EMT Practice Test

1. Question Content...

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Question1: the transition from volume-based reimbursement to ______-based payments has presented a major challenge to hospitals' profitability, along with the shift from inpatient to __________ care"

Question2: the number of beds set up and staffed for inpatient use determines the size of _____ of a hospital

Question3: refers to an overnight stay in a health care facility, such as a hospital

Question4: refers to the patient's right to make an informed choice regarding medical treatment

Question5: what does this list describe?:

Question6: this committee reviews policies and procedures for minimizing infections in the hospital

Question7: ________ funding for hospital construction played the most important role in the expansion of hospitals in the 20th century
-Medicare and Medicaid provided indirect funding to hospital industry (expanding public-sector health insurance)

Question8: _______ is clearly an outlier in hospital capacity and utilization according to OECD data

Question9: this committee performs routine checks to ensure that inpatient placements, as well as the lengths of stay, are clinically appropriate

Question10: primary function of these hospitals is to provide diagnostic and treatment services for a variety of severe mental conditions, such as bipolar disorder, schizophrenia, severe depression, dual diagnosis (mental illness compounded by chemical dependency), and serious emotional disturbances in children and adolescents
-services: psychiatric, psychological, and social work programs
-can be freestanding hospitals or specialized units in general hospitals

Question11: the _______ closed the door on future physician-owned hospitals effective January 1, 2011, by mandating that hospitals could not be owned by physicians if those facilities wanted to receive Medicare payments

Question12: Once a Resource is assigned FMM maturity level, it cannot be removed from the resource list in future FHIR versions a) TRUE b) FALSE

Question13: at one time, ___________ operated by state governments played a primary role in treating people with mental health conditions
-deinstitutionalization led to way fewer of these

Question14: the growth of ________ subsequently became a vehicle for enabling people to pay for hospital services, and the flow of insurance money helped revive the financial stability of hospitals

Question15: Which one of these is not "Search Result Parameter"?
A) _summary
B) _elements
C) _list
D) _tag
• Only A
• Both A and B
• Only C
• Both C and D

Question16: this is a night spent in the hospital by a patient

Question17: this is a care model that involves patients in their own treatment, grounding treatment decisions in patient preferences, and creating a caregiving environment in which staff solicit patients' input and meet their needs for information and education

Question18: in the US, hospital services cost ____% more than the OECD average

Question19: this refers to hospitals acquiring physician clinics and then turning them into larger systems-the pace of this has been accelerating for quite some time

Question20: The ___________ Hospital (opened in 1889), with its adjoining medical school (opened in 1893), inaugurated a new era during which teaching was combined with clinical practice and scientific inquiry in medicine

Question21: who constitutes the largest group among federal hospitals?

Question22: if, because of its remote location, a rural hospital is the sole source of hospital services in a wide geographic area, it may qualify for ___________ status
-benefit from certain payment adjustments from Medicare

Question23: what does this list describe?:
-selecting the wrong patient
-ordering wrong drug
-missing critical lab results

Question24: early emphasis on ________ foreshadowed two main issues that continue to affect health policy and hospital management:
1. the pressure on hospitals to introduce new technology while containing costs
2. the assumption that hospitals should operate like businesses

Question25: hospitals owned by individuals, partnerships or corporations for financial benefit of the entity that owns the institution, accountable to their the stockholders
-were dominant a the beginning of 20th century-> closed and acquired by community organizations or hospital corps due to pop shifts, increased costs, and necessities of modern clinical practice

Question26: a hospital that provides a variety of services, including general medicine, specialized medicine, general surgery, specialized surgery, and obstetrics, to meet the general medical needs of the community it serves
-provides diagnostic, treatment, and surgical services for patients with a variety of medical conditions
-provide BROADER range of services for a larger variety of conditions

Question27: Example of "Practitioner" as per HL7 FHIR
A) Physician(s)
B) B) Receptionist in hospital
C) IT Personnel handling patient records
D) Midwives
• Only A and B
• Only A and D
• Only A,B and C
• All of the above

Question28: these served the primarily destitute of society who needed food and shelter and the sick, who received limited nursing care as needed

Question29: according to ACA, ________ hospitals must:
1. establish written financial assistance and emergency care policies
2. limit charges for individuals who are eligible for assistance under the hospital's financial assistance policy
3. limit certain billing and collection actions against those who fall within the guidelines of financial assistance
4. conduct a community health needs assessment and adopt an implementation strategy at least once every 3 years

Question30: -at least 60% of hospital's inpatients must require intensive rehabilitation for one or more of 13 specified conditions, such as stroke, spinal cord injury, major multiple trauma, and brain injury
-intensive rehab: provision of at least 3 hours of therapy per day

Question31: who, in the public sector, operates the single largest MHS in the US?

