What is referred to as an "informed consent?"

Rationale:

A. Promotes the use of performance measurements in health care: This answer describes the purpose of quality indicators in general but does not specifically address the macro perspective.

B. Focus on individual services at the point of delivery: This describes the micro perspective, which focuses on specific aspects of care delivery.

C. Reflect the performance of the entire health care delivery system: The macro perspective of quality indicators looks at the overall performance of the entire healthcare system, including factors such as access, effectiveness, and efficiency.

D. Look at the performance of an individual or organization: While this may be a component of quality measurement, it does not encompass the broader view of the macro perspective.

Rationale:

A. Church-owned hospital that serves a unique spiritual purpose: While some private nonprofit hospitals may be affiliated with religious organizations, not all of them are church-owned.

B. Nongovernment and privately owned: Private nonprofit hospitals are typically nongovernmental institutions that are owned and operated by private organizations, such as community groups, foundations, or healthcare systems. They are organized as nonprofit entities and reinvest any profits back into the hospital's operations and community services.

C. Often located in large urban areas: Private nonprofit hospitals can be found in both urban and rural areas and are not specifically defined by their location.

D. Offer a substantial amount of charity care: While many private nonprofit hospitals provide charity care and community benefit programs, this characteristic alone does not define them as private nonprofit hospitals.