HIM TEST 1

Question 1

Authorizing the Government to monitor the purity of foods and the safety of medicines

Answer 1

Food and Drug Act(FDA)

Question 2

Founded to improve the quality of care for surgical patients by establishing standards for surgical education and practice.

Answer 2

American College of Surgeons(ACS)

Question 3

established a group insurance plan contract with Metropolitan Life Insurance Company, which provided 180,000 employees with hospitalization and surgical benefits

Answer 3

General Motors

Question 4

Did not include disability coverage or medical benefits. It did include unemployment insurance, old-age assistance, aid to dependent children, and grants to states to provide various forms of medical care

Answer 4

Social Security Act(SSA)

Question 5

Forerunner of the Centers for Disease Control and Prevention

Answer 5

Communicable Disease Center(CDC)

Question 6

Provided federal grants to modernized hospitals that had become obsolete due to lack of capital investment throughout the period of the Great Depression and World War II. In return for federal funds, facilities agreed to provide free or reduced-charge medical services to persons unable to pay.

Answer 6

Hill-Burton Act(Hospital Survey and Construction Act)

Question 7

Created as an independent, not for profit organization whose primary purpose is to provide voluntary accreditation

Answer 7

Joint Commission Accreditation of Hospitals(JCAH)

Question 8

President Eisenhower created this department and the cost of hospitals doubled in the 1950s

Answer 8

Health, Education, and Welfare(HEW)

Question 9

Funded projects for testing and demonstrating new and improved services in nursing homes, home care services, and central information and referral centers, and provided additional personnel to serve the chronically ill and aged. It also funded the construction of nursing homes and the establishment of voluntary health planning agencies at the local levels.

Answer 9

Community Health Services and Facilities Act

Question 10

Provides medical and supports services to migrant and seasonal farm workers and their families

Answer 10

Migrant Health Act

Question 11

Becoming Americas first widely publicized official recognition that cigarette smoking is a cause of cancer and other serious diseases

Answer 11

Surgeon General’s Report on Smoking and Health

Question 12

Helps people 65 years or older, certain younger people with disabilities, and people with End-Stage Renal Disease(ESRD)

Answer 12

Medicare

Question 13

Joint Federal and state program that helps with medicare costs for some people with low incomes and limited resources

Answer 13

Medicaid

Question 14

Created to improve the health of people who live in communities without access to primary healthcare

Answer 14

National Health Service Corps

Question 15

Amended the Public Health Service Act to more effectively carry out the national effort against cancer.

Answer 15

National Cancer Act

Question 16

Required that drug and alcohol abuse patient records be kept confidential and not subject to disclosure except as provided by law

Answer 16

Federal Drug Abuse and Treatment Act

Question 17

Authorized Veterans Affairs(VA) to establish the Civilian Health and Medicaid Program of the Department of Veterans Affairs to provide healthcare benefits to dependents of veterans rated as 100% permanently and totally disabled as a result of service-connected conditions, veterans who died as a result of service connected conditions, and veterans who died on duty with less then 30days of active service

Answer 17

Veterans Healthcare Expansion Act

Question 18

Authorized federal grants and loans to private organizations that wished to develop health maintenance organizations(HMOs), which are responsible for providing health care services to subscribers in a given geographic area for a fixed fee.

Answer 18

Health Maintenance Organizations Assistance Act

Question 19

Implemented to protect the privacy of individuals identified in information systems maintained by federal government hospitals(e.g. Military Hospitals) and provides access to records concerning themselves.

Answer 19

Privacy Act

Question 20

Implemented to facilitate ongoing assessment and management of health care services, requiring hospitals to conduct continued-stay reviews to determine the medical necessity and appropriateness of medicare and medicaid inpatient hospitalizations

Answer 20

Utilization Review Act

Question 21

requires that every patient presenting to the ER must be triaged and assessed by a healthcare provider regardless of ability to pay

Answer 21

Emergency Medical Treatment and Labor Act EMTALA

Question 22

Signed into law, providing for a separate Department of Education.

Answer 22

Department of Education Organization Act

Question 23

Replaced PSROs with Peer Review Organizations(PROs), which were statewide utilization and quality control peer review organization, incorporated a focused second-opinion program, which referred certain cases for diagnostic and treatment verification.

