HIM 242 - Management in Healthcare

University Hospital has been undergoing many changes which in turn required the HIM department to perform different jobs and tasks. The HIM director is going to ask for approval for a full job analysis for the job tasks performed within the chart management area. The following items are considered triggers for requesting a job analysis to be performed:

sector changes, organizational changes, and employees' perceptions of the jobs being performed

Sharon has just completed a revision of the HIM department organizational chart. This was necessary due to the movement of the cancer registry from Nursing to HIM. An organizational chart falls under what managerial function?

Organizing

Memorial Hospital is a 45-bed rural hospital. The last two directors of HIM stayed less than six months each, and the position has been open for four months. Which of the following recruitment methods should the chief financial officer (CFO) consider to fill the open HIM director position. :

Outsourcing

Stephanie is Steven's boss and she promised to promote him to supervisor if Steven agrees to go to a family wedding with her as her date. For Steven, this may be an example of what type of sexual harassment?

Quid pro quo

SMART goals are an objective way to develop job performance standards. The acronym SMART represents:

Specific, measurable, attainable, realistic, and timely.

Sara is the team leader for the remote coding project team at her hospital. Sara reports to the chief financial officer (CFO). The CFO reports the remote coding team's progress to the board of trustees and maintains overall responsibility for the project. The CFO holds what team role?

Sponsor

Gloria hired two graduates of State College in the past, but both of them turned out to be poor coders and one committed a HIPAA violation. For these reasons, Gloria does not hire graduates of State College anymore. This is an example of:

Stereotyping

___________________is the process in which leadership of a healthcare organization develops the organization's overall mission, vision, and goals to help guide the direction of the organization as a business entity.

Strategic planning

Michael has been a credentialed HIM professional for 10 years, and feels he has the skills and confidence to run for president of his state HIM association. This is an example of which level of Maslow's Hierarchy of Needs?

Self-esteem

Which of the following is a disadvantage to using off site seminars or workshop as a learning model?

Seminars are more expensive than on site instruction

Which of the following is a direct cost of employee turnover?

Separation payments of accrued vacation time

Ron, the chief operating officer of his healthcare organization, is looking at methods utilized to gain efficiencies and streamline operations within an organization. Ron should select which operation management theories listed below to deploy within his organization?

Six Sigma

A SWOT analysis created by the director of the HIM department indicates that all of the coding staff are credentialed and up-to-date on their continuing education credits. In a SWOT analysis, this would be a:

Strength

Margaret, the coding manager is starting to work on her employees' annual performance reviews. She will need all of the performance management tools except:

department office layout

During her interview for the position of assistant director of HIM, Jackie spends separate time answering questions with the director of HIM, all of the members of the coding section, and the assistant directors of both the patient financial services (PFS) and information technology (IT) departments. This is an example of what type of interview?

360-degree interview

Emma is a 65-year-old release of information clerk at Memorial Hospital, who has been passed over for a promotion to a supervisory position in favor of a younger clerk with less experience. Emma filed an age-based discrimination suit against the hospital and was subsequently fired from her position. Emma claims the firing is retaliation for her lawsuit, and feels she is protected under what federal statute?

Age Discrimination in Employment Act

What is the difference between a credential and a license?

A license is a legal authorization to practice whereas a credential is a formal agreement

The change agent for a large healthcare organization that is implementing mobile applications to interact with an electronic health record is assessing physicians' actual ability or the components these individuals actually need in order to participate in change. The ______________ model delineates the building blocks that individuals need in order to move through the change management model.

ADKAR Model

Tony, who holds the RHIT credential and is an HIM coder, is trying to assess his gaps in knowledge in regards to all the educational curriculum competencies that AHIMA is recommending current practicing HIM professionals assess. He should utilize the _______________to assess his gaps in knowledge.

AHIMA Professional Development Inventory

The HIM director at University Hospital would like to perform a mock survey on the Joint Commission Information Management standards. The committee that the HIM director should contact is the _________________.

Accreditation committee

How does the presence of procedures, rules, and guidelines affect a manager's span of control?

