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BUNDLE OF WGU C429 QUESTION AND ANSWER 2023
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C429 Healthcare Operations Management WGU Question rated A+
Supply-side rationing is used by universal healthcare, HMO's and ACO's to cut down on A) Duplication of Effort B) Access to specialists C) Decrease pr... [Show More] ovider communication D) Cost C An ACO (Accountable Care Organization) earns additional money by: A) Setting a flexible fee schedule B) Getting a share of money it saves Medicare C) Producing better patient results D) Both C & B D All Americans have the right to __________under the Affordable Healthcare Act. A) Basic Care B) Purchase Care C) Low Cost Medications D) None of the Above B The U.S. Healthcare System is faced with a serious shortage of A) Specialists B) Primary Care Physicians C) Out Patient Surgical Centers D) All of the Above b Which is not a type of universal care utilized in Europe? A) National Health System B) National HMO C) National Health Insurance D) Socialized Health Insurance System B What is not a reason for physician resistance to Evidence Based Practices? A) Too simple B) Too Complex C) Bias D) Not cost effective D Racial and cultural sensitivity is important to healthcare recruitment due to: A) Affirmative action plans B) Population shifting to non-white majority C) The number of people entering the country of treatment D) None of the Above B The IHR (International Health Regulations) is a binding legal agreement to: A) Respect international borders B) Prevent and respond to acute international health risks C) Population Control D) All the Above b Cost control requires all but A) Supply-Side Rationing B) Limit Reimbursement to Providers C) Greater Access to Specialist D) Management of Utilization c Holistic Medicine strives to A) Lower Health Cost B) Treat the whole Person C) Use alternative medicine D) None of the above b Health care organizations play an important role in population health. Given the current directions in health service delivery, which of the following is the most important role for a health care organization to play? a) developing secondary prevention clinics in collaboration with community agencies and disease-related organizations b) developing primary prevention programs for the community in conjunction with community agencies c) facilitating the community development approach to managing the determinants of health for specific high risk populations in the community d) none of the above b Which of the following statements is the most important consideration in developing an effective media relations program for a health service organization? a) identify clear objectives for a media relations program and ensure they are communicated to everyone concerned b) invite the media to an open house at your organization c) maintain regular communication with the media on topical issues d) advise members of the media regarding their role at the organization a You are the newly appointed CEO of a health care organization, In the first few weeks in your new position, you are concerned by the lack of consistent understanding of the organization's strategy on the part of your executives. Some have even commented that "it doesn't seem to make any difference anyway...people do what they've always done and feel they need to do." You have discovered that, while there is a strategic plan for your organization,, there is no formal planning process and the setting of the strategic directions was historically the pursue of the past CEO and the VP Finance. You would like to create a formal strategic planning process that is more inclusive, and is a meaningful guide to the actions of your executives and their staff. At what stage of the strategic planning process should you involve your executives? a) the strategy formation stage, where the initial ideas around what the strategy should be are developed b) after the point of receiving approval to develop your strategy further from your Board c) the strategy implementation stage, where you present your strategy and seek assistance in implementing it d) the strategy evaluation stage, where you formulate the strategy, put it in place, and call upon your executives six months later to comment on its effectiveness a There are several activities which are essential to effective strategic planning. They include: 1) CEO defined vision, mission and values 2) defined roles and responsibilities 3) adequate consultation, discussion, and feedback 4) indicators that will be measured and monitored a) 1, 2, and 3 b) 1, 2, and 4 c) 2, 3, and 4 d) all of the above c A.5 Many program evaluation systems have focused on program outputs (goods and services), but there has been a definite shift towards recognizing the need to evaluate program outcomes (the impact of a service on clients). Which of the following are program outcomes? 