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HSV 4800 Final Exam Review 319 Questions And Answers
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HSV 4800 Final Exam Review | 319 Questions AndAnswers
Given the amount of detail in laws and regulations at both the state and
federal levels, the health care industry is, at the very least, a quasi-regulated
industry. Correct Ans ➡ True
In recent decades government and insurers have exerted control over much
of health care's money supply Correct Ans ➡ True
The pace of technological change in health care has slowed considerably
over the recent decade Correct Ans ➡ False
Managed care organizations have brought pressure to bear on hospitals and
physicians to reduce the length of hospital stays Correct Ans ➡ True
A formal agreement between separately owned and controlled facilities to
officially coordinate and share certain activities is most appropriately
referred to as Correct Ans ➡ an affiliation
Which of the following is not true concerning regulation of the health care
industry? Correct Ans ➡ The regulation of health care has little actual
impact on a health care organization's day to day activities
The apparent principal driving force behind the growth of health
maintenance organizations (HMOs) has been: Correct Ans ➡ driven
principally by dollars- the desire of payers to stem excessive cost increases
or reduce costs overall
The goal of organizational survival is so fundamental that it underpins all
other goals of an organization. Threats to organizational survival may include
what? Correct Ans ➡ lack of strong leadership, competition, failure to
recognize and accept organizational survival as a legitimate organizational
purpose
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 areawide planning commission. In this way the hospital is "sharing"
its power by absorbing new leadership. This is an example of: Correct Ans
➡ formal co-optation
An acute care hospital has declared a three year moratorium on building due
to uncertainty about economic and demographic shifts in it local area. This is
an example of: Correct Ans ➡ hibernation
,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: Correct Ans ➡ goal expansion
All of the following are characteristics of the youth stage in the
organizational life cycle except: Correct Ans ➡ resistance to change
All of the following are characteristics of middle age phase in the
organizational life cycle except: Correct Ans ➡ frequent innovative
decision making
(routine, predictable procedures
Blend of formal and informal communication patterns,
management authority derived primarily from formal position)
All of the following are characteristics of the old age phase of the life cycle
except: Correct Ans ➡ goal expansion efforts
(primary efforts geared to organizational survival,
staff reduction initiative, increasing hostility by employees toward the
management team)
The restructuring of healthcare organizations through mergers and
affiliations are efforts aimed at adaptation and survival. Amongst other
things, the belief is that an increase in size will give the healthcare
organization greater clout in negotiations with managed care providers and
improve efficiencies as the result of centralized administrative practices.
Correct Ans ➡ True
According to the video clip, "Managing Change in a Large Organization",
organizations can only survive in a highly competitive environment if they
have the resilience to effectively deal with change, whether coming from
within the company or from the outside. Correct Ans ➡ True
A legislative mandate, such as the Patient Self Determination Act, is an
example of what? Correct Ans ➡ a healthcare trend that demonstrates
a concern about patient wishes and the rights of patients to facilitate their
own health care decisions
Select the demographic patterns of the overall population that would have a
direct impact on healthcare organizations. Correct Ans ➡ increase in
the number of older persons, the rise in autism, the increase in childhood
obesity
Health care costs have been driven up by what? Correct Ans ➡
government programs that include Medicaid and Medicare and the
,overexpansion of the hospital system, changes in medical practice and the
increase in medical specialties, and advances in technology and
pharmaceuticals
One example of changes in information technology are the HIPPA regulations
which require the adoption of standard protocols for electronic transactions
Correct Ans ➡ True
Information technology has a major impact on health care delivery. Rather
than the historical methods of gathering and retaining information, which
new methods are associated with information technology in the digital age?
Correct Ans ➡ data mining, informatics standards and common language,
and PDAs, portable computers, e-mail
Resistance to change is an unnatural state within the individual Correct
Ans ➡ False
The requirements in the section of the Health Insurance Portability an
Accountability Act (HIPPA) referred to as "Administrative Simplication", are
actually complex and the effects on organizations have been anything but
simple Correct Ans ➡ True
Involvement, often the strongest force in overcoming employee resistance to
change, is sometimes not an available option Correct Ans ➡ True
Conformance with the requirements of HIPPA has cost many organizations
considerably more than the government's estimates Correct Ans ➡
True
There is presently a reasonable chance that HIPPA, because of its
unpopularity among health care providers, will be repeated Correct Ans
➡ False
Ordering employees to do something is probably the most effective means of
ensuring acceptance of change Correct Ans ➡ False
The implementation of the electronic health record is an example of
proactive change Correct Ans ➡ True
The American Health Information Association (AHIMA) is a national
association of health information managers Correct Ans ➡ True
Stakeholders in the implementation processes associated with the electronic
health record include the National Library of Medicine Correct Ans ➡
True
, The American Health Information Association's legislative advocacy program
concerning non-discrimination based on health conditions primarily focuses
on the personal health record Correct Ans ➡ True
The Patient Self Determination Act of 1990 Correct Ans ➡ addresses
end-of-life decisions and care related thereto, provides for the use of living
wills, health care proxies, and advance directives, was made necessary in
part by technological advances in life-support systems
Likely reasons for entrenched employee resistance to change are Correct
Ans ➡ the uneasiness created among employee when they anticipate
having to change the way they do their work, and step out of their comfort
zone, employees' lack of knowledge of what is coming; that is, fear of the
unknown, and lack of control or involvement in the decisions that influence
the change
All of the following are characteristics of the change process associated with
adjustments to Y2K except Correct Ans ➡ the change involved little or
no opportunity for making other system-wide improvements, such as
upgrading existing computerized systems
(managers were dealing with a predicted change, the need for the change
was known for several years ahead of the deadline, the change involved a
combination of predictable and unpredictable aspects)
The changes associated with the Patient Self Determination Act resulted in
renewed interest in, and activity by, the following committee of the patient
care team Correct Ans ➡ ethics review committee
The changes associated with the Patient Self Determination Act include all of
the following except: Correct Ans ➡ crisis approach to unanticipated
change in requirements for documentation
(rapid routinization through update of existing documentation processes,
patient and family outreach and education program offerings, rapid
routinization through update of existing admissions processes)
Tell employees what to do Correct Ans ➡ urgent- an outbreak of a
contagious disease creates unplanned for conditions in a local hospital
Involve employee in the decision Correct Ans ➡ planning- a new
manager wants to implement a scheduling change for nursing staff
convince the employees by explaining why and how the change can be good
overall Correct Ans ➡ edict from top management- the Board of the
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