Quiz 1 (Ch. 1-3)

Question 1

what kind of changes are healthcare supervisors seeing today?

Answer 1

increasing workload
increasing responsibility
decreasing job security

Question 2

bottom line

Answer 2

the financial results of the organization’s activities summarized for a given length of time (month, quarter, year, etc)

Question 3

first-line managers

Answer 3

individuals who supervise the people doing the work

Question 4

third party payers

Answer 4

organization other than the pt who pays for medical benefits, usually insurance companies

Question 5

medicare

Answer 5

A federal program that pays for certain health care expenses for people aged 65 or older

Question 6

medicaid

Answer 6

A program, funded by the federal and state governments, which pays for medical care for those who can’t afford it

Question 7

reengineering

Answer 7

need clear vision of desired output
must work backwards to determine how to best achieve this

Question 8

organizational flattening

Answer 8

removal of organizational layers by taking out middle or intermediate management positions
resulting in a “flatter” organization (as expressed on an organization chart, one with fewer levels between top and bottom)

Question 9

the supervisor’s two hats

Answer 9

functional specialist and management generalist

Question 10

functional specialist

Answer 10

Worker responsible for doing some of the basic work of the department
Cook, nurse, accountant

Question 11

management generalist

Answer 11

Concerned with activities common in many departments and most likely needs to guide or supervise the work of others
Doesn’t matter how the person got there
Usually does some of both

Question 12

classic problem of the supervisor

Answer 12

more suited for the functional specialist role in comparison with the management generalist role

Question 13

The Peter Principle

Answer 13

“In a hierarchy, every person tends to rise to his level of incompetence”

Question 14

supervisory constants

Answer 14

Visibility and availability
Vertical orientation
True open-door
Team player
Bearer of responsibility

Question 15

todays job security is dependent on one’s

Answer 15

flexibility and adaptability

Question 16

the job organization system

Answer 16

Repetitive work is dominant
Advanced approach to management
Jobs highly organized
Close control typical
Depends on economic motives

Question 17

the cooperative motivation system

Answer 17

Variable work is dominant
Management less refined-not as structured
Jobs loosely organized
Close control not possible
Depends on individual enthusiasm and motivation

Question 18

4 P’s of marketing

Answer 18

product
price
place
promotion

Question 19

industry

Answer 19

repetitive work
easy to have structure and control

Question 20

healthcare

Answer 20

Not so controlled, not mechanical
Difficult to predict output-healthy person

Question 21

managed care

Answer 21

“health insurance plans that contract with health care providers and medical facilities to provide care for members at reduced costs. These providers make up the plan’s network. How much of your care the plan will pay for depends on the network’s rules.”

Question 22

The Health Maintenance Organization (HMO)

Answer 22

the most commonly encountered form of healthcare

Question 23

gatekeeper

Answer 23

Primary care physician
Central to managed care is the concept of the primary care physician as “gatekeeper” to services

Question 24

what year were medicare and medicaid established by the government?

Answer 24

1965

Question 25

The Balanced Budget Act (BBA) of 1997

Answer 25

Driven by concern over Medicare costs
Balance Federal budget but many items exempted from reductions
Largest cuts affected Medicare, reducing provider reimbursement
Created sufficient hardship to providers and some adjustments needed to be made

Question 26

telemedicine

Answer 26

the remote delivery of healthcare services, such as health assessments or consultations, cheaper for the patient

Question 27

Patient Centered Medical Home (PCMH)

Answer 27

The patient-centered medical home (PCMH) model is an approach to delivering high-quality, cost-effective primary care. Using a patient-centered, culturally appropriate, and team-based approach, the PCMH model coordinates patient care across the health system.

Question 28

Money Follows the Person

Answer 28

Enacted by the Deficit Reduction Act of 2005, the Money Follows the Person (MFP) Rebalancing Demonstration is part of a comprehensive, coordinated strategy to assist States, in collaboration with stakeholders, to make widespread changes to their long-term care support systems.

Question 29

The Affordable Care Act

Answer 29

Make affordable health insurance available to more people. …
Expand the Medicaid program to cover all adults with income below 138% of the FPL. …
Support innovative medical care delivery methods designed to lower the costs of health care generally.

Question 30

HCAHPS

Answer 30

Hospital Consumer Assessment of Healthcare Providers and Systems- required for CMS Hospitals
Hospital sets goals- must then get these scores
Reimbursement may be tied to quality outcomes

Question 31

authoritarian phase

Answer 31

Minimizes importance of people
People must be pushed

Question 32

legalistic phase

Answer 32

In 1930’s passage of wage & hour laws
Laws telling you how to treat employees

Question 33

humanistic phase

Answer 33

Partially because of legislation
Optimism about employees
Empowering people

Question 34

the “working trap”

Answer 34

A hazard for every supervisor who has non-managerial duties as well as managerial duties