Study.com Healthcare Organization & Management Health 303

A former employee sued his company for patent infringement. He claimed that they were trying to establish a monopoly and that they cost him his life's savings. The jury ruled in his favor and decided the company needed to pay him $20 million. The court chose to use a provision for the Clayton Act called treble damages, meaning that the company had to pay ___.

- $60 million

What Year was the Affordable Care Act Signed into Law?

- 2010

Which of the following selections is NOT included in a medical malpractice?

- A consent form

Which of the following is NOT an example of medical malpractice

- A nurse develop a fever and cold after caring for sick patients without wearing a mask

Select the BEST definition of healthcare economics

- A system of producing, selling, ad sending out healthcare goods and services.

Which of these is a right of mental health patients?

- All are right of mental patients

The centers for Medicare and Medicaid Services (CMS) are responsible for direction and oversight of the statistics on how well the healthcare industry is performing. What are some of the measures they are reviewing?

- All of the options are correct.

Which of the following is a typical qualification of a healthcare manager?

- All of the responses are correct.

Which of these is theoretically possible with genetics research?

- All of these are possible

_____ in physicians offices and hospitals pull all the information together to report centers for Medicare and Medicaid Services (CMS) to monitor quality and ensure payment.

- Auditors

Why is market allocation considered harmful to the market?

- Because it discourages and eliminates competition

Where is the line usually drawn in ethical debates on behavioral control?

- Between behaviors caused by medical conditions and those that are just outside social norms

What does the 'employee mandate' of the Affordable Care Act require?

- Businesses with 50 or more full-time employees must provide health insurance for 95% or more of them.

You are a nurse manager of the surgical unit. Your nurse executive wants your staff to begin using a flow sheet to document work so that administrators can collect data about a specific treatment. However, your nurses are resistant because they already document this information electronically and this is causing extra work. This managing challenge is an example of:

- Competing priorities

Patients and families are caught in the middle of healthcare reform and must make choices for coverage. What options are available for the healthcare consumer today?

- Direct purchase, employer-provided insurance coverage, purchase through Marketplace exchanges, and privately-funded subscriber healthcare networks.

Which of the following is NOT a category of discrimination covered under Title VII?

- Disability

Which of the following does NOT define the level of practice in healthcare?

- Doctors

Who is eligible for guaranteed coverage under the Affordable Care Act?

- Everybody

Compared with other developed and industrialized countries, the U.S.:

- Falls short in terms of cost vs. quality and efficiency of care

Repealing the Affordable Care Act might decrease the income of healthcare safety net hospitals. Why?

- Fewer people will have insurance without an individual mandate

Healthcare fraud is a type of fraud that occurs when someone is intentionally deceitful for ____.

- Financial gain

___ and ___ are countries that were included on the OECD's healthcare data comparisons for 2020.

- Germany, the United States

According to WHO, a healthcare systems' goals include all the following EXCEPT:

- Guaranteed access to care

Which type of managed care plan needs your PCP's approval to go see another specialist?

- HMO

Managed care plans incude:

- HMOs, PPOs, and POS

Mary's psychologist discusses her problems with Mary's husband without her permission. Mary's psychologist has done which of the following?

- Has violated confidentiality

Who can health insurance companies deny coverage to according to the Affordable Care Act?

- Health Insurance Companies Can't Deny Coverage to Anyone

People who purchase healthcare supplies or services are known as ____.

- Healthcare consumers

Which of the following would be defined as 'all the activities whose primary purpose is to promote, restore or maintain health'?

- Healthcare delivery system

Maximizing the use of healthcare resources and using them to the best of our ability refers to___.

- Healthcare efficiency

What kinds of communities do safety net providers typically serve? I. Communities of color II. Communities with lots of illegal immigrants III. High-income communities

- I and II only

In order to prove negligence, we need to establish: I. The negligent person had a duty to the injured individual or the general public. II. The negligent person's actions or lack of action was not something a prudent person would've done. III. Actual harm (injury) occurred.