Question32: notably, greater market penetration by _____________ played a significant role in lowering hospital utilization and profitability

Question33: a document that reflects the law concerning issues such as confidentiality and consent; right to make decisions regarding medical care, getting informed about diagnosis and treatment, refuse treatment, and formulate advance directives

Question34: this data for a hospital indicates the total number of patients discharged from the hospital's acute care beds during a given period
-both babies and death are included in this margin making it more accurate count

Question35: Regarding workflow resource relationships:
1) requests, events and definitions shall point to their respective definitions
2) events and requests must point to the proposals, plans or orders they are based on Note: this is a qualifier question (e.g. must / shall / should etc) - these can be fickle questions to answer A) 1&2 true B) B) 1 true only2 C) true only D) neither

Question36: "Specimen" Resource is used to describe material sample taken from
a) Living
b) Dead
c) Physical Object
d) Environment
• A, B and C
• A, C and D
• A and D
• All of the above [A, B, C & D]

Question37: After a outpatient visit..the provider recommends that the patient begin an exercise program and start taking a weight loss drug until a target weight is achieved. Which resource types could types could be used to record this? (Select all if that apply) a) CareTeam b) PlanDefinition c) CarePlan d) MedicationRequest e) Procedure f) Goal g) Weight

Question38: these are nonprofit community hospitals financed through local philanthropy as opposed to taxes
-accepted both indigent and paying patients
-required charitable contributions from private citizens to cover operating expenses

Question39: four important principles of ________ are respect for others, beneficence, nonmaleficence, and justice

Question40: small rural hospitals that may not qualify for the SCH designation may be classified as _________ if at least 60% of their discharges are Medicare beneficiaries

Question41: a medical director who heads the medical staff

Question42: a special designation by the American Nurses Credentialing Center, an affiliate of the American Nurses Association, to recognize quality patient care, nursing excellence, and innovations in professional nursing practice in hospitals
-ability to attract and retain professional nurses
-associated with better job satisfaction, nursing empowerment, and less turnover

Question43: True about fwd and backward compatibility rules
A) Is Summary flag will not be changed
B) B) Minimum element cardinalities will not be changed
• A
• B
• A and B

Question44: When a resource is updated, servers generally follow this pattern
A) Merge existing and new tags
B) B. Replace existing with new security label
• Only A is correct
• A and B are correct

Question45: Regarding authentication as it is documented in specification, two statements:
1. Other than testing systems, FHIR servers should authenticate the clients.
2. All systems shall protect authenticator mechanisms, and select the type of credential/strength of authenticator based on use-case and risk management.
a: 1&2 True
b: 1 is True and 2 is False
c: 1 is False and 2 is True
d: 1&2 False

Question46: provided federal grants to states for the construction of new community hospitals (nonfederal, short stay hospitals) that would be operated on a nonprofit basis
-req that each state develop and upgrade, annually, a plan for health facility construction based on bed-to-population ratios-obj: reach 4.5 beds per 1000 in popul

Question47: this is derived by dividing the average daily census for that period by the average number of beds (capacity)
-indicates the proportion of a hospital's total inpatient capacity actually utilized
-used as a measure of performance when compared w/ competitors or statewide or nationwide data (facilities with higher rates are considered more successful)

Question48: "Normative" resources SHALL not be allowed to undergo any changes in future versions of FHIR a) TRUE b) FALSE

Question49: a person, such as a health care executive, who has the moral responsibility to ensure that the best interest of patients takes precedence over fiduciary responsibility toward the organization

Question50: Which of the these are NOT types of Binding Strengths as per HL7 FHIR
a) Required, Extensible
b) Mandatory, Optional
c) Example, Preferred

Question51: this is a special type of long-stay hospital
-must meet Medicare's conditions of participation for acute care hospitals and must have an ALOS greater than 25 days
-serve patients who need postacute care but have complex hospitalization

Question52: this advance directive is a written legal document in which the patient appoints another individual to act as the patient's agent for purposes of health care decision making in the event that the patient is unable/unwilling to make such decisions
-appointed person may not act in the same manner as patient

Question53: state governments oversee the ______ of health care facilities and each state has its own set of standards
-emphasize physical plant's compliance with billing codes, fire safety, climate control, space allocations, and sanitation; equipment and personnel
-required for operation

Question54: hospitals located in a county that is not part of an MSA
-35% of all US community hospitals
-rely on government payments

Question55: an institution with at least six beds whose primary function is to deliver patient services, diagnostic and therapeutic, for particular or general medical conditions

Question56: ____________ in hospitals by clinical pharmacists who can address medication-related issues can shorten hospital stays and prevent hsipitalizations

Question57: when two or more hospitals are owned, leased, sponsored, or contractually managed by a central organization
-predominate in private sector

Question58: committee that is charged with managing medical staff relations. ex. reviewing admitting privileges and the performance of the medical staff (must take into account the legal and ethical obligations of the hospital regarding patient safety, quality improvement, and patient satisfaction)

Question59: the two most important committees, from a governance standpoint, are the ________ committee and the _________ committee

Question60: this is the average number of inpatients receiving care each day in a hospital
-often used t define occupancy in hospitals or other inpatient facilities

Question61: hospital in which the average length of stay is more than 25 days
-ex. psychiatric hospitals, long-term care hospitals providing subacute care, and chronic disease hospitals

Question62: this committee oversees the program for continual quality improvement

Question63: committee that has continuing monitoring responsibility and authority over the hospital
-receives reports from other committees, monitors policy implementation, and makes recommendations

Question64: with advances in hygiene, advanced medical care and surgical services, hospitals were transformed from charitable institutions to ones that could generate a _______