1. to discharge 85 percent of patients after four days 2. to increase the number of patients seen weekly from 70 to 100 3. to increase patients' knowledge of how to minimize lower back pain 4. to increase exercise tolerance of cardiac patients a) 1,2 and 3 b) 3 & 4 c) 1 & 2 d) 2, 3, and 4 b Emotional self-awareness involves: 1. recognizing one's emotions and their impact on others; 2. assessing one's emotional strengths; 3. striving to understand one's emotional triggers; 4. leveraging negative feelings to drive motivation and action. a) 1 and 2; b) 1, 2, 3; c) 1, 3, 4; d) 1, 2, 4 b A health care leader who navigates socio-political environments does the following: 1. collaborates to address emerging issues; 2. forms partnerships to achieve positive outcomes for all stakeholders; 3. anticipates situations in which concensus is not attainable to resolve matters between conflicting parties; 4. rejects public-private partnerships in order to avoid conflict among stakeholders. a) 1, 2, 3; b) 2, 3, 4; c) 1, 3, 4; d) 1, 2, 4 a What is marketing mix? A. Product/service, price, promotion and place. B. Television, radio, print and electronic media. C. Demographic population. D. Budget, plan, mission and vision. a Who is a stakeholder in the medical practice? A. Only people who own stock in the medical practice. B. Anyone who is affected by the medical practice. C. Patients, employees and owners of the medical practice. D. Only an owner or employee of the medical practice. b An employee physician is MOST strongly motivated to remain with a group when he or she feels: A. Gratitude toward the group. B. Obligated to the group. C. Fear of finding a comparable position. D. Invested in the group. d Which of the following is NOT considered in determining the staffing ratio for an ambulatory setting? A. Square footage per FTE employee. B. Ability and skill level of staff. C. Volume of patients. D. Complexity of patients. a What is the term used for a job duty that is important to your company's operations, is performed frequently and cannot be assigned or performed in another way? A. Critical. B. Marginal. C. Mandatory. D. Essential. d Which of the following is a benefit of an effective training and development program? A. Monitoring processes becomes unnecessary. B. Employee retention increases. C. Organizational goals are redefined. D. Employees are not paid for training time. b [Show Less]
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Healthcare Operations Management (C429) – PreAssessment Question with correct solution 2023
The support staff of a large urgent care facility sees no career advancement opportunities within the organization. The organization knows it must identify... [Show More] other ways to increase job satisfaction or there will be high employee turnover. Which action can improve job satisfaction in this scenario? -Starting recognition programs -Conducting employee surveys -Providing autocratic leadership -Increasing horizontal communication Starting recognition programs A hospital's governing board of trustees has asked a hospital administrator to find a solution to numerous compliance issues that have ultimately affected the hospital's performance. Which initial action should the hospital take to address these compliance issues? -Promoting service excellence -Developing a corrective action plan -Encouraging autocratic leadership -Implementing an employee recognition program Developing a corrective action plan The former chief administrator of a health and wellness center is reassigned after the staff lost trust in leadership due to lack of visibility. How can the new chief administrator correct this problem? -By rounding with the staff -By holding meetings with leadership -By implementing a non-monetary employee recognition program -By surveying the employees to determine unresolved problems By rounding with the staff A hospital emergency room (ER) has had frequent turnover in nursing positions, which has caused increased wait times. The hospital must use new strategies to reduce employee turnover and decrease wait times. Which leadership strategy should be used? -Increasing patient to nurse ratios in the emergency room -Expanding the triage area space with an additional triage RN -Empowering human resources to hire from outside the organization -Empowering nurses to use holding areas for patients being admitted Empowering nurses to use holding areas for patients being admitted A large healthcare system is currently implementing an initiative to reduce catheter-associated infections for its inpatients—not only for patient safety, but also as a strategy to ensure the organization is not penalized in its reimbursements. Which two practices will assist in the implementation of this initiative? Choose 2 answers -Engaging front line employees' feedback on current practices -Submitting a request for proposal (RFP) for a new catheter vendor -Evaluating previous financial impact to determine potential penalties -Providing mandatory training to help employees implement the protocols Engaging front line employees' feedback on current practices Providing mandatory training to help employees implement the protocols A hospital leadership team is about to start its hospital-wide implementation of a Hospital Consumer Assessment of Healthcare Providers and Systems program and has discussed best practices that should be implemented based on a recent leadership