Health Care Operations
Exam Answer Key
Course Introduction
Health Care Operations explores the core principles, methodologies, and best practices used to manage and improve the delivery of health care services within hospitals, clinics, and other health organizations. The course examines operational efficiency, quality improvement, resource allocation, process optimization, and patient flow management. Students will learn about supply chain logistics, scheduling systems, data-driven decision making, and the integration of technology in health care settings. Emphasis is placed on real-world case studies, regulatory compliance, teamwork, and strategies to enhance patient outcomes while controlling costs and maintaining high standards of care.
Recommended Textbook
The United States Health Care System Combining Business Health and Delivery 2nd Edition by Anne
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14 Chapters
506 Verified Questions
506 Flashcards
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Chapter
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Sample Questions
Q1) All of the following are types of health care facilities except:
A) physicians' office.
B) HMO.
C) long-term-care facility.
D) hospital.
Answer: B
Q2) The ability to stay in business for a health care facility is based on the facility's:
A) sustainable competitive advantage.
B) reimbursement rates.
C) business plan.
D) business viability.
Answer: A
Q3) Health care expenditures account for greater than 15% of the GDP.
. A)True
B)False
Answer: True
Q4) Many approaches are used to describe health care. List two approaches. Answer: economic; delivery systems
Page 3
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Chapter 2: The Business Side of Healthcare
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Sample Questions
Q1) An increase of the price level at any given time is:
A) recovery.
B) interest.
C) inflation.
D) recession.
Answer: C
Q2) Discuss how not-for-profit organizations make money and what the not-for-profit designation means.
Answer: Money is made in the same manner as for-profit organizations. However, any profits seen by the organization are put back into the organization as opposed to becoming shareholder profits.
Q3) One component of the HIPAA legislation provides patient privacy protection. A)True
B)False
Answer: True
Q4) One of the objectives of health care laws is to _______________. Answer: ensure fair competition; protect the public
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Chapter 3: The Payment Process: Insurance and Third-Party Payers
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) An enrollment period is a:
A) binding contract between the payer and the employee.
B) binding contract between the payer and employer.
C) time when employees can utilize benefits.
D) time when employees can change providers.
Answer: D
Q2) The copayment is the:
A) fee paid by employers and employees to the insurance company.
B) negotiated payment for services between the payer and the provider.
C) portion of services paid by the patient.
D) amount paid by the patient before the third-party payer begins to pay.
Answer: C
Q3) The _____________ calculates risk and helps set premiums.
A) actuary
B) government
C) benefits manager
D) employer
Answer: A
Q4) According to the text, _______________% of Americans under age 65 are uninsured.
Answer: about 17
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Chapter 4: The Payment Process: Government Payment Programs
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Sample Questions
Q1) The government as a payer of health care services has significant power in the health care delivery system. Identify and explain two of the three issues for government payment programs noted in the text. Include an example of each in your explanation.
Q2) Physician's Medicare payments are paid based on limits set by _______________.
Q3) All of the following are true about compliance programs except:
A) all claims submitted for payment must have appropriate documentation.
B) providers should receive regular training to stay current with Medicare and Medicaid regulations.
C) they are mandatory under the Patient Protection and Affordable Care Act.
D) upcoding is encouraged.
Q4) Medicaid eligibility is:
A) decided on a federal level.
B) decided on a state level.
C) the same for all states.
D) determined based on education .
Q5) The disease that makes a person eligible for Medicare without being over 65 years old is ________________.
Q6) List two groups eligible for the FEHBP.
Q7) Medicare is administered by _______________. Page 6
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Page 7
Chapter 5: Healthcare Providers: Physicians and Nurses
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Sample Questions
Q1) All of the following are serious concerns for health care professionals except:
A) cost.
B) burnout.
C) latex injuries.
D) LPN licensure.
Q2) About __________ of medical school applicants are accepted.
A) 90%
B) 50%
C) 75%
D) 25%
Q3) To practice medicine, in most states, a physician must complete all of the following except:
A) complete paid on-the-job training.
B) graduate from a formal educational program.
C) pass a licensing exam.
D) serve as a health aide.
Q4) The function in the previous question is achieved through the collection of _______________ data and performing a _______________ exam.
Q5) One of a physician's jobs is to _______________ and treat illnesses.
Q6) Identify and explain two issues the nursing profession faces.
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Chapter 6: Other Clinical and Non-Clinical Healthcare
Providers
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Sample Questions
Q1) The typical work setting for a medical assistant is:
A) hospitals.
B) home health agencies.
C) veterinary offices.
D) clinics.
Q2) Differentiate between a DC and a DO, and include similarities and differences in your response.
Q3) Tests using sound waves may be performed by:
A) EKG technicians.
B) vascular technologists.
C) cardiology technologists.
D) nuclear medicine technologists.
Q4) All of the following are licensed except:
A) occupational therapists.
B) speech-language pathologists.
C) physical therapists.
D) recreational therapists.
Q5) _______________ _______________ use exercise and massage to help patients with mobility.
Q6) _______________ _______________ prepare tissue samples for pathologists. Page 9
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Page 10
Chapter 7: Offices, Clinics, and Hospitals
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Sample Questions
Q1) Ambulatory care can be provided in the following setting:
A) home health agency.
B) hospice.
C) physician's office.
D) EMS office.
Q2) A typical hospital is organized in three main parts:
A) governing board, medical staff, and management staff.
B) governing board, nursing staff, and management staff.
C) nursing staff, medical staff, and ancillary staff.
D) governing board, medical staff, stock holders.
Q3) The federal law created to aid in the protection of patient privacy is _______________.
Q4) The traditional medical practice structure is:
A) corporation.
