IHS CORE EXAMS SET QUESTIONS AND ANSWERS RATED
A+
✔✔Key principle of integration--Standardized care delivery through interprofessional
teams - ✔✔tend to take advantage of diff specialists (pharmacists, Pas, NP, physicians,
nurses)
✔✔Key principle of integration--performance management - ✔✔expectation that we're
performing to a specific benchmark (changes of performance and expectation)-depends
on owner or company who's buying us out ***one company may fill 15 /hr but now
30/hr=> restructuring of personnel of how business is done (how to take advantage of
consolidation)
• how many of sales people are released?-1000s
• Some other facilities may close bc purchase one that's newer and more efficient one
that's more effective and costly.
• When looking to buy/consolidate with other org, you want that org to meet/exceed
performance standard.
• Sinai hospital losing money and strong Hospital for jewish community and all of a
sudden, discussion to buy it. Due diligance was done. Legal people and analysts
wanted to see if it's worthwhile puchase and be much more productive. We purhcased
sinai and realzied how bad of a financial position they were in.
✔✔Key principles of integration-Information systems - ✔✔everything is done
electronically. people struggle to go to paper
✔✔Key principles of integration--governance structure - ✔✔make sure that the board of
one hospital is satisfied with the other board
✔✔Key principles of integration--financial management - ✔✔this healthcare is a
business; you don't make money to pay, you don't make money to compete
✔✔The characteristics of integrated healthcare systems include______ - ✔✔capitated
contracts for all of "covered lives"
all providers within the system share financial risks
incentives to control costs and provide care in the most appropriate setting
patient care quality improvement
savings
✔✔Characteristic of IHS: pt care quality improvement - ✔✔reduced duplication of tests,
labs, x-rays; better communication of patient's history, previous medications, allergies,
, adverse drug reactions; better coordination of discharge medications, instructions &
follow-up; incentive to provide better education and preventive care
✔✔Characteristic of IHS: savings - ✔✔achieved through... fewer admissions, shorter
stays; same day surgery, outpatient treatment; more primary care, fewer specialist
referrals; plans shift resources toward patient education, prevention and wellness
✔✔barriers to integration - ✔✔Lack of a specific strategy and implementation plan
✔✔barriers to integration - ✔✔Lack of or mis-alignment of internal incentives
✔✔barriers to integration - ✔✔Lack of cooperative working relationships with physicians
✔✔barrier to integration - ✔✔Dispersed geography
✔✔barrier to integration - ✔✔Institutional autonomy of hospitals
✔✔barriers to integration - ✔✔Employee fears of job loss and physician fears of
autonomy loss
✔✔barriers to integration - ✔✔Inadequate information systems - lack of standardization
✔✔barrier to integration - ✔✔Legal and regulatory
✔✔barrier to integration - ✔✔Cultural
✔✔barriers to integration are.... - ✔✔• Lack of a specific strategy and implementation
plan
• Lack of or mis-alignment of internal incentives
• Lack of cooperative working relationships with physicians
• Dispersed geography
• Institutional autonomy of hospitals
• Employee fears of job loss and physician fears of autonomy loss
• Inadequate information systems - lack of standardization
• Legal and regulatory
• Cultural
✔✔Pharmacy plays a role in IHS.... - ✔✔• Coordinate all pharmacy care
• Common information system
• Consolidate = purchase/inventory control, IV admixtures, business services, drug
information
• Coordinated educational efforts and research support
• Automated cassette filling
• System-wide formulary = Evidence based (based on overall costs and outcomes)
• System-wide pharmacoeconomic and outcomes assessment
A+
✔✔Key principle of integration--Standardized care delivery through interprofessional
teams - ✔✔tend to take advantage of diff specialists (pharmacists, Pas, NP, physicians,
nurses)
✔✔Key principle of integration--performance management - ✔✔expectation that we're
performing to a specific benchmark (changes of performance and expectation)-depends
on owner or company who's buying us out ***one company may fill 15 /hr but now
30/hr=> restructuring of personnel of how business is done (how to take advantage of
consolidation)
• how many of sales people are released?-1000s
• Some other facilities may close bc purchase one that's newer and more efficient one
that's more effective and costly.
• When looking to buy/consolidate with other org, you want that org to meet/exceed
performance standard.
• Sinai hospital losing money and strong Hospital for jewish community and all of a
sudden, discussion to buy it. Due diligance was done. Legal people and analysts
wanted to see if it's worthwhile puchase and be much more productive. We purhcased
sinai and realzied how bad of a financial position they were in.
✔✔Key principles of integration-Information systems - ✔✔everything is done
electronically. people struggle to go to paper
✔✔Key principles of integration--governance structure - ✔✔make sure that the board of
one hospital is satisfied with the other board
✔✔Key principles of integration--financial management - ✔✔this healthcare is a
business; you don't make money to pay, you don't make money to compete
✔✔The characteristics of integrated healthcare systems include______ - ✔✔capitated
contracts for all of "covered lives"
all providers within the system share financial risks
incentives to control costs and provide care in the most appropriate setting
patient care quality improvement
savings
✔✔Characteristic of IHS: pt care quality improvement - ✔✔reduced duplication of tests,
labs, x-rays; better communication of patient's history, previous medications, allergies,
, adverse drug reactions; better coordination of discharge medications, instructions &
follow-up; incentive to provide better education and preventive care
✔✔Characteristic of IHS: savings - ✔✔achieved through... fewer admissions, shorter
stays; same day surgery, outpatient treatment; more primary care, fewer specialist
referrals; plans shift resources toward patient education, prevention and wellness
✔✔barriers to integration - ✔✔Lack of a specific strategy and implementation plan
✔✔barriers to integration - ✔✔Lack of or mis-alignment of internal incentives
✔✔barriers to integration - ✔✔Lack of cooperative working relationships with physicians
✔✔barrier to integration - ✔✔Dispersed geography
✔✔barrier to integration - ✔✔Institutional autonomy of hospitals
✔✔barriers to integration - ✔✔Employee fears of job loss and physician fears of
autonomy loss
✔✔barriers to integration - ✔✔Inadequate information systems - lack of standardization
✔✔barrier to integration - ✔✔Legal and regulatory
✔✔barrier to integration - ✔✔Cultural
✔✔barriers to integration are.... - ✔✔• Lack of a specific strategy and implementation
plan
• Lack of or mis-alignment of internal incentives
• Lack of cooperative working relationships with physicians
• Dispersed geography
• Institutional autonomy of hospitals
• Employee fears of job loss and physician fears of autonomy loss
• Inadequate information systems - lack of standardization
• Legal and regulatory
• Cultural
✔✔Pharmacy plays a role in IHS.... - ✔✔• Coordinate all pharmacy care
• Common information system
• Consolidate = purchase/inventory control, IV admixtures, business services, drug
information
• Coordinated educational efforts and research support
• Automated cassette filling
• System-wide formulary = Evidence based (based on overall costs and outcomes)
• System-wide pharmacoeconomic and outcomes assessment
