Diversity IHS Final

To promote problem-solving among stakeholders, the healthcare manager should demonstrate specific behaviors, including:

- Confidence that the goals and objectives are achievable. -The ability to share knowledge with the collaborators and have the authority to advance their work. Both A & B are correct.

Prior to the Critical Access Hospital program, how many rural hospitals closed in the 1980's?

330

Strategies for a collaborative leader include, but are not limited to:

A. Building trust and creating a safe environment for the exchanging of ideas.

The Crossing the Quality Chasm: A New Health System for the 21st Century report offers "10 Rules to Redesign and Improve Care." The 5 most relevant approaches are:

A. Care based in continuous healing relationships, customization based on patient needs and values, patient as the source of control, shared knowledge and free flow of information, need for transparency

One of the main differences between collaborative and transformational leaders is:

A. Collaborative leaders have the ability to achieve success through alliances with people and resources beyond their direct reporting control

Which strategy is not suggested for the transformational leader?

A. Get out of the trenches.

Contemporary organizations that influence health policy in the United States are making patient- and family-centered care a priority in their long-term strategic agendas, validating the essential role these core concepts play in healthcare design and improvement. These include:

A. Institute for Healthcare Improvement (IHI), Center for Medicare and Medicaid Services (CMS), and The Joint Commission B. Institute of Medicine, Institute for Patient- and Family-Centered Care C. Agency for Healthcare Research and Quality (AHRQ) and National Quality Forum ALL OF THE ABOVE

It is beneficial for healthcare leaders to bring which of the following to the table to address widespread community concerns?

A. Key strategic partners outside the healthcare organization B. Direct healthcare competitors in the community C. Key leaders within the healthcare organization ALL OF THE ABOVE

One of the essential precepts in PFCC is the tenet that patients and families (as determined by the patient) are true partners in care, decision-making, and setting policy. This partnership may take the following forms:

A. Partnership in the processes of patient assessment and in planning patient care and treatment B. Partnership via organizational advisory roles C. Partnership by providing input on hiring, educating, and evaluating clinicians ALL OF THE ABOVE

Assessing organizational culture for PFCC readiness involves:

A. Reviewing internal policies B. Focusing on organizational functioning C. Understanding the culture and composition of the community ALL OF THE ABOVE!!

Traits and skills of collaborative leaders include:

A. Self-confidence and social skills B. Flexibility and strategic thinking C. Resilience and continual learning !!!!!!--> All of the above

A key attribute healthcare leaders must develop in order to develop outreach initiatives that serve an entire community is:

A. The ability to empathize with the needs of a large population

After the American Industrial period, there was a mandate for managers to adopt alternative approaches for motivating employees due to:

A. The improving economy B. Workers being better educated and organized C. Skilled workers being more essential and valuable --> all of the above

PFCC implementation challenges for clinicians may include:

A. The shift from pay-for-service to pay-for-performance B. The inability to make necessary changes due to declining reimbursement and dwindling net revenue with fewer liquid resources available to hire staff, fund marketing, and maintain practice operations C. Higher reliance on evidence-based care and regulatory and healthcare reform requirements for PFCC, such as the Joint Commission, Centers for Medicare and Medicaid Services, and the federal government ALL OF THE ABOVE!!!

Which of the following was one factor that led the Illinois Critical Access Hospital Network to develop the shared Information Technology Expertise program?

B. Ability to share staff with a health information technology skillset which can be rare to find in small communities

Which of the following are not organizational barriers to implementing patient- [and family-] centered care?

B. Bureaucratic organizations, lack of planning, and shortage of space

Leaders of healthcare organizations play what type of role in successful outreach programs?

B. Critical and directive

How does outreach in healthcare organizations differ from that of other industries?

B. Healthcare outreach can have a profoundly positive impact on the lives of individuals and communities

According to Donald Nelson, a physician and expert on quality, an organization will transform the culture only when it moves from improvement projects to improving systems. What is the correct order in which to effect systems change?

B. Project or intervention, microsystem change, mesosystem change, macrosystem change

These four core concepts comprise patient- and family-centered care.

B. Respect and Dignity, Information Sharing, Participation, Collaboration

Which recently enacted act is cause the healthcare industry to embrace transformational leaders?

C. Patient Protection and Affordable Care Act

According to a 2006 study conducted by the Economic and Social Research Institute for the W. K. Kellogg Foundation, certain populations face greater barriers to PFCC. Which population group was not identified as experiencing barriers to PFCC according to this study?

