Ethics Exam 2- 2nd powerpoint

Sole proprietorship

What type of practice structure would include a physician who hired other physicians

medicaid

What type of insurance covers patients who are indigent?

A Medicare

B Medicaid

C TRICARE

D HMO

Chiropractor

What type of provider would have the initials DC after his or her name?

A Podiatrist

B Pharmacist

C Chiropractor

D None of the above

A PCP

An example of a gatekeeper is

A an employer.

B a PCP.

C a mid-level provider.

D None of the above

NP

All the following are considered physicians or medical doctors, except

A surgeon.

B DO.

C psychiatrist.

D NP.

Licensed

Healthcare professionals that meet legal requirements to practice in their field are

A certified.

B licensed.

C registered.

D credentialed.

D.

Which of the following statements is false about physicians in solo practices?

A Physicians in solo practice are often structured as a professional corporation.

B It is a type of medical practice that a single physician is the provider and owner.

C The physician does not share patients with other physicians.

D The financial risk and liability are less in solo practices compared to others.

group practice

Which of the following types of medical practices have the advantage of shared risk and liability?

A Group practice

B Sole practice

C Associate practice

D Professional corporation

preferred provider organization (PPO)

The health insurance plan that allows the most flexibility for patients is the

A preferred provider organization (PPO).

B health maintenance organization (HMO).

C managed care organization (CMO).

D Indemnity plan.

A Health Maintenance Organization

Which of the following is not a government-sponsored program?

A Health Maintenance Organization

B TRICARE

C Medicare

D Medicaid

Chief executive officer

CEO

CEO

Leader in all aspects of the organization. They define the business goals and are responsible for reporting on metrics to the hospital's owners and board. They are also responsible for cultivating a culture of success and high-quality, ethical health care for patients

Chief legal officer

Head of the corporate legal department and is responsible for the legal affairs of the entire corporation. This role includes providing legal counsel to the board of directors, chairperson of the board, chief executive officer, and other senior management.

Chief strategy officer

CSO

CSO

Must master, or at least be conversant in, a wide variety of skills. These include conducting top-quality analysis, learning how to operate across diverse parts of the company, and asking questions that lead executives in strategically sound directions.

Chief financial officer

CFO

CFO

The person who ensures that a hospital or hospital system runs in the most cost-effective manner, and they are responsible for managing all financial risks for the organization. They are charged with handling most planning finances and management of records.

Chief nursing officer

CNO

CNO

Setting patient care standards establishing processes and protocols for achieving

those standards and managing the work of nurses who care for patients.

chief clinical officer

CCO

CCO

Under the supervision of the Chief Operating Officer, _____ provides leadership and oversight of all clinical programs and provides clinical supervision to core clinical staff.

chief operating officer

COO

COO

Improvement of clinical outcomes and patient satisfaction while reducing extraneous budget costs. ____ strive to eliminate the opportunity for medical error by organizing effective protocols and procedures. The ___ works with other executives to align clinical operations with the facility's overall strategic vision. Daily operations

Solo practice

single owner/operator for the company or business. In the medical field, this would represent a single-physician practice, risk/reward higher, determine direction of practice, outsource for time off

Sole Proprietorship

A single professional-owned business in which an individual employs other professional in the same field. In medical practice, a single physician-owned practice that employs other physicians to work for the practice. Legal agreements with other practitioners

Associate practice

A legal agreement in which physicians in the same specialty share staff and overhead expenses of operation but do not share in the legal responsibility or in the profits of the business. Organized as individual professional corporations or LLC-limited liability company

Group practice

A medical practice with three or more physicians of the same or similar specialty, who share the same overhead and staff and practice medicine together.

protection from liability and profit sharing

hospital and clinic

part of organization, liability insurance, no profit sharing, lose autonomy

hospice

Which of the following provides care and support in various environments for those suffering from terminal illness?

 

Rehabilitation facility

 

Long-term care

 

Hospice

 

Clinic

Specialized

Those hospitals that focus on one particular disease or treats only a specific patient population is classified as:

 

Specialized

 

Long-term care

 

Generalized

 

Private, for-profit

Long-term stay, specialized

A hospital that provides rehabilitation services and treatment for persons who have suffered a spinal cord injury might be classified as

 

Short-term stay, private

 

Long-term stay, specialized

 

Short-term stay, specialized

 

Long-term stay, public

outpatient

Which type of health care delivery method would be provided most often at a free-standing imaging center?

 

Telehealth

 

Inpatient

 

Long-term

 

Outpatient

telehealth

A patient in rural Wyoming receives a consult with a physician at the Mayo Clinic in Minnesota. What type of health care delivery would this entail?

 

Preventative

 

Ambulatory

 

Telehealth

 

Home health care

A 14 year old gets his fractured arm cast in the ED

All of the following would be considered preventative health care except:

 

Annual mammograms for a 45-year-old woman

 

A 14-year-old gets his fractured arm cast in the ED

 

A flu shot for a 38-year-old health care professional

 

An employer-sponsored exercise program for all employees

inpatient

What type of health care delivery would be provided for a person who requires coronary bypass surgery?

