Health Services Practice Management

Front 1

True or False:
Regulation of the health care industry exists principally in the form of self-regulation:

Back 1

False

Front 2

True or False:
In recent decades, government and insurers have exerted control over much of health care's money supply:

Back 2

True

Front 3

True or False:
Corporate mergers and the formation of health care systems have invariably resulted in widespread reductions in health care costs:

Back 3

False

Front 4

True or False:
The pace of technological change in health care has slowed considerably over the recent decade:

Back 4

False

Front 5

True or False:
Managed care organizations have brought pressure to bear on hospitals and physicians to reduce the length of hospital stays:

Back 5

True

Front 6

A formal agreement between separately owned and controlled facilities to officially coordinate and share certain activities is most appropriately referred to as:
A) a merger
B) an affiliation
C) a health care system
D) a shared-service arrangement

Back 6

B) an affiliation

Front 7

Which of the following is NOT TRUE concerning regulation of the health care industry?
A) health care is one of the most heavily regulated industries in the nation
B) current regulatory initiatives are likely to increase the amount of regulation to which health care is subjected
C) the most prevalent form of regulation is self-regulation
D) the majority of regulatory requirements on health care are concerned with cost or quality

Back 7

C) the most prevalent form of regulation in health care is self-regulation

Front 8

The apparent principle driving force behind the growth of health maintenance organizations (HMOs) has been:
A) The desire of payers to stem excessive cost increases or reduce costs overall
B) the growing tendency of providers to band together in corporate arrangements
C) the dramatic increase in competition among health care providers
D) a desired reduction in the total number of hospital beds available

Back 8

A) The desire of payers to stem excessive cost increases or reduce costs overall

Front 9

A group of registered nurses open an independent health clinic in a local shopping mall. This clinic offers walk-in, non-emergency care, The clinic staff refers complicated cases to the local hospital. The opening of this clinic in the same geographic area as the hospital is an example of:
A) bureaucratic imperialism
B) informal cooptation
C) formal cooptation
D) appeasement

Back 9

A) bureaucratic imperialism

Front 10

The administration of an acute care hospital invites the owner of local comprehensive rehabilitation facility to serve as a voting member on the hospital's area-wide planning commission. This is an example of:
A) bureaucratic imperialism
B) informal cooptation
C) formal cooptation
D) appeasement

Back 10

C) formal cooptation

Front 11

An acute care hospital has declared a three year moratorium on building due to uncertainty about economic and demographic shifts in its local area. This is an example of:
A) hibernation
B) bureaucratic imperialism
C) adaptation
D) informal cooptation

Back 11

A) hibernation

Front 12

The owners of an independent rehabilitation center have made the decision to add new specialty service for sports-related injuries to its existing range of services. This is an example of:
A) goal succession
B) goal expansion
C) goal multiplication
D) combination of goal succession and multiplication

Back 12

B) goal expansion

Front 13

True or False:
Resistance to change is an unnatural state within the individual:

Back 13

False

Front 14

True or False:
The Health Insurance Portability and Accountability Act (HIPPA) was passed principally to ensure that workers could change jobs without being denied health insurance based on per-existing conditions:

Back 14

True

Front 15

True or False:
Involvement, often the strongest force in overcoming employee resistance to change, is sometimes not an available option:

Back 15

True

Front 16

True or False:
Conformance with the requirements of HIPPA has cost many organizations considerably more than the goverment's estimates:

Back 16

True

Front 17

True or False:
There is presently a reasonable chance that HIPPA, because of its unpopularity among health care providers, will be repealed:

Back 17

False

Front 18

True or False:
Providing employees with direct orders is probably the most effective means of ensuring acceptance of change:

Back 18

False

Front 19

True or False:
The implementation of the electronic health record is an example of proactive change:

Back 19

True

Front 20

True or False:
Implementation of changes within an organization, in response to the electronic health record initiatives, is the primary responsibility of the American Health Information Association:

Back 20

False

Front 21

True or False:
Stakeholders in the implementation processes associated with the electronic health record include the National Library of Medicine:

Back 21

True

Front 22

The Patient Self Determination Act of 1990:
A) addresses end-of-life decisions and related care
B) provides for the use of living wills, health care proxies, and advance directives
C) was made necessary in part by technological advances in life-support systems.
D) all of the above

Back 22

D) all of the above

Front 23

Of the following, the most likely reason for entrenched employee resistance to change is:
A) the uneasiness created among employees when they anticipate having to change the way they do their work
B) employees lack of knowledge of what is coming; that is, fear of the unknown
C) dislike of the manager or distrust of management overall
D) A & B

