HCAD 325 Quiz 10, HCAD 325 Quiz 13, HCAD 325 Quiz 12, HCAD 325 Quiz 9
The demand for chest X-rays is 4 per hour. It takes 12 minutes to take a chest X-ray. What is the takt time? A) 15min B) 12min C) 1.25min D) 0.8min
A) 15min
Tiffany decides she can improve operations in her department by sorting, labeling, and cleaning the storage area. What Lean tool is she using? A) 5S B) Sing-minute exchange of die (SMED) C) Flow D) Spaghetti diagram
A) 5S
Which assumption is not part of the basic EOQ model? A) Back orders and stock outs are allowed B) Demand for the items in question is independent C) Lead time is known and constant D) Demand is known and constant
A) Back orders and stock outs are allowed
The ABC classification system is used in inventory management to A) Divide inventory into 3 categories based on cost and then focus management on the most costly group B) Divide inventory into 3 categories based on physician preference C) Score vendors on service and price D) Determine the most efficient layouts for stock rooms
A) Divide inventory into 3 categories based on cost and then focus management on the most costly group
The most accurate way to determine current inventory is to A) Do a physical inventory count B) Track additions and removals with bar coding C) Track additions and removals via point-of-scale equipment D) Track additions an removals using RFID
A) Do a physical inventory count
John is forecasting daily demand for laundry in the emergency department. He has very limited historical data. What forecasting method should he use? A) Exponential smoothing B) Simple moving average C) Weighted moving average D) Linear regression
A) Exponential smoothing
Which of the following is not an effective cost reduction tool for a cost reduction project? A) Finding ineffective employees and reassigning them B) Supply chain management C) Process improvement including Lean and Six Sigma D) Schedule optimization
A) Finding ineffective employees and reassigning them
What approach should you use to identify bundled payments that are a priority for cost management? A) Identify bundles with high volume, high cost compared with benchmarks from other organizations, and high use in bundled payments where costs are highly variable B) Change the overhead allocations to the costs in all the bundles C) Identify which doctors have the most expensive cost for all the bundles D) Challenge suppliers of materials in all of the bundles to reduce their prices
A) Identify bundles with high volume, high cost compared with benchmarks from other organizations, and high use in bundled payments where costs are highly variable
Once a cost reduction project is chartered, what should be the first step? A) Identify key cost drivers and collect cost data related to each fee for service B) Identify the largest payer and meet with them C) Inform employees that some staffing reductions will be necessary D) Convene a physician advisory board
A) Identify key cost drivers and collect cost data related to each fee for service
Tiffany worked with the radiologists to develop a new system to improve equipment utilization. In this new system, the instruments needed for an interventional procedure are organized outside of the interventional suite and prior to the procedure. What Lean tool is Tiffany using? A) Jidoka B) SMED C) Spaghetti diagram D) Standard work
A) Jidoka
The relationship between the arrival rate to a system, the time a patient spends in the system, and the number of items in a system is known as what? A) Little's law B) Queuing notation C) Discrete event simulation D) Queue discipline
A) Little's law
Which of the following activities will not result in a significant increase in revenue? A) Measuring revenue per billing employee and replacing the lowest performers every quarter B) Using exception-based workflow, in which processes are mapped and automated and only exceptions are handled by staff C) Providing real-time information to claims processors through data warehouses D) Providing real-time feedback to clinicians about the effect on reimbursement based on care choices (e.g., medication choice)
A) Measuring revenue per billing employee and replacing the lowest performers every quarter
Material requirements planning and enterprise resources planning systems are used for A) Synchronizing materials and supply with forecasted demand B) Assigning tasks to robots in automated inventory systems C) Planning optimal layouts for inventory storage D) Integrating all information technology systems into one database
A) Synchronizing materials and supply with forecasted demand
Tom is watching a football game he prerecorded, and he is fast-forwarding to only watch the plays. What is he doing? A) Using only the value-added time B) Counting the number of defects C) Calculating idle or wait time D) Observing set up times
A) Using only the value-added time
What is the next number in this forecasting series: 2.5, 4.5, 6.5, 8.5, 10.5, 12.5, 14.5, 16.5? A) 8.5 B) 18.5 C) 14.5 D) 9.92
B) 18.5
A patient enters the MRI scanning suite at 1:00 pm and leaves at 3:30 pm. The MRI test takes 50 minutes. What is the percentage of value-added time? A) 25% B) 33% C) 50% D) 100%
B) 33%
Which of the following is a good approach to cost reduction? A) Across-the-board expense reductions B) A systemic analysis of costs followed by targeted improvements C) Outsourcing of those activities to be too expensive to vendors with the lowest bids D) Elimination of overtime
B) A systemic analysis of costs followed by targeted improvements
When prioritizing activities for overhead cost reduction, one should consider which of the following? A) Activity staffing levels vs. cost/FTE B) Activity cost vs. its importance to operations C) Activity visibility to the board of directors D) Activity relationship to strategic plan