B) independent.
C) solo practice.
D) partnership.
Q5) Primary care is typically delivered in a hospital setting.
A)True
B)False
11
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Chapter 8: Tertiary Care: the Long-Term Care Continuum
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Sample Questions
Q1) Mary lives in an apartment complex. She has a small one-bedroom apartment with a small kitchen and living area. She eats in the community dining room at least once a day. Mary lives in a _______________ _______________
Q2) Medicaid will cover LTC payment in which situation?
A) The individual has turned 65.
B) The individual is disabled.
C) The individual qualifies for LTC and meets Medicaid's income test.
D) The individual did not qualify for LTC insurance.
Q3) Diane and Steve care for Steve's elderly mother. They have planned a vacation to Disney World and cannot take Steve's mom. Which care option should they explore?
A) Adult day care
B) Respite care
C) Assisted living
D) ICF care
Q4) Which of the following is not an ethical or political issue related to LTC?
A) Power of attorney
B) Guardianship
C) End-of-life care
D) The passage of the Hill-Burton Act
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Chapter 9: Mental Health Services: a Combination of Systems
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Sample Questions
Q1) Mental illness, like physical illness, is defined the same way by every culture.
A)True
B)False
Q2) Mental illness has not posed a significant burden in the United States.
A)True
B)False
Q3) List three of the identified mental health care settings.
Q4) Discuss issues related to children and mental health.
Q5) This medical disorder involves the body, mood, and thoughts.
A) Alzheimer's
B) Schizophrenia
C) Depression
D) Anxiety disorder
Q6) Which disorder is predominantly associated with children?
A) Attention-deficit/hyperactivity disorder
B) Posttraumatic stress disorder
C) Schizophrenia
D) Generalized anxiety disorder
Q7) _______________ is a major concern of patients with mental illness because of the stigma and possible occupational repercussions if the condition were known. Page 13
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Page 14
Chapter 10: The Public Health System: the Governments
Role
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Sample Questions
Q1) Public health focuses on:
A) prevention issues.
B) curative medical care.
C) foundation support.
D) environmental health.
Q2) The principal agency responsible for protecting the nation's health is the:
A) Centers for Disease Control and Prevention.
B) Food and Drug Administration.
C) Department of Health and Human Services.
D) Health Resources and Services Administration.
Q3) List the functions from the Institute of Medicine's report.
Q4) This agency works to provide health care to people who live in areas where health care is not readily available.
A) Centers for Disease Control and Prevention
B) Department of Health and Human Services
C) Health Resources and Services Administration
D) Centers for Medicare and Medicaid Services
Q5) _______________ involves making sure that the necessary actions are always taken.
Q6) List three of the state health department's responsibilities. Page 15
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Chapter 11: Medical Technology, Pharmaceuticals, and Pharmacological Research
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Sample Questions
Q1) The medical technology industry reinvests _________% of sales in research and development.
A) 3
B) 5
C) 11
D) 20
Q2) In _______________ thousands of people participate in new drug testing.
Q3) Drugs purchased in the United States _______________ drugs in other countries. A) cost twice as much as B) cost three times as much as C) are equal in cost to D) are slightly less than the cost of
Q4) Technology in health care can be viewed both positively and negatively. Using cost, access, or the human aspect of health care, identify two advantages and two disadvantages of the increased use of technology in health care.
Q5) One of the greatest health care concerns in the United States is the cost of prescription drugs. Identify and explain two reasons for the cost of prescription drugs in the United States.
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Chapter 12: Healthcare Research and Prevention
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Sample Questions
Q1) Which of the following is not true about worksite-based programs for health promotion and disease prevention?
A) In one survey, 72% of employers provided education in lifestyle behaviors.
B) Plans to help employees quit smoking cost $0.89 to $4.92 per smoker compared to treating smoking-related illness at $6 to $33 per smoker.
C) For every $1 spent on wellness programs the employer saves $10 in health insurance costs.
D) In some programs employees receive monetary incentives to complete health assessments or participate in weight management or tobacco cessation programs.
Q2) Smoking remains a significant health concern. What percentage of people smoke?
A) 20%
B) 35%
C) 10%
D) 40%
Q3) List 4 of the 12 agencies of the DHHS.
Q4) Access to care is responsible for many of the health issues discussed in this chapter. Define this issue.
Q5) Describe the government research grant process.
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Chapter 13: Cultural Competency, Health Literacy, and Healthcare Ethics
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Sample Questions
Q1) Countries that meet the test for justice and fairness for their health care systems include all of the following except:
A) Great Britain.
B) United States.
C) France.
D) Japan.
Q2) Discuss Kantian theory and its application in health care ethics.
Q3) List 3 core values of American culture.
Q4) Kantian theory:
A) tells people they ought to treat others as they want to be treated themselves.
B) views health care as a basic right.
C) implies that health care resources should be allocated where they will do the most good.
D) states that each person is to have an equal right to basic liberties.
Q5) The life expectancy in Sweden is:
A) 85 years.
B) 81 years.
C) 67 years.
D) 77 years.
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Chapter 14: International Healthcare
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Sample Questions
Q1) Which of the following countries does not have a single payer system?
A) India
B) New Zealand
C) Taiwan
D) Cuba
Q2) The early French settlers founded Catholic hospitals in the:
A) 1600s.
B) 1700s.
C) 1800s.
D) 1900s.
Q3) Which of the following does not describe the Canadian health care delivery system?
A) It is described as a mixed system.
B) It is possible to have completely private health care.
C) The vast majority of care is provided through a single payer model.
D) It is described as a market economy model.
Q4) The Canadian system blends universal health coverage with private sector fee-for-service.
A)True
B)False
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