test 2

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17. Historically, many health systems' business plans were oriented toward the acquisition of physical assets. However, in today's more complex operating environment, these health systems are more heavily focused on which of the following? A. Physician acquisition B. Investments in clinical health information technology (HIT) C. Improving ambulatory care capacity to better meet the changing healthcare delivery models D. Answers A and B only E. Answers A, B, and C

E

Which of the following are straining the relationship between hospitals and physicians and forcing them to compete for patients? A. Increasing economic pressures B. Advances in technology C. Increasing use of outpatient care D. Answers A and C only E. Answers A, B, and C

D

Which of the following should be included in the typical business plan? A. A detailed discussion of the proposed healthcare service B. Identification of target markets C. Financial projections D. All of the above

D.

An effective hospice program can improve acute care hospital performance in which of the following ways? A. Decreasing length of stay B. Reducing ancillary charges C. Preventing unnecessary inpatient utilization D. Reducing hospital readmission rates and emergency department visits E. All of the above

E

It is essential that healthcare organizations create an IT infrastructure that does which of the following? A. Is flexible B. Allows collaboration among clinicians C. Incorporates mobile devices D. Ensures access to patient data in real time E. All of the above

E

Negative consequences can result from withholding or poorly communicating key information with management about which of the following? A. Finances B. Operations C. Healthcare quality D. Answers A and C only E. Answers A, B, and C

E

Which of the following are considered post-acute care providers? A. Skilled nursing facilities (SNFs) B. Inpatient rehabilitation facilities (IRFs) C. Home health agencies (HHAs) D. Long-term care hospitals (LTCHs) E. All of the above

E

Which of the following describes integrated delivery systems? A. Enable better use of staff B. Increase financial resources C. Lead to greater operational efficiencies D. Gain a competitive advantage by negotiating better reimbursement rates with insurers E. All of the above

E

Which of the following is emphasized in the PCMH model? A. Ease of access B. Partnerships between physicians and hospitals C. Use of innovative technologies to improve patient care D. The size of the patient's home E. Answers A, B, and C

E

Which of the following is important in an outstanding presentation? A. Understanding the audience B. Identifying the key items in the material C. Finding the best method for delivery D. Having a good motivating statement E. All of the above

E

The use of mobile devices for healthcare will do which of the following? A. Save money B. Improve access C. Provide higher quality of care D. Answer A and B only E. Answer A, B, and C

E.

A joint venture does not always have to generate a profit because other benefits may accrue to the organization. A. True B. False

False

A presentation with visual support is not more likely to be remembered. A. True B. False

False

Adult day care centers are usually covered by Medicare. A. True B. False

False

By supporting vertical integration, the Affordable Care Act has created an environment where hospital and physician joint ventures will not continue to grow. A. True B. False

False

From a risk management perspective, electronic medical records and supporting clinical information systems have little value in reducing medical malpractice costs. A. True B. False

False

Healthcare data warehouses do not integrate multiple types of data—such as patient demographic information, comprehensive clinical information, and resource utilization data—to provide a foundation for decision making. A. True B. False

False

Independently operated US hospitals, which are the majority of hospitals, do not need to consider future health system affiliation as part of their long-term survival plan. A. True B. False

False

It is not important to include clinicians in business planning teams. A. True B. False

False

Statistics reveal an overutilization of hospice services among minority groups when compared to overall population rates. A. True B. False

False

Strategic planning at the health system level is no different than planning at an individual hospital. A. True B. False

False

Successful presentations answer questions, overcome objections, and present information previously not considered. A. True B. False

False

. Not-for-profit hospitals are distinct from government-owned hospitals and privately owned for-profit hospitals. A. True B. False

True

A change in organizational culture remains a significant obstacle as healthcare organizations are forced to transform the way they use and analyze data. A. True B. False

True

A healthcare business plan is a methodology by which a healthcare organization evaluates future investment in a new business initiative. A. True B. False

True

A healthcare data analyst requires a unique mix of healthcare knowledge, business acumen, applied mathematics, and computer science. A. True B. False

True

A professional appearance creates a positive perception during a presentation. A. True B. False

True

Accountable care organizations are groups of doctors, hospitals, and other healthcare providers who come together voluntarily to give coordinated, high-quality care to the Medicare patients they serve. A. True B. False

True

Accurate forecasting of clinical workload is not key to the use of pro forma financial statements in evaluating new business initiatives. A. True B. False

