1 if the abbreviation represents an accrediting agency and a 2 if it represents a regulatory agency.
1. AAAHC Answer: 1
2. AOA Answer: 1
3. CARF Answer: 1
4. CMS Answer: 2
5. CDC Answer: 2
Short Answer: Enter the meaning of each abbreviation.
6. AAAHC Answer: Accreditation Association for Ambulatory Health Care
7. AOA Answer: American Osteopathic Association
8. CARF Answer: Commission of Accreditation of Rehabilitation Facilities
9. CMS Answer: Centers for Medicare and Medicaid Services
10. NCQA Answer: National Committee for Quality Assurance
END OF CHAPTER REVIEW SOLUTIONS
TRUE/FALSE
- Administrative simplification regulations that govern privacy, security, and electronic
transactions standards for health care information were mandated by the Health Insurance Portability and Accountability Act.
Answer: T
- Anton van Leeuwenhoek established the germ theory of disease.
Answer: F
- Diagnosis-related groups required hospitals to be reimbursed a per diem amount.
Answer: F
- Hippocrates was the first physician to consider medicine a science and art separate from the
practice of religion.
Answer: T
- Medicare, also known as Title 19, was established to provide comprehensive health care for
people 65 years of age or older, certain younger people with disabilities, and people with End-Stage Renal Disease.
Answer: F
- The American Medical Association was established in 1901 as a national organization of
state and local associations.
Answer: F
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