Answer 23

Peer Review Improvement Act

Question 24

Established the first Medicare prospective payment system, which was implemented in 1983, Diagnosis-related groups(DRGs) required acute care hospitals to be reimbursed at a predetermined rate according to discharge diagnosis

Answer 24

Tax Equity and Fiscal Responsibility Act(TEFRA)

Question 25

Allowed former employees, retirees, spouses, domestic partners, and eligible dependent children who lose coverage due to certain qualifying events the right to temporary continuation of health coverage at group rates

Answer 25

Consolidated Omnibus Budget Reconciliation Act(COBRA)

Question 26

Required PROs to report cases of substandard care to licensing and certification agencies

Answer 26

Omnibus Budget Reconciliation Act(OBRA)

Question 27

Established the National Practitioner Data Bank(NPDB), which contains information about practitioners' credentials, including previous medical malpractice payment and adverse action history.

Answer 27

Federal Health Care Quality Improvement Act

Question 28

Ensured that residents of nursing homes receive quality care, required the provision of certain services to each resident, and established a Residents' Bill of Rights

Answer 28

Nursing Home Reform Act

Question 29

Providing Healthcare to the homeless

Answer 29

Mckinney Act

Question 30

Established quality standards for all laboratory testing to ensure the accuracy, reliability, and timeliness of patient test results regardless of where the test was preformed

Answer 30

Clinical Laboratory Improvement Act(CLIA)

Question 31

Mandated the reporting of ICD-9-CM diagnosis codes on medicare claims

Answer 31

Medicare Catastrophic Coverage Act

Question 32

Required consumers to be provided with informed consent, information about their right to make advance health care decisions, and information about state laws that impact legal choices in making health care decisions

Answer 32

Patient Self-Determination Act

Question 33

It mandates administrative simplification regulations that govern privacy, security, and electronic transactions standards for health care information. Also, protects health insurance coverage workers and their families

Answer 33

Health Insurance Portability and Accountability Act(HIPAA)

Question 34

Combats fraud and abuse in health insurance and health care delivery by alerting users to conduct a comprehensive review of a practitioners, providers, or suppliers past actions

Answer 34

Healthcare Integrity and Protection Data Bank(HIPDB)

Question 35

Health insurance program for infants, children, and teens that covers health care services such as doctor visits, prescription medicines, and hospitalizations

Answer 35

State Children's Health Insurance Program(SCHIP) or Title XXI of the Balanced Budget Act

Question 36

Signed into law, making it possible for millions of Americans with disabilities to join the workforce without fear of losing their medicaid and medicare coverage

Answer 36

Ticket to Work and Work Incentives Improvement Act

Question 37

Requires implementation of a $400-billion prescription drug benefit, improved medicare advantage benefits, faster medicare appeals decisions, and more

Answer 37

Benefits Improvement and Protection Act(BIPA)

Question 38

Provides medicare recipients with prescription drug savings and additional healthcare plan choices, modernizes medicare by allowing private health care plans to compete, and requires that medicare trustees analyze the combined fiscal status of the medicare trust funds and warn congress and the president when medicare's general fund subsidy exceeds 45 percents

Answer 38

Medicare Prescription Drug, Improvement, Modernization Act(MMA)

Question 39

Created the Medicaid Integrity Program(MIP), which is a fraud and abuse detection program

Answer 39

Deficit Reduction Act

Question 40

Amends Title IX of the Public Health Service Act to provide for improved patient safety and reduced incidence of events adversely affecting patient safety

Answer 40

Patient Safety and Quality Improvement Act

Question 41

Authorized implementation of a physician quality reporting initiative(PQRI), which established a financial incentive for eligible professionals who participate in a voluntary quality reporting program

Answer 41

Tax Relief and Health Care Act(TRHCA)

Question 42

Prohibits group health plans and health insurance companies from denying coverage to a healthy individual or charging higher premiums based solely on a genetic predisposition to development of a disease in the future. Also, bars employers from using genetic information when making hiring, firing, job placement, and promotion decisions

Answer 42

Genetic Information Nondiscrimination Act(GINA)

Question 43

Authorized an expenditure of $1.5 billion for grants for construction, renovation equipment , and the acquisition of health information technology systems.