Allows for a larger span of control

A director of HIM has six new recent graduates that recently passed the RHIT examination. She is recommending that these new RHITs join ________________ because it is the leading source of information for HIM professionals and it provides monitoring in regards to continuing education compliance for maintenance of the RHIT credential.

American Health Information Management Association (AHIMA)

The HIM director at University Health System has been reviewing the job titles within the department and throughout the organization. She is trying to evaluate if she should change some of the titles. The tips listed bellowed are all guidance for deciding when to change job titles except:

An HIM employee does not like having the same title as others within her area.

In considering the start-up of these HIM committees, Jody should ensure all of the following except:

Appoint herself as the committee chair for all committees.

Mary, a coding manager, has been asked to evaluate her coders' job descriptions and match the level of learning to the verbs that are utilized to describe the job tasks. Mary would utilize _______________________________to perform this analysis.

Bloom's taxonomy job task verbs and levels of learning

One of the components of the managerial function of planning is developing a strategic plan for the organization. This is the responsibility of the:

Board of Trustees

Sara is the team leader for the remote coding project team at her hospital. Sara's team is made up of members from different departments throughout the hospital. This is an example of what kind of team?

Cross-functional

Memorial Hospital has experienced financial setbacks and recently laid off 20 employees. This is an example of what type of employee turnover?

Functional

According to Herzberg's Two-Factor Theory, which of the following is considered to be a motivator or job satisfier?

Career advancement

The HIM Department at University Hospital recently hired a new HIM director and two new HIM managers. This HIM department is experiencing_________________.

Change

The law prohibiting religious discrimination in the workplace is the:

Civil Rights Act of 1964

This tool is one that professional managers use to hold employees accountable for their actions and values-based decision-making.

Code of Ethics

The HIM director collected primary data on the chart management functions and is now ready to complete the job responsibility task tool template for these job roles. Some tips for writing job tasks on the template include all of the following except:

Combine as many tasks as you can to make job functions fit together better

Sharon was recently hired as a health information manager at a large healthcare corporation. She has many years of management experience but is finding the leadership style she utilized in her previous positions does not match the new healthcare organization's leadership model. Sharon needs to re-evaluate her leadership style and adjust it to the new workplace. This is called

Contingency approach to leadership

Sylvia reviews a monthly report that benchmarks coding productivity standards for children's hospitals across the region. Benchmarking falls under what managerial function?

Controlling

When change is dramatic, reaction can occur within workgroups and individual employees. This reaction has five stages which are related to how individuals cope with grief. The five stages are:

Denial, anger, bargaining, depression and acceptance.

Amanda is planning a new training program for medical and surgical residents. She will introduce them to the documentation requirements that the hospital mandates in response to Joint Commission standards and to insure correct coding for inpatient and outpatient records. She has completed a needs assessment and is now working on writing learning objectives and developing a training budget. Amanda is at what phase of the ADDIE training design method?

Design

The use of simulation as a training technique is best suited for which of the following scenarios?

Disaster preparedness exercises

Indicate the first researcher(s) to study tasks performed by physicians in operating rooms and to help identify ways to decrease the fatigue that physicians experienced while performing surgical operations.

Frank and Lillian Gilbreath

Jody has recently been hired as the director of HIM at University Hospital which is a large teaching facility. She was surprised that the HIM department did not have any specific committee structure in place. The specific HIM committees that Jody should think about implementing would be:

Employee activities committee, performance improvement committee, and a health information professionals week committee

Amanda's presentation to the medical and surgical residents is over, and she wants to assess if her learning outcomes were met. One way she does this is to review resident documentation on records completed after her presentation. Amanda is at what phase of the ADDIE training design method?

Evaluation

As noted on p. 58 of the chapter, direct costs involve the separation payments of accrued vacation, sick time, and severance pay as well as the costs of unemployment insurance and COBRA administration fees.

Exit interviews

Olivia is a full-time coder paid hourly. Her supervisor asked her to stay for one additional hour, but tells Olivia there is no money in the budget for overtime pay. Olivia's supervisor gives her a Target gift card instead. This is violation of which federal statute?