- I, II, and III

Which of the following is a case of medical malpractice? I. A doctor doesn't monitor nor diagnose cerebral bleeding in a patient with a head injury, resulting in the patient's death. II. A doctor doesn't examine a person with an eye injury, resulting in vision loss. III. An incorrect diagnosis of cancer on a biopsy (pathology) inspection, leading to unnecessary surgery.

- I, II, and III

Which of the following medical providers might be a part of the U.S. healthcare safety net? I. Community health center II. Disproportionate Share Hospital III. School clinic

- I, II, and III

Which of the Following is NOT a case of medical malpractices? I. A doctor prescribed the wrong medication. II A nurse administer the wrong medication. III. The patient decides to take more of the medication than she or he was prescribed and instructed to take verbally and in writing.

- III

Which of these is not an acceptable reason to break confidentiality?

- If the patient has been involved in illegal activity, such as using illicit drugs.

What do we call the moral obligation of physicians to make patients fully aware of treatment options, risks, and benefits before letting the patient make the final decision?

- Informed consent

What is informed consent?

- Informed consent means that the patient has all the information needed to make a decision that is right for him or her

What is the process of combining mainstream medial treatments with alternative treatments?

- Integrative medicine

Under Title VII, what is the U.S Equal Employment Opportunity Commission empowered to do?

- Investigate claims filed by employees against employers

How is Title VII of the Civil Rights Act of 1964 applied to different types of employers?

- It applies to employment agencies, unions, businesses and labor organizations that affect interstate commerce with more than 15 workers

To whom does the Good Samaritan Law apply?

- It varies from one state to the next and from one country to the next

Which of the following regarding the U.S. healthcare safety net is TRUE?

- It's a patchwork of medical providers

Doctors who refer patients to specific specialists or facilities and receive money or goods in exchange for the referrals are committing what type of healthcare fraud?

- Kickbacks and bribery

What industry involves assisting people with personal care activities?

- Long-term care

Healthcare reforms are expected to find solutions to get people insured, provide more choices of providers, more access to specialists, more quality and ____.

- Lowering costs of healthcare for all.

Which of the following is NOT an administrative requirement of HIPAA?

- Maintaining three hard copies of all health records in different locations to prevent accidental loss due to fire of theft.

The failure of a professional to act within their profession's standards can result in:

- Malpractice

What group is responsible for most cases of healthcare fraud?

- Medical professionals (doctors, nurses, pharmacists)

The Individual Shared Responsibility provision requires that whatever health insurance you have must give you _______.

- Minimum essential coverage

Which of the following statements is TRUE regarding how universal healthcare is funded?

- Mostly by a combination of public and private insurance funds and individual at point-of-service

Carelessness, conduct lacking in due care, and a deviation from normal standards of care in a non-professional environment are all part of:

- Negligence

In the medical profession, is it generally considered ethical to let a patient die?

- No

The doctor reviewed the patient's drug allergies before ordering an appropriate medication. The nurse gave the medication late because the pharmacist did not have in in stock at the scheduled time. The patient still had a allergic reaction to the medication later that day. Who is at risk for medical malpractice lawsuit?

- None of the answers are correct

Which of these is NOT one of the three elements of informed consent?

- Notarized Contract

An organization that does comprehensive research and data collection annually to compare the costs and outcomes of healthcare in several high-income countries is called the:

- Organization for Economic Cooperation and Development

Which type of managed care plan is a combination of a PPO and HMO?

- POS

Sarah is 35 and wants to get a healthcare plan. She is not strapped for money, and she'd prefer a plan that offers her increased flexibility in terms of doctors she is able to see, even if it means a slightly higher cost to her. Which type of plan should Sarah get?

- PPO

Which type of managed care plan lets you choose the doctor you want to go see without another doctor's referral?

- PPO

Which of the following are patient protection measures?

- Patient's Bill of Rights, Good Samaritan Laws, Informed Consent

Which term includes anything related to drugs or medications?

- Pharmaceuticals

What is the general policy in modern medicine about truth telling?

- Physicians have a moral duty to be completely truthful about conditions and treatments

Which of the following is NOT included in the standards of care?

- Providing care at a low cost

What does the right to treatment entail?

- Providing treatment that has a reasonable chance to succeed.

