Examples of organizational benefits associated with successful performance improvement initiatives often include each of the following excep: (\""3 Strengthened lines of authority and top-down chain of command \\___/ (\""3 Improved communication throughout the organization \\___/ (\"5. Employee empowerment \\___/ (\""3 Interdepartmental teamwork \\___/ Question 40 (3.4 points) Which statement about patient care improvement is correct? O The indicators that must be tracked for patient care improvement have been standardized nationally among all providers and payers by the Affordable Care Act ("3, For performance improvement to succeed, it is critical for the manager to shift from being "the leader of a team" (counseling, teaching, coaching, facilitating) to being "the boss" (supervising, directing and instructing} ("7, Since few healthcare administrators have a clinical background, they will probably have little involvement in patient care improvement during their careers ("3, Indicators for patient satisfaction may track non-clinical issues affecting patient ._. perceptions, such as the ease of finding a parking space, the quality of communications with their caregivers, and whether their rooms were clean and quiet Which of the following is n_ot usually recognized as a characteristic of great leaders? if"; Makes the organization's goals meaningful to subordinates \\___/ ('7. Deep knowledge of management theories \\___/ ('7. Projects 3 positive self-image \\___/ if"; Influences peers and superiors \\___/ Which of the following statements about the challenges of implementing performance improvement within large healthoare systems is incorrect? ,5" ":3 Healthcare is provided in many different settings (doctor's offices, home care ._. agencies, imaging centers, nursing homes, etc.) by many different types of healthcare professionals [physical therapists, dentists, X-ray technicians, RNs, respiratory therapists, physicians, pharmacists, etc.) .g' j} Most providers have little incentive to improve the quality of care Most insurance companies require providers to use a specific set of clinical outcome indicators that differ from one insurance company to the next ("\"3 Provider performance data is often collected in separate organizational sub- systems (clinical, financial, operational, patient experience, etc), making it difficult to integrate and analyze data Each of the following items is usually important for the success of a performance improvement program except which item? Work force must not be unionized Interdepartmental teamwork Improved communication throughout the organization O Participative managementEach of the following is a typical goal of performance improvement except which item? O Prevent Errors O Improve Patient Safety O Reduce communication among caregivers and support staff O Reduce CostEach of the following is a potential weakness of performance improvement excem which item? ("7, Managers who are used to an authoritarian leadership style may find it difficult \\___/ to relinquish authority and turn to their employees for ideas ("'1 Team-oriented performance improvement is always a successful strategy \\___/ ("7, Employees of health care organizations may just passively go through the \\___/ motions, by saying & doing what they believe top management wants them to do K\Which of the following items is not a characteristic of benchmarking? O Involves selecting a standard of practice against which your own performance can be measured O Compares a department's or unit's results with the results of another department, organization or group of organizations O Tells you exactly what steps to take to improve C Tells you whether your unit or department is better or worse than the benchmarkWhich of the following items correctly explains why cost is an important aspect of healthcare quality? This question is misleading because only people without good insurance .\\-_-/. coverage need to be concerned with healthcare costs ("NI Cost affects patient access, so high quality care should also be cost-effective .\\___/. C3 ['8 ("NI Insurance companies hear much of the cost of medical care, and they represent .\\___/. an important segment of the U.S. economy ("3, Employers hear much of the cost of medical care, and they represent an \\___/ important segment of the US economy Which of the following statements is Correct? ,5" "1' American patients are not always rational consumers and often believe that new technology marketed by hospitals represents the best medical care ,f' "7' The U.S. healthcare system produces clinical outcomes that overall are superior to those in most other industrialized nations 0 The main reason the US. spends such a large portion of its gross domestic product on health care is because doctors earn too much The U5. healthcare system is well-designed and is often emulated by other countries Each of the following reasons explains the restructuring of U.S. health care organizations except which item? Desire to penetrate new markets O Firm commitment to avoid employee layoffs at any cost Desire by provider organizations to achieve greater negotiating clout with employers and insurance companies O Need for improved efficiencies that can be achieved by sharing resources such as technical staff and centralized leadershipQuestion 29 (2.4 points) Which of the following changes have not been occurring in the U5. healthcare system since 2000? .1 "j. Consolidation among government agencies with jurisdiction over healthcare (""3 Consolidation among major providers such as hospitals, clinics, physician practices and home care agencies. .g' "3. Consolidation among pharmaceutical companies .1" j} Consolidation among health insurers Question 30 [2.4 points) Which of the following components of the US. healthcare system is most likely: to experience increasingyolume over the next decade? .f j) Free-Standing diagnostic imaging centers If :3 Independent acute care hospitals .g' i} Home Care Programs If :3 Independent, Fee-for-Service {FPS} Medical practices A hospital contracts with a private organization to provide anesthesiology services to its patients. These physicians are employed by the anesthesiology company, not by the hospital where they work. If an