5300 Quiz 1 Flashcards
Which of the follow items in the health care arena does not show an emphasis on the bottom line?
Inability to fill vacant positions, even when there is an over supply of some professional groups
Which of the following is NOT an outcome when a hospital focuses too much on costs and not enough on human concerns?
Successful reengineering efforts
How does managed care help reduce health care costs?
Lower cost through restricting payments and access to health care services
What percentage of employees who have health care benefits are enrolled in managed care plans?
85%
Of the following, which HAS NOT been an outcome of managed care on delivery of various health care services?
lost coverage when their HMO would no longer accept their Medicare cards for payment
How have hospitals and doctors been affected by changes in Medicare spending?
Reduced reimbursements
How have Medicare recipients been impacted by the managed care movement? Many Medicare recipients
lost coverage when their HMO would no longer accept their Medicare cards for payment
What fact must be kept in mind when marketing health care?
Most patients do not select or pay for their own health care
What has been the impact of a flattened organization on health care professionals as first-line managers?
Broader scope of responsibility and increased span of control
Which of the following is NOT an essential principle for success as a health care manager?
Assert yourself as THE most important team member
Above all else, what skill must a manager possess to be effective in today’s health care arena?
Self-motivation
What is the major human resource problem faced by today’s health care manager?
Poor morale
What can you do to enhance your chances of job security in the health care field?
Continually learn, grow, and change
What is the single most forceful factor driving change in health care?
Costs
What is required for viability in a health care organization?
A balance of the bottom line concerns with the human concerns
What propelled the adoption of managed care?
Employers attempt to contain health care benefit costs
Why is self-motivation an essential quality for a health care supervisor today?
Leaders’ attitudes must be positive to enhance morale and motivation among employees
When considering reengineering, you should begin the process by establishing what?
desired outcomes
What is one constant in reengineering?
A reduction in the workforce
The U.S. Equal Employment Opportunity Commission (EEOC)
Enforces Federal Equal Employment Opportunity (EEO) Laws. Provides oversight & coordination of all federal equal employment opportunity regulations, practices, & policies.
Title VII of the Civil Rights Act of 1964
Prohibits employment discrimination based on race, color, religion, sex, or national origin
Equal Pay Act of 1963
Protects men and women who perform substantially equal work in the same establishment from sex-based wage discrimination.
Age Discrimination in Employment Act of 1967
Protects individuals who are 40 years of age or older.
Title I & Title V of the Americans w/ Disabilities Act of 1990
Prohibit employment discrimination against qualified individuals with disabilities in the private sector, and in state and local governments.
Sections 501 & 505 of the Rehabilitation Act of 1973
Prohibit discrimination against qualified individuals w/ disabilities who work in the federal gov.
Title II of the Genetic Info Nondiscrimination Act of 2008 (GINA)
Prohibits employment discrimination based on genetic info about an applicant, employee, or former employee
Civil Rights Act of 1991
Provides monetary damages in cases of intentional employment discrimination
Title VII
Prohibits intentional discrimination, and practices that have the effect of discriminating against individual because of their race, color, national origin, religion, or sex.
Immigration Reform & Control Act (IRCA)
Requires employers to assure that employees hired are legally authorized to work in the U.S. Verification must be obtained from all applicants
What is the difference in health care management and management in industry? In health care, management is different because hospitals
tend toward the cooperative motivation system
How would you characterize the job organization system?
Repetitive work is dominant. Advanced and detailed approach to management. Jobs lend themselves to high degree of organization
What is the basis for the cooperative motivation system?
Work is highly variable; jobs not defined in great detail
What is required to fulfill the principle of supportive relationships that Likert deemed essential for participative management?
Relations based on trust, respect, and personal worth. Group decision making and reciprocal influence. High performance expectations – setting challenging goals
As manager of a maintenance department, what factors must Morton consider when dealing with Thompson’s job performance?
Employe initiative, motivation, and self confidence
Why is it difficult to modify job descriptions, fostering less rigidity and greater employee flexibility and initiative?
Union contracts limit management ability to change job descriptions
What external factors influence how health care managers do their jobs?
Cost containment. Competition among hospitals. Focus on excellence in quality care.
In health care management, who is a functional specialist? One who…
is a practicing health care professional
What are examples of the work of a management generalist?
Scheduling, personal management, budgeting
What is the Peter Principle?
In a hierarchy every person tends to rise to his level of incompetence
What can a health professional promoted to management do to avoid incompetence?
Continual management development
What are the major responsibilities of health care management?
High quality patient care. Employee need for security and challenging work. Accountability ot the board of trustees and the community to fulfill the stated mission.
What is a major source of conflict for health care managers?
Needs of patients, employees, or the community within limits of available resources
Bottom line, what is the nature of health care supervision?
Getting things done through people
What does Sandra (presented in the chapter situation) need to learn?
Participative management does not mean giving up responsibility
How would you categorize responsibility for this task: provide patient education?
Functional specialist
How would you categorize responsibility for this task: do paperwork for the biweekly payroll?
management generalist
How would you categorize responsibility for this task: enforce employee policies regarding sick leave and vacation days?
management genreralist
How would you categorize responsibility for this task: update job descriptions?
management generalist
How would you categorize responsibility for this task: administer a patient treatment?
management generalist
How would you categorize responsibility for this task: develop a strategic plan?
management generalist
How would you categorize responsibility for this task: develop procedures for use of specialized equipment?
functional specialist
How would you categorize responsibility for this task: represent your department on a multidisciplinary team?
functional specialist
How would you categorize responsibility for this task: coordinate patient care services?
management generalist