B) Activity cost vs. its importance to operations
What is supply chain management? A) Tracking and managing demand, inventory, and delivery B) All of the above C) The management of all activities and processes related to both upstream vendors and downstream customers in the value chain D) Procurement and vendor relationship management
B) All of the above
What is the theory that provides optimal levels of stock on hand, order levels, and order frequency? A) Stock level index B) Economic order quantity C) Safety stock system D) Order quantity and date
B) Economic order quantity
What is the primary goal of Lean? A) Eliminate defects B) Eliminate waste C) Improve financial performance D) Maximize employee productivity
B) Eliminate waste
Which of the following are included in the five steps of the activity-based costing process? A) Determine cost drivers, implement evidence-based medicine, calculate total cost of service B) Identify relevant activities determine cost drivers, calculate total cost of service C) Identify relevant activities, determine cost drivers, alter staffing levels D) Determine cost drivers, implement healthcare home, calculate total cost of service
B) Identify relevant activities determine cost drivers, calculate total cost of service
To improve the flow of a process, what two key strategies should be employed? A) Find and remove all bottlenecks B) Increase the speed, and decrease the variability of the process C) Decrease the speed, and decrease the variability of the process D) Automate where possible
B) Increase the speed, and decrease the variability of the process
Which of the following is the most important reason to create a process map? A) It can be used for team building B) It provides a visual representation of a process that can be used to identify opportunities to make improvements C) It can be used to communicate a process to upper-level management D) If can fix accountability for errors
B) It provides a visual representation of a process that can be used to identify opportunities to make improvements
Which of the following is not a major factor in the increasing costs of healthcare in the United States? A) New diagnostic and treatment technologies B) Malpractice costs C) Increasing incidence of chronic disease and an again population D) A provider payment system (fee-for-service) that encourages the use of healthcare services
B) Malpractice costs
Which of the following is a metric to measure the accuracy of your forecast? A) Average of the errors B) Mean absolute deviation C) Standard deviation D) Absolute error
B) Mean absolute deviation
Which of the following is not a method of bundling payments? A) Payment for an episode of care B) Payment for a clinical service (e.g., CT scan) C) Per diem D) Payment per hospital discharge
B) Payment for a clinical service (e.g., CT scan)
A system can be subdivided into what elements? A) Processes, people, and machines B) Processes, subprocesses and tasks C) Processes, decisions points, and connectors D) Attitude, skills, and engagement
B) Processes, subprocesses and tasks
Financial penalties and rewards in the contemporary payment system are designed to A) Improve the coding of bills B) Provide incentives for providers to improve quality C) Deter fraud D) Reduce total payments to providers
B) Provide incentives for providers to improve quality
Tiffany wants to continue to make improvements in the imaging department and organized a kaizen event. What will be her first step? A) Map and improve the value stream B) Specify value to the patient C) Develop a pull system D) Interview patients and staff
B) Specify value to the patient
Tiffany works with radiologists in her department to develop a protocol that will to be used to sterilize each instrument used in a procedure in exactly the same manner. What Lean tool is she using? A) Kaizen event B) Standard work C) 5S D) Value stream map
B) Standard work
Julie enters the storeroom to get a special syringe for her patients, but none of the syringes are there. This is an example of what? A) Back order B) Stock out C) Set-up procedure D) Lead time procedure
B) Stock out
John is the emergency department manager, and he wants to order supplies for his growing department. He knows his ED patient demand is stronger in the summer than in any other season. What forecasting method(s) should he use? A) Seasonal and random B) Trend and seasonal C) Cyclical D) Trend
B) Trend and seasonal
What it is the next number in this forecasting series: 3.7, 3.7, 3.7, 3.7, 3.7, 3.7, 3.7, 3.7? A) 3.6 B) Not determinable C) 3.7 D) 3.8
C) 3.7
Tiffany institutes as new system that indicates the status of the CT scanning suite with a series of lights. Green means the suite is available, yellow means the suite will be available in 3 minutes, and red means the suite is in use. What Lean tool is Tiffany using? A) Jidoka B) Pareto C) Andon D) Flow
C) Andon
Which of the following is true when using the EOQ model? A) As inventory increases, less storage space is required B) As ordering costs increase, the optimal order quantity decreases C) As holding costs increase, the optimal order quantity decrease D) As order quantities increase, supplier discounts increase
C) As holding costs increase, the optimal order quantity decrease
The use of all the cost management tools contained in this book will have the largest financial impact for which type of payment? A) Bundled payments B) Shared savings C) Global budget D) Fee-for-service
C) Global budget
Which of the following goals is not part of inventory management? A) Protecting against stock outs B) Meeting anticipated demand C) Having a variety of clinical devices available for physicians D) Taking advantage of quantity discounts
C) Having a variety of clinical devices available for physicians
