Healthcare Mgmt. midterm – Flashcards

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1. Prior to entering the exam room for the first patient visit/evaluation, it is important to:
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a. Have prescription from the patient's primary care physician. b. Have the patient's diagnosis. c. Have the patient's insurance information
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2. The Initial Evaluation in an O;P facility is an universal encounter and is always the same from patient to patient
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False
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3. Patient expectations include
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a. Activities of daily living b. Work related requirements c. Social related environment
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4. The practitioner physical evaluation should include:
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a. Range of Motion b. Manual Muscle Testing c. Condition of the skin d. Skeletal, muscular, or neurological problems
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5. In determining intervention it is important to know if the device is worn or broken, still provides appropriate comfort, function, and cosmesis in an effort to determine if the device has reached its "lifetime use"
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true
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6. Medicare guidelines specify replacement of an O;P device every 5 years and/or when medically necessary and justified by report
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true?
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7. The patient must initially present with a generic prescription (eg. "Left BK Prosthesis" or "Eval/Consult BK Prosthesis"), but must be followed up with an itemized prescription which includes Diagnosis, ICD-9 code, all L-codes with modifiers and descriptions, and physicians's name, address, NPI#, and signature.
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False?
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10. Which is NOT true regarding an ABN - Advanced Beneficiary Notice:a. ??
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A notice of non-coverage by Medicare b. Notifies beneficiary of liability for payment c. Protects provider from liability d. Ensures patient responsibility even if unsigned by patient.
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External domains of health care management include all of the following
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community demographics/needs, licensure, accreditation, regulations, stakeholders demands, competitors, medicare and Medicaid, managed care organizations/insurers --The external domain refers to the influences, resources, and activities that exist outside the boundary of the organization but that significantly affect the organization
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The main difference between direct care and non-direct care settings is
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• Direct care settings: provide care directly to a patient, resident or client who seeks services from the organization. • Non-direct care settings: not directly involved in providing care to persons needing health services; support the care of individuals through products and service made available to direct care settings. Provision of care
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This competency enables a manager to communicate with and work well with other individuals.
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Interpersonal
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This competency involves the ability to critically analyze and solve complex problems
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Conceptual
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This function requires the manager to set a direction and determine what needs to be accomplished
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Planning
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From the Leadership styles for Healthcare personnel, which one focus on personal development and recommended for the top personnel
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Coaching style
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Which of the following competencies is more leadership oriented than management oriented?
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Determining strategies for the future
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Which one of the EI (Emotional Intelligence) dimensions has the definition of "Social awareness skill, putting yourself in another's shoes"?
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Empathy
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Which statement is true about Followership?
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it should be recognized as a necessary component for an effective leader
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Which theory places its attention on the leader's style and the work situation but also recognize the importance of setting goals for employees?
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Path-Goal Theory of leadership
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Which is a challenge of key healthcare leadership?
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Physicians
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All employees are motivated by money
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false
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Avoidance learning is often referred to as positive reinforcement.
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false
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Extrinsic theories of motivation include:
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extrinsic- represents the removal of positive rewards for undesirable behaviors Extrinsic Rewards: money, benefits, flexible schedules, job responsibilities, promotions, status change, supervision, praise/feedback, strong leader, inspirational people, nurturing organizational culture
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Engaged health care workers demonstrate the following characteristics
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-Are move productive -More focused on patient care and treatment -Are safer -Are loyal to their emplyers - Model positive behaviors of management -Witness greater profitability for a provider than a disengaged employee
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This generation values education, training and growth opportunities, flexibility, and is considered risk averse.
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gen. X
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This generation is image conscious, team-oriented, values instant gratification, and is achievement-oriented.
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Millennials
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Which of the following is considered to be a good motivational strategy?
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Tailor rewards
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Satisfaction progression refers to the interplay up and down Maslow's continuum of needs.
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false
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The O&P Alliance is built upon three consensus priorities:
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Quality of care and practitioner qualifications, O&P coverage and reimbursements, O&P education and research
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Two major functions of the American Board for Certification (ABC):
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Practitioner Certification, Facility Accreditation
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. If a patient with an AFO on one side has started to develop foot ulcers on the sound side, what is the appropriate action (under the Code of Professional Responsibility)?
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Notify the physician as soon as possible
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. If a trans tibial patient came in with a worn out SACH foot 1 year after delivery of the prosthesis, what is allowed under the Code of Professional Responsibility?
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Replace the SACH foot without a prescription
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. In the Assessment domain the ABC Scope of Practice, the practitioner would not evaluate _____________.
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Gait training
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Modification of the model, tracing, or CAD data is part of which domain of the ABC Scope of Practice?
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Implementation of the treatment plan
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Participation in continuing education is part of what domain of the ABC Scope of Practice?
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Promotion of competency and enhancement of the O&P profession
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Rehabilitation teams serving the needs of O&P patients most often consist of:
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Physician, O&P Practitioner, Physical Therapist
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_______ employs a structured process called DMAIC, which stands for Define, Measure, Analyze, Improve, and Control
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Six Sigma
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Tame problems can be ______; wicked problems are _______.
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Defined; difficult to define and hard to resolve
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Which aspect of quality does CQI focus upon to improve quality?