 

Inpatient

 

Telehealth

 

Ambulatory

 

Outpatient

Chief of staff

The top medical staff officer is commonly referred to as the:

 

Chief of staff

 

Chief executive officer

 

Medical administrator

 

Medical manager

chief executive officer

The top hospital administrative officer is commonly called the:

 

Boss

 

Chief administrative officer

 

Chief executive officer

 

Chief of staff

medicare

The U.S. government provides insurance programs for persons at retirement age (65 years or older) and for those who cannot afford health insurance. It is called:

 

Medicare

 

Managed care

 

Preferred provider organization

 

Medicaid

managed care

Health maintenance organizations (HMOs) and preferred provider organizations (PPOs) are examples of:

 

Government programs

 

Self-pay

 

Managed care

 

Advanced payment

medicaid

The state-run insurance program for low-income persons is:

 

Preferred provider organization

 

Medicare

 

Fee-for-service

 

Medicaid

Episode of care

Which type of payment/reimbursement system makes a payment for all services related to a particular health care need or condition, rather than for individual services?

 

Episode-of-care

 

Self-pay

 

Manage care

 

Fee-for-service

DMS

Which of the following modalities requires the use of a transducer?

 

MRI

 

NM

 

CT

 

DMS

computed tomography CT

Which of the following imaging modalities provides cross-sectional images?

 

Fluoroscopy

 

Radiography

 

Radiation therapy

 

Computed tomography (CT)

2 and 3 only

Which of the following work environments would be appealing for a technologist that likes to work independently and enjoys travel?

1. Large medical center

2. Mobile imaging

3. Temporary employment

 

1 and 3 only

 

1 and 2 only

 

1, 2, and 3

 

2 and 3 only

false

Outpatient imaging means that all patients are ambulatory and can cooperate for all of the physical requirements of the imaging procedure.

 

False

 

True

Remarkable healthcare

UW health vision statement

vision statement

where does the organization aspire to go? and what do you hope to achieve in the future

mission statement

outline reason for existence and summarizes a facility’s intent to provide services, recipients of service, quality, cost, type

UW health mission statement

advancing health without compromise through service, scholarship, science, and social responsibility

service, scholarship, science, and social responsibility

4 s’s in uw health mission statement

value statement

lists the core principle that guides and directs the organization and its culture. Creates a moral compass for the organization and its employees

uw health values

excellence, innovation, compassion, integrity, respect, accountability, diversity

board of directors

authorized by law to operate hospital and appoint CEO

CEO

defines how hospital is maintained and conducted

Medical Director/Department Chair

overseeing patient care quality, approving clinical protocols, reviewing polices and procedures, recommending quality and safety improvements, equipment purchases, technology acquisition, may delegate these to administrative director

Administrative Director

the operation and organization of the radiology department, staffing, planning, educating, supervising, organizing, coordinating, communicating, maintaining safety, minimizing workplace hazards

TJC

independent, not for profit, voluntary, quality and safety control for patients, if hospital is accredited it receives reimbursement for Medicare and Medicaid

Nuclear regulatory commission

NRC

state health department

put rules in place to protect patients, vary by state, provide insight on licensing requirements, con needed, promote public health and disease prevention

Certificate of need

CON

CON

approval to build a building, in place to ensure no duplication of services and manage cost in health care

NRC

government agency, work with states to control equipment and technologists, fines if not in regulations, radiation aspect of things

osha

federal agency standards for safety in workplace

occupational safety and health administration

OSHA

Safety committee

required by TJC, educates employees on safety polices and procedures, safe operation of facilities EX: tech factors, hazardous materials

Infection control committee

regulates infection control polices, oversees outbreak of infections-hospital acquired

Radiation safety committee

Required by TJC and NRC, Radiation safety practices, Safe handling of radioactive materials

Pharmacy and Therapeutic committee

Reviews drugs and their use

*Iodinated contrast

Risk Management and corporate compliance

Manage and control Legal/Financial risk, Remain in good standing with community, Corporate Compliance: prevent fraud

CLABSI

central line associated blood stream infection

CAUTI

catheter associated urinary tract infection

CDI

C-diff infection

mammography quality standards act

MQSA

MQSA

ensures all women have access to high-quality mammography services, FDA and state health department programs regulate this, federal legislative act 1992

HIPAA

national standards, protects patient’s health care information, created to increase public trust in the protection of their healthcare information, 1996

False claims act

penalties can be inflicted on healthcare workers who knowingly submit false claims payment to Medicare or Medicaid

Traditional indemnity plan

fee for service, in and out of network benefits, no primary, no referrals for specialists, pay set deductible before insurance starts, co-insurance, HSA to offset costs, high deductible, for people rarely sick and no long term care

Health maintenance organizations HMO’s

cheaper with more rules, need primary who directs care, lower premium/costs, co-pay or coinsurance, out of network costly

Preferred primary organizations PPOs

costly but more freedom, can see any in-network provider, in-network cheaper than out of network, deductible, co-pay, and co-insurance, flexibility

Point of Service POSs

combines HMO and PPOs, require a PCP, in network services=no deductible, out of network=deductible and coinsurance

Medicaid

federal program, managed by state, low income/patients with disability

Medicare

controlled by fed gov, 65 and older, permanently disabled children, permanently disabled adult without work for 24 months

Medicare A

hospital claims

Medicare B

outpatient services

Medicare C

managed care plan

Medicare D

prescription drug plan

Tricare

active military and dependents, retired military serving 20+ years

VA

less than 20-year service and different benefit coverages

the joint commission

accreditation of the hospital is done by this organization, they go to the hospital to ensure following practices, voluntary! reimbursed if accredited for medicare and medicaid