Hospitals that were acquired by hospital systems generally have which characteristic?
They operate at a net gain.
They incur higher debt levels.
They are located in markets with a smaller number of HMOs.
They are younger, not-for-profit hospitals with higher occupied beds.
Hospitals known for their ability to attract and retain nurses despite the significant nursing shortages are called:
Professional excellence centers.
Shared Governance facilities.
Magnet hospitals.
Baldrige award winners.
The reimbursement method that was first adopted by Medicare and later by most third party payers is known as:
ICD-9.
RBRVS.
RUG.
DRG.
The principal goal of a Health Service Organization’s medical/hospital model is
Security.
Disease treatment.
Quality of life.
Comfort.
Which segment of the healthcare delivery system is exclusively dedicated to terminally ill patients?
Level I trauma centers
Tertiary care centers
Hospice programs.
Pastoral care services.
Emerging physician organizations are usually private, for-profit corporations. In order to gain not-for-profit status, such organizations must:
Give 50% of profits to charity.
Have a community-dominated board of governance.
Create a partnership with a nonprofit hospital.
Minimize double taxation to members by passing proceeds directly to the members.
Which of the following is a key responsibility of a governing board?
Recruit and select the CEO.
Operationalize the organization’s strategic plan.
Assist the CEO with evaluation of the rest of the management team.
Develop a physician recruitment plan.
Which of the following networks is intended to reduce costs and improve quality by giving access to financial, clinical and administrative information?
Community health information network (CHIN)
Local area health network (LAHN)
Virtual private health network (FPHN)
Health file transfer network (HFTN)
When introducing a new information technology system to a healthcare organization, resistance can be effectively addressed by:
Eliminating existing social groups that appear within the organization.
Employing a policy of mandated use throughout the organization.
Focusing on the system users and being responsive to their needs.
Rapidly introducing the system changes to allow the staff to see the cost savings.
Which of the following would be a discrete measure in continuous improvement?
Gender.
Weight.
Height.
Temperature.
The qui tam provision of the federal False Claims Act is a statute aimed at those who commit fraud against the government:
Have minimal impact in the healthcare industry.
Prohibits the citizen from sharing in the recovered funds.
Allows any citizen to bring suit in the name of the United States.
Can be generated from news media reports.
Which of the following activities is illegal for tax-exempt health organizations?
Allowing an employee to testify before a legislative body regarding pending decisions which would affect organizations.
Lobbying members of Congress for healthcare reform.
Endorsing a candidate for public office.
Sponsoring a political action committee in a for-profit subsidiary.
Which statement best describes the status of health organizations under antitrust law?
The medical staff appointments are exempt from antitrust litigation.
They are subject to antitrust law relative to price fixing and boycotts.
They are exempt from most antitrust principles because they are “charitable.”
They are subject to antitrust law, just as any other industry is.
Which of the following best summarizes the legal status of the physician- patient relationship?
It is based on an expressed or implied contract, from which certain elements of duty arise.
It is based on acceptance of remuneration for services rendered unless charity care is designated.
It has no legal status in that it is a private business relationship, unless the patient is a Medicare beneficiary.
It is governed by the hospital or health system’s medical staff bylaws.
A major advantage of capitation for primary care gatekeepers is it:
Guarantees primary care physicians will make more money than they ever made in fee-for-service.
Encourages primary care physicians to be more judicious in their referrals to specialists.
Elevates the primary care physician’s status in the eyes of his/her patients.
Makes it easier for health plans to collect utilization data from physicians.
Bundled pricing (paying a single fee for all services) for such services as total hip replacement or coronary artery bypass surgery affects physician- hospital relationships by:
Reducing the need to devote administrative effort to measuring outcomes and performance indicators.
Putting the physician and hospital at each other’s throat fighting over the distribution of the fee
Promoting efforts to collaborate and integrate efforts to provide more efficient care.
Guaranteeing that only top quality physicians will be allowed to participate in such programs.
A healthcare executive is serving on the board of a community mental health center. The mental health center board is evaluating proposals for inpatient psychiatric services. Proposals were received from the executive’s facility and several other facilities. The healthcare executive should:
Participate in the discussion and the vote if the benefits to the community outweigh possible conflicts of interest.
Not participate in the discussion or the vote.
Declare a potential conflict-of-interest and excuse himself or herself from participating in both the discussion and the vote.
Participate in the discussion but not vote on the proposals.
What is a primary reason for conducting continuing education for staff?
Staff will think the organization cares about them.
There are significant short-term operating efficiencies.
It is a long-term commitment to the patient.
The Joint Commission and NCQA required it.
What is the first effect of demographic trends on a health services organization’s strategic planning process?
Appraising financing sources and payment levels for programs.
Establishing future staff by type and estimating staffing levels.
Determining the locations of delivery units for the next period.
Determining the range and types of services to be offered.
Managers who use their authority to greatly enhance their salaries, benefits, and accoutrements of office may be causing a disbenefit to patients. This personal aggrandizement is known as self dealing and can:
Be seen most commonly in for-profit HMOs.
Occur only in for-profit organizations.
Occur in any health service organization.
Be seen only in non-health services field charities.
The primary stimuli that causes educational programs to be made available to and required of staff are the:
Legal demands resulting from medical malpractice.
Regulations issued by governments at all levels.
Demands and expectations of stakeholders.
Increasingly stringent expectations of consumers.
Research in behavioral science has consistently found that once basic needs are met, staff is motivated most:
By an incentive payment program.
Only by a significant increase in salary.
By factors such as being kept informed.
When performance sets them apart from the group.
Resource allocation in health services organizations involves balancing the needs of organization, staff, and patients. However, the essential primary focus on patients can be met only if the:
Strategic planning process has been effective and thorough.
Mission and vision statements are appropriate to the task.
Organizational culture makes a basic commitment to it.
Basic needs of the organization and staff are addressed first.
Which of the following best describes a healthcare organization’s recognized service reputation that has been earned over the long-term within its market?
Soft assets.
Market share.
Brand equity.
Community perception.
Which technique would provide the most beneficial information to a healthcare organization about customer satisfaction?
Direct mail surveys.
Mall intercepts.
Focus groups.
Competitor analyses.
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