Fair Labor Standards Act

Maria has recently been diagnosed with breast cancer and is requesting time off to complete her chemotherapy treatment. She is requesting two days a week for twenty weeks. Maria's request is covered under the:

Family and Medical Leave Act

This management theorist is noted for explaining concepts of management that form the basis of modern management. This theorist's concept is called_________________.

Favol's 14 principles of management

Sara is the team leader for the remote coding project team at her hospital. She has brought together coders, IT technicians, and a representative from human resources. At the first meeting, the team spends time getting to know each other and setting ground rules. These activities represent what stage of team growth?

Forming

Jennifer has been steadily increasing her coding productivity each quarter by reaching a slightly higher target of outpatient records coded each day. The targets are mutually agreed upon by Jennifer and her supervisor, and Jennifer takes pride in meeting the new targets each quarter. This is an example of what motivational theory?

Goal-setting Theory

Graphic rating scales are commonly utilized scoring methods within HIM performance appraisals. The following rater errors are common among graphic rating scales:

Halo effect, central tendency, bias or similar-to-me

The Privacy Rule and the Security Rule are components of which federal statute?

Health Insurance Portability and Accountability Act

Whenever Claudia helps Dr. Stevens with his records, he manages to brush against her chest. She has spoken to her manager about this, requesting help to stop this behavior, but nothing is being done. For Claudia, this may constitute an example of what type of sexual harassment?

Hostile work environment

The HIM department at University Hospital is assessing means of remuneration that will impact employee and manager performance. All of the items should be considered when evaluating pay for performance initiatives except:

Human resources does not need to provide training to HIM managers on how to calculate performance appraisal results in relation to pay for performance ratings.

_________________management theory considers individual human needs and values as part of the equation for managing within an organization.

Humanistic

How do the concepts of diversity and inclusion differ?

Inclusion is the result of successful diversity management

The coding manager at University Hospital has been employed for approximately 15 years in the same role. He is trying to apply AHIMA's strategic plan to his role in the organization. He realizes that HIM professionals need to be recognized as the experts in health information governance and should share the knowledge with others in their healthcare organization. The strategic goal that he is addressing here is____________.

Information governance

Caroline is interviewing candidates for a supervisor of release of information position. She asks each candidate to explain how they would prepare a record in answer to a subpoena. This is what type of interview question?

Job knowledge

In this type of job evaluation method, each job is sorted according to how valuable it is to the organization. More valuable jobs are at the top of the order and less valuable jobs are at the bottom.

Job ranking

In the HIM department at Memorial Hospital, each newly hired coder spends an afternoon with a medical biller. The coder follows the biller around as they complete job tasks to get an idea of how coding and billing impact each other. This is an example of what type of on-the-job training?

Job shadowing

Betty is the senior transcriptionist at Memorial Hospital. Her supervisor paired Betty with the newest transcriptionist so that Betty might transfer some of her insight and expertise before she retires. This is an example of:

Knowledge Management

Jane is an inpatient coder within the health information management (HIM) department. The HIM coding area has just implemented computer-assisted coding and previously, Jane worked in a facility that had one in place. Jane's boss is relying on Jane to assist her coworkers with transitioning to the new coding product. Jane has a very positive outlook and she encourages her fellow coworkers throughout the day. Jane's behavior is typical of a _______________.

Leader

As a new supervisor, Anna is aware of the importance of both written and oral communication in her position. Communication is a component of what managerial function?

Leading

As the coding manager, Mary has the responsibility of assuring that her coding team meets bill drop deadlines and for reporting her team's weekly productivity statistics to the HIM director. Mary has been given ___________to ensure that her team meets its productivity goals.

Legitimate Authority

Which of the following is an indirect cost of recruitment?

Lost productivity due to open positions

Michael filed a grievance against the hospital that dismissed him, and neither side is willing to concede any ground to the other. The human resources director suggested that she and Michael sit down with a neutral third-party attorney to see if an agreement can be reached. The attorney will not decide the issue, but will listen and help both parties resolve their situation. This is an example of:

Mediation

Kathy, who holds the RHIA credential, is researching different avenues that her HIM career path may take and she is looking at the emerging roles in HIM. All of the roles listed below except __________ would be a viable career path for Kathy.

