Eastern HSA3223 Midterm Exam Latest 2019 September

HSA3223 Management of Long Term Care Facilities

Midterm Exam

Question 1

What government
program was designed to cover medical expenses for the indigent who cannot
afford to pay for health services?

Social Security

Medicaid

Medicare

Affordable Care

Question 2

The long-term care
system works best when it maintains its focus on medical treatment, rather than
being distracted by nonmedical or nonclinical services.

True

False

Question 3

True or False: The insurance portability section of HIPAA,
while important to many consumers, does not have as much of an impact on the
long-term care industry as the provisions regarding privacy do.

True

False

Question 4

What government act or
legislation focused specifically on the quality of care in nursing facilities?

Omnibus Budget Reconciliation Act

Social Security Act

Medicare and Medicaid amendments

Affordable Care Act

Question 5

True or False: An instrument that measures the quality of a
facility by examining issues such as staff-to-client ratio would be considered
a process-based measurement.

True

False

Question 6

What type of care has
emerged recently as a way to bridge the gap for patients who no longer need to
be hospitalized but require more care than is offered in nursing facilities?

subacute

postacute

assisted living

skilled nursing

Question 7

True or False: Medicare reimbursement is available for
certified home health and hospice care providers, but not for adult day care.

True

False

Question 8

True or False: The Obama administration used its executive
discretion to delay implementation of some of the less popular portions of the
Affordable Care Act, such as raising taxes to help pay for it.

True

False

Question 9

True or False: A 2012 survey by NAHCH found that the
majority of home health agencies were based in a hospital, rather than freestanding,
independent facilities.

True

False

Question 10

One weakness of the
current long-term care system is that it focuses on payment availability. What is the primary reason for this focus?

it is a fragmented
system.

it is a
reimbursement-driven system.

there are multiple
entry points into the system.

services are
distributed unequally.

Question 11

True or False: Rather than simply maintain their current
quality of life, most seniors moving into senior housing want their quality of
life to improve.

True

False

Question 12

True or False: As hospitals have entered the long-term care
market, they have a competitive advantage over some of the other players
because they have sound infrastructures that are not overly hard to adapt in
order to meet the needs of long-term care consumers.

True

False

Question 13

True or False: While the consumers of long-term health care
represent a wide range of people, one clearly defined, consistent group is the
elderly.

True

False

Question 14

True or False: Regulations generated by the Occupational
Safety and Health Administration impact both the employees of nursing
facilities and the physical construction of those facilities.

True

False

Question 15

True or False: One of the major advantages of congregate
housing over the other types of senior housing options is that consumers have
the option to move between different units within the same facility as their
needs change.

True

False

Question 16

What reason did the
Supreme Court give for upholding the constitutionality of the individual
mandate of the Affordable Care Act?

It is a tax, and the president is allowed to
impose or raise taxes.

It is a fee for purchase, and Congress is
allowed to enact laws compelling consumers to purchase something that is in
their best interest.

It is a tax, and Congress is allowed to
impose or raise taxes.

It is a fee for purchase, and the president
is allowed to enact laws compelling consumers to purchase something that is in
their best interest.

Question 17

Which health insurance
exchanges are included as part of the ACA?

do not include plans
that have long-term care coverage.

include a range of
long-term care plans from which consumers have the option to choose.

automatically bundle
long-term care insurance with other healthcare insurance.

require consumers to
purchase both standard healthcare and long-term care insurance.

Question 18

True or False: While the Supreme Court did uphold the
individual mandate of the ACA, it also ruled, in a separate case, that states
had the right to opt out of the Medicaid expansion, since the cost to extend
Medicaid coverage would fall upon the states to pay.

True

False

Question 19

What was the intention
of provisions of the ACA such as the CLASS Act, the Community First Choice
Option, and the Balancing Incentive Payments Program?

to direct consumers
toward less expensive, often noninstitutional, forms of long-term care

to provide long-term
care coverage for hospitalized patients

to simplify access to
long-term care services and support for all consumers

to relieve the
financial burden on private-paying acute care consumers so they could remain in
the hospital as long as necessary

Question 20

True or False: Since assisted living facilities focus
primarily on quality of life and autonomy for consumers, they must contract
with outside agencies in order to provide healthcare services for their
residents.

True

False

Question 21

In an ideal long-term
care system based on the needs, rights,
and responsibilities of individuals, What term best describes the role of the consumer?

consumer-oriented

consumer-focused

client-centered

consumer-driven

Question 22

True or False: Whether a subacute care unit is freestanding
or physically housed within a larger facility, it will most likely be
afficialted with, or even owned and operated by, a hospital or nursing facility.

True

False

Question 23

What best describes
the goal of providing long-term care in the least restrictive environment?

allowing consumers to
remain home in all cases, if that is what they want to do.

ensuring that
long-term care services are user friendly.

delivering single-site
care availability for consumers.

providing consumers
with the highest level of independence possible.

Question 24

True or False: One difference between subacute care and
postacute care is that subacute care provides outpatient services, while
postacute care provides inpatient services.

True

False

Question 25

A quality measurement
that ensures that a facility administers medications on time, as prescribed, is
an example of what type of measurement?

outcome-based

structure-based

process-based

schedule-based

Question 26

How did HIPAA provide
an incentive for consumers to self-finance their own long-term care?

It expanded Medicare to cover long-term care
services.

It legalized certain public/private funding
options for long-term care insurance.

It made long-term care insurance premiums tax
deductible.

It eliminated the spend-down requirement for
Medicaid eligibility.

