Healthcare Management – Flashcards
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Resistance to change is an unnatural state within the individual T/F
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False
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The Health Insurance Portability and Accountability Act (HIPPA) was passed principally to ensure that workers could change jobs without being denied health insurance based on pre-existing conditions T/F
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True
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Involvement, often the strongest force in overcoming employee resistance to change, is sometimes not an available option. T/F
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True
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Conformance with the requirements of HIPPA has cost many organizations considerably more than the governments estimates. T/F
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True
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There is presently a reasonable chance that HIPPA, because of its unpopularity among health care providers, will be repealed. T/F
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False
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Providing employees with direct orders is probably the most effective means of ensuring acceptance of change. T/F
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False
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The implementation of the electronic health record is an example of proactive change. T/F
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True
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Implementation of changes within an organization, in response to electronic health record initiatives, is the primary responsibility of the American Health Information Association. T/F
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False
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Stakeholders in the implementation processes associated with the electronic health record include the National Library of Medicine. T/F
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True
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The Patient Self Determination Act of 1990
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addresses end-of-life decisions and related care 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.
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The most likely reason for entrenched employee resistance to change is
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the uneasiness created among employees when they anticipate having to change the way they do their work. employees' lack of knowledge of what is coming; that is, fear of the unknown.
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In addition to encouraging acceptance of a necessary change affecting their jobs, involvement of employees in changing methods and practices is valuable because
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it invariably gives them control over change it automatically prevents oct resistance it can empower employees with a sense of ownership of the change employees are then more accepting of management direction because they have been included
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All of the following are characteristics of the change process associated with adjustments to Y2K EXCEPT.
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The change involved little or no opportunity for making other system-wide improvements
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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:
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Ethics Review Committee
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The changes associated with the Patient Self Determination Act include all of the following EXCEPT:
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Crisis approach to unanticipated change in requirements for documentation.
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Directing and controlling together comprise the first-line manager's role; other functions, specifically planning, lie completely with top management. T/F
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False
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The human relations approach to management preceded the advent of scientific management. T/F
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False
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It can be necessary for managers to modify their management or leadership if it is inconsistent with the organization's authority structure or culture. T/F
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True
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Only the Human resources department need be concerned with the implementation details of the Health Insurance Portability and Accountability Act (HIPPA) T/F
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False
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Individuals or groups outside the organization who work cooperatively with the organization in a joint effort are considered to be associates of the organization. T/F
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True
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The function of the manager which involves design of a pattern of roles and relationship is
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Organizing
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In the systems approach to management practices, the requirements of state licensure board for health care practitioners are classified as
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Inputs
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In the classification of organizations by Authority Structure, the authority pattern associated with members of a professional association such as AHIMA is
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Normative
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In the classification of organizations by Genotype, an acute care hospital with extensive research facilities is classified as
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Adaptive
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In the Clientele Network model, the HIPPA regulations are classified as
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Controller input
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In the Clientele Network model, the community-based physician's relationship to the acute care hospital is that of
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Client
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In the Clientele Network model, the AHIMA Coding and Reimbursement Compliance and Record Auditing guidelines are an example of
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Advisor
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As part of a quality control program, the work is inspected in the first phase of the work process. This characteristic of adequate controls is termed:
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Comprehensiveness
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The Six Sigma approach to total quality management is characterized by:
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Statistical analysis of variations
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The use of a professional associations initiative in quality control programs is an example of:
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External Benchmarks
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The usual term for a visual control chart for plotting scheduling and progress is
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Gantt Chart
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In order to depict the chronological flow of work, a manager would usually develop a
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Flow Chart
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In order to identify trends in workflow, a manager would usually develop a
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Run Chart
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In order to identify cause and effect relationships in workflow, a manager would usually develop a
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Ishikawa diagram
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In order to determine priorities by comparing factors and to facilitate sorting the few critical elements from the less urgent workflow analysis, a manager would usually develop a
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Pareto Chart
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In order to show the relationship between two variable factors in workflow analysis, a manager would usually develop a
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Histogram
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The principle of re-qualification in total quality management applies to
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Employee Performance
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In milestone budgeting, the budget periods are divided into equal cycles throughout the project (e.g. three month periods) T/F
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False
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The best type of maintenance and repair plan for a department having a mix of new and older equipment is the fee-for-service plan T/F
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False
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The budget category which cannot be cut or reduced is
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Computer software licensing agreements
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The standard classification of expenditures and other budget transactions is called
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The Uniform Code of Accounts
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The approach to budgeting in which the financial database of the immediate past year is increased by some given percentage for the coming year is termed
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Incremental budgeting
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The planning approach usually associated with budgeting is
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Overaim
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Which of the following wage and salary considerations is an impersonal cost
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Labor union contract wage rates
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Direct expenses include all of the following except
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Equipment depreciation
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In reviewing budget variances for the current budget year, a manager would give special attention to a line item that is over budget for the review period as well as over budget for the year T/F
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True
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A strategic plan usually lays out the desired outcomes for a long period of time, e.g., several years T/F
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True
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The initial strategic plan is usually completed after the organization has moved out of the youth stage of the life cycle and well in tot he middle age phase of the life cycle. T/F
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False
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A SWOT analysis is associated with
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Strategic Plan
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Licensure and accrediting agencies are given access to the annual reports if they request these documents. T/F
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True
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When a full time employee plans to open his own private practice on weekends, while continuing as a week day employee with his regular employer, he is free to do so without consulting the full time employer T/F
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False
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Articles of incorporation and the related bylaws for an independent business would typically include all of the following except
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Annual budget projection for the current year
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A due diligence report is carried out on an annual basis T/F
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False
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A due diligence report, once it has been approved by the governing board, is generally distributed to all employees T/F
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False
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Regulation of the health care industry exists principally in the form of self-regulation T/F
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False
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In recent decades, government and insurers have exerted control over much of health care's money supply T/F
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True
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Corporate mergers and the formation of health care systems have invariably resulted in widespread reduction in health care costs T/F
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False
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The pace of technological change in health care has slowed considerably over the recent decade T/F
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False
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Managed care organizations have brought pressure to bear on hospitals and physicians to reduce the length of hospital stays T/F
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True
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A formal agreement between separately owned and controlled facilities to officially coordinate and share certain activities is most appropriately referred to as
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An affiliation
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Which of the following is NOT TRUE concerning regulation of the health care industry?