Back 23

D) A & B

Front 24

In addition to encouraging acceptance of a necessary change affecting their jobs, involvement of employees in changing methods and practices is valuable because:
A) it invariably gives them control over the change
B) it automatically prevents more resistance
C) it can empower employees with a sense of ownership of the change
D) employees are then more accepting of management direction because they have been included
E) all of the above

Back 24

E) all of the above

Front 25

All of the following are characteristics of the change process associated with adjustments to Y2K except:
A) managers were dealing with a predicted change
B) the need for change was known for several years ahead of deadline
C) the change involved a combination of predictable and unpredictable aspects
D) the change involved little or no opportunity for making other system-wide improvements

Back 25

D) the change involved little or no opportunity for making other system-wide improvments

Front 26

The changes involved in the Patient Self Determination Act resulted in renewed interest in, and activity by, the following committee of the patient care team:
A) disaster response committee
B) peer review committee
C) ethics review committee
D) utilization review committee

Back 26

C) ethics review committee

Front 27

The changes associated with the Patient Self Determination Act include all of the following EXCEPT:
A) rapid standardization through update of existing documentation processes
B) crisis approach to unanticipated change in requirements for documentation
C) patient and family outreach and education program offerings
D) rapid standardization through update of existing admissions processes

Back 27

B) Crisis approach to unanticipated change in requirements for documentation

Front 28

True or False:
Directing and controlling together compromise the first-line manager's role; other function, specifically planning, lie completely with top management

Back 28

False

Front 29

True or False:
The human relations approach to management preceded the advent of scientific management:

Back 29

False

Front 30

True or False:
It can be necessary for managers to modify their management or leadership style if it is inconsistent with the organization's authority structure or culture:

Back 30

True

Front 31

True or False:
Only the Human Resources department need to be concerned with the implementation details of the Health Insurance Portability and Accountability Act (HIPAA):

Back 31

False

Front 32

True or False:
Individuals or groups outside the organization who work cooperatively with the organization in a joint effort are considered to be associates of the organization:

Back 32

True

Front 33

The function of the manger which involves design of a pattern of roles and relationships is:
A) planning
B) organizing
C) decision making
D) directing

Back 33

B) organizing

Front 34

In the systems approach to management practices, the requirements of a state licensure board for health care practitioners are classified as:
A) inputs
B) throughputs
C) outputs
D) structural cycle

Back 34

A) inputs

Front 35

In the classification of organizations by Authority Structure, the authority pattern associated with members of aprofessional associations such as AHIMA is:
A) coercive
B) utilitarian
C) normative
D) utilitarian -coervice

Back 35

C) normative

Front 36

In the classification of organizations by Genotype, an acute care hospital with extensive research facilities is classified as:
A) productive or economic
B) maintenance of society
C) adaptive
D) managerial

Back 36

C) adaptive

Front 37

In the Clientele Network model, the HIPPA regulations are classified as:
A) primary client characteristics
B) advisor input
C) controller input
D) adversary input

Back 37

C) controller input

Front 38

In the Clientele Network model, the community-based physician's relationship to the acute care hospital is that of:
A) client
B) advisor
C) controller

Back 38

A) client

Front 39

In the Clientele Network model, the AHIMA Coding and Reimbursement Compliance and Record Auditing guidelines are an example of:
A) controller
B) adversary
C) advisor
D) associate

Back 39

C) advisor

Front 40

Planning constraints are similar to which aspects of the Clientele Network:
A) advisors
B) associates
C) controllers
D) adversaries

Back 40

C) controllers

Front 41

Which characteristic of effective plans gives the employee team immediate motivational feedback:
A) idealistic plans
B) modest plans
C) vague plans
D) precise plans

Back 41

D) precise plans

Front 42

Typical philosophical premises in health care planning include all of the following except:
A) the American Hospital Association's guidelines of patient rights
B) codes of ethics of professional associations
C) requirements for reimbursement practices
D) values of society concerning privacy and equal access

Back 42

C) requirements for reimbursement practices

Front 43

The usual sequence in developing plans is:
A) mission, procedure, objectives, rules
B) objectives, mission, procedure, rules
C) objectives, policies, mission, rules
D) mission, objectives, policies, procedures

Back 43

D) mission, objectives, policies, procedures

Front 44

Functional objectives typically include all of the following except:
A) priorities
B) motivational statements
C) accuracy standards
D) specific service to be provided

Back 44

B) motivational statements

Front 45

Policies are intended to be:
A) overall guides and therefore the language used in policy statements is broad
B) precise regulations governing behavior
C) expressions of the organization's long-range objectives
D) none of the above

Back 45

A) overall guides and therefore the language used in policy statements is broad.

