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HCA320 -Essentials of Managed Care Unit final exam a + answer




Question;Multiple Choice Questions (Enter your answers on the enclosed answer sheet)1. Health care concerns shared by the U.S., China and India include concerns over ____________.a. the consolidated financial mechanismb. lack of spending at the local levelc. the low number of specialistsd. lifestyle issues and behaviors2. Investor-owned facilities comprise about ____________ percent of the hospital sector.a. 15-20b. 30-35c. 55-60d. 75-803. Organizations within the health care industry have increasingly consolidated into ____________over the past two decades with the stated objective of being more efficient, but may not operateas such.a. community care centersb. corporationsc. systemsd. foundations4. Schools of management thought have evolved over the past ____________ to provide conceptual maps of how to deal with internal and external challenges. a. centuryb. decadec. yeard. None of the above. 5. The Human Relations School ascertains that in order to improve productivity, management must ____________.a. implement the top-down control of workb. minimize the input of workersc. offer monetary incentivesd. understand the informal organization of workers6. This school of management is also known as the ?Neo Weberian? model: a. classical schoolb. human relations school c. decision-making school d. scientific school 7. Sociologists have long taken the _____________ in describing the embeddedness of human behavior in social relationships. a. social network approachb. systems approach c. perspectives approach d. None of the above. 8. The decision-making school is focused on _____________.a. physiciansb. middle managersc. top executivesd. blue collar workers9. One school of modern strategic management encompasses an emphasis on _____________.a. industry net-worthb. top-down decision makingc. industry structure and competitive forcesd. deliberate corporate rationality10. _____________ (INDs) can fill the structural hole between independent physician groups who can jointly develop and implement care management practices.a. Integrated delivery networksb. Independent doctor networksc. Interdependent development networksd. Independent decision networks11. _____________ are a domain in which strong professional forces confront a host of institutional and market forces.a. HPRsb. PHOsc. ISMsd. All of the above. 7Final ExaminationHCA 320 Essentials of Managed Care12. ____________ can be defined as the process in which one engages others to set and achieve a common goal, often an organizationally defined goal. a. Managementb. Leadershipc. Powerd. None of the above.13. ____________ provide supervision directly to care providers. a. Front-line mangersb. Top managersc. Middle managersd. All of the above. 14. ____________ have responsibility for entire units within the health care organization. a. Front-line mangersb. Top managersc. Middle managersd. All of the above.15. An example work plan is also known as a ____________ Chart.a. Gantt b. Weberc. Levyd. management16. One of the key roles of the C-Suite is to interact with key ____________.a. external stakeholdersb. managersc. union leadersd. producers17. A critical role of leadership is ____________ setting. a. agenda b. missionc. objective d. goal 8Final ExaminationHCA 320 Essentials of Managed Care18. Which of the following is not a step in the strategic problem solving process? a. define the problemb. set the overall objectivec. conduct a root cause analysisd. all are steps in the strategic problem solving process19. Performance outcomes in health care are classified into three major categories: (1) patient-related, (2) staff-related, and (3) ____________-related.a. communityb. stakeholderc. governmentd. management20. The complexity and difficulty of leading health care organizations (HCOs) in a dynamic world has spurred interest in identifying _____________.a. avenues of changeb. competenciesc. novel health practicesd. directives21. Studies have identified two types of support that those in leadership roles must provide for successful change: instrumental and _____________ support.a. industrialb. proactivec. interpersonald. unconventional22. Processing the stress related to leadership action is recommended as a routine approach to self-_____________ in leadership positions.a. fulfillmentb. carec. destructiond. motivation23. Service lines are programs that are organized around _____________.a. technologiesb. diseasesc. patient populationsd. All of the above.9Final ExaminationHCA 320 Essentials of Managed Care24. The purpose of ____________ is to bring people together, while avoiding the negative effectsof differences in power of different participants and of limits in perspectives of each department and level in the hierarchy.a. parallel organizationb. informed consentc. process evaluationd. external organization25. ____________ is the coordination of activities among organizational units, including the management of conflicts among the units. a. Specializationb. Integrationc. Interdependenced. All of the above.26. ____________ are programs that are organized around diseases or conditions, patient population or technologies.a. Service linesb. Delivery