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According to the ACHE's Code of Ethics, one way that healthcare executives can avoid or minimize the negative implications of conflict of interest is to: a. Develop a public relations plan to address potential conflict-of-interest scenarios. b. Not participate in the specific decision where conflict may exist. c. Ensure members submit annual lists of major activities and holdings for inspections. d. Make the conflict known to those in superior positions. - Answer d. Make the conflict known to those in superior positions The principles of quality improvement require that healthcare executives change their management philosophy from: a. Finding fault with employees to finding problems in processes. b. Finding fault with employees to involving them in the improvement of processes. c. Focusing on enhanced inspection techniques to focusing on variance. d. Focusing on employees' roles to focusing on process outcomes. - Answer a. Finding fault with employees to finding problems in processes. What type of problem arises when a healthcare executive knowingly allows the organization to continue double billing?
a. An ethical problem for the healthcare executive, but may not be grounds for dismissal if organizational policy is not clearly stated. b. An actual conflict of interest, even absent a direct economic benefit to the healthcare executive. c. An ethical problem for the employee if the healthcare executive receives direct economic benefit. d. An ethical problem if it clearly violates state or federal law. - Answer b. An actual conflict of interest, even absent a direct economic benefit to the healthcare executive. Which of the following is a unit of measure commonly used to determine physicians' clinical productivity? a. RVU b. CMS c. IPO d. CPU - Answer a. RVU Which of the following third-party reimbursement methods provides the largest financial incentive for the provider to reduce cost? a. Charge-based b. Cost-based c. Prospective payment d. Per diem - Answer c. Prospective payment Statements of earnings, financial positions, changes in financial position and retained earnings are required to be submitted yearly by all: a. Publicly owned healthcare organizations.
The central role of the health services organization board includes all of the following: a. Setting the strategic plan and service values of the organization. b. Support for assessing changing market needs. c. Support in managing important service programs or departments. d. Assuring the recruitment, hire, support and reward of the CEO. - Answer c. Support in managing important service programs or departments The first role of the governing body is to: a. Manage inputs of the healthcare organization to achieve the output that are its goals. b. Recruit members who understand the health services field. c. Set objectives and develop policy to guide the organization in achieving its mission. d. Develop the operating plan and monitor departmental performance. - Answer c. Set objectives and develop policy to guide the organization in achieving its mission. Internal members of the healthcare organization's governing body: a. Serve on an ad hoc basis and are rarely voting members. b. Are kept to a minimum due to concerns regarding confidentiality. c. Often include the CEO, medical director and CFO. d. Often include the executive staff in planning and information management - Answer c. Often include the CEO, medical director and CFO.
In assessing the advantage of using a focus group over a survey in evaluating a program, one could say that focus groups: a. Are likely to use a larger sample size. b. Are more useful in designing improvements to a program. c. Are more precise in designing improvements to a program. d. Are useful only when maintaining objectivity is not important - Answer b. Are more useful in designing improvements to a program. From a marketing viewpoint, the development of standards of practice, clinical pathways, clinical guidelines and protocols can all be viewed as efforts to deal with which unique aspect of delivering services: a. Inseparability. b. Intangibility. c. Heterogeneity. d. Perishability. - Answer c. Heterogeneity. What purpose do market plans fulfill for the healthcare organization? a. Provide a business plan (or plans) as a subset of the organization's marketing plan. b. Present general goals for the organization to attain in the next three to five years. c. Develop promotion methods to be used in attaining the organization's objectives. d. Provide specific objectives for utilization attainment the next fiscal year. - Answer d. Provide specific objectives for utilization attainment the next fiscal year.
c. Determine best HR job structure, perform HR job evaluations, establish HR training and development plan. d. Conduct HR job analysis, determine best HR job structure, and establish HR information system. - Answer a. Analyze the current HR situation, forecast HR demand, reconcile with the budget, forecast HR supply. Probability models that forecast the internal flow of employees from one job category to another use a: a. Graphic rating approach. b. Supply-push approach. c. Transition matrix. d. Curriculum path. - Answer c. Transition matrix. Forecasting the internal supply of employees as they move from their current jobs into others through promotions, lateral moves and terminations is called: a. Graphic rating approach. b. Supply-push approach. c. Demand-pull approach d. Rating scale method. - Answer b. Supply-push approach. Which of the following describes the conflict management strategy that would have the most immediate effect on reducing conflict behavior? a. Imposition of formal authority to resolve or suppress conflict. b. Implementation of substantial, super-ordinate goals that require cooperation among units.
