Question 1
HCO goal-setting and continuous improvement efforts lag without:
• Question 2
What function of cultural leadership is represented by associate roles on process improvement teams?
1. HSA 300 Quiz 2
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Question 1
HCO goal-setting and continuous improvement efforts lag
without:
• Question 2
What function of cultural leadership is represented by
associate roles on process improvement teams?
• Question 3
Which of these statements demonstrates shared commitment?
• Question 4
What is the purpose of a PIT?
• Question 5
Who would be considered internal customers to the logistic
support team?
2. • Question 6
One purpose of cultural leadership is to sustain an
environment where all associates are:
• Question 7
Asking employment applicants to read and accept a HCO’s
mission and values before turning in an application is an example of
which approach to cultural leadership?
• Question 8
What is an organization’s standing multidisciplinary
committee that is concerned with biomedical ethical issues and decision
making processes and policies?
• Question 9
WHat is an example of collective leadership assessment
activities?
• Question 10
What is a formal evaluation of performance by subordinates,
superiors and peer of an individual?
3. • Question 11
Having requisite abilities that result in effective action and
superior job performance is the definition of:
• Question 12
What is the intent of a “Caught in the Act” program?
• Question 13
What is a written plan for replacing people who
depart from management positions?
• Question 14
Promotion to any leadership position is based on demonstrated
superiority in relevant subordinate positions and:
• Question 15
Why implement a “Caught in the Act” program?
• Question 16
Which is a requirement of boundary spanning?
• Question 17
4. What is the Library of Work Processes, Protocols and
Measures?
• Question 18
Performance measures that reflect the processes they purport
to measure are considered:
• Question 19
To be successful, accountability must pass the test of control,
which means:
• Question 20
What can be estimated on the basis of the numbers of patients
expected and length of time they will require service, plus idle time
allowances?
• Question 21
Whose duty is it to ensure adherence to the calendar for annual
planning?
• Question 22
Which is a qualitative indicator for boundary spanning?
5. • Question 23
What is the statistical analysis and forecast of the community’s
health needs?
• Question 24
What is a source of quality-of-care measures?
• Question 25
What element is mistakenly cited as a requirement for the
transition to evidence-based management, but in actuality is not a
requirement?
• Question 26
Conflicts can be anticipated in any process improvement team
progress. How are they best handled?
• Question 27
What are performance measures for the responsive
communication function?
6. • Question 28
One criterion for all knowledge, whether electronically or
conventionally distributed is protection. This means that:
• Question 29
What is the purpose of operational leadership?
• Question 30
Which is an example of the accountability function to sustain
operational infrastructure?
==================================
HSA 300 Quiz 3 (1)
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Question 1
What is the proper goal for measurement of patient safety
violations?
• Question 2
7. Naming a member of the richest family in town to the HCO’s
board of directors is an example of which perspective of governance?
• Question 3
What type of program is designed to meet statutory and
regulatory requirements?
• Question 4
A review of management compensation and incentives,
evaluation of the competencies of management, identification of
individual improvement opportunities and plans for skill enhancement
are part of which plan?
• Question 5
What is a formal document of the governance procedures for
physicians and others who provide care in an organization?
• Question 6
8. Which stakeholders gain importance under the resource
distribution perspective of governance?
• Question 7
What is used to identify immediate financial needs?
• Question 8
Who proposes corporate strategies, financial and long-term
plans and annual goals?
• Question 9
Incentive compensation should be based on:
• Question 10
Most HCOs have self-perpetuating boards which means:
• Question 11
9. What have surveys of boards in other industries revealed?
• Question 12
What management entity is responsible for coordinating the
design and operation of the HCO?
• Question 13
What is the purpose of the governing board of a well-managed
healthcare organization?
• Question 14
Which is an alternative approach to improving the profile of
opportunities reflected in an environmental assessment?
• Question 15
10. If a not-for-profit HCO offers an extensive inclusion of
executive compensation packages what must they do in order to account
for excess compensation and benefits?
• Question 16
What is the first purpose of clinical care in a community
HCO?
• Question 17
What demonstrates an HCO’s timely contribution to excellent
care?
• Question 18
Why would an HCO advertise its core values?
• Question 19
Which is an example of what the HCO must do to ensure an
accurate diagnosis?
