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HSV 4800 Final Exam Review – Key Topics and Practice Questions

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HSV 4800 Final Exam Review – Key Topics and Practice Questions Review material for the HSV 4800 Final Exam, covering major concepts in health services, leadership, and policy relevant to course objectives.

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HSV 4800 Final Exam Review – Key Topics and Practice
Questions
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. - AnswerTrue

In recent decades government and insurers have exerted control over much of health
care's money supply - AnswerTrue

The pace of technological change in health care has slowed considerably over the
recent decade - AnswerFalse

Managed care organizations have brought pressure to bear on hospitals and physicians
to reduce the length of hospital stays - AnswerTrue

A formal agreement between separately owned and controlled facilities to officially
coordinate and share certain activities is most appropriately referred to as - Answeran
affiliation

Which of the following is not true concerning regulation of the health care industry? -
AnswerThe 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: - Answerdriven principally by dollars- the desire of
payers to stem excessive cost increases or reduce costs overall

The goal of organizational survival is so fundamental that it underpins all other goals of
an organization. Threats to organizational survival may include what? - Answerlack 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: - Answerformal 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: - Answerhibernation

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: - Answergoal expansion

,All of the following are characteristics of the youth stage in the organizational life cycle
except: - Answerresistance to change

All of the following are characteristics of middle age phase in the organizational life
cycle except: - Answerfrequent 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: -
Answergoal expansion efforts

(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. - AnswerTrue

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. - AnswerTrue

A legislative mandate, such as the Patient Self Determination Act, is an example of
what? - Answera 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. - Answerincrease in the number of older persons,
the rise in autism, the increase in childhood obesity

Health care costs have been driven up by what? - Answergovernment 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 - AnswerTrue

, 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? - Answerdata mining,
informatics standards and common language, and PDAs, portable computers, e-mail

Resistance to change is an unnatural state within the individual - AnswerFalse

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 - AnswerTrue

Involvement, often the strongest force in overcoming employee resistance to change, is
sometimes not an available option - AnswerTrue

Conformance with the requirements of HIPPA has cost many organizations
considerably more than the government's estimates - AnswerTrue

There is presently a reasonable chance that HIPPA, because of its unpopularity among
health care providers, will be repeated - AnswerFalse

Ordering employees to do something is probably the most effective means of ensuring
acceptance of change - AnswerFalse

The implementation of the electronic health record is an example of proactive change -
AnswerTrue

The American Health Information Association (AHIMA) is a national association of
health information managers - AnswerTrue

Stakeholders in the implementation processes associated with the electronic health
record include the National Library of Medicine - AnswerTrue

The American Health Information Association's legislative advocacy program
concerning non-discrimination based on health conditions primarily focuses on the
personal health record - AnswerTrue

The Patient Self Determination Act of 1990 - Answeraddresses end-of-life decisions
and care related thereto, provides for the use of living wills, health care proxies, and
advance directives, was made necessary in part by technological advances in life-
support systems

Likely reasons for entrenched employee resistance to change are - Answerthe
uneasiness created among employee when they anticipate having to change the way
they do their work, and step out of their comfort zone, employees' lack of knowledge of

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