question

groups of providers come together and take responsibility for delivering care to a defined patient population.

answer

Accountable Care Organizations (ACOs) are built on the premise that:

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when health care organizations bill for services but receives no payments.

answer

Bad debt in health care finance is defined as:

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Center for Medicare and Medicaid Innovation.

answer

CMI is an acronym that stands for:

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Land Acquisition Facility construction acquisition renovation routine capital equipment used in clinical areas, information technology infrastructure and upgrades acquisition of staff physicians

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Capital budgets may include all of the following:

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state/federal laws

answer

Charge setting is controlled by:

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Community service, the not-for-profit organization provides care who is unable to pay.

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Charity care is:

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Inventory, cash on hand, account receivable, and other such items that can be converted into cash in LESS than one year.

answer

Current assets may include:

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investors or others who have an interest in making a profit from the services provided

answer

For-profit health care organizations are usually owned by:

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Working to increase the revenues and decrease the cost of the organization.

answer

Health care financial management involves:

question

have a negative financial impact on their facilities.

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In the wake of health care reform, most health care executives believe that the new reform policies will:

question

merit-based program or focused on quality, value and accountability

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Physician reimbursement through Medicare will eventually be:

question

current assets and liabilities

answer

Primary sources of working capital include all of the following:

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state/federal law and regulations, the joint commission, antitrust, profit-oriented pricing.

answer

Setting prices in health care organizations involves consideration of all the following:

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skilled nursing facilities, home health agencies, outpatient hospitals, and clinics.

answer

The Balanced Budget Act of 1997 implemented cost controls for Medicare expenditures in all of the following health care sectors:

question

RVRBS

answer

The Medicare prospective payment system for reimbursing hospitals utilizes:

question

Admission, evaluation, diagnosis, treatment, and management.

answer

All of the following are examples of family practice core privileges for care of infants and children, adolescents, and adults for most illnesses, disorders, and injuries:

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include APN'S such as NP'S, CNS, Nurse anesthetists, Nurse midwives, and PA's ( Answer on test is "Except EMT" )

answer

All of the following are midlevel practitioners:

question

get a minimum level of training and pass a competency evaluation or receive state certification.

answer

Home Health Aides who work for agencies reimbursed by Medicare and Medicaid must:

question

poor teamwork and interpersonal conflict which can result in poor patient outcomes.

answer

Physician resistance to acknowledge nurses as colleagues can lead to:

question

feel overworked, underpaid, and disrespected by co-workers and managers.

answer

Nurses quit jobs when they:

question

3-10 years

answer

Residency training lasts from ______ depending on the specialty

question

medical device manufacturers and group purchasing organizations to report any payments and transfers of value to physicians. or teaching hospitals as well as any ownership of investment interest physicians or immediate family members have in a company

answer

The Sunshine Act requires:

question

registered nurses.

answer

The largest category of health care workers is:

question

job autonomy, fairness of pay, opportunities for promotion, relationships with co-workers and supervisors, level of job burnout, overall job satisfaction.

answer

Which of the following items should be on a work life analysis?

question

False

answer

True or False: There are no shortages of allied health professionals

question

Attitudes, behavior, and experience.

answer

Behavioral-based interviews are helpful to the hiring organization in understanding a candidate's:

question

staff engagement, staff acquisition and development, staff front line empowerment, leadership alignment and development

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Best practices of high-performing organizations include all of the following focal areas:

question

increasing competition among HSOs

answer

Human resources decisions need to be strategic because of:

question

positive motivational effect which leads to higher performance.

answer

Incentive compensation is believed to have what effect on employee performance?

question

protecting employee rights and ensures nondiscrimination.

answer

Major federal law affecting human resources primarily addresses:

question

needs and better manage their human resources.

answer

Predictive analytics or Human Resource Analytics are used by Human Resources managers to identify:

question

benefits are more important than compensation.

answer

Recent information from the literature concerning employee perceptions suggests that:

question

union organization and collective bargaining.

answer

The National Labor Relations Board provides guidance for HR in addressing:

question

Understaffed, lower levels of staff satisfaction, higher rates of staff turnover and an increase human resources costs

answer

The low supply of some health care workers (e.g nurses) has led to which of the following impacts on HSOs?

question

Contribution to recruitment, training and development for staff, as well as staff satisfaction and retention staff training

answer

Which of the following is a typical measure used by senior management to directly assess performance of HR efforts?

question

10 key features: Not defined, Unique, non-enumerable and non-immediate solutions, good/bad solutions, symptom of another problem, planner has no right to be wrong, and discrepancy can be explained in numerous ways.

