Free CPHIMS Practice Test

1. What is the main feature of a healthcare organization (HCO)?

a. Similar medical services are offered at a central location
b. Different medical services are offered at a central location
c. Different medical services are offered at various locations
d. Healthcare providers refer patients to other providers within a network

2. What is the purpose of an epidemiologic planning model?

a. To measure the population base of a geographic area
b. To measure epidemic illnesses in an area
c. To determine the types of doctors working in a specific area
d. To determine the number of people needing the services of an HCO

3. How do healthcare organizations maintain a chain of communication between departments and the governing board?

a. The mesh model
b. Information technology systems
c. The executive committee
d. None of the above

4. Which of the following is an example of a secondary prevention of illness?

a. A flu shot
b. Prescribing pain medication
c. Performing a biopsy
d. Immunizations

5. What is the purpose of applying a decision model when diagnosing a patient's illness?

a. To determine which medication to prescribe
b. To order the correct lab tests
c. To ensure that the physical and monetary price of a procedure is necessary for proper treatment
d. To determine a specialist for referring the patient

Answers and Explanations

1. B: Because government regulations reduced the amount of money medical providers could charge for services, coupled with the fact that the government could not afford to pay for people without insurance, medical providers have had to respond by creating strategies to make money. Medical providers do this by creating criterion to evaluate their services against goals called benchmarks and by weighing themselves against others providing similar services. Many banded together in a central location with other providers offering different medical services to create healthcare organizations (HCOs). Centrally locating physicians means they can share expenses and work together to create cost-saving strategies. HCOs are convenient to patients, acting as a one-stop shop for medical services. Some diversity exists in the success of HCOs because their success largely depends on variables such as the type of customers within the population they service and the HCO's location.

2. D: The governing board must assess the need for growth of their healthcare organization (HCO). In order to determine how many people within the population surrounding an HCO will need to use its facilities for inpatient or outpatient care, an epidemiologic planning model is used. The model is used to determine what types of doctors will be needed based on past use. The model divides the actual usage of a hospital for either a particular procedure or number of customers in the previous year by the total number of the particular procedure or number of healthcare customers of the industry as a whole within a designated community for the previous year. An HCO can look at the results of past models to see if they were indeed accurate. This can help the HCO decide if a change has occurred in the marketplace and to identify specific types of people who need healthcare services.

3. A: Main leaders in healthcare organizations maintain oversight and communication with multiple departments and large numbers of people. There is a chain of communication that leads to the governing board in an accountability hierarchy, but many healthcare organizations are under a mesh system. This means that one person, who is the supervisor, has communication over many different channels, and the various departments have unique organizational goals that may be different from the main organization's goals. The mesh system leads to the creation of groups within the organization called service lines. Service lines reflect the needs of their specific patients rather than a generic goal. Objective measurements are used to evaluate service lines and if a service line is not functioning properly, it can be replaced. Service lines understand how easy they can be replaced and in return, function better to avoid it.

4. B: There are three types of prevention of illnesses: primary, secondary, and tertiary. When a shot is given to stop a person from getting sick or any action is taken to avoid an illness, primary prevention is applied. Once an illness has already been established in a patient, secondary prevention is used to lower the negative effects caused by the disease. In order to stop a sickness from happening again or to avoid unnecessary side effects of the disease, tertiary prevention techniques are followed.

5. C: By applying a decision model in the process of determining the best medical course of treatment, the patient can feel secure that whatever treatment is used will be beneficial and necessary. The patient can also feel secure that the doctor has not just based his or her treatment on a test, but rather has applied logic and weighed options before deciding the best course of action. Applying a decision model ensures that the physical and monetary price of a medical procedure is completely necessary for proper treatment. Many times there is more than one way to treat an illness, but applying the decision model assures that the best treatment is chosen. Applying a decision model in the beginning will avoid unnecessary time being wasted on incorrect treatments.


Last Updated: 04/18/2018

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