anesthesiologist fails to perform in accordance with the appropriate standard of care, and if that failure results in a patient injury, which legal principle will probably be used by the injured patient's attorney when the hospital is sued? (\"'3 Employment Law \\___/ if": Waiver of Liability \\___/ (\"'3 Vicarious Liability \\___/ if": Entitlement \\___/ Which statement is most correct about accreditation and licensure? .g' t} Accreditation and liceneure are different terms for the same thing ,5" "'3 Accreditation and liceneure both seek to improve the quality of patient care, but both have harmful economic consequences. ("\"3 Accreditation is used to regulate providers, and licensure is used to regulate insurers if \"3' Accreditation applies to inpatient facilities, and licensure applies to outpatient J facilities Which action below would have the greatest chance of improving competition in the U.S. healthcare system? (\""3 Require hospitals to hire more US-trained physicians \\___/ (\".3 Publish prices, clinical outcomes and patient co-payments for common procedures side-by-side on a price comparison website for each group of hospitals in a local region (\""3 Consolidate hospitals in each city into a single large network serving that area \\___/ (\""3 Increase the number and scope of government regulations affecting healthcare \\___/ Question 26 [2.4 points) Which item below best explains why US. companies find it difficult to compete successfully with overseas companies? (\""3 High healthcare costs place US. companies at a competitive disadvantage \\___/ (\""3 Most US companies distribute their profits to their shareholders \\___/ (\""3 Most US workers are unskilled compared to overseas workers \\___/ (\""3 Most US consumers dislike buying things made in the US \\___/ Which is the BEST definition of "Provider-Induced demand"? ("NI This term refers to the situation when an employee loses health insurance .\\___/. because they lose their job ("\"1 This term refers to the additional volume of health services generated by an .\\-_-/. employer who decides to give health insurance coverage to their employees. .-\"'_"'-I This refers to a situation where physicians and other providers sometimes .\\-_-/. provide unneeded services in order to boost their income (TH This term refers to a situation where insurance companies cancel a person's .\\_ _/. health insurance policy after they become sick, in order to avoid paying for expensive services Question 24 (2.4 points) Which of the following indicators would be the best one to use if you wanted to measure the efficiency (productivity) of a physician in your department? (\""3 Average number of patients seen per day \\___/ (""3 Average number of appointment cancellations per day \\___/ (\"3 Average number of outside diagnostic tests ordered per day \\___/ (\"'3 Average number of patients complaints per day \\___/ The typical acute care hospiLal in the U5. consists of three major components. Which option most accurately describes these three organizational components? (\""3 Unionized workers, non-unionized workers, and independents \\___/ (\""3 Licensed professionals, unlicensed professionals and service workers \\___/ (\""3 Patients, providers and insurers \\___/ (\""3 Board of trustees, hospital administrative units, and organized medical staff \\___/ Question 22 [2.4 points) Which of the following is not a characteristic of the current US healthcare system? 3/\Question 20 [2.4 points) Several years ago, many military veterans complained that they had to wait a long time before getting an appointment with a U.S. Department of Veterans Affairs physician. In response to this problem, the U.S. Department of Veterans Affairs implemented an incentive program that provided cash bonuses to hospital managers who reduced the patient waiting lists within their assigned programs. Bonuses were given to hundreds of managers at VA facilities across the country, based on data submitted by those managers that showed that average waiting time had been reduced. However, in 2014 the VA discovered that some of the data had been falsified. In some cases, veteran waiting time had actually increased, and some veterans died while waiting for care, despite the fact that VA managers were being rewarded with cash bonuses for reducing waiting time. From a policy perspective, which term best describes the falsification of data by some VA managers? If\Which of the following statements is correct about the "separation of powers"? One of the biggest threats to "separation of powers" is from lobbyists O Most of the time the two major political parties can overcome the separation of powers by using "checks and balances" C The Constitution created three co-equal branches to guard against the concentration of political power Under the US Constitution, the executive branch (Presidency) is the most important branch, followed by the legislative (Congress) and judicial (Supreme Court) branches Question 19 (2.4 points) Which statement is correct about the role of the states in developing health-related policy? The Constitution assigns a minor role to the states in healthcare policy. O Because the states are smaller and less powerful than the federal government, they play only a minor role in developing healthcare policies. The states play an important role in healthcare policymaking. Some states have not yet exercised their right to enact any healthcare policies.Question 16 [2.4 points) Which of the following statements is FALSE? (\"3, Republicans tend to support policies addressing national defense, foreign trade and crime " "1, Democrats tend to support policies addressing poverty, the environment and 3 healthcare " "3, Republicans typically believe that social welfare programs should be aimed at helping people become independent, not dependent Democrats typically believe that the individual citizen should be responsible for dealing with loss of income due to illness, unemployment, misfortune or retirement Question 17 [2.4 points) Which of the following does NOT represent a written source of healthcare law? If t} Regulations {written by executive agencies) {' f} Statutes {approved by the legislative body) If t} Constitutions {' "3. Insurance Company's policies