Exam 5 Results - Final Study Guide - Medical Practice Management

Developing a list of practice-specific threats and hazards based on experience, forecasting, expert judgment, and available resources would be done in step ____ of the THIRA process.

1.

Which of the following is true about geriatrics?

25,000 additional geriatricians may be needed in the United States by 2025.

A person will visit a physician more than they will be admitted to the hospital. According to the text, what is the ratio of office visits to hospital admissions?

26 to 1.

In a normal distribution, Six Sigma would represent how many defects per million attempts?

3-4.

Which of the following describes a medical practice that might receive federal and state funding to provide primary care in an underserved area because the economic base in the area cannot support it?

A community health center.

The Triple Aim has become a very important concept for improving healthcare delivery. What are the key principles of the triple aim?

A, B, and C - Lower per capita cost Better patient experience Better health for the population as well as the individual

Why is good patient experience so important?

Answer - All of the above: Patients become more likely to adhere to their treatment plan. It improves employee morale. It creates a more pleasant working environment. Patients are more likely to return to the practice.

Which of the following measures need to be taken in any emergency or disaster situation?

Answer - All of the above: Safeguard people Safeguard property Develop alternative operations Ensure communications

To include a large number and wide breadth of community members in community preparedness, a practice manager might do which of the following?

Answer - All of the above: Strive to hire a diverse staff that is representative of the community. Maintain ongoing, clear, and consistent communications with all segments of the community. Identify barriers to participation.

Which of the following is a viable option for a practice in an emergency?

Answer - All of the above: Close the practice, and refer patients to the nearest hospital emergency department or urgent care center. Close the office to face-to-face encounters and perform telephone triage only. Remain open but limit care to urgent needs only. Assign the clinical staff and critical support staff to work with the local emergency facilities to address the care needs of the community and the practice's patients.

Who may serve as emergency manager for a medical practice?

Answer - All of the above: The practice manager. The medical director. Any interested person in the practice who has been given the role.

Which of the following are quality improvement processes?

Answer - All the above: Lean Lean Six Ss Six Sigma

Which of the following best describes how the Medical Group Management Association defines a practice emergency?

Any incident or activity that disrupts the practice for more than 24 hours

According to Dr. Deming, in many instances, a properly functioning process is more important to the outcome than the individuals doing the work.

True.

Lean is more focused on improving patient flow and eliminating waste, whereas Six Sigma is more focused on process breakthroughs, design improvement, and reducing variation.

True.

The Homeland Security Exercise and Evaluation Program (HSEEP) provides a standardized method for planning and conducting individual exercises. Which of the following is not a phase in the HSEEP methodology?

Drill

Emergency management exercises fall within what two broad categories?

Operations-based exercises and discussion-based exercises.

What word would best complete the following sentence? "Preparedness is a __________ responsibility of all levels of government, the private and nonprofit sectors, and individual citizens."

Shared.

Quality improvement strategies are most effective when they focus on which of the following?

System Performance.

Which of the following is not a quality improvement tool?

Chart of accounts

A practice that charges a monthly or annual fee for a heightened level of service would best be described as which of the following?

Concierge practice

Rhonda is a healthy person, 35 years old, who rarely requires healthcare. She has a business, earns a large income, and pays a significant amount of taxes each year. She has a health insurance policy from a private insurance carrier. As healthcare reform is being discussed, what might be her major concern?

Cost Containment.

Because medical practices can close and rely on local hospitals and community agencies, there is little need for emergency preparedness

False.

Cybersecurity is not a concern for a medical practice manager.

False.

Distribution of medical services is rarely affected by geographic factors.

False.

During an emergency, all HIPAA regulations can be suspended by FEMA.

False.

IBM's supercomputer Watson quickly iterates nuanced information provided by the user to mimic _____________?

Human Intelligence.

Roger is a practice administrator who is considering the increased use of social media in the practice. However, he is concerned that the potential negatives will outweigh the benefits. Which of the following points would be appropriate and correct for you to make to Roger about social media?

I would tell Roger that social media can improve communication with the public, with colleagues, with employees, and with patients

The threat and hazard identification and risk assessment (THIRA) process involves four steps. What are they, in correct order?

Identify threats and hazards, provide context, establish what the practice can do in an emergency, apply the results to the plan

Jane is a practice administrator at a large medical practice that deals primarily with elderly patients. A serious winter storm is predicted to hit the region in the next 24 hours, with roads likely to become impassable. What would Jane's best course of action be in preparing the practice for this impending situation?

Implement the practice's winter storm emergency plan, which includes operating the practice on a telephone triage basis only during the storm.

A historic report by the Institute of Medicine in 2000 estimated that as many as 98,000 people are harmed each of year in the healthcare system. Since that report, there has been a tremendous effort to improve the quality and safety of the healthcare system. In the wake of these efforts and expenses, a recent study has estimated that the number of people harmed in the healthcare system has ___________.

Increased.

What does IOM stand for?

Institute of Medicine

Which of the following is not a commonly identified waste according to Lean philosophy?

Maintenance.

What are the four phases of emergency management as defined by FEMA?

Mitigation, preparedness, response, recovery.

The ability to provide more specific treatments to individual patients based on their genetic profile is an example of __________________?

Precision medicine

Which of the following is not a step in the preparedness cycle?

Respond.

The Medical Reserve Corps (MRC) operates under the purview of which federal agency?

The Department of Homeland Security.

Quality and reliability are _______________________.

The responsibility of all of the above

Which of the following best describes an affinity chart?

The tool provides a method for organizing key themes from a brainstorming activity.

What is the principal concept of Lean for medical practice management?

The use of checklists.

A control chart, in the context of quality improvement, illustrates which of the following?

The variation of a process over time.

What is meant by the term mitigation in the context of medical practice emergency management?

Those activities a practice undertakes to lessen the severity and the impact of a disaster or emergency.

What is a key objective of data analytics?

To turn unstructured data into new knowledge applicable in the medical practice.