HSV 4800 FINAL EXAM REVIEW 2025
QUESTIONS AND ANSWERS
Given the amount of detail in laws and regulations at both the state and federal levels, the
health care industry is, at the very least, a quasi-regulated industry. - ANS True
In recent decades government and insurers have exerted control over much of health care's
money supply - ANS True
The pace of technological change in health care has slowed considerably over the recent
decade - ANS False
Managed care organizations have brought pressure to bear on hospitals and physicians to
reduce the length of hospital stays - ANS True
A formal agreement between separately owned and controlled facilities to officially coordinate
and share certain activities is most appropriately referred to as - ANS an affiliation
Which of the following is not true concerning regulation of the health care industry? -
ANS The regulation of health care has little actual impact on a health care organization's day
to day activities
The apparent principal driving force behind the growth of health maintenance organizations
(HMOs) has been: - ANS driven principally by dollars- the desire of payers to stem excessive
cost increases or reduce costs overall
1 @COPYRIGHT THEBRIGHT 2025/2026
,The goal of organizational survival is so fundamental that it underpins all other goals of an
organization. Threats to organizational survival may include what? - ANS lack of strong
leadership, competition, failure to recognize and accept organizational survival as a legitimate
organizational purpose
The administration of an acute care hospital invites the owner of local comprehensive
rehabilitation facility to serve as a voting member on the hospital's areawide planning
commission. In this way the hospital is "sharing" its power by absorbing new leadership. This is
an example of: - ANS formal co-optation
An acute care hospital has declared a three year moratorium on building due to uncertainty
about economic and demographic shifts in it local area. This is an example of: -
ANS hibernation
The owners of an independent rehabilitation center have made the decision to add new
specialty service for sports-related injuries to its existing range of services. This is an example
of: - ANS goal expansion
All of the following are characteristics of the youth stage in the organizational life cycle except: -
ANS resistance to change
All of the following are characteristics of middle age phase in the organizational life cycle
except: - ANS frequent innovative decision making
(routine, predictable procedures
Blend of formal and informal communication patterns,
management authority derived primarily from formal position)
All of the following are characteristics of the old age phase of the life cycle except: - ANS goal
expansion efforts
2 @COPYRIGHT THEBRIGHT 2025/2026
,(primary efforts geared to organizational survival,
staff reduction initiative, increasing hostility by employees toward the management team)
The restructuring of healthcare organizations through mergers and affiliations are efforts aimed
at adaptation and survival. Amongst other things, the belief is that an increase in size will give
the healthcare organization greater clout in negotiations with managed care providers and
improve efficiencies as the result of centralized administrative practices. - ANS True
According to the video clip, "Managing Change in a Large Organization", organizations can only
survive in a highly competitive environment if they have the resilience to effectively deal with
change, whether coming from within the company or from the outside. - ANS True
A legislative mandate, such as the Patient Self Determination Act, is an example of what? -
ANS a healthcare trend that demonstrates a concern about patient wishes and the rights of
patients to facilitate their own health care decisions
Select the demographic patterns of the overall population that would have a direct impact on
healthcare organizations. - ANS increase in the number of older persons, the rise in autism,
the increase in childhood obesity
Health care costs have been driven up by what? - ANS government programs that include
Medicaid and Medicare and the overexpansion of the hospital system, changes in medical
practice and the increase in medical specialties, and advances in technology and
pharmaceuticals
One example of changes in information technology are the HIPPA regulations which require the
adoption of standard protocols for electronic transactions - ANS True
Information technology has a major impact on health care delivery. Rather than the historical
methods of gathering and retaining information, which new methods are associated with
information technology in the digital age? - ANS data mining, informatics standards and
common language, and PDAs, portable computers, e-mail
3 @COPYRIGHT THEBRIGHT 2025/2026
, Resistance to change is an unnatural state within the individual - ANS False
The requirements in the section of the Health Insurance Portability an Accountability Act
(HIPPA) referred to as "Administrative Simplication", are actually complex and the effects on
organizations have been anything but simple - ANS True
Involvement, often the strongest force in overcoming employee resistance to change, is
sometimes not an available option - ANS True
Conformance with the requirements of HIPPA has cost many organizations considerably more
than the government's estimates - ANS True
There is presently a reasonable chance that HIPPA, because of its unpopularity among health
care providers, will be repeated - ANS False
Ordering employees to do something is probably the most effective means of ensuring
acceptance of change - ANS False
The implementation of the electronic health record is an example of proactive change -
ANS True
The American Health Information Association (AHIMA) is a national association of health
information managers - ANS True
Stakeholders in the implementation processes associated with the electronic health record
include the National Library of Medicine - ANS True
4 @COPYRIGHT THEBRIGHT 2025/2026
