Practice Quiz 3 Flashcards
One way that healthcare executives can avoid or minimize the negative implications of conflict of interest is to
Make the conflict known to those in superior positions.
The principles of quality improvement require that healthcare executives change their management philosophy from:
finding fault with employees to finding problems in processes.
What type of problem arises when a healthcare executive knowingly allows the organization to continue double billing?
An actual conflict of interest, even absent a direct economic benefit to the healthcare executive.
A unit of measure commonly used to determine physicians’ clinical productivity
RVU
Third-party reimbursement methods provides the largest financial incentive for the provider to reduce cost
Prospective payment
Statements of earnings, financial positions, changes in financial position and retained earnings are required to be submitted yearly by all:
Publicly owned healthcare organizations.
Example of a capital expenditure
A building with a useful life of 20 years
Correct order of stages for accomplishing organization change:
Identifying
Planning
Implementation
Evaluation
Boards make better strategic decisions if they use information that is
focused on measurable outcomes of service quality and economic vitality.
The central role of the health services organization board includes all of the following
Support in managing important service programs or departments
The first role of the governing body is to
Set objectives and develop policy to guide the organization in achieving its mission
Internal members of the healthcare organization’s governing body
Often include the CEO, medical director, and CFO
In assessing the advantage of using a focus group over a survey in evaluating a program, one could say that focus groups
Are more useful in designing improvements to a program.
From a marketing viewpoint, the development of standards of practice, clinical pathways, clinical guidelines and protocols can all be viewed as efforts to deal with which unique aspect of delivering services
Heterogeneity
What purpose do market plans fulfill for the healthcare organization
Provide specific objectives for utilization attainment the next fiscal year.
The five major functions of marketing are:
Identifying markets, Promoting the organization, Managing external relationship, Convincing patients to select the organization, Attracting capable workers.
Forecasting organizational need for Human Resources by focusing on specific position openings that are likely to occur and using these planning is called:
Demand-pull approach
A health services organization should use the following sequential processes to help establish Human Resources (HR) objectives and policies
Analyze the current HR situation,
Forecast HR demand,
Reconcile with the budget,
Forecast HR supply.
Probability models that forecast the internal flow of employees from one job category to another use a:
Transition matrix
Forecasting the internal supply of employees as they move from their current jobs into others through promotions, lateral moves and terminations is called:
Supply-push approach
The conflict management strategy that would have the most immediate effect on reducing conflict behavior?
Imposition of formal authority to resolve or suppress conflict.
Multi-rater assessment (360 degrees feedback) of managers in healthcare organization is best used:
In the development of a specific action plan by appraises.
Behaviorally anchored rating scales (BARS) for specific jobs can be:
Used to identify components of job behaviors.
If the amount of charity care increases from one reporting period to the next
Unrestricted net assets would decrease
Which would be a reasonable basis on which to allocate administrative overhead costs
Amount of supplies used.
The effective cost of debt is roughly the same for both not-for-profit and investor-owned organizations because:
The tax deductibility of interest for investor-owned firms offsets the lower coupon rate on tax-exempt debt.
The master site plan (or master facility plan) for a healthcare organization:
Describes future facility needs (either renovation or new construction) necessary to meet strategic and operational needs.
Statistics budget
Provides input date for other budgets.
All areas of healthcare facilities are subject to safety, convenience and other regulatory requirements as dictated by the state life safety codes, JCAHO, OSHA, state fire marshal, etc. which area of the facility typically has the highest standards?
Patient care areas
The best way to reduce/contain the costs of distributing supplies throughout an organIzation is to:
Minimize the number of times an item is handled from the time it is received by the organization to the time it is used.
The objective of maintenance and repair services is to keep the facility and its equipment operating like new. This goal is best achieved by emphasizing
Prevention
The facility’s plan for a healthcare organization may include plans for renovation or new construction, energy requirements, acquisition of new property, financing options, etc. However, the facility plan begins with an estimate of each service or department’s
Operational needs
An important management principle that should guide the development of information systems in healthcare organization is to
Treat information as an essential organizational resource.
A major priority for system development in the managed care environment
Development of operational inpatient systems
The best source of information to help a healthcare organization improve its existing service
Weekly meetings with staff members to determine organizational deficiencies.
An asset
Property
Plant
Equipment
Statement about short-term debt reduces liquidity
Increased use of short-term debt reduces liquidity.
Likely to provide useful information for evaluating the profitability of a hospitals managed care business
Changes
A master patient index (MPI) can best be described as
A relational database containing all identification numbers assigned to patients.
A typical use of the Internet by healthcare organizations is to
Advertise services available to the community
Best way to facilitate information system integration within a healthcare organization is to
Standardize data definitions and data structures
Developing technology that will help control unauthorized access to computerized information
Biometric access control devices
In negotiating a contract for an information system, healthcare organization’s should
Form a negotiating team and utilize legal counsel.
Most important factor to consider in evaluating vendor software packages
Ability of the software to interface with existing systems
The CIO for a healthcare organization is typically responsible for
Information systems and telecommunications
In selecting an information systems, a consultant can best be used to
Provide technical information and an outside prospective
The Information Systems Steering Committee for a healthcare organization should perform
Information systems planning,
Selection of software and
development of related organizational policies.