seminar the team attended on the subject. Which strategy should be used to ensure successful implementation of the program? -Engaging with all stakeholders -Providing an informative web page -Educating volunteers on guidelines -Reviewing reports of similar facilities Engaging with all stakeholders A well-established medical chain has discovered that infighting is taking place between its high-level leaders over boundaries and responsibilities. The chief executive officer (CEO) wishes to resolve the in-fighting. Which conflict resolution method should the CEO use to resolve this issue? -Forcing -Win-win -Compromise -Accommodation Win-win A large healthcare organization is struggling and has decided it wishes to be a more innovative company. It decides to reorganize its structure to support this initiative. Which type of organizational structure will enhance creativity among its workers and managers? -Pyramid -Flattened -Functional -Geographical Flattened The chief financial officer (CFO) of a hospital has received a HIPAA audit that has identified deficiencies in the medical/surgical nursing unit. Which strategy should the CFO and nursing director use to ensure that the department is compliant with HIPAA? -Provide HIPAA pamphlets to patients and their families -Ensure HIPAA consent forms are readily available -Have the staff read the policy for HIPAA on the unit -Conduct HIPAA training and testing for competency Conduct HIPAA training and testing for competency A low-performing physician's office has struggled with new patient enrollment and is trying to increase its revenue. The physician is concerned about non-compliance with the Stark Law. Which action is of concern? -Releasing patient records to the family -Submitting claims for non-provided services -Receiving a finder's fee for Medicare referrals -Turning away a laboring patient for non-insurance Receiving a finder's fee for Medicare referrals A large metropolitan hospital has implemented strategic measures including improvement of overall patient experience and survey scores. Leadership is seeking a measurement of the overall initiative. What will measure success or failure? -Hospital implementation of an electronic survey system -A patient satisfaction survey of hospitals in the local area -The American College of Emergency Physicians' satisfaction survey -The Hospital Consumer Assessment of Healthcare Providers and Systems survey The Hospital Consumer Assessment of Healthcare Providers and Systems survey A hospital has recently implemented a continuous process improvement to decrease the length of stay for patients in the hospital. The plan will monitor the actual length of stay in comparison to the expected length of stay. What must the hospital use to monitor this process? -Internal validity of the provided data -Conflicting data from different sources -Researcher bias about self-reported data -Patient acuity data to establish the length of stay Internal validity of the provided data A community hospital board, consisting of physicians and leadership, reviews performance data for clinical measures. Objectives from the strategic plan are often selected by focusing on under-performing clinical outcome areas, with a specific focus on quality patient care. Which two components, in addition to patients' needs, should be considered? Choose 2 answers -Financial performance -Opportunities for care improvement -Alignment with mission, vision, and values -Management, employee, and volunteer satisfaction Opportunities for care improvement Alignment with mission, vision, and values The board of a healthcare organization has had mixed success when filling board member vacancies. The board is responsible for ensuring that competent board members are appointed and maintained. Which criterion should be established for selecting new board members? -Ensure personnel are initially properly licensed, and certified per federal, state, and local laws -Aspects of individual character, competence, training, experience, and judgment -Medical staff appointments are prohibited by their bylaws and rules and Regulations -Individuals working for the organization directly or under contract are eligible for appointment Aspects of individual character, competence, training, experience, and judgment A small medical center has been placed in a Medicaid Corporate Integrity Agreement for the next two years. Which action will the administration need to undertake to be compliant? -Auditing medical charts -Reviewing personnel records -Hiring a team of litigation lawyers -Conducting board member chart reviews Auditing medical charts The charge nurse of an intensive care unit has identified communication issues within the department. The nurse asks her supervisor for help with resolving the communication issues. Which strategy should the nurse's supervisor use to support the nurse's development? -Rounding -Mentoring -Networking -Collaboration Mentoring The chief financial officer of a hospital has asked the finance manager to ensure charge-master compliance. This is a new task for the finance manager and professional development is being sought. Which development activity is suitable for