11. • Question 20
Formally established expectations that define the normal steps
in the care of a clinically related group of patients describe which type of
protocol?
• Question 21
What is the aim of a clinical improvement plan?
• Question 22
What are unique guideline comparisons that cover similar
topics and highlight areas of similarity and differences?
• Question 23
What makes recording patient information faster and more
complete, and includes safeguards to improve accuracy?
• Question 24
12. What protocol component is a statement of who may order
procedures?
• Question 25
What is an example of what an HCO must do to improve
community health?
• Question 26
What is differential diagnosis?
• Question 27
What are counterindications?
• Question 28
What are expectations for the care of an individual patient
based on an assessment of individual needs?
13. • Question 29
What is an advantage of a formal affiliation with a larger
health care center over individual patient referrals to specialists?
• Question 30
What is the process that includes the patient, the family and all
clinical disciplines involved in planning and providing care to a patient
from system point of entry throughout the entire acute care episode to
the next level of care?es?
==================================
HSA 300 Quiz 3
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Question 1
An HCO’s strategic foundation is defined by ongoing sets of
specific decisions that must be a timely response to stakeholders’
changing needs. How is a successful decision measured?
• Question 2
14. What management entity is responsible for coordinating the
design and operation of the HCO?
• Question 3
If a not-for-profit HCO offers an extensive inclusion of
executive compensation packages what must they do in order to account
for excess compensation and benefits?
• Question 4
Which stakeholders gain importance under the resource
distribution perspective of governance?
• Question 5
Who are members of the governing board of a not-for-profit
HCO that volunteer their time to the organization and are compensated
only by the satisfaction they receive from this work?
• Question 6
What involves quantum shifts in service capabilities or market
share usually by interaction with competitors, large-scale capital
investments and revisions to several line activities?
15. • Question 7
What is used to identify immediate financial needs?
• Question 8
Which is an alternative approach to improving the profile of
opportunities reflected in an environmental assessment?
• Question 9
What is a formal document of the governance procedures for
physicians and others who provide care in an organization?
• Question 10
An example of the governing board’s function of ensuring the
quality of clinical care is:
• Question 11
What type of program is designed to meet statutory and
regulatory requirements?
16. • Question 12
A review of management compensation and incentives,
evaluation of the competencies of management, identification of
individual improvement opportunities and plans for skill enhancement
are part of which plan?
• Question 13
A real or potential personal financial benefit that may accrue
from a given board decision is called:
• Question 14
What have surveys of boards in other industries revealed?
• Question 15
Which is a model of a specific strategy or function that guides
the design, operations and goal setting of an HCO?
• Question 16
What demonstrates an HCO’s timely contribution to excellent
care?
17. • Question 17
What is an example of what an HCO must do to improve
community health?
• Question 18
What type of process systematically employs a trial and error
mechanism that recognizes uncertainty?
• Question 19
What skill level should perform tasks?
• Question 20
What makes recording patient information faster and more
complete, and includes safeguards to improve accuracy?
• Question 21
What is the aim of a clinical improvement plan?
18. • Question 22
Formally established expectations that define the normal steps
in the care of a clinically related group of patients describe which type of
protocol?
• Question 23
What is the first purpose of clinical care in a community
HCO?
• Question 24
Which protocol component is a statement clarifying clinical
conditions that support the appropriate use of the protocol?
• Question 25
What are unique guideline comparisons that cover similar
topics and highlight areas of similarity and differences?
• Question 26
What are counter indications?
• Question 27
19. Self examination for cancer is an example of what category of
prevention?
• Question 28
Where do prevention opportunities originate?
• Question 29
What is an advantage of a formal affiliation with a larger
health care center over individual patient referrals to specialists?
• Question 30
Why would an HCO advertise its core values?
==================================
HSA 300 Quiz 4
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Question 1
20. Patient management protocols control effectiveness because
they specify when CSSs are required, optional or not recommended, thus
allow the HCO to measure:
• Question 2
Caregiver reliance on CSS expertise when questions arise
about individual patients is an example of what kind of assistance
provided by the CSS?
• Question 3
Market share is a measure of which operational dimension for
the CSS?
• Question 4
What budget process role would an HCO manager responsible
for the CSS be expected to do?
• Question 5
21. Using the community epidemiologic planning equation #1, for
CSSs drawing directly from the community, what does the population
figure forecast?
