An efficient Formulary and Therapeutics Committee in many hospitals evaluates all of the following except:

Symptoms of adverse reactions.

Patients’ current medication effectiveness.

Contraindications.

Specific drugs 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 typically referred to as a (an):

System analysis program.

Report writer.

Decision matrix management tool.

Executive decision support system.

Which of the following would represent the most common cause of adverse drug events (ADEs)?

Lack of standardization.

Lack of knowledge of drug.

Preparation errors.

Transcription errors.

What is the primary advantage of the corporate form of organization for a healthcare provider?

It exists by virtue of a statute providing for its formation.

It has powers granted to it by its charter.

Its continued existence is not affected by the death or disability of an owner.

It has limited liability.

Law and tradition have established basic criteria for healthcare governing boards. One criteria is that:

All members agree to receive care at the governed organization.

Board members provide a specified amount of financial support.

The actions of the board are reasonable and prudent.

The board must meet a minimum of two times each year.

Continuous quality improvement assumes that:

Achievement will be rewarded.

There is direction from top management.

There is no upper limit to excellence.

Interconnected work teams are in place.

Which of the following best 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 admit the patient for observation and treatment if an emergency condition exists.

The hospital must provide an appropriate medical screening to determine whether an emergency condition exists and, if so, stabilize the condition.

The hospital may inquire as to the individual’s method of payment or insurance status prior to rendering services.

If the individual is uninsured, the hospital must transfer the patient to the nearest public hospital designated for the care and treatment of medically indigent persons.

What was the first major law to have a significant impact on individual privacy in the workplace?

Civil Rights Act

Fair Credit Reporting Act

Polygraph Protection Act

Privacy Act

How does physician self-referral or Stark laws apply to Medicare payments?

The law applies to private party insurance and does not apply to Medicare payments.

The law establishes an additional payment to the normal Medicare payment fees due to the added complexity of referrals.

The law allows a claim to be filed with Medicare for a service provided by a physician who has a financial interest in the DHS.

The law prohibits a provider from presenting a claim to Medicare or to any person or other entity for a prohibited DHS referral.

Which of the following is not an advantage of an effective Corporate Compliance Program for a healthcare organization?

Initiating immediate and appropriate corrective actions.

Costs of implementation and operations.

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:

Documented in the patient’s medical records.

Substantiated by the patient’s nurse.

Related to the care and treatment of the patient.

Confirmed and documented by the patient.

Participating providers in the federal Medicare program must:

Be accredited by the Joint Commission.

Serve Medicaid beneficiaries.

Meet the Conditions of Participation.

Be in compliance with state Certificate of Need laws.

Which of the following are important aspects to consider when establishing a joint venture?

Joint ventures involve independent management teams and independent governance structures.

Joint ventures involve capital investment by all parties, can be difficult to dissolve, and are usually expected to be permanent.

Joint ventures are managed like an internal organization and are usually re- negotiated annually.

Joint ventures are developed to acquire portions of the parent organizations and are generally accepted as irreversible.

A balanced scorecard is a set of performance measurements used to:

Assess patient satisfaction.

Ensure the organization does not exceed one performance metric at the expense of another.

Provide a scorecard for annual performance monitoring.

Gather and monitor financial data.

What is the correct order, from bottom to top, of Maslow’s Hierarchy of Needs?

Physiological, safety, esteem, belonging, self-actualization.

Safety, physiological, belonging, esteem, self-actualization.

Physiological, safety, belonging, esteem, self-actualization.

Safety, esteem, physiological, belonging, esteem, self-actualization.

Communication Health Intranet Networks (CHINs) were developed for what purpose?

To provide a platform for an electronic medical record.

To provide a way to disseminate community-level health data.

To provide an inexpensive way of sharing health information.

To provide a community-based hub for sharing health information.

Which 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

Contingency

Institutional

Technological

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?

African-American

Asian

Latino

White

Which of the following limitations would cause a hospital OB unit to see no change in volume over a four year period?

Organizational

Market

Financial

Clinical

According to CMS Conditions of Participation, under what circumstances, if any, is it permissible to deny a patient access to his or her medical record?

The information requested consists of psychotherapy notes.

The request comes from the patient’s personal representative instead of directly from the patient (if allowed under state law).

The provider organization will incur significant costs in copying or forwarding the requested records.

It is never permissible to deny a patient access to his or her records.

The overall goal of the HIPPA Act of 1996 is:

To ensure the privacy and confidentiality of patient medical records.

To standardize the sharing of clinical and administrative information.

To strengthen healthcare data security standards and practices.

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.

Hospitals and physicians from partnering to build in-patient acute care facilities.

Hospitals and physicians from joint venturing in the offering of outpatient imaging centers.

A hospital from referring a patient to a wholly-owned entity of which it has total ownership.

Which of the following activities should be performed by the Board of Directors?

Calculating patient care fees.

Determining staffing patterns.

Recruiting new medical staff.

Hiring the CEO.

Performance improvement teams should consist of:

Experts in process management.

Members from the involved Microsystems.

Middle managers with experience.

Physicians and other users.

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