C. Persons with mental illness and disabled individuals

A hospital-sponsored walk designed to increase the public awareness of colon cancer serves all the following except

C. Provides an alternative to the costly National Cancer Society events

Which of the following is not an appropriate action step for a transformational leader to implement positive change at the local level in an organization?

C. Take the lead in legislative action that will affect the industry.

Which of the following is not one of the factors necessary for effective community partnership:

C. Total Quality Management principles

A challenge associated with collaborative leadership is:

D. Collaborative leaders may need to cede some of their power and authority to the group

All of the following are potential challenges to outreach initiatives for a healthcare organization except:

D. Negative impact on the development of potential clinical affiliations

Which of the following is not an example of a successful hospital to hospital collaboration:

D. Pendleton Community Care's Comprehensive Primary Care Clinic

Implementing the concept of managing by values can enhance organizational effectiveness for healthcare organizations that face the following challenges except:

D. Raising reimbursements

Collaborative alliances are emerging as the preferred model for complex problem-solving especially when:

Diverse stakeholders address issues that affect broad segments of an organization or community.

6. The Picker Institute's Eight Dimensions of Care Measurement (Access, Respect for patients' values and preferences, Coordination of Care, Information, Communication, and Education, Physical Comfort, Emotional Support, Involvement of Rriends and Ramily, and Preparation for Discharge and Transitions in Care) were chosen by enlightened administrators to measure critical aspects of hospital patients' experiences.

FALSE

Core competencies for PFCC leadership and management are the same.

FALSE

Allowing input from community stakeholders can inhibit the ability of a healthcare organization from choosing appropriate healthcare related outreach initiatives.

False

Critical Access Hospitals receive their revenue primarily from local taxes if the hospital is deemed "critical" by the Department of Health and Human Services.

False

Emotional intelligence is achieved by successfully completing a post graduate fellowship

False

PPACA requires hospitals to conduct a community health needs assessment annually.

False

The National Park Service defines core values as the processes we use to do the work.

False

The good news is that collaborative leadership skills can be learned very quickly and without much effort.

False

There are many similarities among the behaviors, traits and skills observed in various leadership styles such as, transformational, servant, and autocratic.

False

Transformational leadership is less applicable to health care since its employees are generally passionate about their jobs.

False

Varying levels and types resources among stakeholders are rare barriers encountered by collaborative leaders.

False

What good leadership means, and how it is best practiced, has not changed over time.

False

Theory X leaders believe:

People do not really enjoy work

A good practice, s modeled by Quint Studer, a good practice a leader can use to become more familiar with the interests, priorities, and aspirations of his/her employees is:

Rounding

The relationship between a leader and his or her employees can be thought of as a quid pro quo arrangement. What does this mean?

Something is given with the expectation that something will be received in return.

Which applies to the transactional leader rather than the transformational leader?

The leader is the driver of change

Which theory did Douglas McGregor introduce which professes people work because they want to and derive satisfaction and joy from doing a job and doing it well?

Theory Y

Addressing a challenge such as obesity intervention is best served by utilizing the resources of a multiple organizations within a community.

True

Collaborative leadership is a valuable tool to promote synergy and successful outcomes in today's complex healthcare environment.

True

Collaborative leadership is considered complex because demands that leaders achieve success by bringing together, motivating, and aligning the goals of many individuals and stakeholders.

True

Collaborative leadership requires specific skills to allow the development and management of inter organizational strategic alliances.

True

Emotional intelligence (EI) is a leadership attribute that is viewed as increasingly critical to an individual's social effectiveness.

True

For faith-based organizations, the concept of stewardship and serving others for the better good of the patients/families is called Servant Leadership.

True

Good leadership skills support excellence in healthcare management.

True

In the patient- and family-centered care (PFCC) approach, the definition of family, as well as the degree of the family's involvement in health care, is determined by the patient, provided that he or she is a legal adult and legally competent to do so.

True

Outreach activities allow leaders of healthcare organizations to serve the health needs of a community without endangering the organization's financial viability by leveraging the organization's resources.

True

There are numerous examples in the literature showing that improved health outcomes, better allocation of resources, and greater satisfaction with the healthcare experience for the patient and family are achieved with PFCC.

True

A transformational leader should be just behind of change mandated by healthcare legislation.

false

According to recent research, which of the following factors motivated workers the least to stay in their jobs and work to increase their productivity?

pay and benefits

Gone are the days of "the boss" who maintains a "closed door" policy.

true