Front 46

The process of determining long-term objectives for the organization, along with the strategies to accomplish these objectives is termed:
A) strategic planning
B) premising
C) risk assessment
D) motivational planning

Back 46

A) strategic planning

Front 47

The following wording is associated with which type of plan: "To process discharge summaries within eight hours of receipt of dictated report":
A) mission statement
B) objective
C) functional objective
D) rule

Back 47

B) objective

Front 48

The following wording is associated with which type of plan: "All occupational therapy personnel will be licensed and registered. Recent graduate or therapists from foreign countries may treat patients but they must be supervised by a licensed and certified occupational therapist who countersigns their patient care plans and progress notes."
A) mission statement
B) objective
C) functional objective
D) policy

Back 48

C) functional objective

Front 49

In the decision making process, critical, non-programmed, root decisions are made by:
A) top level management
B) department heads
C) technical staff
D) employee representatives and department heads

Back 49

A) top level management

Front 50

True or False:
In the decision making process, top level management usually defer to department heads heads when the decisions relate to specific areas of technical expertise:

Back 50

True

Front 51

Certain electronic health record products must meet the USDHHS requirements for healthcare information technology. This is an example of:
A) the evaluation of alternatives in decision making
B) the agenda building stage in decision making
C) the strategic or limiting factor in decision making
D) root decision making

Back 51

C) the strategic or limiting factor in decision making

Front 52

True or False:
The health information manager chooses off-site commercial storage for hard copy records and eliminates the space and staffing associated with in-house storage. This is an example of root decision making:

Back 52

True

Front 53

True or False:
Incremental decisions do not usually involve in-depth evaluation of goals, policies or underlying philosophy:

Back 53

True

Front 54

True or False:
Telecommuting may not be appropriate for an employee who copes only marginally with the absence of traditional supervision:

Back 54

True

Front 55

True or False:
It is necessary to use temporary help services as sparingly as possible because they always represent excess cost:

Back 55

False

Front 56

True or False:
Contract management of a service may involve the provision of management only or the entire service including all involved employees:

Back 56

True

Front 57

True or False:
Temporary agency employees may be retained on the job for up to one year without difficulty

Back 57

True

Front 58

Which of the following is NOT true for temporary departmentation?
A) it usually reflects an organizational pattern that will exist for more than a few months
B) the temporary department exists for a predetermined period to meet specific need
C) the life of a temporary department must not extend longer than six months
D) in some instances the lifetime of a temporary department may be limited by available funding

Back 58

C) the life of a temporary department must not extend longer than six months

Front 59

Internal Revenue Service (IRS) guidelines defining an independent contractor state that:
A) The contractor must perform all work away from the contracting organization's facility
B) The using organization decides whether a particular service provider is an employee or an independent contractor
C) The independent contractor must be paid as a supplier rather than as an employee
D) The using organization may provide the materials and equipment used by the independent contractor

Back 59

B) The using organization decides whether a particular service provider is an employee or independent contractor

Front 60

The practice of having an employee report to two different managers is referred to as:
A) unity of command
B) the scalar principle
C) split reporting
D) span of management

Back 60

C) split reporting

Front 61

All of the following situations generally involve a wide span of management except:
A) work group is well trained and highly motivated
B) work group is decentralized
C) the authority structure is coercive
D) the work is highly repetitive and predictable

Back 61

B) work group is decentralized

Front 62

The authority associated with staff employees is termed:
A) normative authority
B) scalar authority
C) line authority
D) functional authority

Back 62

D) functional authority

Front 63

An occupational therapy group develops a pattern of departmentation for home care services based on catchment area requirements. This is an example of departmentation by:
A) Function
B) Product
C) Territory
D) Process

Back 63

C) Territory

Front 64

The "most use" criterion in organizational patterns is associated with:
A) orphan activities
B) deadly parallel arrangements
C) departmentation by product
D) matrix organization

Back 64

A) orphan activities

Front 65

An acute care hospital has received a major grant for a five year research project in neighborhood health care services. The continuance of the research project after the five years is uncertain. The most likely pattern of organization for the research project is:
A) "most use" criterion
B) temporary departmentation
C) matrix organization
D) deadly parallel arrangements

Back 65

B) temporary departmentation

Front 66

As part of a quality control program, the work is inspected in the first phase of the work process. This characteristic of adequate controls is termed:
A) timeliness
B) economy
C) comprehensiveness
D) understandability

Back 66

C) comprehensiveness

Front 67

The Six Sigma approach to total quality management is characterized by:
A) economic variations
B) statistical analysis of variations
C) monetary cost of variations
D) intangible factors

Back 67

B) statistical analysis of variations

Front 68

The use of a professional association's initiative in quality control programs is an example of:
A) Six Sigma approach
B) the DMAIC process
C) internal benchmarks
D) external benchmarks