Answer 43

American Recovery and Reinvestment Act

Question 44

Focuses on private health insurance reform to provide better coverage for individuals with pre-existing conditions, improve prescription drug coverage under medicare and extend the life of the medicare trust fund by at least 12 years

Answer 44

Patient Protection and Affordable Care Act(PPACA)

Question 45

Amended the PPACA to implement health care reform initiatives such as increasing tax credits to buy healthcare insurance, eliminating special deals provided to senators, closing the medicare "Donut Hole", delaying taxes on "Cadillac" health care plans until 2018. implementing revenue changes and so on

Answer 45

Health Care and Education Reconciliation Act(HCERA)

Question 46

Amended the Public Health Service Act to establish an Office of National Coordinator for Health Information Technology within HHS to improve healthcare quality, safety,and efficiency

Answer 46

Health Information Technology for Economic and Clinical Health Act(HITECH Act)

Question 47

- point of first contact | - these providers treat minor diseases, illnesses, and wellness visits

Answer 47

Primary Care

Question 48

when a patient requires a medical specialist like if they have a disease that needs a second opinion

Answer 48

Secondary Care

Question 49

- highly specialized medical centers - highly specialized physicians with a range of services provided - like having to have surgery or scans

Answer 49

Tertiary Care

Question 50

Income is reinvested in the facility - Government Supported or public hospitals(EX: supported by local, regional, or federal taxes and operated by local, state and federal governments - voluntary hospitals(EX:operated by religious or voluntary groups)

Answer 50

Non-For-Profit Facilities

Question 51

Privately owned and income in distributed to share holders and owners Proprietary Hospitals are owned by both corporations, partnerships, and foundations(EX: Humana(Insurance), Physicians, and any type of hospital). They may own nursing homes as well as hospitals and other facilities

Answer 51

For-Profit Facilities

Question 52

- Responsible for the hospitals operation - Responsible for the quality and care administered to patients - Hospital organization, management, control and operation, appointing medical staff - Abiding by the hospitals written constitution and bylaws - Conducting Regular meetings - Hiring an administrator; authority and responsibility for the hospital polices - ensuring well-qualified personnel are employed to carry out the function of the hospital - providing a mechanism, assisting employees in addressing physical and mental health issues - maintaining standards of professional work and requiring that the medical staff function good

Answer 52

Governing Board Responsibilities

Question 53

consists of licensed physicians and other licensed providers as permitted by law who are granted clinical privileges -example: nurses, physician assistants

Answer 53

medical staff

Question 54

physicians who work in the hospital setting and treat patients who are receiving hospital-based care

Answer 54

Hospitalists

Question 55

delivers most hospital medical services, performs significant organizational and administrative medical staff duties

Answer 55

Active

Question 56

advancement to active category is being considered

Answer 56

Associate

Question 57

includes highly qualified practitioners available as consultants when needed

Answer 57

Consulting

Question 58

admits and occasional patient to the hospital

Answer 58

Courtesy

Question 59

includes former members who are honored with emeritus status and other outstanding practitioners whom the medical staff wish to honor

Answer 59

Honorary

Question 60

specialist doctors who see patients at specific times

Answer 60

senior consultants

Question 61

senior doctors who supervise residents, interns and students

Answer 61

registrars

Question 62

look after patients on the ward and are in training for specialization

Answer 62

Residents

Question 63

completed their studies and are now finishing their final year in hospital

Answer 63

Interns

Question 64

undergraduate medical students.

Answer 64

Student Doctors

Question 65

runs the ward

Answer 65

nurse unit manager

Question 66

helps the nurse unit manager to run the ward and acts as the manager when the nurse unit manager is off site

Answer 66

associate nurse unit manager

Question 67

highly skilled nurses with an advanced level of training

Answer 67

nurse practitioners

Question 68

clinical nurse specialists, clinical nurse consultants, clinical nurse educators, triage nurses, emergency department nurses

Answer 68

specialist nurses

Question 69

provide a high level of day-to-day care and perform some minor procedures

Answer 69

registered nurses

Question 70

provide basic medical care under the supervision of more senior nurses.

Answer 70

enrolled nurses