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51 Cards in this Set

  • Front
  • Back
Which of the following had the greatest impact on averagelife expectancy?
Improvements insanitation and hygiene
According to John Wennberg and colleagues, small areavariations in Medicare expenditures across geographic areas are primarilyattributable to differences in:
Physicianpractice styles
Which of the following statements accurately describes thefinancing of health care in the United States?
Medicaidis a Federal-State partnership which covers some health care and relatedservices for low-income families with children and individuals who are elderly,blind and disabled
Community rating basis for health insurance:
Spreads the riskacross the pool of insured
According to Mintzberg, "the central purpose ofstructure [in an organization] is to":
Coordinatethe work of the organization, which has been divided in a variety of ways
Whichof the following pairs of values are most likely to conflict during a responseto a public health emergency?
Individual autonomy versus community welfare
Executivemanagers in a not-for-profit health care organization have an obligation to:
Be prudent stewardsof the community’s assets
Which of the following principles of medical and publichealth ethics requires doing no harm while promoting the welfare of others?
Beneficence
The"police powers" that public officials rely on to enforce compliancewith public health standards and interventions are based on:
Inferences about thegovernment’s obligation to protect the health, safety, and welfare of itscitizens
Which of the following terms is defined as "thesystematic determination of certain risks to a population incident to adisaster"?
Vulnerabilityassessment
Which of the following is not a true statement about thepolicy-making process?
Onlyexperts trained in public policy have a meaningful role to play in policydevelopment
A health policy that is implemented within a representativedemocracy with separation of powers at all governmental levels and that ischaracterized by the presence of well-funded interest groups:
Willrepresent a compromise among multiple and competing interests
Which of the following is most likely to enhance the staffperformance appraisal?
Settingperformance goals in collaboration with the employee
Thefollowing statement is a tenet of which of these motivational models:"Individuals are motivated to satisfy lower-order physiological needsbefore they can respond to higher needs such as self-fulfillment."?
Hierarchy of needs(Maslow)
What is the best explanation for the importance of liquidityto the not-for-profit health care organization (HCO) and its stakeholders?
Liquidity will allowthe HCO to cover its short-term obligations and unexpected cash demands.
Which of the following statements best characterizes aprogressive employee discipline process?
Thediscipline process is structured as a staged series of increasingly severeresponses to chronic violations of accepted rules of behavior.
The primary disadvantage of incremental program budgetingis:
It may not reflectthe current programmatic priorities of the organization
Incrementalbudgeting
requiresa considerably lower investment than fully implemented zero-based budgeting(ZBB)
Which of the following best characterizes the “irontriangle” logic of U.S. health care policy goals?
Makingnecessary tradeoffs to achieve acceptable quality of and access to healthservices while controlling cost
The four P’s of marketing health services include:
Product, price, place,and promotion
An example of backward vertical integration by an academicmedical center is:
Offeringa managed care health plan
Whichof the following is an expected benefit of consolidating independent hospitalsand provider groups into an integrated health care system?
Economies of scalein production
As a research analyst at a large HMO, you are asked tobenchmark the percentage of enrollees treated for depression who received6-month follow-up care. Applying Donabedian’s framework, the percentage ofenrollees receiving follow-up care is what type of indicator?
Process
Donabedian'squality assurance model
technical,clinical, interpersonal, and managerial activities—associated with theutilization of resources and technologies to produce desired outcomes
A pediatric patient complaining of an inner ear infectionwas diagnosed by an overworked emergency room resident who then prescribed anasthma medication. This is an example of:
Poortechnical quality
What is the relevance of HEDIS for ensuring quality inhealth care delivery?
The Health Plan Employer Data and Information Set (HEDIS)provides an assessment tool for measuring the quality of care provided by HMOs
What is the term for recommendations about how to treat apatient with a particular disease that are based on findings from experimentaland/or observational studies?
Clinicalpractice guidelines
Which of the following statements is not associated with thecurrent paradigm of quality management in health care?
Sanctioning individuals for mistakes is the most appropriatemethod for ensuring effective quality of care
Which of the following is an example of a utilization rateused to monitor health system performance?
Readmissionrate for depression
Which of the following represents a boundary managementfunction in public health?
Schedulingthe Director of the county health department to be interviewed by a journalistabout a recent outbreak of food-borne illness
boundarymanagement
processesthat the organization uses to attempt to control its interactions with relevantactors and forces within its environment; includesbuffering, monitoring, communicating, and adapting to environmental stimuli
One implication of the claim that “the complex organizationtends to map its environment” is that the public health agency:
Hires a professionalto provide environmental law expertise
Identifywhich of the following terms characterizes the throughput of the health caresystem?
The coretechnologies involved in providing health care services
Which of the following statements best characterizes thecontingency theory of leadership?
The leader’s effectiveness depends on variousfactors in the leadership context
SCHIP is a federal program that is important for public healthbecause:
It covers preventiveservices for children who otherwise might not have access to them
The two largest categories of expenditures for the Medicareprogram (not necessarily in order of magnitude) are:
Physicians and hospitals
While the 10th amendment to the constitution gives thestates primary responsibility for public health, inequities between and amongthe states persist because:
Each state has theright to define and delegate authority and responsibility for public healthservices
The principal difference between those who believe inuniversal health care and those who believe in a free market system forallocating care is:
The belief that health care is an entitlementversus the belief that health care is a reward
Whenconfronted with constrained community resources for emergency preparedness, acritical success factor for a community emergency response program is:
A community-wide campaign promoting family preparedness; A community-widealert system; A unified commandand control center; Community-wide practice drills
Whatare the non-traditional partners that could be effective collaborators incommunity-wide preparedness planning?
Socialservice and faith-based agencies
Public health is concerned with the health of populations.Accordingly one of the core functions of public health as described by theInstitute of Medicine (1988) is:
Tocreate and advocate for solutions to address, at all levels, the healthconcerns of populations
It is frequently said that the most difficult component ofthe policy process is not implementation but getting health legislationapproved because of the
Ability to preserveand keep a piece of legislation on the agenda and in front of those in power
The largest single component in most public health andhealth care budgets, and therefore the one with which managers must be mostfamiliar is:
Personnel
For the overarching guidance of an organization, which ofthe following should be measurable?
Goalsand objectives
The primary purpose of strategic planning is:
Todetermine the direction an organization will pursue within its chosenenvironment and guide the allocation of resources and efforts
Thedefinition of healthcare marketing is:
A management processthat assesses customer wants and needs and performs the activities associatedwith the development, pricing, provision, and promotion of product solutionsthat satisfy those wants and needs
TheCEO of a managed care organization praised her administrators at a nationalconference for exceeding their enrollment targets. She noted that long waitsfor care and travel distances might increase but that the members wouldcertainly understand given the popularity of their health plan. The CEO’sstatements reflect:
Herperception of quality care
Inorder to effectively evaluate organizational performance, an administrator mustalso have:
Measurableperformance indicators benchmarked to previously agreed upon performancestandards
Itis often said that the typical manager (and health care managers are noexception) devote up to 81% of his/her time to communication daily. Thisimplies that:
Have a thoroughunderstanding of the communication process including when to use the mostappropriate communication venue and how to use it most effectively
Informationmanagement deserves greater attention nationally from public healthadministrators and managers. Which of the functions below would not be apriority reason for IMs increased funding for public health departments?
Potentialfor developing public health electronic medical records
Which of the following is likely to be a major obstacle tocommunity readiness for a public health emergency such as an act ofbioterrorism?
Individualsare unsure about the practical actions to take to protect themselves and theirfamilies