What are the steps of the PDCA cycle? A) Process, develop, change, actuate B) Plan, develop, channel, act C) Plan, do, check, act to hold gains D) Please, don't, change, anything
C) Plan, do, check, act to hold gains
Tom Stinson is the COO of Memorial Hospital. He is receiving complaints about waiting times in the emergency department. What services other than emergency should be a priority for analysis? A) Imaging B) Housekeeping C) Scheduled surgery D) Lab services
C) Scheduled surgery
The two-bin system is used to A) Color-code types of inventory B) Provide overflow storage for inventory C) Signal a need to order when one bin is full D) Provide easy movement of stock from the storeroom to the work area
C) Signal a need to order when one bin is full
What is throughput time? A) The length of the queue as a unit enters a process B) The average of the waiting times for a unit in the process C) The average time a unit spends in the process D) The time to process one unit
C) The average time a unit spends in the process
The Memorial Hospital emergency department averages 30 patients in their department at any one time, and 20 patients arrive per hour. What is the average throughput time for each patient? A) 3hrs B) 0.66hrs C) 1hrs D) 1.5hrs
D) 1.5hrs
For CT scanning, the check-in process takes 3 minutes, the patient waits for 15 minutes, the patient then moves to the scanner (2 minutes), the scan takes 9 minutes, the patient is moved to the waiting room (2 minutes), and the patient then waits 20 minutes to be picked up. What it the throughput time? A) 3min B) 9min C) 42min D) 51min
D) 51min
Which of the following is not a current trend in vendor supply chain relationships? A) Value-based standardization B) Group purchasing organizations C) Vendor-managed inventory D) Bidding strictly on cost
D) Bidding strictly on cost
Which of the following is an important measure of financial performance? A) Number of physicians in a hospital B) Number of employees per occupied bed C) Rankings on Healthcare.gov D) Cash on hand
D) Cash on hand
Which is the smallest level of cost that should be analyzed when beginning a cost reduction project? A) Bundled payments B) Shared savings payments C) Full capitation D) Fee-for-service
D) Fee-for-service
Radiology technologists in Tiffany's department have specialized their work to a specific class of procedures. To improve the flow of patients in the department, she has instituted a series of in-service educational classes to improve the ability of all of her staff to do all of the procedures. What Lean tool is she using? A) Standard work B) Andon C) 5S D) Heijunka (load balancing)
D) Heijunka (load balancing)
Which of the following is not an important cost management approach for an organization taking full capitation risk? A) Shared decision making for surgery based on EBM finding B) Implementation of healthcare homes C) Systems to prevent readmissions of patients that use EBM and optimized processes D) High patient copays and deductibles
D) High patient copays and deductibles
What are the most important data to track for a shared savings (ACO) program? A) Number of patients per primary care doctor B) Frequency of the types of diagnosis for participants C) Salaries of all providers in the ACO D) Individual patient costs over time
D) Individual patient costs over time
Which of the following is not a true statement about Lean and Six Sigma? A) Lean's focus is on reducing waste; Six Sigma's is on reducing defects B) Lean and Six Sigma tools can both be used in process improvement projects C) Lean tools are currently more widely used in healthcare applications D) Lean and Six Sigma projects require the use of special software
D) Lean and Six Sigma projects require the use of special software
Susan Collins is the director of Memorial Hospital's emergency department. She has redefined the triage nurses' role to expand the number of tasks they can perform so that they can assist other staff. Which of the following describes what Susan is doing? A) Processing in parallel B) Eliminating duplicate activities C) Using alternative process flow D) Load balancing
D) Load balancing
Susan has increased staffing levels on some evenings (e.g., first of the month, paydays) to reduce patient waiting time. This is an example of what? A) Reducing bottlenecks B) Using information for real time control C) Ensuring quality at the source D) Matching capacity to demand
D) Matching capacity to demand
Tiffany is the day shift supervisor in the imaging department. She has redesigned the patient intake system so that patients are only asked their name and birthdate once. The old system asked the patient this information three times. What type of waste did Tiffany reduce? A) Waiting B) Motion C) Overproduction D) Over processing
D) Over processing
Which of the following approaches is not an effective means to reduce the cost of overhead? A) Implementing process improvement on all routine overhead processes (e.g., hiring new employees) B) reducing staffing layers C) Consolidating activities (e.g., memberships) D) Reducing executive salaries
D) Reducing executive salaries
What is the capacity of a process? A) The number of units produced per hour B) The longest time a unit will take to travel through the process C) The number of workers used in the process D) The maximum possible output (goods or services) that a process or resource can produce or transform
D) The maximum possible output (goods or services) that a process or resource can produce or transform
What is the purpose of MedPAC? A) To publish reports to guide states in their administration and payment methods for Medicaid B) To lobby Congress and the FDA on the acceptance of new medicine and pharmaceuticals C) To advise the president on payment methods for Medicare D) To advise Congress on payment rates and methods for Medicare
D) To advise Congress on payment rates and methods for Medicare
