MPH Master of Public Health: Organization of Health Services & Systems 3

Question 1

Which regulatory mechanism requires hospitals to obtain state approval before adding expensive new services or equipment?

Accepted Answer

Certificate of Need (CON) laws

Answer

CON laws require health care facilities to demonstrate community need and receive state approval before expanding capacity or purchasing major equipment.

Question 2

In the context of health systems, 'horizontal integration' refers to:

Accepted Answer

Merging hospitals with the same level of care

Answer

Horizontal integration occurs when organizations at the same level of the care continuum merge, such as two hospitals or multiple clinics forming a network.

Question 3

Which financing concept describes a situation where individuals without insurance use emergency departments for non-emergency primary care?

Accepted Answer

Cost shifting

Answer

Cost shifting occurs when uncompensated care costs incurred by uninsured patients are offset by charging higher prices to insured patients or payers.

Question 4

The Donabedian model evaluates health care quality along which three dimensions?

Accepted Answer

Structure, process, outcomes

Answer

Avedis Donabedian proposed evaluating quality through structure (resources and settings), process (what is done), and outcomes (effects on health).

Question 5

Which federal law mandates that hospitals provide emergency stabilizing treatment regardless of a patient's ability to pay?

Accepted Answer

EMTALA

Answer

The Emergency Medical Treatment and Labor Act (EMTALA) prohibits hospitals with emergency departments from refusing emergency care based on insurance status or ability to pay.

MPH - Master of Public Health Practice Test

MPH - Master of Public Health Practice Test

MPH Master of Public Health: Organization of Health Services & Systems 3