What are some legal and ethical issues that hospitals face? Select all that apply.

Rationale:

A. Has an organized physician staff: This describes one characteristic of managed care organizations (MCOs), but it does not fully define managed care itself.

B. Managed care is a mechanism of providing health care services: Managed care refers to a system or approach to healthcare delivery that aims to manage and coordinate healthcare services

to improve quality, control costs, and optimize outcomes. It involves mechanisms such as provider networks, utilization management, and financial incentives to achieve these goals.

C. An institution with at least six beds and that delivers diagnostic and therapeutic services for medical conditions: This describes a hospital rather than managed care.

D. Provide continuous nursing service under RNS: This describes a specific nursing service and is not a comprehensive definition of managed care.

Rationale:

A. Prospective Payment System (PPS): PPS was introduced in the 1980s and aimed to control healthcare costs by reimbursing hospitals based on predetermined rates for services provided. While it had an impact on hospital operations, it did not directly contribute to the growth of hospitals.

B. The growth of managed care: Managed care emerged as a significant force in healthcare delivery in the latter part of the 20th century, but its impact on hospital growth was more complex, including efforts to control costs and utilization.

C. Technological advances: Advances in medical technology, such as diagnostic imaging, surgical techniques, and pharmaceuticals, played a significant role in the growth of hospitals by expanding their capabilities to diagnose and treat a wider range of conditions.

D. Increased use of skilled nursing: While skilled nursing facilities and services are important components of the healthcare system, they did not directly contribute to the growth of hospitals during this period.