Test Your Advocacy Knowledge!

Prepared by:Nathaniel R. Schlicher, MD, JD

Legislative Advisor, EMRA

Question 1

A. Hospitals increased by 8%, patient visits increased by 32%

B. Hospitals decreased by 8%, patient visits increased by 32%

C. Hospitals were nearly unchanged, patient visits increased by 32%

D. Hospitals decreased by 8%, patient visits increased by 10%

1. From 1996 to 2006, hospital numbers and patient visits changed by:

2. Specialty providers have been increasingly difficult to retain with gaps in on-call coverage. Which of these specialties was not in the top 5?

A. Orthopedics

B. Plastic Surgery

C. Neurosurgery

D. Ear, Nose and Throat

E. Cardiothoracic Surgery

Question 2

3. Which of these have contributed to the problems of access to emergency care?

A. Lack of primary care providers

B. Uninsured patients

C. Declining Reimbursement

D. Hospital Closures

E. All of the Above

Question 3

4. 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?

A. Additional Observation Units

B. Balanced Surgery Schedule

C. Coordinated movement of patients to inpatient areas

D. Discharge inpatients before noon

Question 4

5. 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?

A. Surgical Centers

B. Office-based Practices

C. Hospitalist Services

D. Licensing Reform

Question 5

6. 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?

A. 6 years

B. 12 years

C. 18 years

D. 24 years

E. 30 years

Question 6

7. The average Emergency Medicine Physician provides ________ dollars of uncompensated care under EMTALA per year.

A. 51,000

B. 88,000

C. 138,000

D. 172,000

E. 205,000

Question 7

8. The Access to Emergency Medical Services Act of 2007 intended to:

A. Increase funding for EMS services through establishment of a federal agency

B. Provide funding for disaster preparedness under the Department of Homeland Security for improved EMS and hospital disaster coordination

C. Provide medical liability protection for EMTALA-related care

D. Expand the S-CHIPs programE. Expand basic health coverage under state Medicaid

programs

Question 8

9. SGR stands for:

A. Sustainable Growth Rate

B. Sustainable Growth Revenue

C. Standard Growth Rate

D. Standard Growth Revenue

Question 9

10.The RUC calculates RVU rates based on multiple factors including all but:

A. Value of the physician work

B. Value of the surgical services

C. Value of the practice expense

D. Amount of professional liability insurance

E. Geographic practice cost index

Question 10

11.Physician Quality Reporting Initiative (PQRI) Measures established for emergency medicine in 2007 included all of the following except:

A. Aspirin within 24 hours of arrival to the hospital

B. EKG for syncope

C. Mental status assessment for pneumonia

D. Ultrasound guidance for central line access

E. DVT prophylaxis for ischemic stroke within 2 days

Question 11

12.The maximal number of years of graduate medical education for each individual physician is:

A. 3 years

B. 4 years

C. 5 years

D. 6 years

Question 12

13.Which agency recommends the rates for IME payments?

A. Medicare Payment Advisory Commission

B. Center for Medicare and Medicaid Services

C. Department of Health and Human Services

D. Council on Graduate Medical Education

Question 13

14.The average debt for each graduating public medical school physician is:

A. 50,000

B. 80,000

C. 120,000

D. 150,000

E. 200,000

Question 14

15.Which of the following reforms was not enacted in the last 10 years?

A. Healthcare Savings Accounts

B. Children’s Health Insurance Program

C. Senior Drug Coverage

D. Massachusetts Universal Coverage

E. EMTALA

Question 15

16.This state passed one of the pioneering MIRCA tort reform in 1975:

A. Texas

B. New York

C. Illinois

D. California

E. Wyoming

Question 16

17.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?

A. Non-Economic Damages Caps

B. Punitive Damage Caps

C. Economic Damages Caps

D. Attorney Fee Limitations

E. Structured payment reform

Question 17

18.Which of the following boards was a sponsor of emergency medicine at its founding?

A. Otolaryngology

B. Hand Surgery

C. Orthopedic Surgery

D. Critical Care and Pulmonology

E. Cardiology

Question 18

19. 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?

A. National Board of Medical Examiners

B. American College of Surgery

C. American Association of Physician Specialists

D. American Association of Family Practice

E. American Association of Emergency Medicine

Question 19

20.Which House of Representative Committee is (are) actively involved in the legislation involving health care?

A. US House Committee on Energy and Commerce

B. US House Committee on Ways and Means

C. US House Committee on Health

D. A and B

E. All of the Above

Question 20

21.Which Senator heads the US Senate Committee on Health, Education, Labor and Pensions?

A. Tom Harkin

B. Hillary Clinton

C. Henry Waxman

D. Max Baucus

Question 21

22.The American College of Emergency Physicians hosts this conference to introduce physicians to the concepts of legislative health policy:

A. Scientific Assembly

B. Coding and Billing Conference

C. ED Directors Academy

D. Teaching Fellowship

E. Leadership and Advocacy

Question 22

23.NEMPAC ranks as the ____ largest specialty political action committee based on member contributions.

A. 2nd

B. 5th

C. 8th

D. 12th

E. 19th

Question 23

24.The Medicare Trustees report of 2007 estimated that the total SGR rate reduction over the next 9 years required for budget neutrality would be:

A. 10%

B. 20%

C. 40%

D. 60%

E. 80%

Question 24

25.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:

A. 301 to 100,000

B. 221 to 100,000

C. 157 to 100,000

D. 72 to 100,000

E. 43 to 100,000

Question 25

1) B (Chapter III)

2) E (Chapter V)

3) E (Chapter II)

4) A (Chapter IV)

5) D (Chapter V)

6) B (Chapter VI)

7) C (Chapter VII)

8) C (Chapter VIII)

9) A (Chapter IX)

10) B (Chapter IX)

11) D (Chapter X)

12) C (Chapter XI)

Answers

13) A (Chapter XI)

14) C (Chapter XI)

15) E (Chapter XII)

16) D (Chapter XIII)

17) B (Chapter XIII)

18) A (Chapter XIV)

19) C (Chapter XIV)

20) D (Chapter XVII)

21) A (Chapter XVII)

22) E (Chapter XIX)

23) B (Chapter XX)

24) C (Chapter VIII)

25) D (Chapter VI)