Craig is a psychologist who believes that he can cure schizophrenia by making his clients drink hot water and lemon, despite the fact that there's no scientific evidence that it works. He provides no other treatment; he only treats his patients with hot water and lemon. Which patient right is he violating?

- Right to treatment

Which of the following individuals is MOST likely to depend on the U.S. health care safety net?

- Robert, who has no health insurance.

Which statement is NOT true about the responsibilities of a healthcare manager?

- Safety is not a priority for managers

Which of the following is NOT a role of a healthcare manager?

- Speaking to the media when problems arise

Along with forging prescriptions, how can a member of the public commit healthcare fraud?

- Stealing and using someone's insurance information

Which of these is not one of the major debates about stem cell research?

- Stem cell research can be used to manipulate people's behaviors

Which of the following is NOT a way businesses can alter competition?

- Tax Fraud

In a universal healthcare system, there is a single payer, but in a system like the one in the U.S., there are many. This means that in the U.S. system:

- The administrative costs of healthcare are higher

All of the patient's healthcare data is stored for audits and reporting. Where is this located?

- The electronic health record or EHR

What is the monetary value of all the finished goods and services produced within a country's borders in a specific time period called?

- The gross domestic product

Which of the following scenarios could be considered employment discrimination?

- The mistreatment of an employee based on his r her membership in a protected category

All of these components support euthanasia (doctor-assisted suicide) as an ethical decision EXCEPT:

- The patient cannot give conscious consent

What is the therapeutic privilege?

- The right of physicians to withhold some truth from patients if they truly believe complete honesty could be harmful

What is the privacy rule in HIPAA?

- The section of HIPAA that sets standards for the use and disclosure of an individual's protected health information

Healthcare management can be extraordinarily stressful because:

- There is a serious, high risk nature in caring for ill patients and the continuous operation of a healthcare facility.

One of the outcomes of the high spending in the U.S. on healthcare is that:

- There is more chronic illnesses among adults

How do safety net services receive funding?

- They are subsidized by government funding

Which section of HIPAA places limits on exclusions for pre-existing medical conditions?

- Title I: Portablity

Which section of HIPAA provides for deductions for medical insurance?

- Title III

Which section of HIPAA clarifies the requirements of COBRA?

- Title IV

What does it mean to be a vegetative state?

- To be in a prolonged state of unconsciousness with lack of response to stimuli

What is the purpose of the Good Samaritan Law?

- To encourage people to assist another person who is ill or injured in an emergency

Which of the following is NOT primary goal of HIPAA?

- To require all employers in the U.S to offer basic health coverage for their employees

Which of the following would be defined as "a method to ensure that all people obtain the health services they need without suffering financial hardship when praying for them"?

- Universal healthcare

When may doctors be exempt from being completely truthful with their patients?

- When the patient consciously states that they don't want to be told the full truth.

Healthcare fraud is considered what type of crime?

- White collar crime

Which organization tracks worldwide health outcomes data?

- World Health Organization

Gross national income per capita is used to compare financial resources spent o healthcare. Gross national income per capita can be defined as:

- average amount of money made per year, per individual citizen

Technoprinters developed a new printer that everyone wants. The printer can only use the ink cartridges that they manufacture. As a result, people must buy complementary products from them. Why is this illegal?

- because it's an example of exclusive deals, which create a monopoly

Standards of care include behaviors healthcare professionals follow to ensure patient receive the __ care.

- best

Sam, Mike, and Maurice all own drywall companies. They want to be able to win every bid. They decide that one of them will submit a low bid, while the other two submit higher prices. They take turns doing this, so each of them will get the job at some point in time. What is this called?

-Bid rigging

Which of the following is the one recognized exception to Title VII of the Civil Rights Act of 1964

-Bona fide occupational qualification

What is the basic issue being addressed by resource allocation?

-How do you divide resource between patients?

Which segment of the healthcare system is grossly under- utilized?

-Mental healthcare

What is the most important ethical guideline for human testing?

-The subject must be fully aware of the risks and give conscious consent.

What is the Patient's Bill of Rights?

-There are different lists that address different things a patient can expect from the health care community