Question 27

Which philosophy is
the long-term care facilities base on
that is designed to serve consumers with a wide range of conditions, including medical,
social, and financial?

multidisciplinary
approach.

medical model of care.

social model of care.

residential approach.

Question 28

How has the ACA
impacted the ownership of nursing facilities?

Affiliations between hospital systems and
long-term care facilities have increased.

An increasing number are now part of a
national multifacility chain.

More are now owned by for-profit
organizations.

The number of government-owned facilities has
started to rise.

Question 29

How would an admission
to a nursing facility for a consumer who cannot remain at home because of
disabilities or care needs be best categorized?

physician-initiated
admission.

choice-based
admission.

need-driven admission.

family-initiated
admission.

Question 30

In most nursing
facilities, what is the biggest group of staff made up of?

certified nurse aids
(CNA)

occupational
therapists (OT)

registered nurses (RN)

kitchen and
maintenance workers.

Question 31

A postacute patient
with a medically complex condition requiring extended medical and
rehabilitative care over a stay of 25 days or more is an ideal consumer for
which type of care facility?

long-term care

inpatient
rehabilitation

skilled nursing

home health

Question 32

A patient who needs
continuing therapy or other monitoring would most likely be included in which
category of subacute care?

chronicsubacute care

generalsubacute care

Rational: Chapter 5
(p. 126-127)

“Lengths of stay
are somewhat longer for those receiving general subacute care than those in
transitional units. Patients needing
ongoing therapy or monitoring fall into this group. General subacute care units are apt to be
owned and operated by either hospitals or nursing facilities” (p. 127).

long-term transitional
subacute care

transitionalsubacute
care

Question 33

Why does sub-acute
care appeal to reimbursers such as Medicare, MCOs, and private insurance
companies, as an option to hospitalization?

They provide required services for consumers
at a lower cost.

The clear regulations make them easier to
work with.

The lack of regulations allows the reimburser
to set prices.

The reimburser has more control over the
services that are provided.

Question 34

What term best
describes a residential setting for seniors that might provide supportive
services?

independent living.

assisted living.

congregate housing.

a continuing care
retirement community.

Question 35

Who owns and operates
the overwhelming majority of assisted living facilities?

nonprofit
organizations

for-profit
organizations

managed care
organizations

the government

Question 36

What is the primary
reason residents move from an independent living community to an assisted
living facility?

desire to be closer to
family.

decreased independence
or functional ability.

increased functional
capacity.

dissatisfaction with
the services provided.

Question 37

Which type of charge
structure is used by assisted living facilities that involves offering
consumers various bundles of services at different prices?

fee-for-service model

all-inclusive rate
model

basic fee model

tiered-pricing model

Question 38

Of the various types
of senior housing options, which of the following could be described as simply
a housing arrangement, with little or no non-housing services provided?

cohousing

independent living

age-restricted
retirement communities

life care community

Question 39

A senior housing
complex is being built by a municipality to serve the needs of its
citizens. How would the ownership of this
facility be best defined?

publicly owned.

privately owned.

owned by an MCO.

owned by for-profit
investors.

Question 40

Which form of senior
housing may offer subsidized housing with extra amenities and also may accept
seniors on Supplemental Security Income?

continuing care
retirement communities

congregate housing

age-restricted housing

independent living

Question 41

What is the basic philosophy
of home health care?

give comfort and
support to the patient and his or her family.

approach health care
in a holistic manner.

provide services for
both the patient and the caregiver.

take the healthcare
services to the consumer.

Question 42

In what situation
would home health care be less cost-effective than institutionalized care?

when the consumer
needs nearly constant care

when the consumer
needs only sporadic care

None; it is always more cost-effective.

when the consumer
needs one-on-one care

Question 43

In what way does a
diversified patient population present a challenge that is somewhat unique to
hospice care providers?

The diverse population contributes an
emotional element to the management of a hospice care agency.

Management must be aware of the views of
death and dying held by people of different cultural and religious backgrounds.

The manager is required to serve as a
community ambassador in addition to the more conventional duties of management.

The diversity of economic standing adds
complexity to the ability to be properly reimbursed for services.

Question 44

While competition has
increased, why is the long-term care system not really a market-driven system
yet?

There are only a few major buyers.

MCOs dominate the marketplace.

There are only a few major sellers.

The consumers are not well-informed.

Question 45

What type of voluntary
cooperation between providers has been encouraged by provisions of the ACA?

shared purchasing to
achieve the economy of scale necessary for Medicare eligibility

access to health
records electronically by all providers, no matter which one entered the data

contracting the
services of a specific pool of care providers on an as-needed basis

the formation of
networks of providers who contract with Medicare to serve a defined patient
population

Question 46

What is a healthcare
system?

a single-ownership
form of integration

a formal alliance
among otherwise independent organizational entities

two or more
organizations that provide similar services forming an alliance for their
mutual benefit

an alliance of two or
more organizations providing services that are dissimilar but that are
interactive with each other

Question 47

Having information
about all consumers available at all provider sites of an integrated system is
a feature of which specific area of clinical information systems?

quality improvement

patient management

clinical guidelines

clinical outcomes

Question 48A federal
regulation that addresses the size of a facility would be included in which
general category of government regulations?

quality

process

structure

payment

Question 49

What term describes a
voluntary testimony of qualifications, not issued by the government?

registration

licensure

endorsement

certification

Question 50 What is
true about accreditation?

There are mandated penalties for not being
accredited.

It is given by private agencies that are
funded by the participating providers.

It is the process by which agencies are
listed as eligible to provide a regulated service.

It is required by law.