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Take this quiz to test your knowledge on advocacy in emergency medicine. Learn about key issues, challenges, and reforms in the field.
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Test Your Advocacy Knowledge! Prepared by: Nathaniel R. Schlicher, MD, JD Legislative Advisor, EMRA
Question 1 From 1996 to 2006, hospital numbers and patient visits changed by: • Hospitals increased by 8%, patient visits increased by 32% • Hospitals decreased by 8%, patient visits increased by 32% • Hospitals were nearly unchanged, patient visits increased by 32% • Hospitals decreased by 8%, patient visits increased by 10%
Specialty providers have been increasingly difficult to retain with gaps in on-call coverage. Which of these specialties was not in the top 5? Question 2 • Orthopedics • Plastic Surgery • Neurosurgery • Ear, Nose and Throat • Cardiothoracic Surgery
Which of these have contributed to the problems of access to emergency care? Question 3 • Lack of primary care providers • Uninsured patients • Declining Reimbursement • Hospital Closures • All of the Above
The ACEP Taskforce on Crowding gave three high-impact recommendations for rapid implementation and improvement in the overcrowding problem. Which of the following was not included as a high-impact solution? Question 4 • Additional Observation Units • Balanced Surgery Schedule • Coordinated movement of patients to inpatient areas • Discharge inpatients before noon
Historically, physicians needed hospitals to perform their services. This has changed in the modern era, leading to problems in consultant retention. Which of these has not been a part of the cause? Question 5 • Surgical Centers • Office-based Practices • Hospitalist Services • Licensing Reform
The placement of an emergency medicine residency-trained physician in every emergency department position is a goal of the specialty. Assuming no attrition (no deaths or retirements), at current training rates how many years would it take to achieve this? Question 6 • 6 years • 12 years • 18 years • 24 years • 30 years
The average Emergency Medicine Physician provides ________ dollars of uncompensated care under EMTALA per year. Question 7 • 51,000 • 88,000 • 138,000 • 172,000 • 205,000
The Access to Emergency Medical Services Act of 2007 intended to: Question 8 • Increase funding for EMS services through establishment of a federal agency • Provide funding for disaster preparedness under the Department of Homeland Security for improved EMS and hospital disaster coordination • Provide medical liability protection for EMTALA-related care • Expand the S-CHIPs program • Expand basic health coverage under state Medicaid programs
SGR stands for: Question 9 • Sustainable Growth Rate • Sustainable Growth Revenue • Standard Growth Rate • Standard Growth Revenue
The RUC calculates RVU rates based on multiple factors including all but: Question 10 • Value of the physician work • Value of the surgical services • Value of the practice expense • Amount of professional liability insurance • Geographic practice cost index
Physician Quality Reporting Initiative (PQRI) Measures established for emergency medicine in 2007 included all of the following except: Question 11 • Aspirin within 24 hours of arrival to the hospital • EKG for syncope • Mental status assessment for pneumonia • Ultrasound guidance for central line access • DVT prophylaxis for ischemic stroke within 2 days
The maximal number of years of graduate medical education for each individual physician is: Question 12 • 3 years • 4 years • 5 years • 6 years
Which agency recommends the rates for IME payments? Question 13 • Medicare Payment Advisory Commission • Center for Medicare and Medicaid Services • Department of Health and Human Services • Council on Graduate Medical Education
The average debt for each graduating public medical school physician is: Question 14 • 50,000 • 80,000 • 120,000 • 150,000 • 200,000
Which of the following reforms was not enacted in the last 10 years? Question 15 • Healthcare Savings Accounts • Children’s Health Insurance Program • Senior Drug Coverage • Massachusetts Universal Coverage • EMTALA
This state passed one of the pioneering MIRCA tort reform in 1975: Question 16 • Texas • New York • Illinois • California • Wyoming
Tort Reform has come in many forms. Which of the following has been the most successful reform in terms of the number of states that have enacted them? Question 17 • Non-Economic Damages Caps • Punitive Damage Caps • Economic Damages Caps • Attorney Fee Limitations • Structured payment reform
Which of the following boards was a sponsor of emergency medicine at its founding? Question 18 • Otolaryngology • Hand Surgery • Orthopedic Surgery • Critical Care and Pulmonology • Cardiology
The definition of the specialty of emergency medicine is under constant assault. Which of the following entities that does not require emergency medicine residency training recently was successful in Florida in becoming a ‘board-certifying’ body for emergency medicine in the eyes of the courts? Question 19 • National Board of Medical Examiners • American College of Surgery • American Association of Physician Specialists • American Association of Family Practice • American Association of Emergency Medicine
Which House of Representative Committee is (are) actively involved in the legislation involving health care? Question 20 • US House Committee on Energy and Commerce • US House Committee on Ways and Means • US House Committee on Health • A and B • All of the Above
Which Senator heads the US Senate Committee on Health, Education, Labor and Pensions? Question 21 • Tom Harkin • Hillary Clinton • Henry Waxman • Max Baucus
The American College of Emergency Physicians hosts this conference to introduce physicians to the concepts of legislative health policy: Question 22 • Scientific Assembly • Coding and Billing Conference • ED Directors Academy • Teaching Fellowship • Leadership and Advocacy
NEMPAC ranks as the ____ largest specialty political action committee based on member contributions. Question 23 • 2nd • 5th • 8th • 12th • 19th
The Medicare Trustees report of 2007 estimated that the total SGR rate reduction over the next 9 years required for budget neutrality would be: Question 24 • 10% • 20% • 40% • 60% • 80%
Large Metropolitan areas (1 million or more individuals) have a physician to population ratio of 262 to 100,000. In contrast, the ratio of physicians to population in rural areas (10,000 people or less) is: Question 25 • 301 to 100,000 • 221 to 100,000 • 157 to 100,000 • 72 to 100,000 • 43 to 100,000
Answers • A (Chapter XI) • C (Chapter XI) • E (Chapter XII) • D (Chapter XIII) • B (Chapter XIII) • A (Chapter XIV) • C (Chapter XIV) • D (Chapter XVII) • A (Chapter XVII) • E (Chapter XIX) • B (Chapter XX) • C (Chapter VIII) • D (Chapter VI) • B (Chapter III) • E (Chapter V) • E (Chapter II) • A (Chapter IV) • D (Chapter V) • B (Chapter VI) • C (Chapter VII) • C (Chapter VIII) • A (Chapter IX) • B (Chapter IX) • D (Chapter X) • C (Chapter XI)