systemsc. Parallel systemsd. None of the above.27. ____________ organizational structures maintain their traditional functional structures and create program structures for just one or two programs.a. Divergentc. Duplicateb. Decentralizedd. Hybrid28. ____________ is the specification of the training required to perform work.a. Standardization of workb. Standardization of skillsc. Standardization of compliance d. Standardization of competence10Final ExaminationHCA 320 Essentials of Managed Care29. ____________ is/are the exchange of information about work performance between two people who are not in a hierarchical relationship.a. Consensual agreementb. Mutual adjustmentc. Shared objectivesd. Alienated forces30. _____________ coordination captures aspects of both the programming and feedback approaches to coordination.a. Allianceb. Conditionedc. Relationald. Intuitive31. The state of feeling or thinking in which one is energized or aroused to perform a task or engage in a particular behavior is _____________.a. motivationb. powerc. leveraged. None of the above. 32. _____________ can be useful in collecting information about beliefs and attitudes as long as they are anonymous and there is assurance the results will be acted on.a. Interviewsb. Employee surveysc. Public forumsd. Suggestion boxes33. The four central components of expectancy theory are _____________.a. job outcomes, victories, implementation and expectancyb. job outcomes, valences, instrumentality and expectancyc. job security, valences, implementation and eagernessd. job security, valences, instrumentality and expectancy34. _____________ is the most important defining characteristic of health care professionals.a. Autonomyb. Determinationc. Competenced. Creativity11Final ExaminationHCA 320 Essentials of Managed Care35. One of the best ways to motivate physicians include _____________.a. distributing guidelines and protocolsb. financial incentivesc. traditional medical education programsd. reminders and feedback36. The causes of motivational problems often fall into three categories: 1) inadequate definition of the desired performance, 2) impediments to employee performance and 3) _____________.a. too much autonomyb. inadequate performance-reward linkagesc. internal review structuresd. behavioral shortcomings37. ____________ involves ?directed autonomy? whereby individuals or teams are given an overall direction yet considerable leeway concerning how they go about following that direction.a. Allotmentc. Enforcementb. Engagementd. Empowerment38. ____________ is when altering certain aspects of the job may satisfy employees? psychological needs and motivation.a. Job descriptionb. Job finalizationc. Job redesign d. All of the above. 39. Team goals and their accompanying tasks can be categorized according to ____________, complexity, and diversity.a. goal directionb. goal clarityc. standardizationd. aptitude40. Formal groups are formally recognized, organizational based social systems that are task oriented with specific purpose and produce measurable _____________. a. outcomesb. needs c. jobsd. None of the above.12Final ExaminationHCA 320 Essentials of Managed Care41. Effective team performance is dependent upon a team?s ability to form ____________ with other teams in a positive and productive manner.a. municipalitiesb. intergroup relationshipsc. intragroup dynamicsd. independence42. ____________ leadership is the legitimate authority given to a team member.a. Formalb. Officialc. Informald. Direct43. Members carrying out ____________ activities are involved in general scanning for ideas and information about the external environment.a. ambassadorb. functionalc. scoutingd. locating44. A ____________ is a member of a team who obtains the benefits of group membership but does not accept a proportional share of the costs of membership.a. slackerb. lazy person c. free riderd. leader 45. Which theory of motivation model includes hygiene factors?a. McClelland?s modelb. Keller?s modelc. Maslow?s modeld. Herzberg?s model46. _____________ group technique and Delphi technique elicit group members? opinions prior to judgments about those opinions.a. Normalb. Biasedc. Unbiasedd. Nominal13Final ExaminationHCA 320 Essentials of Managed Care47. The ____________ stage of team development is characterized by disagreement, counter-independence and the need to manage conflict.a. stormingb. formingc. adjourningd. performing48. ____________ described communication as mostly a linear process.a. Platob. Plutarchc. Aristotle d. Socrates49. According to the well-known management theorist, Nitin Nohria, effective leaders know how and when to use each of ____________ means of persuasion.a. Plato?sb. Aristotle?s c. Plutarch?sd. Socrates?s50. People respond to ideas that are easy to visualize because they can be recalled from memory more readily. This is an example of the ____________ phenomenon.a. associationb. photographicc. availability d. optical51. After simplicity, the second most important quality of one?s message is _____________.a. complexityc. vividnessb. brevityd. uniqueness52. One reason that broad involvement of many different stakeholders is crucial to the success of a communicator is that stakeholders can ______________.a. determine their worthb. demand