HCAD 710 - Test 1 Exam 2023
Institute for HC Improvement (IHI) - Correct answer-•Independent non-profit organization
•Focused on developing
... [Show More] strategies for health and HC improvement and performance
•Believes new designs must be developed to simultaneously pursue 3 dimensions which it calls "Triple Aim:
Triple Aim - Correct answer-•Improving the patient experience of care (quality and
satisfaction)
•Improving the health of populations
•Reducing the per capita cost of HC
Triple Aim Mission - Correct answer-•Rethinking of how HC workers are trained, managed, coached and compensated to satisfy its 3 objectives
•States jobs may need to be redesigned to focus more on primary care vs specialty care
•HR strategic management is critical in achieving these objectives
HC Organizations - Categories - Correct answer-•*Hospitals* - provide complete HC
•*Nursing and residential care facilities* - provide inpatient care to those who need continuous HC but do not require hospital services
•*Physician Offices and clinics*
•*Other Ambulatory HC services* - Dental, chiropractic, specialists and diagnostic labs
•*Home HC services* - skilled nursing or medical care provided in the home
•*Outpatient Care Centers* - dialysis, drug rehab, childbirth prep. Classes, etc
Executive Management - Correct answer-•Sits at the top of the labor distribution
pyramid
•Represents the fewest number of individuals required across the industry
Service Workers - Correct answer-•Sit at the bottom of the labor distribution pyramid
•Represents the largest number of individuals required across the industry
Key areas for awareness in the environment in which HC operates - Correct answer-
•*Technology Driven* - HC is very focused on research and innovation in new technology
•Access to HC is largely based on Insurance coverages
•Legal Risk Management Affects Practice Behavior - concept of "defensive medicine"
•*HC worker shortages* - this problem is expected to increase in the coming years
•*HC reform Implications* - it is unclear if the ACA will realize objectives of higher-value care efficiently provided in the best location at a fair and competitive price
•*Providing Culturally Competent Care* - lack of diversity in the direct providers of care
and their lack of sensitivity to culture differences can produce negative outcomes for
ethnically diverse consumers
Future of HC - Correct answer-•Acceleration of Technological Advancements
•*Continue Financial Pressures* - especially in light of malpractice concerns •*More Accountability* - calls for more information on the equality of doctors and hospitals. Making pricing publically available including costs of any procedure, treatment or test
•*Demographic Changes* - People 65 and older will make up a larger percentage of the population because people are living longer and having less children
•*Health Planning and Policy Initiatives* - part of the ACA in regards to HC access
3 Distinct steps required in access to HC to achieve the best possible outcomes -
Correct answer-•Gaining entry into the HC system
•Accessing a HC location where needed services are provided
•Finding a HC provider with whom the patient can trust and communicate
Barriers to HC services - Correct answer-•Lack of availability
•Cost
•Lack of insurance coverage
HR professionals - Correct answer-•Have the opportunity to make contributions
HR professionals - 2 prominent challenges - Correct answer-•*Recruitment and
Retention*
o Demand for HC workers is expected to increase
o Registered nurses is one of the top occupations in terms of job growth o Personal Care Aids is projected as the highest area of growth in HC professionals
•*Managing Change*
o Changes in cost structure - for HR means managing the number, skill mix or wages of employees
o Compliance - Tasks of orienting, training and monitoring employees performance relative to safety, quality and care standards
o Managing diversity with providing culturally competent care - HR planning and programming to match provider and patient demographics
o New technologies - HC workers must receive orientation and training to effectively and safely operate the new technologies o Employee demands for quality of work life - HR policy development to continually monitor and initiate solutions such as flexible scheduling programs, on-site day care etc
2 problems In-Patient institutions will face in regards to HC workforce - Correct answer
•Not enough workers
•Those workers that are available will not have the skills needed in the new HC system
-
Ambulatory Care - Correct answer-•HC continues to move away from inpatient towards
outpatient or ambulatory care
Health Services Businesses - Correct answer-•Alternative care delivery is gaining
momentum creating a variety of health service businesses
Independent Practice - Correct answer-•Some HC professionals are moving to
independent practice to meet the demand for alternative care
Challenges for HR to Recruit and Retain Competent Employees - Correct answer-•More attractive career paths have emerged outside of the life sciences, mainly in technology, which offer better wages, friendly environments and greater advancement opportunities •Many women entering the workforce are choosing more and more non HC related fields
•The HC workplace has grown to be more stressful
Joint Commission on Accreditation of HC Organizations (JCAHO) - Correct answer-
•Accreditation organization concerned with quality
•Subscribing members participate in a standards-based review process
•Expects HC providers to use collaborative and multidisciplinary approach to improve performance, quality and develop staff compentencies
JCAHO standards that deal with HR responsibility - Correct answer-•Planning for effective staffing
•Providing competent staff
•Orienting, training and education staff
•Evaluating competence and managing performance
*All of the above standards have elements of policy, practice and documentation of compliance*
2 Reasons the HR function in HC continues to gain prominence - Correct answer-•The
clear need to provide HR support more efficiently and effectively
•HR professionals are increasing training, skills and understanding....all which increase
their ability to contribute to their organizations
Major HR activities - Correct answer-•Central focus is to contribute to organizational success
•HR Planning and Analysis
•EEO Compliance (equal opportunity compliance)
•Staffing - provide adequate supply of qualified individuals to fill the jobs of the organization
•HR Development - Orientation, job-skill training, retraining, development, career planning, performance management
•Compensation and Benefits
•Health, Safety and Security
•Employee and Labor management Relations
HR Planning - Correct answer-•Managers attempt to anticipate forces that will influence
the future of and demand for employees
Human Resource Information System (HRIS) - Correct answer-•Provides accurate and
timely information for HR planning
Job Analysis - Correct answer-•The process of studying what workers do which
provides the foundation for staffing requirements
the most basic HR activity and the foundation for most other HR efforts
"HR from the Outside In: Six Competencies for the Future of HR" by David Ulrich - Correct answer-•States that the primary challenge of HR going forward is to turn external business trends and stakeholder expectations into internal HR practices and actions
Seattle Children's Hospital (Steven Hurwitz) - Correct answer-•HR must support the daily operations of his organizations, but to be truly relevant, the HR program also focuses on the key strategic areas of workforce planning and succession planning
Succession planning - Correct answer-•A primary focus on HR
•Should include a timeline of readiness and development plan [Show Less]