Back 68

D) external benchmarks

Front 69

The usual term for visual control chart for plotting scheduling and progress is:
A) Six Sigma chart
B) Gantt Chart
C) Pareto Chart
D) Fayol Chart

Back 69

B) Gantt Chart

Front 70

In order to depict the chronological flow of work, a manager would usually develop a:
A) Fayol Chart
B) Pareto Chart
C) Flow Chart
D) Benchmark Chart

Back 70

C) Flow Chart

Front 71

In order to identify trends in workflow, a manger would usually develop a:
A) run chart
B) flow chart
C) pareto chart
D) fayol chart

Back 71

A) run chart

Front 72

In order to identify cause and effect relationships in workflow, a manager would usually develop a:
A) run chart
B) Ishikawa diagram
C) Gantt chart
D) Pareto chart

Back 72

B) Ishikawa Diagram

Front 73

Ex credit:
What is another name for the Ishikawa Diagram?

Back 73

Fishbone Diagram

Front 74

In order to determine priorities by comparing factors and to facilitate sorting the few critical elements from the less urgent in workflow analysis, a manager would usually develop a:
A) run chart
B) ishikawa diagram
C) gantt chart
D) pareto chart

Back 74

D) pareto chart

Front 75

In order to show the relationship between two variable factors in workflow analysis,a manager would usually develop a:
A) histogram
B) fayol chart
C) run chart
D) flow chart

Back 75

A) histogram

Front 76

The principle of re-qualification in total quality management applies to:
A) budget variance analysis for overtime payment
B) equipment readiness and availability
C) employee performance
D) eligibility determinations for employee benefits

Back 76

C) employee performance

Front 77

True or False:
In milestone budgeting, the budget periods are divided into equal cycles throughout the project (e.g. three month periods).

Back 77

False

Front 78

True or False:
The best type of maintenance and repair plan for a department having a mix of new and older equipment is the fee-for-service plan.

Back 78

False

Front 79

The budget category which cannot be cut or reduced is:
A) travel and inservice education
B) computer software licensing agreements
C) renovations
D) equipment maintenance and repair

Back 79

B) computer software licensing agreements

Front 80

Given the following standards, calculate the number of full time equivalents (FTE’s) needed: one FTE = 40hours/week
Work standard: 30 minutes per chart processing
Volume per day: 40 charts needing processing
The number of FTE’s needed is:
a. 1.0
b. 1.5
c. 2.0
d. 2.5

Back 80

D) 2.5

Front 81

The standard classification of expenditures and other budget transactions is called:
a. the Uniform Code of Accounts
b. the milestone budget
c. administrative cost centers
d. responsibility centers

Back 81

A) the uniform code of accounts

Front 82

The planning approach usually associated with budgeting is:
a. overaim
b. underaim
c. vagueness
d. maximizing

Back 82

A) overaim

Front 83

Which of the following wage and salary considerations is an impersonal cost:
a. merit increases
b. number of years in job
c. labor union contract wage rates
d. anniversary of hire raise

Back 83

C) Labor union contract wage

Front 84

Direct expenses include all of the following except:
a. equipment depreciation
b. wages and salaries
c. educational travel and seminars
d. equipment purchases

Back 84

A) equipment depreciation

Front 85

True or False:
In reviewing budget variances for the current budget year, a manager would give special attention to a line item that is over budget for the review period as well as overbudget for the year.

Back 85

True

Front 86

True or False:
A strategic plan usually lays out the desired outcomes for a long period of time, e.g., several years.

Back 86

True

Front 87

True or False:
The initial strategic plan is usually completed after the organization has moved out of the youth stage of the life cycle and well into the middle age phase of the life cycle

Back 87

False

Front 88

A SWOT analysis is associated with
a. budgeting for long range plans
b. due diligence reports
c. project proposals
d. strategic plan

Back 88

D) strategic plan

Front 89

True or False:
Licensure and accrediting agencies are given access to the annual reports if they request these documents.

Back 89

True

Front 90

True or False:
When a full time employee plans to open his own private practice on weekends, while continuing as a week day employee with his regular employer, he is free to do so without consulting the full time employer.

Back 90

False

Front 91

Articles of incorporation and the related bylaws for an independent business would typically include all of the following except:
a. legal name of the corporation
b. annual budget projection for the current year
c. provision for distribution of assets when the business is dissolved
d. frequency of required meetings of the executive board

Back 91

B) annual budget projection for the current year

Front 92

True or False:
A due diligence report is carried out on an annual basis.

Back 92

False

Front 93

True or False:
A due diligence report, once it has been approved by the governing board, is generally distributed to all employees.

Back 93

False