• Question 6
Which budget process activity would a CSS manager and team
be expected to do?
• Question 7
The best possibility for formal CSS affiliation would be:
• Question 8
To facilitate clinical support services’ ability to benchmark
and identify opportunities for improvement, what must the HCO do?
• Question 9
Justification for capital investment should be based on:
22. • Question 10
Return on investment for a process improvement can be
calculated by dividing the contribution by:
• Question 11
What is the purpose of clinical support service?
• Question 12
What is a measure of CSS quality?
• Question 13
In which type of contractual arrangement with a CSS would
the HCO own and operate the facility with professional guidance
provided by contract with physician corporations?
• Question 14
23. What is a challenge facing the CSS – HCO affiliation?
• Question 15
Through which level of management is a CSS accountable to
the governing board?
==================================
HSA 300 Quiz 5
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Question 1
What is used to infer and forecast local values when
measuring need and demand?
• Question 2
Building stakeholder consensus around the implications of
expanded mission is an example of which function that implements a
community health mission?
• Question 3
24. What is an advantage of a more general community-oriented
health advocacy group?
• Question 4
Why should a needs assessment be done comprehensively?
• Question 5
What technique is used to overcome negative impressions of
some community health services such as palliative care or preventive
activities such as drug management or rehabilitation?
• Question 6
Which of the following is an example of a prevention site that
provides continuing care?
• Question 7
Hospitals and physicians are currently compensated separately
on the basis of:
25. • Question 8
What do the strategic performance measures used in
community health strategies emphasize?
• Question 9
What is an example of risks associated with the primary
prevention level focused on the maintenance of health?
• Question 10
What is a good indicator of unmet demand?
• Question 11
The community health concept is cost effective only if:
• Question 12
26. What is used as the measure of success for many primary
prevention programs?
• Question 13
Which is an example of the secondary prevention level used in
the early stage identification of disease?
• Question 14
Which multi-component activity involving environmental
management, immunization and behavioral elements, has the highest
payoff?
• Question 15
What function required to implement a community health
mission has components that create a needs assessment?
==================================
HSA 300 Quiz 6
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27. Question 1
Which is an example of assistance from outside contractors?
• Question 2
What function is the largest unit within the KM organization?
• Question 3
Whose job is it to support the definitions and standards
committee?
• Question 4
The two parts of knowledge management are:
• Question 5
How does a communications network achieve reliability?
28. • Question 6
Preventing the inference about individuals based on aggregate
data can be prevented by:
• Question 7
What is a statistical analysis that identifies values for a
measure by defined subsets of a population to measure the extent to
which the values change across the sets?
• Question 8
What is an outdated computer software or system that lacks
the features found in more current versions?
• Question 9
What is the first critical point in KM planning committee
strategy?
• Question 10
29. Who should periodically audit the security function of a KM
unit?
• Question 11
Integrating data from multiple sources supports which function
of knowledge management services?
• Question 12
Why would an archive of performance data be used?
• Question 13
“Is the price what is billed or what is collected?” is an example
of:
• Question 14
What is the purpose of knowledge management?
30. • Question 15
System attacks are a measure of which KM function?
• Question 16
In leadership development, which associates are offered extra
learning opportunities through special assignments, expanded mentoring
and committee involvement?
• Question 17
Health-risk screening, smoking cessation and
nutritional/exercise programs are examples of what common workforce
maintenance program?
• Question 18
Which protocol for recruitment and selection controls the size
of the associate force and protects against improper employment?
31. • Question 19
Which is a function of the workforce plan?
• Question 20
What type of funds can be exempt from income taxes by the
use of pretax accounts?
• Question 21
How often should a workforce plan be updated?
• Question 22
An unbiased counselor provided to workers for concerns of
any kind is called:
• Question 23
32. What training involves role-playing, games and group
discussion techniques that demonstrate ways to carry out service
standards?
• Question 24
Education and training, licensure and experience requirements
are part of which recruitment activity?
• Question 25
What wage and salary administration activity pertains only to
hourly personnel?
• Question 26
Good practice specifies that when workforce reduction is
needed, which workers are reduced first?
• Question 27
Who is responsible for ensuring that contract workers have
been hired according to federal regulations?
33. • Question 28
Absenteeism is associated with which function of Human
Resources Management?
• Question 29
Which employee service has been shown to reduce
absenteeism?
