LEARNING HOW TO MANAGE THE HEALTH CARE ORGANIZATION Flashcards
The most likely single cause for the series of bankruptcies among larger nursing home chains around the year 2000 was ___.
- Too small increases in government reimbursement rates
- Paying too much for acquisitions in 1998 and 1999
- Not taking advantage of falling interest rates
- Thinking too small
Paying too much for acquisitions in 1998 and 1999
In a chance conversation with the owner of an eight facility chain, the newly hired administrator for the oldest facility in the chain indicates that, since the mortgage is fully retired, he will concentrate more on being effective than efficient since his Quality Indicators are all at or above his state’s average. The owner would likely ___.
- Be pleased
- Be distressed
- Be content
- Praise the newly hired administrator
Be distressed
Occupancy of SNF A has been a steady 70% since Prospective Payment System was introduced. Two weeks ago, a new 120 bed equally equipped SNF opened several blocks away. The SNF A administrator tells the admissions counselor to continue the usual recruitment approach. The chain owners ought to ___.
- Rest comfortably
- Seek a new administrator
- Appoint a new admissions counselor
- Take no action
Seek a new administrator
Bankruptcies among larger nursing home chains prior to 2000 were ___.
- Frequent
- Ubiquitous
- Highly unusual
- Routinely declared to avoid too much accumulated debt
Highly unusual
Under PPS, nursing facilities’ reimbursed costs ___.
- Were about the same as earlier
- Were more bundled
- Used unbundled cost structure
- Were reimbursement for actual costs
Were more bundled
In recent years Medicare has ___.
- Allowed facilities to make a modes profit
- Shifted more costs onto nursing facilities
- Eased up on economic pressures previously placed on facilities
- Remained relatively unchanged in its reimbursement structure
Shifted more costs onto nursing facilities
The nurse newly promoted to Director of Nurses insists on giving four RN hours of patient care each day on the Alzheimer’s wing in the 175 bed facility. The administrator should ___.
- Praise the new DON for her resident-centeredness
- Appoint an assistant DON
- Adapt the job description to fit her pattern
- Seek a new DON
Seek a new DON
The applicant for the administrator position in a facility near a large teaching hospital who insists that, if hired, as before with his rural facility, he would not let the Medicare reimbursement policies affect his case mix ___.
- Should be hired
- Is likely to succeed if hired
- Can likely succeed in his goals
- Is out of touch
Is out of touch
The newly hired assistant to the administrator insists the organizational chart line between his position and the Department of Nursing be a solid line. The administrator should ___.
- Agree in general
- Agree to this special case
- Ask the DON for his/her opinion
- Be forewarned
Be forewarned
The medical supplies provider tells the administrator of a facility that has not paid bills the past 3 months, but is now operating under a bankruptcy judges’ approved plan for restructuring, that no more deliveries will be made until past bills are fully paid. The medical supplies provider ___.
- Is smart to cut losses a that point
- Does not understand how bankruptcy works
- Will now likely get his past due bills paid
- Is farsighted
Does not understand how bankruptcy
An administrator who adopts the management by walking around (MBWA) approach by walking through the building and intently observing weekly has ___.
- Become an effective leader
- Chosen a good management style
- Failed to understand MBWA
- Implemented a useful strategy
Failed to understand MBWA
The nursing facility administrator who, using the management by walking around MBWA technique, succeeds in actually making appropriate corrections on the spot during the rounds ___.
- Is effectively implementing the concept
- Gains additional power through the process
- Exhibits appropriate leadership
- Doesn’t understand MBWA
Doesn’t understand MBWA
The rate of increase in the total number of nursing facilities in the US during the years 2008-2012 is ___.
- Likely to be about level
- Likely to double
- Likely to triple to accommodate the baby boomer generation
- Likely to decrease markedly
Likely to be about level
The applicant for administrator of the facility insists that he has successfully used democratic leadership to the exclusion of all other leadership styles. The interviewer should ___.
- Recommend hiring this candidate
- Praise the candidate
- Be favorably impressed
- Continue to interview candidates
Continue to interview candidates
The candidate for administrator said she used a variety of administrator styles, but couldn’t say exactly which she would use in every circumstance. The interviewer should be ___.
- Favorably impressed
- Unfavorably impressed
- Concerned about possible indecisiveness
- Looking for one leadership style
Favorably impressed
The candidate for administrator indicated that she consistently chased the charismatic type of leadership. This should ___ the interviewer.
- Reassure
- Alert
- Confirm the candidate’s qualifications to
- Please
Alert
The costs of providing subacute care to nursing home residents ___.
- Is perhaps triple that of the more typical patient
- Covered by Medicare
- Absorbed by Medicaid if Medicare coverage is inadequate
- Mostly covered by private insurance
Is perhaps triple that of the more typical patient
The nurse supervisor who had just been appointed DON announced at the first department head meeting that she had circulated a memo among the nurses that only formal communications were to be allowed in the nursing department. The administrator should ___.
- Be relieved
- Confirm the decision
- Be supportive
- Anticipate problems
Anticipate problems
The department head was not surprised to learn that the employee had only heard his positive comments to the employee and ignored his criticisms. The department head’s grasp of the communication process is ___.
- Deficient
- Appropriate
- Out of focus
- Inadequate
Appropriate
The administrator routinely accepted as his nearly exclusive information source the director of nursing’s positive reports on how nursing was going well. The administrator is ___.
- Showing appropriate confidence in the DON
- Utilizing the DON properly
- Realizing a successful appointment has been made
- Placing him at risk
Placing him at risk
Periodic shortage of nurses available for nursing home employment ___.
- Is being solved by community college programs
- Is decreasing
- Can be readily solved by hiring temporary nurses
- Is likely to remain for the foreseeable future
Is likely to remain for the foreseeable future
Congress and the federal rule makers behave as if the facility will run successfully if Congress and CMS can write enough rules. They are ___.
- Incorrect
- Correct, according to behavior theory
- Pessimistic about the need for rules
- Correct, according to emerging management theory
Incorrect
When the administrator notices that the DON seeks to turn as many duties as possible over to housekeeping, the administrator should conclude that the DON is __.
- Behaving normally
- Holding a grudge against housekeeping
- Unwilling to be cooperative
- Wielding power desirably
Behaving normally
The administrator insists that a timely copy of all reports generated within the facility com across her desk before anyone signs them. The administrator is ___.
- Not rationalizing her management information system
- Making appropriate and desirable requests
- Exercising good judgement
- Initiating an appropriate management information system
Not rationalizing her management information system