c. Rotation of members of one unit into another unit. d. Provision of intergroup training that requires listing of perceptions and identifying differences. - Answer a. Imposition of formal authority to resolve or suppress conflict. Multi-rater assessment (360 degrees feedback) of managers in healthcare organizations is best used: a. In the development of a specific action plan by appraises. b. As part of a training or coaching session. c. As part of the performance appraisal system of the organization. d. When the appraisers are held accountable for their ratings. - Answer a. In the development of a specific action plan by appraises. Behaviorally anchored rating scales (BARS) for specific jobs can be: a. Used to identify components of job behaviors. b. Developed in a short period of time. c. Used for evaluation but not for employee development. d. Subjective on some scale items. - Answer a. Used to identify components of job behaviors. If the amount of charity care increased from one reporting period to the next, which of the following would occur? a. Provision for bad debts would increase. b. Unrestricted net assets would increase. c. Unrestricted net assets would neither, increase or decrease.
d. Is necessary to ensure that the organization complies with certificate of need and other regulatory requirements. - Answer a. Describes future facility needs (either renovation or new construction) necessary to meet strategic and operational needs Which of the following statements best describes the statistics budget? a. It combines volume and expense rates to forecast costs. b. It is a profit forecast for the coming year. c. It combines volume and reimbursement data to forecast revenues. d. It provides input date for other budgets. - Answer d. It provides input date for other budgets. All areas of healthcare facilities are subject to safety, convenience and other regulatory requirements as dictated by the state life safety codes, JCAHO, OSHA, state fire marshal, etc. Which area of the facility typically has the highest standards? a. The energy plant. b. Highly used public areas. c. Areas under construction. d. Patient care areas. - Answer d. Patient care areas. The best way to reduce/contain the costs of distributing supplies throughout an organization is to: a. Purchase the most modern supply distribution system for your organization. b. Minimize the number of times an item is handled from the time it is received by the organization to the time it is used.
c. Utilize a computerized materials management system that allows the organization to minimize inventory levels. d. Negotiate a contract with an outside vendor who specializes in supply distribution to provide these services. - Answer b. Minimize the number of times an item is handled from the time it is received by the organization to the time it is used. The objective of maintenance and repair services is to keep the facility and its equipment operating like new. This goal is best achieved by emphasizing: a. Prevention. b. Efficiency. c. Productivity. d. Safety. - Answer a. Prevention. The facility's plan for a healthcare organization may include plans for renovation or new construction, energy requirements, acquisition of new property, financing options, etc. However, the facility plan begins with an estimate of each service or department's: a. Operational needs. b. Parking needs. c. Staffing needs. d. Equipment needs. - Answer a. Operational needs. An important management principle that should guide the development of information systems in healthcare organizations is to: a. Treat information as an essential organizational resource. b. Delegate all decisions about information technology to technical specialists.
d. Unrealized gain. - Answer c. Property, plant and equipment Which statement about short-term debt reduces liquidity? a. Increased use of short-term debt reduces liquidity. b. Short-term debt provides greater certainty about interest costs over time c. The interest rates for short-term debt are typically higher than interest rates for long-term debt. d. An organization that relies on short-term debt replaces the need for working capital. - Answer a. Increased use of short-term debt reduces liquidity. Which of the following is likely to provide useful information for evaluating the profitability of a hospital's managed care business? a. Payor mix. b. Fixed. c. Contract terms. d. Changes. - Answer d. Changes. A master patient index (MPI) can best be described as: a. A relational database containing all identification numbers assigned to patients. b. A system for converting social security numbers to medical record numbers. c. A system for converting medical record numbers to patient account numbers. d. A longitudinal record of all patient encounters for a fixed period of time. - Answer a. A relational database containing all identification numbers assigned to patients.