answer

A wicked problem DOES have which of the following features

question

6 Strategies: Worked with more information, debated facts; developed multiple alternatives to enrich the level of debate; shared commonly agreed upon goals; injected humour into decision process; maintained a balanced power structure; and, 6th--, --resolved issues without forcing consensus

answer

Eisenhardt, Kahwajy & Bourgeois (1997) found that teams with minimal interpersonal conflict DO INVOLVE:

question

they CAN improve communication, establish goals, and delineate responsibilities (pg 387)

answer

Guidelines for teamwork cannot:

question

Have the knowledge, skills, and disposition to do the job at hand

answer

One of the critical questions to ask when assessing a potential team member is:

question

forming, storming, norming, performing, adjourning

answer

Teams go through the following stages, in the following order:

question

improved communication, increased productivity, increased job satisfaction and decreased nursing turnover.

answer

To convince higher-level management that teamwork is worth the effort, one SHOULD point to:

question

the agency for health care research and quality (AHRQ), a team system designed for healthcare professionals that is evidenced based and intended to improve communication and teamwork skills

answer

TeamSTEPPS is

question

Improved coordination of care. More efficient use of health care services. Increased job satisfaction among team members. Higher patient satisfaction.

answer

Which of the following is NOT a benefit of effective health care teams?

question

Correct: Address specific organizational needs,ie.service excellence, environmental sustainability,green initiatives and clinical services marketing ◦Carry out performance improvement activities/service enhancements

answer

Which of the following is correct about Cross Functional Teams (CFTs)? (question will ask what is NOT correct)

question

d.none of the above.

answer

Which of the following is NOT correct about emotions? a.Emotions are communicated in nanoseconds. b.Women and people in helping professions are more sensitive to emotions. c.Emotions are contagious. d.None of the above.

question

All of the above.

answer

A hospital can demonstrate inclusivity by community engagement through:

question

All of the above? Greater access for the underserved.

answer

Benefits of a diverse health care workforce include

question

Lack of transport to healthcare providers, inability to obtain convenient appointment times and lengthy waiting room times reduce the likelihood of a person successfully making and keeping their healthcare appointment.

answer

Health disparities have been identified based on the following criteria:

question

Culturally effective care, cultural conditioning, cultural sensitivity, cultural humility, cultural excellence training.

answer

Select all the terms that can be used interchangeably with cultural competency

question

Complex, integrated and overlapping social structures and economic systems

answer

Social determinants that contribute to health disparities include

question

Having a 9-5 schedule and not being able to attend doctor's appts.

answer

Structural barriers may impede patient care and increase disparities; for example

question

effective, equitable, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, preferred languages, health literacy, and other communication needs.

answer

The National Standards on Culturally and Linguistically Appropriate Services provide for

question

False

answer

True or False: Cancer is the leading cause of death in the United States

question

True

answer

True or False : Health disparities represent significant differences between one population and another.

question

illness and injury (Substance abuse, infant mortality, birth defects, asthma, cancer, diabetes, store, heart disease, sexual diseases, mental disease.

answer

Vulnerable populations are more exposed to risks from:

question

False

answer

True or False : There is one specific destination or goal for health care organization to achieve in terms of cultural competence

question

False

answer

True or False : The health care workforce matches the U.S. population in terms of diversity

question

Criminal Law

answer

A wrong against society as a whole, even if a particular individual is harmed, is considered a violation of which type of law?

question

Civil law

answer

Contract violations are generally considered to be part of which type of law?

question

b. Malice

answer

49.For a health provider's action to be considered negligent, which of the following factors is NOT necessary? A. Causation B. Malice C. Injury or damages D. Duty toward the harmed party E. Breach of duty

question

"do no harm" or at least don't make it worse.

answer

Nonmaleficence is a concept that states that you should

question

is a law that requires healthcare organizations to inform patients of their rights as they pertain to their ability to determine their own health care

answer

The Patient Self - Determination Act-

question

False

answer

True or False : Any Willing Provider laws seek to enable patients to see whichever providers they want

question

True

answer

True or False : Administrative agencies dictate many of the ways in which health care workers and organizations must function

question

False

answer

True or False: Ethics does nothing to help form the laws and legal system of the U.S.

question

True

answer

True or False : Generally speaking, laws govern the relationships between private individuals and organizations and between both of these and the government

question

HIPPA, EMTALA, Fiduciary Duty.

answer

What are some of the ways in which health care organizations protect the rights of their patients?