• Question 30
Which core file of HRM knowledge management provides tax
and employment data aggregated for descriptions?ment?
==================================
HSA 300 Quiz 7
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Question 1
34. Who is responsible for assigning space, permitting occupancy
and controlling access to that space?
• Question 2
Performance improvement for environment-of-care services
must deal with the reality that many environment services are delivered
by contract with outside vendors which means such services:
• Question 3
What is the least expensive way of solving space needs?
• Question 4
Who maintains a disaster-preparedness website that contains
an analysis of needs in the first 48 hours after a terrorist attack?
• Question 5
For a particular time period, the number of treatment facilities
needed can be forecasted by multiplying the average number of
treatments by the hours per treatment, divided by:
35. • Question 6
What is the imputed cost revenue for a good or service
transferred between two units of the same organization?
• Question 7
What is a characteristic of high quality security services?
• Question 8
Linens, foodstuffs and dressings are examples of items
managed by:
• Question 9
Who manages the acquisition, maintenance and replacement
of equipment such as magnetic resonance imaging machines and
ultrasounds?
36. • Question 10
What is an example of the enhanced environmental
management function of environment-of-care services?
• Question 11
Which program involves the inventory of potentially
dangerous equipment?
• Question 12
Security guards, parking, signage and cafeteria services are
part of which function of environment-of-care services?
• Question 13
24/7 personal and facility security is an example of which
function of environment-of-care services?
• Question 14
37. What is a document that begins with an estimate of the space
needs of each service or activity proposed in the services plan?
• Question 15
When building or changing the use of space in a facility, what
is a way to minimize costly change orders?
• Question 16
What is bad debt?
• Question 17
Which auditing activity ensures compliance with law and
regulation?
• Question 18
What must be reported to the federal government as a
condition of participation in Medicare?
38. • Question 19
What function of the finance system supports the enterprise by
guarding assets and resources against theft, waste or loss?
• Question 20
What would be the purpose of developing pricing strategy and
supporting specific price negotiations?
• Question 21
What is the illegal practice called upcoding?
• Question 22
The amount of cash required to support operations until
revenue can be collected is called:
• Question 23
39. What is the title given to the executive responsible for the
operation of finance systems?
• Question 24
What constitutes the basis for most of an organization’s
financial communication with the outside world?
• Question 25
What are entries to a patient ledger of charges for a specific
healthcare service?
• Question 26
Which analysis is often used to forecast trends in demand or
efficiency?
• Question 27
What is one objective of activity-based costing?
40. • Question 28
Financial statements are usually issued to outside stakeholders:
• Question 29
What is the record of all of a firm’s transactions, most often
referring to fixed and collective assets that must be allocated to
operational units?
• Question 30
What benchmarks can be applied to long-term assets and
liabilities?
==================================
HSA 300 Quiz 8 Chp 14
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Question 1
Which is an example of an operational performance measure of
productivity?
41. • Question 2
A method of identifying significant changes in measures subject
to random variation is called:
• Question 3
Which of the following is an example of the evaluation of
technical proficiency?
• Question 4
Which question is designed to monitor the performance of an
internal consulting team?
• Question 5
What is an example of a client in an internal consulting situation?
• Question 6
How can external causes of variation be identified?
• Question 7
What is an advantage of internal consulting as a clearinghouse?
42. • Question 8
What type of analysis studies the impact of alternative forecasts,
usually developing most favorable, expected and least favorable
scenarios to show the robustness of a proposal?
• Question 9
The forecast of community demographics and disease incidence
is part of what function of internal consulting?
• Question 10
What is the purpose of the internal consulting operation?
• Question 11
What are the three specifications for defining work assignments
to external consultants?
• Question 12
What is the duty of a compliance officer?
• Question 13
The count of user requests from a log of assignments is an
example of operational performance measures for which dimension of
internal consulting?
43. • Question 14
The OHRP definition of quality improvement activities includes
activities conducted by institutions whose purposes are limited to
implementing a practice to improve the quality of patient care and:
• Question 15
Which type of opportunity is identified as “programmatic”?
