PA for C432
A large healthcare organization has decided to expand its services to a city approximately 30 miles away. The organization has analyzed data about the demographics of the area and now must write a business plan. Which business plan component should the data fall under? Marketing strategy Mission Statement Executive Summary Investment opportunity
Marketing strategy
A company had completed steps 1 through 5 of a business plan. The company needs to complete steps 6-9. Place each step in writing a business plan in order from the 6th to the 9th.
1) Executive Summary 2) Company Description 3) Market Analysis 4) Organization and Management 5) Service Line 6) Marketing and Sales 7) Description and Services 8) Funding Requests 9) Financial Projections
A hospital's strategic plan involves looking at opportunities to enhance its radiology services. The hospital wants to purchase a portable, compact, movable MRI machine that does not enclose patients. A market analysis has confirmed that consumer demand supports this strategic plan. Which type of market and competitive advantage strategy is being use in this SWOT analysis? A broad customer base, low-cost strategy A focused customer base, low-cost strategy A broad customer base, differentiation strategy A focused customer base, differentiation strategy
A broad customer base, differentiation strategy
The mission of a local healthcare organization is to improve access to care by providing transportation for local patients. What is the first step in developing a strategic plan? Seek external funding Create program budget Assess community need Survey hospital employees
Assess community need
A hospital wants to implement a new information system to better serve larger data files and offer more security. What should be included in the planning process for this change? Hiring a new person to train users Assigning responsibility to manage change Conducting surveys about the current system Speaking to experienced users at another facility
Assigning responsibility to manage change
A large city with a high incidence of strokes in its population has two hospitals. One is a teaching hospital, and the other is a community-based hospital. Currently, both hospitals only have inpatient rehabilitation services. The community hospital wants to add outpatient rehabilitation services. Which marketing strategy is the community hospital using? Broad low-cost Focused low-cost Broad differentiation Focused differentiation
Broad differentiation
Two large healthcare systems service a working-class population. Hospital A has a state-of-the-art cancer center and is centrally located. Hospital B is located outside the city and seeks to deliver personalized care to all patient through its expansive patient-centered approach. Which market strategy is Hospital B using to compete with Hospital A?
Broad differentiation
A doctor's office needs to upgrade its computer system to ensure the system meets regulatory compliance. What should be the first step in getting employees to accept this change? Educate the impacted employees Assess the scope of the transition Build awareness for the need to change Determine the readiness of the organization
Build awareness of the need to change
A doctor's office wants to What - achieve meaningful use and How - is adopting the electronic health record. How will this adoption affect healthcare delivery?
By improving the quality of serivce
Employees in the laundry department of a local hospital have recently experienced a change in management and feel insecure about their jobs. In which two ways can the manager help employees feel more secure in the workplace? By telling the staff personal success stories By providing frequent communication By sharing concerns in an annual meeting By offering individual dinner meetings to discuss concerns
By telling the staff personal success stories By providing frequent communication
Two large, reputable, long standing, local community-based healthcare systems have recently merged into "XYZ Health System." As a result of the merger, XYZ has expanded its footprint by opening several new hospitals and clinics. They have combined human capital management, purchasing, marketing/branding, supply management and staffing pools to gain efficiencies. While their pricing has increased somewhat to offset their expansion, their market share and brand recognition continue to increase exponentially. Which force contributed to the merger strategy between the organizations? Reduced competitive rivalry Created economies of scale Increased threats of clinics opening Increased bargaining power from their customers
Created economies of scale
A nursing home administrator is concerned about the number of falls occurring at the facility and wants to reduce falls by 10% over the next six months. Which tool is appropriate to evaluate this outcome? Gantt chart Dashboards SWOT analysis Benchmark anaylysis
Dashboards
A hospital board has expressed concerns about the hospital's nurse turnover rates. To address the issue leadership has made a number of changes. The HR department has developed a plan to offset this concern by proposing the following goals: Decrease patient-to-nurse ratios by 20% Improve employee satisfaction in the radiology department Increase the use of nursing agency staff Raise salaries across the board by 30% Which goal should this hospital pursue?
