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An EHR or EMR (electronic medical record) is an official ________for an individual that is shared among multiple facilities and agencies.
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A. patient profile
B. status report
C. diagnostic report
D. health record
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_________ points are awarded by comparing a hospital’s rates during the performance period to that same hospital’s rates from a baseline period.
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A. Improvement
B. Consistency
C. Achievement
D. Performance
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Safe working environments and quality care are built on all of the following EXCEPT:
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A. open communication.
B. joint accountability.
C. excessive capacity.
D. optimal infrastructure.
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_________ points are awarded by comparing a hospital’s patient experience-of-care dimension rates during the performance period with all hospitals’ patient experience-of-care rates from a baseline period.
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A. Improvement
B. Consistency
C. Achievement
D. Performance
Information systems, also called ________systems, are used by hospitals and healthcare providers to track clinical records of patients.
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A. database
B. electronic health information
C. performance tracking
D. electronic medical record
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The six aims for improvement in the quality of care include all of the following EXCEPT:
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A. effectiveness.
B. patient centeredness.
C. timeliness.
D. consistency.
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A _________is a simple analytical tool that allows healthcare professionals to learn from variation over time. With this information, healthcare leaders can make decisions about appropriate staffing or functional deployment of equipment during high demand for service.
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A. Pareto chart
B. fishbone diagram
C. root chart
D. run chart
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The traditional separation between clinical practices and administrative functions has given rise to all of the following EXCEPT:
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A. miscommunication.
B. integration.
C. silos.
D. rewards for inefficiency.
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As patients demand higher quality and more________, healthcare organizations are being transformed to ingrain a culture of delivering quality care.
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A. services
B. direct care
C. accountability
D. transparency
__________ gave the Centers for Medicare & Medicaid Services the power to base a portion of hospital reimbursement payments on how well hospitals perform in 20 core measures.
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A. The Office of the National Coordinator for Health Information Technology (ONC)
B. The Health Information Technology for Economic and Clinical Health Act (HITECH)
C. Accountable Care Organizations (ACOs)
D. The Patient Protection and Affordable Care Act of 2010
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With the passage of the ________, the CMS has been charged with several key tasks for advancing health information technology.
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A. Health Insurance Portability and Accountability Act of 1996
B. Health Information Technology for Economic and Clinical Health Act
C. American Recovery and Reinvestment Act of 2009
D. Health and Human Services Compliance Act
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Inefficiency leads to both higher costs and to:
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A. poor health outcomes.
B. reporting inaccuracies.
C. inconsistent treatment.
D. duplication of effort.
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The healthcare industry is moving from a volume-based business model to one based on:
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A. value.
B. competencies.
C. fee-for-service.
D. technologies.
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The purpose of __________is that hospitals across the country will be paid for inpatient acute care services based on care quality, not just the quantity of the services they provide.
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A. value-based purchasing
B. CMS
C. Accountable Care Organizations
D. the ONC
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________ are networks of coordinated healthcare organizations characterized by a payment and care delivery model (e.g., capitation, fee-for-service) that seeks to tie provider reimbursements to quality metrics and reductions in the total cost of patient care.
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A. Centers for Medicare and Medicaid Services
B. Accountable Care Organizations
C. Health Maintenance Organizations
D. Health Management Organizations
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The role of ________in hospitals is to provide effective checks and balances and promote accountability and transparency in recording and reporting errors and failures.
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A. administration
B. physicians
C. leadership
D. the board
________________ is an official health record for an individual that is shared among multiple facilities and agencies.
| Â |
A. An EHR or EMR
B. Patient history
C. Value Based Purchasing
D. DRG
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Health care is delivered by physicians who work as specialists, seeing the patients who present with conditions they are trained to understand and to treat. This leads to:
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A. job specialization.
B. cross-functionality.
C. silo mentality.
D. lack of team focus.
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Gawande (2011) likened traditional medical practice to:
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A. the American cowboy culture.
B. a pit crew.
C. independent business owners.
D. a law firm.
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Healthcare quality care programs and metrics are increasingly influenced by ________and measured by state-of-the-art scientific tools and sophisticated methodologies.
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A. financial incentives
B. performance indicators
C. systems design
D. delivery methods
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The ___________ process requires the company to set specific goals that both the employee and employer agreed upon, and therefore employees know what is expected of them.
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A. Management by Objectives
B. S.M.A.R.T
C. Project management
D. Team considerations
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__________ goals are not usually considered or mentioned in the system’s strategic and operational plans.
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A. Visionary
B. Organizational
C. Official
D. Operative
_________ goals are the specific goals that the organization needs to accomplish in order to achieve its mission.
| Â |
A. Visionary
B. Organizational
C. Official
D. Operative
If employees succeed in achieving increasingly difficult goals, they can improve productivity and efficiency, accomplishing successive tasks at progressively higher levels. This is called:
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A. optimum performance.
B. the high-performance cycle.
C. progressive goal attainment.
D. progressive goal achievement.
Which of these is an example of the strategy to move patient care to less costly settings?
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A. Transferring patients from inpatient admissions to the Emergency Department
B. Allowing patients to choose the best health insurance plan
C. Encouraging patients to use retail clinics
D. Requiring co-pays for most routine visits to the PCP
The _________________ demand(s) that the leader organize functions so that data about the market, the patients, and the capabilities of the institution can inform management about potential problems and opportunities that could impact the organization’s performance.
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A. innovator role
B. coordinator role
C. patient role
D. Centers for Medicare and Medicaid Services (CMS)
_________is required to determine whether a leader’s great idea can produce financial returns if he or she decides to introduce it.
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A. Market segmentation
B. Market analysis
C. Environmental scanning
D. Product testing
_________________ has/have become increasingly important in healthcare organizations, as patient care has become more interdependent, requiring careful coordination and better communication throughout a healthcare system that has traditionally operated in an individualistic fashion.
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A. Goal setting
B. Team considerations
C. Balanced scorecard approach
D. Project management
Supply-driven demand occurs when:
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A. the oversupply of services or facilities encourages greater utilization by doctors and hospitals.
B. as the price goes up, so does the supply.
C. as the price goes down, the supply goes up.
D. demand for healthcare services keeps going up and supply needs to keep pace.
The ___________________________ supports the CVF to help evaluate the performance of leaders, and if boards closely examine all perspectives from these two frameworks, they can guide senior leadership very productively.
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A. management by objectives
B. balanced scorecard approach
C. team considerations
D. high performance cycle
_________provide definitive performance expectations that must be met, and thus provide a basis for determining whether the employees have done the job that the company needs them to do.
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A. Individual goals
B. Organizational goals
C. Teams
D. Leaders
The _________perspective focuses on employee training, organizational culture, and improvement through learning.
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A. customer
B. business process
C. learning and growth
D. financial perspective
The _____________ the interdependence of the project’s intermediate goals, the _____________ the pressure to complete them on time.
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A. less; less
B. greater; greater
C. less; greater
D. greater; less
The ____________________ requires the leader to have insight into the needs of the market, to identify promising opportunities, and to devise creative methods for fulfilling those opportunities.
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A. patient
B. hospital
C. coordinator role
D. innovator role
In practice, _________ goals are frequently set by managers who create coalitions of noncompeting groups from among other units.
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A. visionary
B. organizational
C. official
D. operative
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