LTC 9-11 13-17

Which of the following is not an accrediting agency?

HCFA

What is true about accreditation?

It is given by private agencies that are funded by the participating providers.

A living will is a(n):

advance directive

The term "administrator" can be used in reference to:

any member of the administrative team.

The primary role of state government in regulating long-term care quality is:

as the designated agency administering federal programs.

Long-term care administrators are subject to professional liability and:

general liability

To date, most integrated health systems have been built around:

hospitals.

The first step in solving a problem is:

identifying the problem.

What is green rationing?

implicit rationing through reimbursement

The Patient Self-Determination Act mandates that:

individuals are given the opportunity to determine the course of their own medical care, such as through advance directives, and that those decisions are protected.

A team leader must also be a:

member of the team.

Autonomy, as used in the context of long-term care, means:

self-determination.

What is one of the differences between Medicare and Medicaid?

Medicaid has income restrictions, while Medicare does not.

One of the reasons why long-term care organizations need better information technology is:

Growing competition

Most private long-term care insurance is sold to:

Individuals

Telemedicine :

Involves providing care to consumers at remote locations using technology

Culture change benefits residents. Which of the following is not one of the resident benefits?

It reduces resident care costs.

Organizational culture is:

Organizational culture is:

Which section of Medicare provides hospital insurance, including some areas of long-term care, and is free to all members of the designated population regardless of financial circumstances?

Part A

What is a system?

a single-ownership form of integration

Which of the following is a clinical application of HIT?

a staff member enters care-related information into the information system

History has shown that increasing the availability of services usually results in:

an increase in usage of services

All boards have a responsibility to:

assess their own performance.

Healthcare consumers have long had the tendency to rely on medical professionals to tell them what they should do, without regard to social factors. In such a situation, their autonomy is limited by:

attitudes.

Hiring and overseeing the organization's CEO is the responsibility of the

board

The term "governance" may be used in reference to:

both of the above

Ensuring the legal and ethical integrity of the organization is the responsibility of:

both of the above.

Managed care organizations (MCOs) function as:

both of the above.

Prominent culture change programs include:

both of the above.

Any culture:

can be changed and is probably changing most of the time.

In what type of managed care provider arrangement is coverage guaranteed for a specific population?

capitation

Voluntary testimony of qualifications, not issued by the government, is known as:

certification

Integrated clinical information systems typically address four specific areas: patient management, clinical guidelines, quality improvement, and:

clinical outcomes.

When followers have faith in their leaders and their capacity to lead, the followers are demonstrating their trust that the leader is:

competent

Negative feedback is also called:

constructive feedback.

Health information systems are built on the foundation of three processing phases—data input, data output, and:

data management.

Which of the following is a strategic support application of HIT?

demographic information is collected and analyzed to create a marketing plan

The three components of leadership are influencing others, providing direction, and:

getting voluntary acceptance.

The person or group in an organization that is responsible for making policy is the:

governing body.

The demand for tort reform to reduce liability insurance costs is being led by:

healthcare providers and insurance companies.

A "gatekeeper" is a person or agency that determines:

how much and what type of care is received by an individual.

What should be done as part of contract negotiation when selecting a HIT vendor?

identify time constraints and benchmarks

Most residents in long-term care facilities prefer rooms that are:

private.

Which of the following is not a reason for joining an integrated health system?

reduced regulation

Culture change

reduces employee turnover.

The Green House Project breaks the mold of institutional care by creating small homes for 6 to 10 elders who:

require some skilled nursing or assisted living care.

Culture change can also be described as:

resident-centered care.

An organization that relies on proven empirical data to resolve questions and debates regarding policies or services is demonstrating:

respect for scientific evidence

Most accreditation agencies measure performance against standards that are:

set higher than licensure requirements.

Culture change is particularly important to baby boomers because:

they expect to play a significant role in care decisions

The term "legacy" when describing hardware and processing systems refers to systems that:

will not interact with other hardware or systems.

Mainframe computers

Mainframe computers

Medicare coverage of skilled nursing services is limited to how many days per benefit period?

100

Ultimate accountability for an organization rests with:

Board

Which of the following is not a reason why long-term care is so heavily regulated?

Consumers of long-term care are politically powerful

A caregiver yelling at or threatening the person receiving care is a form of what type of abuse?

Emotional

While competition has increased, why is the long-term care system not really a market-driven system yet

There are only a few major buyers.

Which culture change approach includes training in problem-solving techniques to help workers incorporate best practices into everyday routines?

Wellspring Model

Which of the following types of disclosure of health information is not permitted by HIPAA without the

information used for marketing purposes

Which of the following terms would indicate that the organization includes financing along with care delivery?

integrated health system

Strategic planning is:

is a process that involves assessing the organization, including its mission and vision, as well as its strengths and weaknesses.

The influence of managed care on the competitiveness of long-term care:

is great.

The term "culture change":

is used in two separate, but closely related, ways.

Staff members approach their manager to ask why they need to perform a specific task in a manner with which they disagree. Rather than give an explanation as to the rationale behind the method, the leader replies that the staff must do it this way "because I said so." This is an example of:

legitimate power.

The four types of position power are reward power, coercive power, connection power, and:

legitimate power.

Which of the following is not a function of an institutional ethics committee?

making difficult ethical decisions concerning individual residents

The primary purpose of the OSCAR computerized national database is:

monitoring compliance with regulations.

Competency is:

not the same as rationality

Which of the following must be licensed?

nursing facility administrators

If a member of the administration of an organization were to implement policies that did not have the approval of the board, this would be an example of:

overstepping administrative authority

Having information about all consumers available at all provider sites of an integrated system is a feature of which specific area of clinical information systems?

patient management

A prospective payment system:

pays long-term care facilities in which rates are adjusted for case mix and geographic variation in wages and cover costs of furnishing Medicare - covered skilled nursing facility services.

Denying care that would prevent pain or suffering is a form of what type of abuse?

physical abuse

Medicaid is managed by:

state governments under federal guidelines

Consumers of long-term care are politically powerful

state governments.

When deciding whether or not to implement a particular policy, the manager tries to forecast what the impact of the decision will be in five years and also how the decision will impact other functional units within the organization. In this scenario, the manager is using the skill of:

strategic thinking.

A federal regulation that addresses the size of a facility would be included in which general category of government regulations?

structure

Medicaid serves:

the "medically indigent," those who have no other coverage and cannot afford to pay for their own care.

Educating the governing body is the responsibility of:

the CEO

What type of voluntary cooperation between providers has been encouraged by provisions of the ACA?

the formation of networks of providers who contract with Medicare to serve a defined patient population