Final Exam

Question 1

Which way(s) was the arc of health policy universe in the US bending, before ACA?

Answer 1

Increased access
Increased quality
Increased equity
A+Q+E requires cost containment as well

Question 2

What were some of the common themes of US health care policy pre-ACA?

Answer 2

Bi-partisan
Expanded access, but
Mindful of cost

Question 3

What does “rat brain” mean in terms of 360 feedback?

Answer 3

Fight/flight/freeze
Triggered by feedback
Tell yourself stories–may not be true

Question 4

What is feedback?

Answer 4

An invitation to listen in on the conversating taking place around us.

Critical leadership skill. Taking feedback, understanding surroundings. Giving feedback, vital to team building and relationships.

Should be no confusion on feedback.
How we handle is critical.

Question 5

How does Joe Judge define leadership?

Answer 5

Combination of the IQ and the EQ
95% of all failures are EQ based
Surrounded by high IQs, EQ stands out

Question 6

Name the 4 dimensions of the leadership model that Joe shared.

Answer 6

Aptitude - What best at and what need to learn?

Trust - Best known for and areas of improvement?

Relationships - Who working with in order to be more successful?

Energy - What gives and drains your energy?

Question 7

Name at least 4 different characteristics of an effective team.

Answer 7

▪ Diverse skills/people
▪ Listen
▪ Open sharing
▪ Fun
▪ Trust
▪ Leadership
▪ Evaluation
▪ People growing

Question 8

Can you name at least 2 of the best practices for managing task conflict?

Answer 8

• Attach the problem not the people
• Normalize conflict - it’s healthy &expected
• Separate agreement from understanding
• Establishing boxing rings and campfires
• Invite outsiders with different views

Question 9

How can you increase your social capital?

Answer 9

• Analyze your own social network.
• Determine who your “brokers” are.
• Determine what relationships you “broker”.
• Identify “structural holes” in your company.
• Strategic network expansion

Question 10

In Professor Zajac’s session on strategy formulation, he offered a historical perspective on different strategy frameworks spanning several years. Can you name these frameworks and the decades they covered?

Answer 10

1960’s—Long Range Planning Orientation (Forecasting & SWOT)

1970s—Corporate orientation (BCG Matrix)

1980’s—Competitive Orientation (Porter’s 5 competitive forces)

1990’s—Competency Orientation (Core Competencies)

2000’s—Customer Orientation (knowing your customers and their needs)

Now—Era of Confidence (now/integrity,
trust, we’re using our competencies for your benefit)

Question 11

What are two reasons why strategies fail?

Answer 11

Bad formulation

Bad implementation

Time spent: Usually people put 80% blame on implementation and 20% strategy, but they are spending 80 & oftime on strategy and 20 % implementation.

Under-investment in implementation plan.

Strategy has been hijacked by formulators.

Question 12

What are the three commandments for managing change?

Answer 12

Know thy Mission

Know thy Self

Know thy Organization

Question 13

What are the four elements of a VUCA environment?

Answer 13

Volatile

Uncertain

Complex

Ambiguous

Question 14

What are the four counter-elements to a VUCA environment?

Answer 14

Vision

Understanding

Clarity

Agility

Question 15

What are at least three factors that enable an organization to compete in a VUCA environment?

Answer 15

Culture that Prizes Agility

Intent Statements

Practical Drift and Routine/Rigorous Reflection

Application: Pre-Mortums

Question 16

What is B.A.T.N.A.?

Answer 16

Best Alternative to a Negotiated Agreement – what you will do if you cannot reach an agreement with the party with whom you are negotiating. OUTSIDE the negotiation. Constantly try to improve your BATNA.

Question 17

What is your key source of power in Win-Win Negotiating?

Answer 17

Ability to walk away.

Question 18

In a negotiation, should you make the first offer?

Answer 18

Yes. Gives you a strategic advantage.

Question 19

What are at least two recent policy changes that have a cumulative impact on health plans?

Answer 19

Inflation Reduction Act
RADV Rule
MA Rate Notice
Prior Auth and Interoperability

Question 20

What can companies/industries can do to hold divisible forces accountable?

Answer 20

• be a force for moderation
• build consensus
• defend facts
• pull $ of platforms dealing misinformation
• support leaders and media that build consensus and common ground

Question 21

What does it take to navigate a polarized world?

Answer 21

• be trustworthy information source
• base what you do on science & facts
• avoid aligning with a single political party
• act on the same values over time
• link your actions to your bottom line
• the facts are your friend

Question 22

Describe how you will use the learnings and 360 feedback from the ELP program to advance your
leadership action plan within your organization.

Answer 22

• Team building
• Risk taking
• Vision setting and strategy
• Empowered to be a change agent
• Confident in abilities
• Money isn’t most important factor
• Community, culture, shared commitment

Question 23

Why do stories matter in healthcare?