this situation? -Participating in round-table discussions -Studying professional journals -Attending a continuing education seminar -Becoming a member of professional associations Attending a continuing education seminar An assistant financial manager wants to transition to operations but lacks supervisory experience in that area. How can the organization support professional development for this manager? -By holding monthly meetings to discuss goals -By establishing a mentoring relationship to share knowledge -By letting the employee develop a roadmap to a leadership position -By identifying opportunities to expand the employee's professional network. By establishing a mentoring relationship to share knowledge The team leader of a nursing department has recognized the need to encourage professional development among the certified nursing assistants (CNAs). The majority of CNAs want to move up the ladder; however, the CNAs have become complacent and the team leader needs to be able to better assist them. Who should the team leader ask to fully advise the CNAs on the necessary steps of their career path? -The chief medical officer -A nursing professional assistant -A nursing school admissions officer -A nursing professional development specialist A nursing professional development specialist A physician wants to be prepared for the chief medical officer position. Which two professional development activities will assist the physician in achieving this goal? Choose 2 answers -Obtaining board certification -Engaging in lifelong learning -Shadowing the incumbent leader -Attending a professional workshop Shadowing the incumbent leader Attending a professional workshop [Show Less]
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Healthcare Operations Managemen
Stakeholders Healthcare leaders must respond to the needs of ______ fairly, consistently and quickly to avoid conflict and ensure that the organization m... [Show More] eets their interests. patient Leaders must facilitate the building of a culture that encourages staff to consider the _____ perspective. goals Leaders should set realistic, achievable ____ and benchmarks for quality of care, patient satisfaction, and staff satisfaction. Healthcare Organization technology community The HCO (______ _________) is : a 24/7/365 operation. up to date with the latest changes, practices and ______. adjusts to _______ needs. Accountability Hierarchy A reporting path that allows each team to communicate its needs to the larger organization and to ensure the governing board of negotiated acceptance of goals. Operational Leadership Helps determine the need for change within the healthcare organization. Purpose is to sustain an infrastructure to ensure that the HCO's array of services is effectively designed, aligned, integrated, and continuously improved. Boundary Spanning Monitor all external stakeholder groups to identify changes in their needs and desires Forecast patient needs to plan staffing and facilities Service Lines Operating units designed around patient-focused care for related disease groups and similar medical specialties Governing Board (board of trustees) The purpose of the _______ ________ of a well-managed HCO is to create and maintain a foundation for relationships among the stakeholders that identifies and implements their wishes as effectively as possible. To set corporate goals, monitor progress and strategic protection, and make strategic decisions. Control Comparability Profitability To be successful, accountability (for senior management) must pass three tests: _________. Operational scorecard performance should equal or exceed negotiated goals. In units large enough to have strategic scorecards, senior leaders are collectively accountable for strategic performance. _________. The organization's scorecard values should be less than the values in alternative sources for the product or service, and should be acceptably close to benchmark or best-practice values. _________. At the level of aggregation at which revenue is received, expenditures should equal the amount paid minus an allowance for funding the long-run strategic goals of the organization. HCO (Healthcare Organizations) Community hospitals, medical practices and specialty providers are all traditional types of _____ Trustees Members of the governing board of not-for-profit HCOs who volunteer their time to the organization; their only compensation is the satisfaction they achieve from their work. The title reflects their acceptance of the assets in trust for the community; also may be called directors Long-range financial plan (LRFP) An ongoing projection of financial position showing earnings, debt, and capitalization for at least the next seven years managerial Board members should be able to make the challenging and sophisticated decisions required in the five ______ functions. Familiarity with the community Familiarity with business decisions Available time A record of success Reputation Ad Hoc Committee A committee formed to address a specific purpose, for a specified time period Standing Committee A permanent committee established in the bylaws of the corporation or similar