question

False

answer

True or False : Patient advocates play a role in the navigating the health care system whether an individual is sick or no

question

the negligence or carelessness of a professional person; it can be either civil (tort) concern or a criminal one, depending on whether it involved "reckless disregard" for the safety of another (criminal) or simple carelessness (civil). "Malpractice is a professional's improper or immoral conduct in the performance of duties, done either intentionally or through carelessness or ignorance.

answer

Which of the following is not part of the definition of the health care malpractice?

question

Fiduciary duty, Using competent providers, Providing appropriate care, and Balancing cost-containment with good quality care

answer

Which of the following are obligations of a managed care organization to its patients?

question

Providers billing for services that were not provided or did not meet medical necessity criteria (false claims), submitting duplicate bills, upcoding services to receive higher reimbursement, and receiving kickbacks for referrals

answer

Examples of health care fraud and abuse include

question

Medicare Fund

answer

HEAT is the President's newest tool against

question

CMS

answer

Safe Harbor regulations were put in place by

question

1. written policies, 2. designation of compliance officer, 3. training and education, 4. effective lines of communication throughout the org, 5. enforcement procedures, 6. procedures for effective internal monitoring and auditing, 7. procedures for corrective action

answer

Seven essential elements of an effective compliance program include

question

Operation Restore

answer

The investigative and enforcement authority to deal with fraud and abuse violations was granted to the Department of Health and Human Services ( DHHS) through

question

False

answer

49.True or False : A successful compliance plan requires buy - in from upper management

question

False

answer

True or False : Fraud is an improper act that is unintentional and inconsistent with standard practices

question

False

answer

True or False: As of 2015, Medicare RAC's are returning more money than Medicaid Fraud Control Units

question

False

answer

True or False : The Sherman Antitrust Act prohibits mergers and acquisitions that lessen competition

question

Violations of this act are a felony and may include punishment of up to 5 years in prison and/or fines up to $25,000, imposes a requirement to disclose overpayment to the government regardless of the intent at the time the claim was submitted

answer

Violations of the Criminal Disclosure Provision of the Social Security Act include which of the following penalties?

question

Dumping a patient on another hospital because they are very sick

answer

Violations of the Emergency Medical Treatment and Active Labor Act ( EMTALA) include all of the following, EXCEPT...

question

False

answer

True or False: The Stark 1 laws apply to both Medicare and Medicaid

question

False

answer

49.True or False: The health reform act that was passed in March 2010 will end health care fraud and abuse once and for all

question

is an inadvertent slip, lapse, or mistake

answer

Human Error

question

outbound: U.S. patients traveling to other countries for medical care. Inbound: foreign patients traveling to the U.S. for medical care and Intrabound: U.S. patients traveling domestically for medical care.

answer

Medical Tourism includes

question

False

answer

True or False : Bioterrorism was created for military uses in the 1980s

question

False

answer

True or False : If a person has been exposed to Ebola, has no fever, and travels on an airplane, he can transmit the disease to other passengers

question

True

answer

True or False : One - Third of woman killed in the U.S. workplaces were killed by a current or former intimate partner

question

False

answer

True or False : Vaccines have only been around since the 1950s

question

False

answer

True or False : There are no assurances of quality if you go for medical care in a country other than the United States

question

example of stalking includes unwanted phone calls, texts, letters, emails, social media posts, following or spying on the victim, showing up at places without a legitimate reason, waiting at places for the victim, leaving unwanted items, presents or flowers; posting information or spreading rumors about the victim

answer

Which of the following is NOT an example of stalking

question

overt actions such as verbal outburst and physical threats, as well as passive activities such as refusing to perform assigned task or quietly exhibiting uncooperative attitudes during routine activities

answer

Disruptive behaviors include

question

is required for physicians, nurses and others to practice and demonstrate competency to perform a scope of practice.

answer

Licensure

question

Poor teamwork, Interpersonal Conflict, Poor Communication, Poor patient outcomes

answer

Physician resistance to acknowledge nurses as colleagues can lead to

question

Higher level of organizational performance

answer

Incentive compensation is believed to have what effect on employee performance ?

question

A type of incentive compensation program where all staff share in receiving additional compensation in the form of a bonus as a result of meeting annual performance targets

answer

Gainsharing or goal- sharing programs

question

Serve as a recruitment tool for HSOs, focus primarily on filling middle-level manager positions

answer

Leadership Development Programs in HSOs

question

Organizational performance is based on individuals

answer

The perspective that HSO employees should be viewed as a strategic asset means

question

Improve interaction increases trust organizations that empower their employees promote employee satisfaction

answer

Frequent, positive organizational communication does (question asks NOT)

question

telemedicine and telecommuting

answer

Virtual teams are being used for:

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