better benefitsc. reluctantly complyd. offer their expertise14Final ExaminationHCA 320 Essentials of Managed Care53. The issue of broad representation generally becomes more important as an organizational initiative moves into the ___________ phase.a. originationb. implementationc. scoutingd. planning54. A weakness of ____________ is that it is not appropriate for exploring a particular idea or proposal in depth.a. structured interviewsb. focus groupsc. open-ended interviewsd. interview design55. _____________ explains how information spreads.a. Hierarchyb. Collapsingc. Contagiond. Staggering56. Real-time team meetings are venues where _____________ communication takes place.a. enhancedb. all-channelc. structuredd. circle57. Which of the following is not a method used in managing organizational communication? a. open-ended interviews b. structured interviewsc. one-minute essaysd. All the above.58. This rests on a fundamental principle that practitioners and institutions that produce the best outcomes should receive more money than those who underperform.a. pay-for-performance b. pay-for-outcomec. pay-for-efficiencyd. pay-for-quality15Final ExaminationHCA 320 Essentials of Managed Care59. Emotional ____________ occurs when emotions are transmitted from one party to another.a. reachingb. passagec. displacementd. contagion60. ____________ is the tendency for others to exchange equal levels of goods and services.a. Barteringb. Sharingc. Reciprocityd. Fairness 61. _____________ involves acquisition of knowledge or skills through study, instruction or experience.a. Learningb. Research c. Studyingd. None of the above.62. The three strategies that are the most common when individuals engage another party and seek resolution are ____________.a. compromising, competing, and collaboratingb. compromising, competing and consistencyc. creating, combining and consistencyd. creating, cost-effectiveness and collaborating63. _____________ is a negotiation tactic which involves trading off on issues that are of differentvalue to each party.a. Pitchingb. Compromisingc. Aggregatingd. Logrolling64. Objective arguments are more effective than subjective arguments because they are rooted in _____________, not perception, and are therefore more difficult to refute.a. rumorsb. stipulationsc. logicd. arguments16Final ExaminationHCA 320 Essentials of Managed Care65. BATNA stands for ?Best _____________ to a Negotiated Agreement.?a. Alternateb. Accelerationc. Advanced. Arrival66. Managers can use ?____________,? as described by Sterman, to help them understand dynamic complexity and gain insight into sources of policy resistance.a. corporate modelsb. corporate simulatorsc. management modelsd. management simulators67. ____________ learning is when problem solvers adjust their behavior and work processes inresponse to changing events or trends.a. Adaptiveb. Creativec. Organizationald. Generative68. The ____________ effect is the tendency to infer specific characteristics of a person or organization from our overall impressions or feelings about that person or organization.a. abstractionb. illusoryc. perceptiond. halo69. Through _____________, innovators learn about possible action alternatives, outcome preferences and contextual factors.a. guessingb. actionsc. discoveryd. production70. According to Rosenzweig, the pervasive belief that organizational innovativeness could be replicated through a simple formulae can be attributed to observational bias known as_____________.a. discoveryb. genesisc. the halo effectd. adaptation17Final ExaminationHCA 320 Essentials of Managed Care71. According to Plesk and Wilson, the four key conditions or parameters required for space for novel ideas, creative solutions, and the emergence of new relationships are _____________.a. discretion, boundaries, permission, and requirementsb. direction, brainstorming, permission, and resourcesc. discretion, brainstorming, permission, and resourcesd. direction, boundaries, permission, and resources72. Three common myths or misconceptions about innovation are that (1) innovation is good, (2) there is a formula, and (3) innovation is ____________.a. infiniteb. finitec. lineard. circular73. _____________ are workforce or human resource practices that have been shown to improve an organization?s capacity to effectively attract, select, hire, develop, and retain high-performing employees.a. High-Performance Work Practicesb. Just Culture/Just Safety Culturec. Magnet Statusd. Pay-For-Performance74. Burgeoning medical knowledge and the complexity of health care delivery have resulted in increasing _____________ in the health care workforce.a. organizationb. professionalismc. generalizationd. specialization75. Six Sigma is a quality improvement strategy invented by _____________ in the mid 1980s.a. IBMb. Sprintc. AT&Td. Motorola 76. _____________ identification has effectively limited organizational identification (i.e., individuals? sense of alignment with the organization).a. Professionalb. Personalc. Selfd. Group18Final ExaminationHCA 320 Essentials of Managed Care77. ____________ comprises the fundamental values, assumptions, and beliefs held in commonby members of an organization.a. Strategyb. Culturec. Structured. Branding78. ____________ is the process