Ch13 Full Test Bank Health Care Management

Jonas & Kovner’s Health Care Delivery in the United States, 12^th Edition

Test Bank

Chapter 13, Health Care Management

MULTIPLE CHOICE

1. Which of the following is the process of making and reviewing the strategic decisions of health care organizations?

A. Management

B. Accountability

C. Governance

D. Stakeholder relations

1. Accountability in health care management means which of the following?

A. Being responsible for decisions that affect outcomes and processes at given levels of quality and cost

B. Managing relationships with regulators, accrediting bodies, and other important stakeholders

C. Shaping and implementing governance decisions

D. Deciding whether and how to finance improvements such as a new hospital wing

1. The fact that most governing boards of nonprofit health care organizations are self-perpetuating means which of the following?

A. New board members are appointed by officials of the owner organization

B. Existing board members select new members when openings arise

C. Board members serve for life

D. Board members are mostly healthy patients and community members

1. The characteristics of self-awareness, self-regulation, motivation, empathy, and social skills are components of which of the following?

A. Emotional intelligence

B. Self-actualization

C. Formal education

D. Intelligence quotient

1. Which of the following is not usually under an HCO manager’s direct control?

A. Development of a culture that supports excellent clinical care

B. Professional employees’ level of motivation and support

C. Measurement of processes and outcomes to facilitate improvement

D. Decision making about patient diagnosis and care

1. The recommendation to “get the right people on the bus” describes a task that, in an HCO, belongs to which of the following?

A. The governing board

B. Clinicians

C. Managers

D. Patient advocates

1. Which of the following is the most fundamental goal of board members’ decisions?

A. To serve the organization’s mission

B. To diversity the board’s membership

C. To vet new suppliers for the organization

D. To assess employees’ performance

MULTIPLE RESPONSE

1. Which of the following are reasons boards of directors can add value to health care organizations? Select all that apply.

A. Boards add energy and resources

B. Board members must make claims on the CEO’s time in planning and other meetings

C. Board members have a more balanced view of organizational situations than the CEO

D. Board members can take a longer view of accomplishing the organization’s mission

1. Which of the following are reasons HCO managers might be less effective in meeting their goals? Select all that apply.

A. A poorly designed job

B. Failure to adapt to changing circumstances

C. External competitive pressures

D. New government regulations

1. Under which circumstances are health care organizations more likely to practice evidence-based management? Select all that apply.

A. When external performance incentives such as pay are strong

B. When an HCO has a strong culture of questioning management rather than a hierarchical culture

C. When accountability for decision making is linked to the quality and timeliness of the process

D. When employees are motivated to work longer and harder

E. When managers actively participate in the management research

1. Which of the following are true statements about the operation of health care organizations? Select all that apply.

A. Managers are in charge of allocating resources to create value

B. Managers are accountable to those who own or govern the organization

C. The owners are responsive to stakeholders of the organization

D. Only patients and their families are legitimate stakeholders

1. Which of the following are the most likely potential governing board members for an HCO? Select all that apply.

A. Physicians and others knowledgeable about health care delivery

B. Individuals who can help raise resources to support the organization

C. Board members of competing organizations

D. Patient and community representatives

1. Which of the following are ways in which HCO managers can help provide a supportive environment for clinicians? Select all that apply.

A. Observing working conditions at high-performing peer organizations

B. Disciplining poor performers

C. Communicating with clinicians about their ideas and feelings

D. Learning from other managers and research literature about what does and doesn’t work

MULTIPLE CHOICE

1. What is often a manager’s scarcest resource?

A. Financing

B. Staff

C. Equipment

D. Time

1. According to the Bureau of Labor Statistics, in one recent year how many people were employed as medical and health services managers in the United States?

A. 100,000

B. 250,000

C. 333,000

D. 550,000

1. Which of the following is “the systematic application of the best available evidence to the evaluation of management strategies for improving organizational performance”?

A. Management by objectives

B. Evidence-based management

C. Corporate governance

D. Structured decision making

1. Which of the following is often an obstacle to HCO managers wishing to improve care processes and outcomes?

A. Highly developed care delivery teams

B. Highly trained work force

C. Ineffective performance-evaluation system

D. Comparisons with high-performing peer organizations

1. Management decisions should be based on which of the following?

A. Established theories

B. Best evidence available

C. Consensus among team members

D. Gut instinct

1. Which of the following is the management function of motivating workers to meet objectives?

A. Planning

B. Organizing

C. Directing

D. Controlling

1. Which of the following describes the management function of planning?

A. Determining goals and objectives

B. Structuring resources to accomplish objectives

C. Motivating workers to meet objectives

D. Assembling and synchronizing activities and participants

SHORT ANSWER

1. Briefly describe, with examples, why the board of directors is considered the conscience of the organization.
2. Briefly discuss the relationship between the governing board and the CEO, and their respective responsibilities.
3. Briefly describe the basic managerial functions.
4. Discuss the three sets of measurable managerial competencies proposed by Boyatzis.
5. List several examples of the kinds of questions management research can address in the health care organization environment.

ESSAY

1. Discuss some of the current issues HCO governing boards face in terms of their composition.
2. What are the eight principal functions of a governing board?
3. Explain what the predicted “return to purpose” will consist of, and outline its elements.