==================================
HSA 300 Quiz 8
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Review Test Submission: Week 10 Quiz 8
SKIP TO COURSE MENUSKIP TO TOP FRAME TABS
Content
User
Liang Wang
Course
Health Serv Organization Mgt
44. Test
Week 10 Quiz 8
Started
9/11/14 4:21 AM
Submitted
9/11/14 4:22 AM
Status
Completed
Attempt Score
2 out of 30 points
Time Elapsed
1 minute out of 1 hour.
Instructions
This quiz consist of 15 multiple choice questions and covers the material
in Chapter 14. Be sure you are in Chapter 14 when you take the quiz.
· Question 1
45. Which is an example of an operational performance measure of
productivity?
Selected :
Accuracy.
Correct :
Contribution.
· Question 2
Once operating units develop OFI proposals, what is the first step in the
programmatic capital review process?
Selected :
46. Governing board approves capital budget.
Correct :
Unit rank-orders all its proposals.
· Question 3
Which of the following is an example of the evaluation of technical
proficiency?
Selected :
Productivity.
Correct :
Completeness of data.
· Question 4
Which type of opportunity is identified as “programmatic”?
Selected :
47. Those that are large in size and few in number.
Correct :
Those that focus on a single or small group of accountability units.
· Question 5
What type of analysis studies the impact of alternative forecasts, usually
developing most favorable, expected and least favorable scenarios to
show the robustness of a proposal?
Selected :
Reliability.
Correct :
Sensitivity.
· Question 6
48. A method of identifying significant changes in measures subject to
random variation is called:
Selected :
demographic profiling.
Correct :
statistical process control.
· Question 7
What is the purpose of the internal consulting operation?
Selected :
To effectively implement transformational management of associate
teams in all areas of the HCO.
Correct :
To provide information, forecasts, tools and analyses in support of
evidence-based management.
49. · Question 8
The count of user requests from a log of assignments is an example of
operational performance measures for which dimension of internal
consulting?
Selected :
Client satisfaction.
Correct :
Demand for services.
· Question 9
What is the duty of a compliance officer?
Selected :
50. To represent the healthcare organization on legal matters.
Correct :
To coordinate and integrate responses on topics that present legal
implications.
· Question 10
Demography, epidemiology, economy and attitudes are considerations
of:
51. Selected :
trends in clinical practice.
Correct :
good environmental assessment.
· Question 11
Responding to inquiries about ethics is a fruitful way to implement the
functions of the Ethics committee because it:
52. Selected :
removes the need for a team member to undergo review by the IRB.
Correct :
catches team members at a teachable moment.
· Question 12
53. Which is a function of internal consulting support of improvement
projects?
Selected :
Developing formal capital requests.
Correct :
Testing alternative solutions.
· Question 13
54. What are the three specifications for defining work assignments to
external consultants?
Selected :
Prior experience, process and leadership.
Correct :
Process, timing and goals.
· Question 14
55. The forecast of community demographics and disease incidence is part
of what function of internal consulting?
Selected :
Environmental assessment.
Correct :
Community based epidemiologic planning.
· Question 15
56. The OHRP definition of quality improvement activities includes
activities conducted by institutions whose purposes are limited to
implementing a practice to improve the quality of patient care and:
Selected :
collecting patient or provider data regarding implementation of the
practice for clinical, practical or administrative purposes.
Correct :
collecting patient or provider data regarding implementation of the
practice for clinical, practical or administrative purposes.
==================================
HSA 300 Week 2 Quiz 1
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Question 1
57. What is the name for a voluntary consortium of HCOs and
professional provider organizations that ensures a minimum level of
safety and quality in HCOs?
• Question 2
A pharmacy is an example of which component of a healthcare
organization?
• Question 3
The focus of strategic activities is:
• Question 4
What is the largest single group of HCOs?
• Question 5
What specific individuals or groups have contributed capital to
an organization?
• Question 6
What are healthcare organizations that operate multiple service
units under a single ownership?
• Question 7
Which 1996 federal act established standards of privacy for
patient information?
• Question 8
The loyalty of stakeholders can be measured. Customer
participation is measured by market share while provider participation is
measured by:
• Question 9
A unit within an HCO that relies on another unit for service is
considered a:
• Question 10
By what is organizational excellence measured?
• Question 11
Physicians in family practice, midwives and nurse practitioners
are examples of providers who provide initial contact with a patient.
These are called:
• Question 12
58. What is a state-issued approval for new services and construction
of hospitals?
• Question 13
What type of provider manages broad categories of hospitalized
patients?