Medical transcriptionist

Pressed for time, Sara hired her new release of information clerk without doing a reference check. When the new clerk committed a violation of patient confidentiality, it came to light that she had committee similar violations at her previous place of employment. By not checking the clerk's references, Sara has opened the hospital to charge of:

Negligent hiring

During new employee orientation, Elise, the assistant director of Human Resources, oversees diversity and sexual harassment training. This orientation is taking place at what level?

Organizational

The HIM coding manager has been running ICD-10-CM diagnoses in regards to drug reactions and interactions. She is noticing a trend in an increase in the number of these codes being assigned for a particular patient disease category. She should take her findings to the ______________committee.

Pharmacy and therapeutics

Which of the following is an example of an extrinsic element of motivation?

Promotion to a new position

Jonathan is an informal leader in the scanning section of the HIM department. He is funny, smart, and always willing to help someone with their workload if they are falling behind. Jonathan has what type of power?

Referent

Which of the following would typically not be a cause for immediate termination?

Repeated late arrivals to work

All of the coders realize that as their supervisor, Ellie, has the ability to grant time off and recommend them for merit raises. Ellie has what type of power?

Reward

Sarah (the HIM manager) is setting up her employee individual performance appraisal reviews. She wants the experience to be positive for the employees so she will schedule all appointments taking into consideration the following items except:

Sarah will not share any of the findings prior to the individual performance appraisal meetings so that employees do not have time to get upset about their performance appraisals prior to the meeting.

_______________is one of the first-identified forms of management because it is a discipline that can be studied and tested within organizations and evolved with the advent of the United States' industrial revolution.

Scientific Management

Susan wants to become a privacy officer and so is studying the examination workbook to prepare herself to take the test. She spends time in the evenings and weekends, and completes each chapter at her own pace. She feels she should be ready for the exam in six months. What type of learning model is Susan using?

Self-directed

Linda is the education manager for a national coding service company. Once a month she holds a videoconference with all her coding personnel to review coding updates, answer questions, and provide continuing education. The videoconference is in real time, so that all personnel have an opportunity to ask questions and interact with Linda. This is an example of what type of training method?

Synchronous

Karen is a new graduate who has been hired to help a large physician practice implement an electronic health record. She needs to transform the primarily paper-based environment to an electronic environment. Karen needs to utilize transformational leadership skills in order for this to happen. All items listed below are transformational leadership skills EXCEPT for:

The leader performs through structure and process

The board of trustees and the senior management team comprise which level of management?

Top Level

Albert is blind and requests that his seeing-eye dog be allowed to accompany him to his job as a transcriptionist at Memorial Hospital. The hospital objects to Albert's request, stating that the dog will aggravate employee allergies and be a general nuisance in the department. Memorial Hospital believes that permitting the dog in the department is an example of:

Undue hardship

Mark, the chief operating officer for a large physician practice, exhibits a style of leadership built on a foundation of ethics as noted by the strong policies and procedures that he has developed relating to ethical behaviors in healthcare. This leadership style is ____________.

Values-based leadership

Aaron's work space is filled with notes posted to the walls regarding coding rules. He has even created file folders for coding tips according to body system. Aaron is most likely what type of sensory learner?

Visual

Kelly's husband is being transferred to a new position in another state. Kelly has to resign her position as director of HIM at Memorial Hospital, a job she has enjoyed for five years. This is an example of what type of employee turnover?

Voluntary

The human resources director at a large healthcare organization is looking for a tool that will assess its organizational culture. ___________ is utilized to describe a workgroup's perception of the social functioning or organizational culture of the work environment.