A typical use of the Internet by healthcare organizations is to: a. Deliver educational programs to employees. b. Provide the medical staff with electronic access to patient records. c. Advertise services available to the community. d. Communicate financial information to business units of the organization. - Answer c. Advertise services available to the community. The best way to facilitate information system integration within a healthcare organization is to: a. Centralize all computer activities. b. Use computer equipment from only one manufacturer. c. Use computer software from only one vendor. d. Standardize data definitions and data structures. - Answer d. Standardize data definitions and data structures. Which of the following is a developing technology that will help control unauthorized access to computerized information? a. Optical scanners. b. Biometric access control devices. c. Wireless terminals. d. High-speed modems. - Answer b. Biometric access control devices. In negotiating a contract for an information system, healthcare organizations should: a. Form a negotiating team and utilize legal counsel.
d. Handle all communications and prospective vendors. - Answer c. Provide technical information and an outside prospective. The Information Systems Steering Committee for a healthcare organization should perform which of the following duties? a. Information systems planning, selection of software and development of related organizational policies. b. Selection and supervision of key information systems personnel. c. Negotiation of contracts with vendors for equipment, software and service. d. Design and development of the information system software. - Answer a. Information systems planning, selection of software and development of related organizational policies. All of the following are primary functions of the information services department except: a. Ensuring the integrity, quality and security of data. b. Archiving and retrieving data. c. Training and supporting users. d. Utilizing information for operational decision making. - Answer d. Utilizing information for operational decision making. Information system departments most often utilize which one of the following methods to ensure confidentiality? a. Issue security codes and limit access to the system. b. Centralize access to the computer system. c. Do not allow physician and vendor access to the system.
d. Monitor and audit all entries into the system. - Answer a. Issue security codes and limit access to the system. Who has the primary responsibility to assure and maintain the integrity and security of electronic data in a healthcare organization? a. The Information Services Steering Committee. b. The Information Services Department. c. The CIO. d. The Safety and Security Department. - Answer b. The Information Services Department. An efficient Formulary and Therapeutics Committee in many hospitals evaluates all of the following except: a. Symptoms of adverse reactions. b. Patients' current medication effectiveness. c. Contraindications. d. Specific drugs in terms of appropriateness to caseload. - Answer b. Patients' current medication effectiveness. 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): a. System analysis program. b. Report writer. c. Decision matrix management tool.
a. Achievement will be rewarded. b. There is direction from top management. c. There is no upper limit to excellence. d. Interconnected work teams are in place. - Answer c. There is no upper limit to excellence. 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? a. The hospital must admit the patient for observation and treatment if an emergency condition exists. b. The hospital must provide an appropriate medical screening to determine whether an emergency condition exists and, if so, stabilize the condition. c. The hospital may inquire as to the individual's method of payment or insurance status prior to rendering services. d. 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. - Answer b. The hospital must provide an appropriate medical screening to determine whether an emergency condition exists and, if so, stabilize the condition. What was the first major law to have a significant impact on individual privacy in the workplace? a. Civil Rights Act b. Fair Credit Reporting Act c. Polygraph Protection Act d. Privacy Act - Answer a. Civil Rights Act
How does physician self-referral or Stark laws apply to Medicare payments? a. The law applies to private party insurance and does not apply to Medicare payments. b. The law establishes an additional payment to the normal Medicare payment fees due to the added complexity of referrals. c. 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. d. The law prohibits a provider from presenting a claim to Medicare or to any person or other entity for a prohibited DHS referral. - Answer d. 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? a. Initiating immediate and appropriate corrective actions. b. Costs of implementation and operations. c. Developing processes to allow employees to report potential problems d. Identifying and preventing criminal and unethical conduct. - Answer b. Costs of implementation and operations. A privilege of confidentiality exists in a physician-patient relationship when the physician-acquired information is: a. Documented in the patient's medical records. b. Substantiated by the patient's nurse. c. Related to the care and treatment of the patient.