• Question 14
What is a formal legal entity that reaches across the panorama of
medicine, other clinical disciplines and business to identify and deliver
care to its community?
• Question 15
What aspect of transformational management is defined as the
ability of an associate to control his or her work situation in ways
consistent with the organization’s mission?
==================================
HSA 300 Week 7 quiz 5
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Question 1
Conducting ongoing reviews of community health performance
is an example of which function that implements a community health
mission?
• Question 2
Which stakeholders are frequently in touch with high-risk and
disadvantaged populations?
• Question 3
The most effective community advocacy groups have been:
59. • Question 4
What is used to infer and forecast local values when measuring
need and demand?
• Question 5
What technique is used to overcome negative impressions of
some community health services such as palliative care or preventive
activities such as drug management or rehabilitation?
• Question 6
What is an example of risks associated with the primary
prevention level focused on the maintenance of health?
• Question 7
What function required to implement a community health
mission has components that create a needs assessment?
• Question 8
What is used as the measure of success for many primary
prevention programs?
• Question 9
Hospitals and physicians are currently compensated separately
on the basis of:
• Question 10
Data for the quality assessment of patient care at nursing homes,
home health agencies, hospitals and kidney dialysis facilities are drawn
from:
• Question 11
Which is an example of the secondary prevention level used in
the early stage identification of disease?
60. • Question 12
Health information from which source is virtually always public?
• Question 13
Which level of disease prevention is most cost effective?
• Question 14
Promoting an exercise program is an example of which function
that implements a community health mission?
• Question 15
Surveys, turnover rates, absenteeism and safety are ways to
measure:
==================================
HSA300 week 3 quiz 2
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Question 1
Employees in the least-skilled positions that accept the
professional role of agent for the patient are demonstrating:
• Question 2
Having requisite abilities that result in effective action and
superior job performance is the definition of:
• Question 3
Across the disciplines of nursing management, public health and
health-services management, competencies such as finance/business
acumen, clinical knowledge and quality improvements are:
• Question 4
What is a written plan for replacing people who depart from
management positions?
61. • Question 5
Why implement a “Caught in the Act” program?
• Question 6
What is the purpose of a PIT?
• Question 7
What is an organization’s standing multidisciplinary committee
that is concerned with biomedical ethical issues and decision making
processes and policies?
• Question 8
What is a program that uses a mix of mentoring, special
assignments and continuing education to identify and address
opportunities for improvement (OFIs)?
• Question 9
Which of the following is an output-oriented measure of
leadership function?
• Question 10
The ethical foundation of transformational management drives
most policy in the United States and is reflected in the:
• Question 11
One purpose of cultural leadership is to sustain an environment
where all associates are:
• Question 12
Who would be considered internal customers to the logistic
support team?
• Question 13
What is an example of promoting shared values to establish a
central moral focus?
• Question 14
62. To allow stakeholders to seek the solutions best for all, what
does the transformational culture emphasize?
• Question 15
Which of these statements demonstrates shared commitment?
• Question 16
What is the purpose of operational leadership?
• Question 17
What is the first step towards evidence-based management?
• Question 18
What is a reporting and communication system that links each
operating unit to the governing board, usually by grouping similar
centers together under middle management?
• Question 19
Looking up clinical procedures or coaching a new manager are
examples of what type of training?
• Question 20
What is one reason that high-performing HCOs can thrive under
prevailing reimbursement schemes?
• Question 21
What is the intent of the knowledge management function to
sustain operational infrastructure?
• Question 22
Whose duty is it to ensure adherence to the calendar for annual
planning?
• Question 23
Which leadership level provides the fact base for all goal-setting
activities?
• Question 24
63. What can be estimated on the basis of the numbers of patients
expected and length of time they will require service, plus idle time
allowances?
• Question 25
What element is mistakenly cited as a requirement for the
transition to evidence-based management, but in actuality is not a
requirement?
• Question 26
Monitoring stakeholder groups to identify changes in needs and
desires is an activity attributable to which function that sustains
operational infrastructure?
• Question 27
What is the Library of Work Processes, Protocols and Measures?
• Question 28
What are performance measures for the responsive
communication function?
• Question 29
To be successful, accountability must pass the test of control,
which means:
• Question 30
Performance measures that reflect the processes they purport to
measure are considered:
==================================