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Chapter 9: Hospitals
Hospitals
| Question | Answer |
|---|---|
| Hospital Long Term Debt Financing Methods | 1. Debt financing- not-for-profits 2. Stock- propriety *Early collaborative efforts between hospitals centered around group purchasing power. |
| Three Central Lines of Authority For Hospital Organization | 1. Medical Staff 2. Administration 3. Board |
| Community Hospital | A classification of hospital that indicates a facility, usually a not-for-profit hospital that is developed in and operated by the community. |
| Syndicated Hospital | A for-profit hospital that has physicians as investor/owners. |
| Public Hospital | A government-supported hospital, at the federal, state, or local level. |
| Vertical Integration | A hospital extends its reach to capture and control more services that lead to inpatient hospitalization (without necessarily expanding its continuum of care: for example, hiring primary care physicians). |
| For-Profit-Hospital | A hospital that is organized as a legal, tax-paying entity, and financed by shareholders who expect some return on their investment (also called proprietary). |
| Free-Standing Hospital | A hospital unaffiliated with any other or with a hospital system. |
| 501(c)(3) Hospital | A not-for-profit hospital is organized as tax-free under the internal revenue service tax code section 501(c)(3). |
| Capitation | A payment system used in managed care in which the provider is paid a fixed, predetermined amount on a regular basis (usually monthly), for the provision of all covered benefits to the insure individual. |
| Average Length of Stay (ALOS) | A statistical average for the number of days a patient stays, as an inpatient in a hospital. |
| Teaching Hospital | A tertiary or higher-level hospital, including academic health centers, that participates in the on-dash site training of physicians and other types of health personel. |
| Disproportionate Share Hospital Payments (DSH) | Combined federal and state program that provides additional funding to hospitals that treat a higher percentage of medicare and/or medicaid patients. |
| Horizontal Integration | Development of a continuum of care, from health promotion to palliative care. |
| Hill Burton Act of 1946 | Funding to build hospitals in rural areas. |
| Not-For-Profit Hospital | Hospital structured as a 501(c)(3) organization under the IRS code.Profit from operations are reinvested in the organization. |
| Specialty Hospital | Provide services targeted to a specific disease or major human function/system (for example, an orthopedics hospital). * AHA reported that hospitals provided uncompensated care in the amount of $25 billion in 2004. |
| Certificate of Need (CON) | Required government bodies aided by consumer groups to review and approve or disapprove health facility capital expenditures, new and replacement projects. |
| Critical Access Hospitals (CAHS) | Rural hospitals that meet certain eligibility requirements to receive cash cost-based medicare reimbursement. |
| Sole Community Hospital | The only general, acute care hospital available in a service area. |
| Hospital System | The organization of a number of hospitals, from several to many, into a system that provides direction and administration services from a central office. |
Created by:
Princess Peach
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