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The most prevalent form of regulation in health care is self regulation.
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The apparent principal driving force behind the growth of health maintenance organizations (HMOs) has been
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The desire of payers to stem excessive cost increases or reduce costs overall.
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A group of registered nurses open an independent health clinic in a local mall. The clinic offers walk-in, non-emergency care. The clinic staff refers complicated cases to the local hospital. The opening of this clinic in the same geographic area as a hospital is an example of
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Bureaucratic Imperialism
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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 area-wide planing commission. This is an example of
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Formal Cooptation
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An acute hospital has declared a three year moratorium on a building due to uncertainty about economic and demographic shifts in its local area. This is an example of
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Hibernation
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The owners of an independent rehabilitation center have made the decision to add a new specialty service for sports-related injuries to its existing range of services. This is an example of
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Goal Expansion
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Planning constraints are similar to which aspects of the Clientele Network?
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Controllers
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Which characteristic of effective plans gives the employee team immediate motivational feedback?
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Precise Plans
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Typical philosophical premises in health care planning include all of the following except
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Requirements for reimbursement practices
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The usual sequence in developing plans is
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mission, objectives, policies, procedures.
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Functional objectives typically include all of the following except
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Motivational Statements
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Policies are intended to be
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Overall guides and therefore the language used in policy statements is broad.
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The process of determining long-term objectives for the organization, along with the strategies to accomplish these objectives is termed
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Strategic Planning
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The following wording is associated with which type of plan: "To make effective use of community involvement by the establishment of an advisory committee with a majority of members drawn front he active clients who live in the immediate geographical community":
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Objective
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The following wording is associated with which type of plan: "To process discharge summaries within eight hours of receipt of dictated report":
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Functional Objective
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The following wording is associated with which type of plan: "All OT personnel will be licensed and registered. Recent graduate or therapists from foreign con tries may treat patients but they must be supervised by a licensed and certified PT who countersigns their patient care plans and progress notes."
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Policy
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In the decision making process, critical, non-programmed, root decisions are made by:
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Top level management
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In the decision making process, top level management usually defer to department heads when the decisions relate to specific areas of technical expertise T/F
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True
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Rank and file employees are involved in decision making through collective bargaining agreements T/F
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False
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All of the following are associated with agenda building for decision making except
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History of organization
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Certain electronic health record products must meet the USDHHS requirements for healthcare information technology. This is an example of
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The strategic or limiting factor in decision making
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A health information manager chooses off-site commercial storage for hard copy records and eliminates the space and staffing associated with in-house storage. This is an example of rood decision making T/F
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True
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Incremental decisions do not usually involve in-depth evaluation of goals, policies or underlying philosophy T/F
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True
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In the decision making approach of satisfying, more alternative are available than with the approach of maximizing T/F
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True
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Telecommuting may not be appropriate for an employee who copes only marginally with the absence of traditional supervision T/F
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True
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It is necessary to use temporary help services as sparingly as possible because they always represent excess cost T/F
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False
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Contract management of a service may involve the provision of management only or the entire service including all involved employees T/F
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True
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Temporary agency employees may be retained on the job for up to one year without difficulty T/F
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False
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Which of the following is not true for temporary departmentation?
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The life of a temporary department must not extend longer than 6 months
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Internal Revenue Service (IRS) guidelines defining an independent contractor state that:
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The using organization deciders whether a particular service provider is an employee or an independent contractor
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The practice of having an employee report to 2 different managers is referred to as
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Split reporting
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All of the following situations generally involve a wide span of management except
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Work group is decentralized
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The authority associated with staff employees is termed
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Functional authority
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An OT group develops a pattern of departmentation for home care services based on catchment area requirements. This is an example of
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Territory
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The "most use" criterion in organizational patterns is associated with
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Orphan activities
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An acute care hospital has received a major grant for a five year research project in neighborhood health care services. The continuance of the research project after the five years is uncertain. The most likely pattern of organization for the research project is
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Temporary departmentation
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In the systems approach to management practices, the requirements of a stat licensure board for health care practitioners is classified as
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Inputs
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In the classification of organizations by Authority structure, the authority pattern associated with members of a professional association such as AHIMA is
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Normative
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In the classification of organizations by Genotype, an acute care hospital with extensive research facilities is classified as
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Adaptive
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In the Clientele Network model, the HIPPA regulations are classified as
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Controller Input