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Under the Hill-Burton Act, federal grants were given on the basis of


A) bed-to-population ratios
B) poverty ranking for each state
C) number of hospital beds already in existence
D) hospital size needed to adequately serve each community

E) B) and C)
F) A) and D)

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Which hospitals provide services to children in communities that do not have specialty children's hospitals.


A) Rehabilitation hospitals
B) General hospitals
C) Long-term care hospitals
D) Specialized hospitals

E) B) and D)
F) A) and D)

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Institutional theory predicts that


A) for-profit and nonprofit organizations will imitate each other when faced with similar regulatory and legal constraints
B) as an enterprise increases in size, its unit overhead costs would decrease
C) as a hospital increases in size, its economies of scale dissipate
D) in competitive markets, both for-profit and nonprofit organizations would deliver certain essential community benefits

E) B) and D)
F) A) and B)

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To participate in Medicare and Medicaid, a health care facility must be


A) conditioned
B) accredited
C) certified
D) licensed

E) A) and B)
F) A) and D)

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Ethics committees are


A) fiduciary
B) legally bound
C) multidisciplinary
D) regulatory

E) A) and D)
F) B) and D)

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Which entity oversees the licensure of health care facilities?


A) The Joint Commission
B) Federal government
C) State government
D) Local county or city government

E) All of the above
F) A) and C)

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Large hospitals do not realize efficiencies due to economies of scale.

A) True
B) False

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Which principle of ethics requires caregivers to involve the patient in medical decision making?


A) Paternalism
B) Fidelity
C) Beneficence
D) Autonomy

E) A) and B)
F) C) and D)

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A nonprofit hospital is prohibited by law from making a profit.

A) True
B) False

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What is the meaning of "excess capacity" in the health care inpatient sector?


A) Hospital consolidation
B) Few hospitals
C) Large institutions
D) Empty beds

E) A) and B)
F) A) and D)

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The ethical principle of fidelity requires a medical practitioner to


A) keep all patient information confidential
B) perform his or her duty
C) seek consent for treatment
D) tell the truth

E) B) and D)
F) C) and D)

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ALOS is an indicator of


A) use of hospital capacity
B) frequency of use
C) severity of illness
D) access

E) A) and B)
F) B) and D)

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How did the PPS based on DRGs lead to hospital downsizing in the United States?


A) It mandated closure of beds based on occupancy rates
B) It led to greater competition among hospitals
C) It created financial incentives to perform surgeries in outpatient settings
D) It created financial incentives to minimize the patient's length of stay

E) A) and D)
F) B) and C)

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The first proprietary hospitals in the United States were established by


A) business corporations
B) wealthy industrialists
C) physicians
D) religious organizations

E) B) and C)
F) C) and D)

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According to US law, nonprofit organizations


A) can make only a limited amount of profit
B) are tax exempt
C) cannot have a governing body
D) must pay taxes only if they are profitable

E) A) and B)
F) B) and C)

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What financial benefit does a small rural hospital gain by qualifying for the designation, Critical Access Hospital?


A) It can receive specific federal grants for serving vulnerable populations
B) It can use its beds for either acute care or long-term care as needed
C) It can increase its profitability by receiving special payments for emergency services
D) It can receive cost-plus reimbursement under Medicare Part A

E) B) and D)
F) A) and D)

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To be called a hospital, a facility must have at least ____ beds.


A) 3
B) 6
C) 12
D) 18

E) A) and D)
F) A) and C)

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Average daily census is a measure of a hospital's


A) daily capacity
B) average admissions per day
C) days of care
D) number of inpatients served daily

E) C) and D)
F) A) and C)

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To be classified as a community hospital, the hospital must be


A) a public hospital
B) a nonfederal hospital
C) a nonprofit hospital
D) a nongovernmental hospital

E) A) and C)
F) B) and C)

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In a hospital classified as short stay, the ALOS is not more than


A) 5 days
B) 10 days
C) 15 days
D) 25 days

E) A) and D)
F) All of the above

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