WES

Hospital XYZ is implementing an electronic health record and the executive management team realizes that this is a large change initiative that will potentially cause all employees a lot of stress. Hospital XYZ needs to utilize a __________________ to facilitate the change process.

change agent

Maryann is implementing a new release of information (ROI) tracking system for her ROI clerks to utilize. She met with the vendor and the contract is pending until the legal department provides its final stamp of approval. Maryann is wondering what she should do next to introduce the process changes that need to take place and how she is going to manage the whole process. Maryann needs to develop a strong ______________________ plan in order for this process to be accepted by the HIM staff and for the entire project to be adopted smoothly.

change management

An important concept within a healthcare organization involves joining two or more healthcare professionals to work on achieving similar goals within a change initiative. This concept is a complex and dynamic process in healthcare and it is known as _______________.

collaboration

Weekly, a group of clinical caregivers have been meeting informally to discuss outcomes for patients within the intensive care unit. This group would like to pursue formal quality improvement initiatives but the quality management department will not assist the group until it becomes a formal _______________.

committee

One of the key components of managing change is _________________, the process of using words, sounds, signs, or behaviors to exchange or share information.

communication

An important item that should be included within a job description is the job _______as this provides the situations or conditions where the employee performs the job.

context

Jaime, who holds the registered health information administrator (RHIA) credential, performs data analysis within an HIM department. She is getting bored with her job but she does not want to leave the organization. There are currently no opportunities for upward mobility within the department. Jaime recently read about job crafting and she realizes she should evaluate the following dimensions within her job:

job tasks, job relationships, and job perceptions

It is important for an HIM manager to intercede quickly with early intervention and provide additional training, support, or resources as necessary when an employee is experiencing ____________.

individual variances in job performance

Rachel is the newest member of the HIM management team and she just graduated with her bachelor's degree in HIM. She has her RHIA credential and did well in school. Rachel's job responsibilities include managing 20 employees in the electronic record management area of the HIM department. Rachel as the credentials and education required for this job but she is lacking _______________ which would provide her with the accumulation of relevant action, knowledge, skills, and abilities that could enhance her job performance.

job experience

The HIM coding manager needs to post a new job opening within her area: Data Integrity Analyst. A ______________describes the key tasks and responsibilities of a job and what is utilized for posting job openings.

job summary

Jan, the new release of information manager, is participating in management orientation for the healthcare organization. One section of orientation thoroughly reviews the tools and practices for setting sustainable performance goals for employees, how to monitor employee progress toward job performance goals, and ways to provide feedback to employees regarding job performance. This section of orientation is called _____________________.

performance management

Mark is the new director of HIM at a large healthcare organization. In orientation he was shown the hospital's organization chart. He noticed that the chart demonstrated a combination of interconnected horizontal networks with divisions that have multiple reporting lines. This is an example of a ___________________organizational model

nonhierarchical

The HIM director at University Hospital is acquiring several other areas within the healthcare organization including clinical documentation improvement, physician coding, and clinic coding. The director knows that she will need additional staff to integrate these tasks into the HIM department. She should first _____________to explain the performance gaps that will be experienced within the HIM department.

perform a needs assessment

Stephen (an HIM coding manager) has been tracking Gina's coding productivity and quality over the past several months. Gina has experienced increasing variances in her work performance and is not meeting the coding benchmarks in terms of productivity or quality. Stephen has been sharing the data with Gina on a regular basis and Gina promises she will improve. Stephen realizes that Gina's work is becoming substandard and is not meeting the coding area standards. Stephen will need to initiate an employee ____________________.

performance improvement plan

Sarah is not clear about why she needs to collect so much data as she performs her HIM job. Sarah's manager explains that the basic premise behind collecting job analysis data is to determine the job requirements and delineate appropriate _____________and ___________________.

position classification; grade level assignments

Dr. Smith has been a practicing physician for many years and has not had any formal training in the use of computers. The office where he sees patients is installing an electronic health record. Dr. Smith refuses to utilize the e-prescribing feature available within the electronic health record. Dr. Smith is exhibiting ______________________.

resistance to change

The coding team at University Health has been performing primary data collection on coding jobs and tasks utilizing a structured questionnaire. The coding manager wants to utilize a secondary data collection model for gathering more information on emerging coding roles in the healthcare industry. The following methods are all considered secondary data collection methods:

technical conference method, competency model, O*NET, standardized questionnaires, and checklists

The HIM director hired an HIM data integrity analyst. This is a new position with a newly created job description. The director needs to develop performance standards for this job and she will review a portion (a random selection) of the job tasks being performed in order to develop baseline data for future job performance assessment. This method is called ________________.

work sampling