Decrease nurse to patient ratio by 20%
A medium sized hospital is purposing an alliance with a smaller hospital in the neighboring county. The goal of the proposed alliance is to increase market share by expanding services. Which problem will occur if alignment of these facilities is poor? Decreased morale Decreased loyalty Decreased credibility Decreased reimbursement
Decreased credibility
A doctor's office wants to hire several consultants to conduct training for a new practice management system. What is the first step in the planning process for this exchange? Define training goals Review financial reports Conduct a data analysis Interview potential trainers
Define training goals
A student health center as a local college would like to reduce high-risk drinking and related negative consequences among students. Specifically, the clinic would like to focus on changing social norms. Which campus-based intervention will be effective? Professors make announcements in class Fine students who are found drinking on campus Organize student run AA meetings Develop a media campaign about alcohol consumption
Develop a media campaign about alcohol consumption
The dietary department in a small community hospital has experienced a high turnover rate of employees. The manager of the department needs to implement a new program to lower turnover rates. Which method should this manager use to address this problem? Encourage employee involvement Offer incentives at the end of the year Hold annual meetings to address concerns Offer time off as compensation for good behavior
Encourage employee involvement
The manager at a local ED plans to develop a new program to reduce wait time for patients coming with non-emergency illnesses. However, the new program will require additional staff duties, and the manager is concerned that employees may not accepts the new program due to these increased duties. Which method should the manager use in this scenario? Include other stakeholders in the changes Advise employees that their job depends on their compliance Encourage information communication among staff Engage employees in the decision-making process
Engage employees in the decision-making process
Results from a gap analysis indicate that multiple deficiencies exist in an assisted living community. One of the organizations priorities is to provide cost-effective services; however, the gap analysis is reported that 23% of residents had difficulty paying for additional services. Which action would yield the desired results to support this priority? Amending existing payment options Establishing more a la carte amenities Reducing staffing levels on each shift Renovating private rooms into semi-private suites
Estabilishing a la carte amenities
Independent local hospitals have operated walk-in hypertension clinics operating out of local stores in suburban neighborhoods. Several larger health systems also have hypertension clinics located in these suburban neighborhoods but require patients to make appointments. What is a market weakness of the large health system relative to the local hospital
Flexibility of care
When a change in staffing processes was communicated by a hospital supervisor, a group of employees became angry. The employees do not trust the supervisor and believe information about the true nature of the change is being withheld. Which action should the employees take to influence the nature of the change? Give input and feedback on concerns Speak to an administrator about withheld information Refuse to participate until communication is improved Request updates and data from a trusted staff member
Give input and feedback on concerns
The CEO of a healthcare system wants to know how effective its branding strategy is. The CEO is given the annual report, including the following portion: Current Assets Property and equipment, at cost Which item in the balance sheet provides this information? Accounts receivable Property and equipment Cash and cash equivalent Good will and intangible assests
Good will and intangible assets
A large city has a public community hospital and a smaller private hospital. What is a strength of the private hospital in terms of payer mix?
Higher percentage of compensation for care
The board of a small community hospital is considering multiple options to expand healthcare services. The following expansion options are being considered: Rehabilitation services Home care Long-term care Hospice Which strategy is suited for this growth opportunity? Vertical integration Horizontal integration Related diversification Unrelated diversification
Horizontal integration
After receiving the organization's SWOT analysis, the new CEO of an ambulatory healthcare organization has determined that over the years, the organization has begun to lose female patients to its competitors. To address this issue, more services that specialize in women's social, and mental health are being offered. What is the advantage of this healthcare organization to broaden its scope of services to women? Greater access for the uninsured Higher volume of female inpatients Improved net patients services revenue Increased number of full-time employees
Improved net patient services revenue
Two same-city hospitals have proposed an alliance to build and share an advanced diagnostic treatment center. The larger hospital's mission is technological innovation, research, and education. The community hospital's mission is to ensure access to quality healthcare for the community. What will lead to a potential problem with this alliance? Incompatible vision Mutual expectations Pooled interdependence Joint value maximization
Incompatible vision
A healthcare company wants to expand its reach to a new market segment in the South. It is considering forming a strategic alliance with another company that already has an established relationship in the South. What is the immediate cost benefit to the healthcare company? Improved productivity Larger physician pool Greater interdependence Increased customer base
Increased customer base
Local competition has forced management of a health system to differentiate itself by improving its emergency and urgent care services to generate new revenue. Which performance measure should be used to evaluate this health system's new changes? Increased patient throughput Decreased utilization of technology Decreased administration overhead Increased outpatient service volume
Increased outpatient service volume
A pharmaceutical company wants to expand its product reach for a new immunization. It has decided to partner with a large community clinic to offer the new immunization to low-income elderly individuals and children. What is an immediate outcome of this partnership? Increased product validity Improved product reliability Increased product recognition Improved product acceptance
Increased product recognition
Two community hospital formed a strategic alliance to create a joint home care service. Both hospitals will remain independent but share the mission of providing comprehensive home care services in the communities. The goal of the alliance is to increase post-hospitalization market share while maintaining the combined mission of the two hospitals. Which factor indicates the partnership is inconsistent with each hospital's mission? Increasing competition Increasing cost per case Decreasing reimbursement Decreasing hospital staffing
Increasing competition
In an effort to attract new residents, a nursing home want to add a state-of-the-art cafeteria. A facility director is writing a business plan to obtain funding. The director is confident that the statistics and the market, products and services will secure proper funding. Which component of the business plan will showcase this information? Vision statement Financial statement Industrial analysis Mission statement
Industrial analysis
A hospital has created a proposed project charter that includes the hospital's timeline and milestones. What is a benefit of including these in the charter? It provides a tool to identify resources It provides a tool to benchmark progress It provides an external analysis of the organization's market. It provides an internal analysis of the organization's environment.