of providing a lens through which to interpret a situation.a. Structuringb. Definingc. Framingd. Aligning79. _____________ leadership is defined as influencing followers by ?broadening and elevatingfollowers? goals and providing them with confidence to perform beyond the expectationsspecified in the implicit or explicit exchange agreement.?a. Transactionalb. Transformationalc. Traditionald. Innovative80. _____________ can be defined as the creation, implementation, and overall direction for afirm.a. Strategic managementb. Competitive advantagec. Environmental controld. None of the above.81. The _____________ Framework has often been employed to understand the competitive forcesin industries.a. Forward Financialb. Five Fingersc. Five Forcesd. Forward Forces82. ____________ costs are the costs incurred when a customer changes from one supplier orproduct to another.a. Detrimentalb. Rotatingc. Oscillatingd. Switching19Final ExaminationHCA 320 Essentials of Managed Care83. ___________ power is when customers seek to drive down price and improve quality.a. Buyerb. Intentionalc. Supplierd. Group84. The analytical tool used for evaluating organizational capabilities, SWOT, stands for ____________.a. strengths, weakness, organization, and teamworkb. strengths, weakness, opportunities, and threatsc. structure, weakness, opportunities and teamworkd. structure, weakness, organization and threats85. When competing products or services are similar, buyers may obtain value based on the company?s ____________.a. portfoliob. imagec. efficiencyd. efforts86. ____________ analysis compares the value of the strategic business units (SBUs) of firms.a. Creativeb. Systemsc. Organizationald. Portfolio87. The physician-hospital relationships fall into three broad categories: noneconomic integration, economic integration, and ____________ integration.a. employeeb. formalc. personald. clinical88. Governance mechanisms of alliances include (1) joint ownership in which partners share control of some or all alliance assets, (2) contracts that specify rights and obligations of alliance partners, (3) _____________ that rely on trust and goodwill, or (4) some combination of these.a. formal rewardsb. informal rewardsc. formal agreementsd. informal agreements20Final ExaminationHCA 320 Essentials of Managed Care89. ____________ and conflict-management systems are subsets of relational norms underlying the process exchange over time.a. Trustb. Intentc. Productivityd. Competition90. A major difficulty that organizations face in addressing alliance problems is actually their inability to identify the ____________ correctly.a. truthb. strengthsc. problemd. structure91. An example of an appropriate way to deal with an alliance problem is ____________.a. implementing performance monitorsb. swapping capabilitiesc. creating governing boardsd. creating a system of checks and balances92. To form a successful alliance, the members of the alliance need to be able to learn from their experience and to build additional _____________ as needed.a. lines of evidenceb. outputsc. capitald. capabilities93. Willingness to put alliance interests first is a key factor of the _____________ stage of a life cycle model of organizational alliances in health care.a. critical crossroadsb. maturity c. emergenced. transition94. ____________ partners are not particularly interested in the strategic aspirations of the otherpartner in the alliance relationship.a. Indifferent b. Cooperative c. Quasi-cooperative d. Competitive 21Final ExaminationHCA 320 Essentials of Managed Care95. The ____________ (HIPAA) limits the ability of new employers to exclude coverage for preexisting conditions.a. Health Insurance Portability and Accountability Actb. Health Inspection Portability and Accountability Actc. Heath Insurance Preferentially and Accountability Actd. Health Inspection Preferentially and Accountability Act96. The ____________ of 1986 is designed to prevent institutions from denying care to anyone seeking emergency medical treatment, regardless of citizenship, insurance status, or ability topay.a. Emergency Medical Transfer and Litigation Act (EMTALA)b. Emergency Medical Treatment and Labor Act (EMTALA)c. Emergency Medical Treatment and Litigation Act (EMTALA)d. Emergency Medical Transfer and Labor Act (EMTALA)97. The ____________ stores information regarding physicians? and dentists? professional competence and conduct.a. National Practitioner Data Bank (NPDB)b. Network of Competencies Data Bank (NCDB)c. National Record of Health Care Provider Competencies (NRHCPC)d. Network of Known Practitioner Errors (NKPE)98. One approach to aligning the IS function with the rest of the organization includes the idea that IS function should _____________ that of the organization.a. controlb. unitec. supplementd. mirror99. Successful strategic _____________ should result in a set of IS projects that the organizationhas identified as important to its strategic direction or for sustaining existing capabilities.a. valuesb. governancec. implementationd. alignment100. The construction phase of the systems development life cycle (SDLC) includes system design, building, and _____________.a. testingb. sellingc. marketingd. contracting


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