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Process
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The Institute of Medicine (IOM) defined disability as the interaction between impairments and functional limitations and the surrounding environment; this model is considered a:
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social model
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. Research methods have been developed to appraise, describe, and compare the relative value of health services; these methods are called
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Cost effectivieness analyis
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As ICF developed as the newest model of disability, what concept was defined as the ultimate goal of rehabilitation?
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Participation
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Name a performance based outcome measure commonly used to evaluate lower limb O&P interventions
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L-test
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The definition of quality provided by the Institute of Medicine is the most widely accepted definition of health care quality. Which of the following are NOT parts of the definition?
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They should provide value consistent with the cost structure of the health care organization
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The Baldrige Award feature 9 criteria arranged in a struture-process-outcome framework. Which of the following is NOT a strutural aspect of quality in the Baldrige Award Criteria
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staff focus
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By placing the capacity aspects of disability on a continuum with health, which disability model makes it possible to measure health and disability with the same domains of functioning?
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ICF
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A Theory Y manager would believe the following about employee behavior
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Most employees seek the opportunity to contribute to the organization
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Participation in the VHA Medical Team Training program was associated with
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A lower surgical mortality rate
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The key goal in EBP is to improve patient outcomes. What are 3 major inputs to help you select the best patient outcome measures?
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Clinical expertise, patient values and expectations, best evidence available
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Costs of teamwork include:
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• Meeting time, place to meet and food and coffee; • Opportunity costs, i.e, how that time might have been better spent; • Perceived loss of autonomy; • Risk-taking associated with letting go of one's turf, and • Resistance to organizational change.
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Who benefits most from an interdisciplinary O&P team?
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The O&P patient
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The term effectiveness of clinical care can be addressed with which of the following questions?
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Are the right things done?
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Evidence Based Practice is best defined as: Integration of the best available scientific research with __________________ to make patient care decisions
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Clininician's expertise
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definition of disability that prioritizes the how the functions of the individual influence disability:
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Functional model
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The ICF classification incorporates a biopsychosocial model that views disability and functioning as interactions between health conditions, such as disease and trauma, and contextual factors including environmental and personal factors.
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TRUE
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The ICF level is based on three levels of functioning
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Body functions and structures, activities, participation
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What do the four letters in the PDCA Model represent?
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Plan-Do-Check-Act
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A health service that has risks or costs that outweigh its benefits is the definition of which of the following terms?
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Overuse
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The MBTI can be used to
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These preferences will help team members better appreciate each other's contributions. They also help to establish leadership and followership roles
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A(n) ________ is a mental representation that contains what one knows about an event or thing.
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SCHEMA
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Theory Y manager would believe the following about employee behavior
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Most employees seek the opportunity to contribute to the organization
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Because human capacity to accurately process large amounts of information is limited, people compensate
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With simplifying rules called heuristics
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cognition, ________ refers to the tendency to perceive what we anticipate seeing.
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EXPECTANCY
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The purpose of studying of organization behavior is to:
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Improve the management of people in the workplace
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Work behaviors can be studied at these three levels in an organizatation
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Group, organizational, and individual
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How do the Mission, Vision and Value statements tie to the strategic plan?
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They are reaffirmed during the planning process to ensure they are aligned with future strategic directions
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What is the main purpose of strategic planning?
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To identify how market forces may affect the organization
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Which aspect(s) of the SWOT analysis aim to identify external market forces?
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Market Assessment
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Which of the following is not part of the market assessment model?
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Power of Hospitals
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Which of the following statements is/are true?
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Resource availability should be considered when selecting strategies
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Why is it important to consider Innovations in Technology in development of the strategic plan?
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They may represent a threat of substitute products
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. According to the text, a marketing oriented healthcare organization focuses on___
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achieving organizational goals by identifying health care needs, creating, communicating, delivering value and marketing concept adoption is high
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Advertising, public relations, and campaigns are best described as the Promotion component of the marketing mix.
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TRUE
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An Ankle Foot Orthosis is best described as the Product component of the marketing mix.
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TRUE
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By understanding how people make decisions and the associated internal and external influences on the consumer decision-making process, a healthcare manager can anticipate consumer needs and develop solutions for those needs
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TRUE
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. Drucker, a leading management theorist, argues that the purpose of an organization is to create a customer and has only two basic functions which are_______
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marketing and innovation
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Internal influences include consumers' family and friends, reference groups, situational factors, culture and subculture, and mar
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false
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. Judy set up a health savings account (HSA) at her financial institution and contributed consistently for future medical expenses after retirement. Upon eligibility, she had to travel many miles across the country to see a specific dermatologist, but it was worth it to her because she believed the treatment would make her feel healthier. The difference between the benefits Judy perceived and the costs to receive the benefits explain her_______.
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customer value
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Marketers should view customers as decision-makers
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TRUE
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. Marketing is the process of __________
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creating, communicating, delivering, and exchanging offerings that have value for customers, clients, partners, and society at large
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. Strategic healthcare marketing seeks to satisfy customer needs through profitable relationships by creating, communicating, and delivering ________ in selected markets
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CUSTOMER VALUES
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