It provides a tool to benchmark progress
The bundled payments for care improvement has been developed because of provisions in the ACA. Which potential impact will this initiative have on healthcare delivery?
It will align incentives to improve coordination of care
A CEO is interested in rewriting the organizations mission statement and has requested the annual statement for review. In which item on the above annual report is the mission statement found? Item 1 Item 2 Item 3 Item 4
Item 1
Two hospitals are considering co-branding. One hospital has a state-of-the-art ED and the other hospital has a larger maternity center. Although they are partnering to meet critical business needs, they will remain independent organizations. Which strategy alliance will benefit both hospitals? Join venture Pooled-service Learning alliance Network-outsource alliance
Joint venture
An urban hospital is opening a walk-in clinic staffed by mid-level providers near another hospital-based urgent care center. What are two market weaknesses of the clinic to the center?
Lower continuity of care Limited support systems
A rural area has experienced rapid commercial and population growth. A healthcare organization has pursued a market development strategy to grow into this area. Which two performance measures should be used to evaluate the success of this strategy? Market share Market comparison New market promotion New market profitability
Market share New market profitability
A start-up healthcare consulting company wants to expand into clinical operations by purchasing three mid-level run primary care clinics. All three clinics are within 30 miles of each other, situated in a circle. The company purchases the clinics and starts a multi-specialty clinic in the middle of the geographic circle, using the outlying clinics as feeders. Which two measures do the partners need to monitor initially to gauge success in the model? Multi-specialty clinic volume Outlying clinic referral patterns Outlying clinic budget variances Multi-specialty clinic net income
Multi-specialty clinic volume Outlying clinic referral patterns
Two large, reputable, long standing, local community-based healthcare systems have recently merged into "XYZ Health System." As a result of the merger, XYZ has expanded its footprint by opening several new hospitals and clinics. They have combined human capital management, purchasing, marketing/branding, supply management and staffing pools to gain efficiencies. While their pricing has increased somewhat to offset their expansion, their market share and brand recognition continue to increase exponentially. Which advantage will result from this new health system merger? Utilization of Six Sigma methods Negotiation of optimal supply pricing Purchasing of enhanced software programs Conversion of data into actionable information
Negotiation of optimal supply pricing
Hospital A is a public hospital with a mission to fulfill social needs. Hospital B focuses on teaching and has a mission centered on education and research. An alliance between the two hospitals seeks to optimize their collective value while managing risks. Classify each risk both hospitals have as a relational or performance risk. Opportunistic behaviors External environmental threats Unsatisfactory inter-hospital cooperation Probability that intended strategic alliance goals may not be achieved
Opportunistic behaviors - Relational Risk External environmental threats - Performance Risk Unsatisfactory inter-hospital cooperation - Relational Risk Probability that intended strategic alliance goals may not be achieved - Performance Risk
The following feedback was provided on the annual employee satisfaction survey: "There is only one senior rehabilitation facility in the county that has physical and occupational therapists. Why can't we provide these services?" Into which SWOT category should this feedback be classified? Strength Weakness Opportunity Threat
Opportunity
A health system's admin wants to position strategic success by implementing integrate-care and value-based payment models. To facility this, they have created an ACO that must cover its own losses. Which two metrics should be tracked to assess the progress? High claim volume Patient outcomes Proactive scheduled appointments Risk classification of the population
Patient outcomes Proactive scheduled appointments
In a small, rural area, there is one community hospital that offers primary care and emergent services. At least 1/3 of the population suffers with HIV and is considered to be living below the poverty level. There is a high mortality rate in this population, and it is found that the majority of these patients suffer from malnutrition, drug abuse, skin health issues, and family challenges, but there are very limited number of professionals with experience to offer support services for this demographic. Which marketing segment is under served? Patients needing dental care Patients needing emergency services Patients needing pathology services Patients needing psychological services
Patients needing psychological services
A nurse is resistant to a new policy encouraging ICU employees to work independently. The nurse has shared these concerns with the unit manager. The manager needs to assist the nurse in moving from the resistance to operating independently. Which method should the manager use? Ask admin to review the nurse's work performance Recommend that the nurse transfer to a different dept. Encourage the nurse seek help from the other staff members Provide additional training to improve the nurse's comfort level
Provide additional training to improve the nurse's comfort level
A pharmacy wants to implement a new pill distribution system to help keep track of inventory. Which activity should be included in the planning process for this implementation? Training the users Refining the projects costs Nominating a project champion Developing an audit recovery system
Refining the projects costs
A derm office would like to increase revenue. The following options are being considered: Adding laser therapy to current services Opening another center in a different location. Partnering with another derm center Offering weight loss dietary supplements. Which strategy will meet this dermatologist's goal? Vertical expansion Horizontal expansion Related diversification Unrelated diversification
Related diversification
Two large healthcare systems formed a strategic alliance in a metropolitan area to build a comprehensive cancer center. Both systems will remain independent but will promote the mission of providing comprehensive cancer care in the community. Which factor indicates the partnership is consistent with each hospital's mission? Sharing oncology staff Increased reimbursements Sharing common purpose Decreased operating costs
Sharing common purpose
A small acute care hospital exists in a community with a medium sized for profit acute care hospital. Due to competition and a gap in service availability, the small hospital decides to implement an acute rehabilitation service. Which strategy is the small hospital using?