basic documents Governance Bylaws A corporate document that specifies quorum rules of order, duties of standing committees and officers, and other procedures for the conduct of business HCAHPS (the Hospital Consumer Assessment of Healthcare Providers and Systems) ________ is a patient satisfaction survey required by CMS (the Centers for Medicare and Medicaid Services) for all hospitals in the United States. The Survey is for adult inpatients, excluding psychiatric patients. he intent of the _______ initiative is to provide a standardized survey instrument and data collection methodology for measuring patients' perspectives on hospital care. managers It is critical for managers to understand the board's role: Governance and management: The board seeks information from _______, and they are responsible for implementing the board's decisions. not for profit In _________ organizations, the governing board's main goal is for the organization to meet the mission statement, which is typically aimed at improving the health of the community the organization serves. The board does not have the responsibility to ensure that stakeholders get the benefit of their investment. for profit The governing board in a ______ organization has the responsibility of ensuring that stakeholders and investors are getting the most out of their investments and that the organization is financially successful. This often means that for-profit organizations track and manage their budget very closely, allowing more resources to be allocated toward patient care. Institute of Medicine A nonprofit organization established in 1970 as a component of the US National Academy of Sciences that works outside the framework of government to provide evidence-based research and recommendations for public health and science policy. Abbreviated IOM. performance Clinical _____ is the degree to which clinical professionals and healthcare organizations (HCOs) provide care that meets or exceeds the Institute of Medicine (IOM) aims. Diagnosis Care Patient Community Performance Five functions an HCO's clinical organization must perform : Ensuring accurate _______ Ensuring excellent ______ Individualizing ______ care planning and treatment Improving ____ health Improving clinic ________ Heuristic The classification of disease in modern healthcare is _______, that is, it uses ICD-10 and systematically employing a trial-and-error mechanism that recognizes uncertainty and proceeds cyclically as more information is gathered functional patient Protocols can be divided into two types : _______ and _____ management Functional _______ protocols determine how procedural elements of care are carried out. They cover tasks of care accomplished by individuals (such as giving an injection or taking a chest x-ray) and sets of activities for team procedures (such as surgical operations, rehabilitation programs, or multi-step diagnostic activities). Patient management ____ _____ protocols are formally established expectations that define the normal steps or processes in the care of a clinically related group of patients at a specific institution. (Example, protocol procedures and steps for chest pain) Clinical Practice _____ _____ guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances Triage _____ is the process of determining the priority of patients' treatments based on the severity of their condition. Palliative Care Treatment to manage and reduce pain, discomfort, and other uncomfortable symptoms of life-limiting diseases or conditions with no known cure; services are provided in a holistic manner to include the patient and her family Credentialing The process of validating a professional's eligibility for medical staff membership and/or privileges to be granted on the basis of academic preparation, licensing, training, certifications, and performance IPOC (Interdisciplinary plan of care) A process that includes the patient, the family, and all clinical disciplines involved in planning and providing care to patients, from system point of entry, throughout the entire acute care episode, and to the next level of care (used in case management) Operating Nursing Chief Executive Officer Vice President, Medical Affairs -> Chief ______ Officer, -> Chief ____ Officer Unexpected Event An _______ ____ report is a written report of an untoward event that raises the possibility of liability of the organization Bylaws The physicians collectively establish mutually acceptable rules and regulations called _____. These define the physicians' rights to participate in the organization and provide care as part of the organization, the obligation to ensure quality and economy of care to their own patients, and the obligation to participate in educational and quality improvement activities. Attending physicians Physicians who have the privilege of using the hospital for patient care and who are designated as the physician of record for particular patients Four There are ___ critical elements of physician privilege : Bylaws Privileges Independent patient-physician relationship Continuous quality improvement and peer review. [Show Less]
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