Primary functions of the information services department
Ensuring the integrity, quality, and security;
Archiving and retrieving data;
Training and supporting users.
Information system departments utilize the following methods to ensure confidentiality
Issue security codes and limit access to the system
Who has the primary responsibility to assure and maintain the integrity and security of electronic data in a healthcare organization
The Information Services Department
An efficient Formulary and Therapeutics Committee in many hospitals evaluates
Symptoms of adverse reactions;
Contraindications;
Specific drug in terms of appropriateness to caseload
Healthcare organizations often utilize special purpose software which allows rapid access to large archives of integrated data to assist management with decision making. This is referred to as
Executive decision support system
The most common cause of adverse drug events (ADEs)
Lack of knowledge of drug
The primary advantage of the corporate form of organization for a healthcare provider
It has limited liability
Law of tradition have established basic criteria for healthcare governing boards. One criteria is that:
The actions of the board are reasonable and prudent
Continuous quality improvement assumes that
There is no upper limit to excellence
Which beat describes the responsibility of a hospital with an emergency department (ED) when a person comes to the ED for Examination or treatment?
The hospital must provide an appropriate medical screening to determine whether an emergency condition exists and, if so, stabilize the condition.
First major law to have a significant impact on individual privacy in the workplace?
Civil Rights Act
How does physician self-referral or Stark Laws apply to Medicare payments?
The law prohibits a provider from presenting a claim to Medicare or to any person or other entity for a prohibited DHS referral.
A advantage of an effective Corporate Compliance Program for a healthcare organization.
Initiating immediate and appropriate corrective action;
Developing processes to allow employees to report potential problems;
Identifying and preventing criminal and unethical conduct.
A privilege of confidentiality exists in a physician-patient relationship when the physician-acquired information is
Related to the care and treatment of the patient
Participating providers in the federal Medicare program must
Meet the conditions of participation
Physician organization responsible for accrediting residency training program
ACGME
Important aspects to consider when establishing a joint venture
Joint ventures involve capital investment by all parties, can be difficult to dissolve, and are usually expected to be permanent.
A balance scorecard is a set of performance measurements used to
Ensure the organization does not exceed one performance metric at the expense of another
Maslow’s Hierarchy of Needs from correct order from bottom to top
Physiological, safety, belonging, esteem, self-actualization
Communication Health Intranet Network (CHINs) were developed for what purpose?
To provide a community-based hub for sharing health information.
Organizational theory is illustrated by governing activities with explicit and specific procedures, arranging offices in a hierarchal fashion, and selecting candidates on the basis of their technical competency?
Bureaucratic
In planning for future community health services, it is important to understand population health needs. Which ethnic category tends to proportionally use physician services the most?
White
A limitation which would cause a hospital OB unit to see no change in volume over a four year period?
Market
According to CMS Conditions of Participation, under what circumstances, is it permissible to deny a patient access to his or her medical record?
The information requested consists of psychotherapy notes.
The overall goal of the HIPAA Act of 1996 is
Improve portability and continuity of health insurance, combat fraud
Congress enacted Stark II to prohibit which of the following?
A physician or an immediate family member from referring a patient to an entity with which they have a financial relationship.
Which of the following activities should be performed by the Board of Directors?
Hiring the CEO
Performance improvement teams should consist of
Members from the involved Microsystems
The four important aspects of clinical support services are technical quality, patient satisfaction, continuity or integration, and
Appropriateness
A bar chart format, with the items rank ordered on a dependent variable, such as cost, profit, or satisfaction the Examines the components of a problem in terms of their contribution to it is known as
Pareto analysis
Governing boards are typically more effective at what size?
10 to 15 members
What type of review involves evaluation of management staff by their superiors, subordinates, and internal and external customers?
360-degree review
The role of a not-for-profit healthcare organization’s governing board includes
Deliberate clinical privileges;
Ensuring that quality healthcare is delivered;
Setting broad institutional policy.
Medicare Conditions of Participation for hospitals require that a prescribing practitioner authenticate a verbal order within _____, if not defined by the state.
48 hours
Cost accounting is an important tool which enables the CFO to
Determine the actual cost of providing patient care.
What is true about the relationship between acute care hospitals and long-term care organization?
Hospitals and patients frequently have difficulty arranging for nursing home care services.
The first step in any strategic management scenario planning is to
Gather information from as many sources as possible
The least serious limitation to decision analysis
The statistical model
In a unionized organization, what is the most effective contract dispute resolution finalization alternative?
Arbitration
Liquidity ratio measure
A firms ability to meet its current obligations in a timely manner.
The real value of financial statements lies in the fact they can be used to help
Predict the firm’s future financial condition.
Facing struggles such as declining profit margins, nonprofit healthcare organizations have become more dependent on what source for financing capital needs?
Philanthropy
You work for a county organization that has decided to issue bonds to find a new building. What type of bond would be sold on behalf of your organization?
Municipal bond
On a balance sheet, what does the difference between total current assets and total current liabilities indicate?
Net working capital
How should supervisors behave toward informal leaders in the organization?
Maintain a positive attitude toward informal leaders.