True

Adult health day care centers, which provide a combination of social and medical services, were designed to keep senior citizens in the community as long as possible, thereby reducing admissions to nursing homes. A. True B. False

True

Although for-profit hospitals' mission is to make a profit, they do provide uncompensated care to the most vulnerable members of their communities and thereby improve the health status of their communities. A. True B. False

True

As healthcare organizations respond to the Affordable Care Act, they have a growing need to use digital health data to reduce costs and improve accountability. A. True B. False

True

By communicating the strategic plan to stakeholders, an organization can generate grassroots support for new business initiatives and enhance their acceptance in the community. A. True B. False

True

By implementing technology and processes that will improve patient care, healthcare providers can increase efficiency and profitability, enhance quality, and better coordinate care across the continuum of health services. A. True B. False

True

CMS is considering bundling the payment for all post-acute care services, which would open up opportunities for post-acute care providers to acquire, merge, or pursue joint ventures with other post-acute care providers. A. True B. False

True

Chronic conditions are the leading cause of illness, disability, and death in the United States and account for the majority of US healthcare expenditures. A. True B. False

True

Clinical integration provides an opportunity to coordinate services through centralized scheduling, electronic medical records, clinical pathways, management of chronic diseases, and innovative quality improvement programs.

True

E-health promotes more efficient use of medical resources and helps reduce administrative costs. A. True B. False

True

Effective business planning is a formal, measurable process that evaluates resource allocation, performance, and the current business environment and forecasts potential demand for new services. A. True B. False

True

Establishing open communication between healthcare leaders and clinicians is important to improving clinical outcomes as well as enhancing organizational profitability. A. True B. False

True

Healthcare is delivered in local communities and is affected by local market competition. This makes the evaluation of current and potential competitors essential to the business planning process. A. True B. False

True

Hospital involvement of physicians in the decision-making process helps the hospital and physicians reach agreement on the values, ethics, and culture of new business initiatives. A. True B. False

True

Hospital mergers tend to be horizontal, meaning that the merging hospitals are competitors looking for increased operating efficiency and improved market share. A. True B. False

True

Inpatient rehabilitation is the most frequently opened new clinical service in acute care hospitals. A. True B. False

True

Integrated delivery systems and accountable care organizations are able to gain a competitive advantage in the market by negotiating higher reimbursement rates, offering a wider array of clinical services, and delivering these services in a more coordinated manner. A. True B. False

True

Managed care organizations (i.e., healthcare insurance companies) tend to favor contracting with larger, more complex hospitals, forcing smaller hospitals to become part of a health system. A. True B. False

True

Management communications should balance operational, clinical, and financial performance to optimize the decision-making process. A. True B. False

True

Many healthcare leaders believe that clinical integration and coordinated strategic planning between hospitals and physicians are necessary to improve the quality of healthcare services provided. A. True B. False

True

Not-for-profit health systems typically evaluate potential acquisitions on the basis of mission, outreach, services, and geographic location. A. True B. False

True

Positive relationships between hospitals and physicians are important to the success of the US healthcare system, as hospitals and physicians can be both collaborators and competitors. A. True B. False

True

Post-acute care planning is a joint decision-making process involving the patient, the patient's family, the patient's physician, and a hospital case manager. A. True B. False

True

Post-acute care services are offered in numerous settings, but physicians prefer to transition patients to inpatient rehabilitation facilities because they provide a minimum of three hours of intensive rehabilitation therapy per day. A. True B. False

True

Preparation of the marketing plan requires a clear understanding of the organization's capabilities and the competitive marketplace in which the organization operates. A. True B. False

True

Stage charisma is the leadership ability to command an audience in an impressive manner using characteristics such as sincerity, credibility, concern, certainty, and hope that engage individuals on a personal level. A. True B. False

True

Telehealth is particularly valuable in rural communities, where access to healthcare is limited. A. True B. False

True

The ability to communicate the strategic plan is a critical success factor for implementing change. A. True B. False

True

The balanced scorecard is a strategy and management system that focuses an organization on several areas of performance measurement. A. True B. False

True

The marketing plan considers the demographic characteristics of the population in the community where the service will be provided. It also takes into account the competitive marketplace, the healthcare organization's capabilities, and areas with the greatest economic potential. A. True B. False

True

Under the hospitalist model, a patient's regular outpatient physician maintains complete responsibility for the patient's inpatient care when the patient is hospitalized. A. True B. False

True

When considering expansion into an international market, strategic planners of health systems must ensure there is an existing market for a new healthcare provider. A. True B. False

True


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