QUESTIONS AND ANSWERS
Given the amount of detail in laws and regulations at both the state and federal levels, the
health care industry is, at the very least, a quasi-regulated industry. - ANS True
In recent decades government and insurers have exerted control over much of health care's
money supply - ANS True
The pace of technological change in health care has slowed considerably over the recent
decade - ANS False
Managed care organizations have brought pressure to bear on hospitals and physicians to
reduce the length of hospital stays - ANS True
A formal agreement between separately owned and controlled facilities to officially coordinate
and share certain activities is most appropriately referred to as - ANS an affiliation
Which of the following is not true concerning regulation of the health care industry? -
ANS The regulation of health care has little actual impact on a health care organization's day
to day activities
The apparent principal driving force behind the growth of health maintenance organizations
(HMOs) has been: - ANS driven principally by dollars- the desire of payers to stem excessive
cost increases or reduce costs overall
1 @COPYRIGHT THEBRIGHT 2025/2026
,The goal of organizational survival is so fundamental that it underpins all other goals of an
organization. Threats to organizational survival may include what? - ANS lack of strong
leadership, competition, failure to recognize and accept organizational survival as a legitimate
organizational purpose
The administration of an acute care hospital invites the owner of local comprehensive
rehabilitation facility to serve as a voting member on the hospital's areawide planning
commission. In this way the hospital is "sharing" its power by absorbing new leadership. This is
an example of: - ANS formal co-optation
An acute care hospital has declared a three year moratorium on building due to uncertainty
about economic and demographic shifts in it local area. This is an example of: -
ANS hibernation
The owners of an independent rehabilitation center have made the decision to add new
specialty service for sports-related injuries to its existing range of services. This is an example
of: - ANS goal expansion
All of the following are characteristics of the youth stage in the organizational life cycle except: -
ANS resistance to change
All of the following are characteristics of middle age phase in the organizational life cycle
except: - ANS frequent innovative decision making
(routine, predictable procedures
Blend of formal and informal communication patterns,
management authority derived primarily from formal position)
All of the following are characteristics of the old age phase of the life cycle except: - ANS goal
expansion efforts
2 @COPYRIGHT THEBRIGHT 2025/2026
,(primary efforts geared to organizational survival,
staff reduction initiative, increasing hostility by employees toward the management team)
The restructuring of healthcare organizations through mergers and affiliations are efforts aimed
at adaptation and survival. Amongst other things, the belief is that an increase in size will give
the healthcare organization greater clout in negotiations with managed care providers and
improve efficiencies as the result of centralized administrative practices. - ANS True
According to the video clip, "Managing Change in a Large Organization", organizations can only
survive in a highly competitive environment if they have the resilience to effectively deal with
change, whether coming from within the company or from the outside. - ANS True
A legislative mandate, such as the Patient Self Determination Act, is an example of what? -
ANS a healthcare trend that demonstrates a concern about patient wishes and the rights of
patients to facilitate their own health care decisions
Select the demographic patterns of the overall population that would have a direct impact on
healthcare organizations. - ANS increase in the number of older persons, the rise in autism,
the increase in childhood obesity
Health care costs have been driven up by what? - ANS government programs that include
Medicaid and Medicare and the overexpansion of the hospital system, changes in medical
practice and the increase in medical specialties, and advances in technology and
pharmaceuticals
One example of changes in information technology are the HIPPA regulations which require the
adoption of standard protocols for electronic transactions - ANS True
Information technology has a major impact on health care delivery. Rather than the historical
methods of gathering and retaining information, which new methods are associated with
information technology in the digital age? - ANS data mining, informatics standards and
common language, and PDAs, portable computers, e-mail
3 @COPYRIGHT THEBRIGHT 2025/2026
, Resistance to change is an unnatural state within the individual - ANS False
The requirements in the section of the Health Insurance Portability an Accountability Act
(HIPPA) referred to as "Administrative Simplication", are actually complex and the effects on
organizations have been anything but simple - ANS True
Involvement, often the strongest force in overcoming employee resistance to change, is
sometimes not an available option - ANS True
Conformance with the requirements of HIPPA has cost many organizations considerably more
than the government's estimates - ANS True
There is presently a reasonable chance that HIPPA, because of its unpopularity among health
care providers, will be repeated - ANS False
Ordering employees to do something is probably the most effective means of ensuring
acceptance of change - ANS False
The implementation of the electronic health record is an example of proactive change -
ANS True
The American Health Information Association (AHIMA) is a national association of health
information managers - ANS True
Stakeholders in the implementation processes associated with the electronic health record
include the National Library of Medicine - ANS True
4 @COPYRIGHT THEBRIGHT 2025/2026