Specialized care
Two large, reputable, long standing, local community-based healthcare systems have recently merged into "XYZ Health System." As a result of the merger, XYZ has expanded its footprint by opening several new hospitals and clinics. They have combined human capital management, purchasing, marketing/branding, supply management and staffing pools to gain efficiencies. While their pricing has increased somewhat to offset their expansion, their market share and brand recognition continue to increase exponentially. Which increased ability will result for the larger system? The ability to improve measurement methodologies The ability to connect workers in the system with patients The ability to bring IT spending in line with other industries The ability to learn new strategies from shared experiences
The ability to learn new strategies from shared experiences
After its recent strategic assessment, the board of directors of a hospital has suggested that the organization begin to offer behavioral health services. What is a disadvantage of this strategy? The hospital will have capacity balancing problems. The hospital will face regulatory barriers to market entry. The organization is entering anew service area. Greater competition in the market leads to lower quality.
The organization is entering a new service area
Health insurance exchanges What - create increased access Why - for individuals and small businesses to buy insurance. How will these new exchanges affect care delivery?
They will increase the need for mid-level providers
Current - A home health agency provides care primarily to Medicare consumers. Future - The agency is considering expanding the range of services offered. What is one reason this agency would be considering this strategy?
To diversify its payer mix
A hospital's CEO suddenly becomes critically ill at a pivotal stage of the hospital's What - building a new wing due to open in a month. How are they addressing this issue - The board decided to activate the succession plan. Why would the hospital have initiated this strategy?
To provide stability in hospital leadership
A community hospital with limited resources services a population with a high rate of diabetes. The hospital wants to provide additional services but is constrained by costs. Which services could this hospital offer on a monthly basis to benefit this community? Check-ins from a diabetic nurse Education on diabetes prevention Training on diabetes management Family diabetes counseling sessions
Training on diabetes management
The nurse case manager on a medical surgical unit met with the staff to share information about a new diabetic protocol. The manager notices that some employees are exhibiting signs of being in the unfreezing phase of change. Which behavior did this manager observe? Comfort Confusion Uncertainty Acceptance
Uncertainty
Two hospitals in the same city decided to merge cardiovascular services. Hospital A offers services for heart and vascular conditions, and Hospital B has specialized cardiac rehabilitation and cardiac in-home care services. Which compliance risk will occur with the newly proposed alliance? Lack of flexibility to adapt quickly Accounting for employee turnover Financial disadvantages to partners Unclear responsibility for deliverables
Unclear responsibility for deliverables
Leadership has implemented bedside charting, but some staff members continue to fill out charts at the nurses stations because they have concerns that bedside charting will decrease patient care. Which stage of organizational planning is reflected in this scenario? Moving Freezing Accepting Unfreezing
Unfreezing
The unit manager at a local hospital circulated handouts to announce a change from paper charting to electronic charting. The employees became frustrated due to lack of information about the change. Which phase of organization planning is reflected in this scenario? Moving Unfreezing Refreezing Accepting
Unfreezing
A small group of radiologists approached a large hospital system to offer specialized outpatient services. To increase their success, the hospital executives agree to provide equity participation and profit-sharing opportunities to the radiologists. Which strategy offers an opportunity for this expansion? Vertical integration Horizontal integration Related diversification Unrelated diversification
Vertical integration
Two large, reputable, long standing, local community-based healthcare systems have recently merged into "XYZ Health System." As a result of the merger, XYZ has expanded its footprint by opening several new hospitals and clinics. They have combined human capital management, purchasing, marketing/branding, supply management and staffing pools to gain efficiencies. While their pricing has increased somewhat to offset their expansion, their market share and brand recognition continue to increase exponentially. Which strategy does the scenario describe? Joint Venture Strategic alliance Vertical integration Horizontal integration
Vertical integration
The following text was cited from a resident council meeting at the assisted living community: "This place has the most employee turnover that I have ever seen! It's been like this for years and no one ever does anything about it." Into which SWOT category should this feedback be classified Strength Weakness Opportunity Threat
Weakness
