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PPA 265 TEST 2 - QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS.

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Struggling with HINF 265 or your Canadian Healthcare Systems final? This comprehensive study guide transforms complex health policy and organizational theory into an easy-to-memorize Question & Answer format. Designed for health information science students, this resource covers every major topic tested on the HINF 265 final exam. What's Inside (Organized by Exam Blueprint): Canada Health Act (CHA) - 1984: The 5 principles: Public Administration, Comprehensiveness, Universality, Portability, Accessibility (definitions and examples) Primary objective: protect, promote, and restore physical/mental well-being Private healthcare limitations under CHA Healthcare Funding & Spending: 70% of total healthcare spending → Public Sector Funding Three main sources of increased spending (provider compensation, increased service use, evolution of services) Supplemental costs (prescriptions, dentistry, home care, long-term care) Healthcare spending rises but growth rate slows Government Roles & Structure: Federal government roles (First Nations, RCMP, Canadian Forces, Veterans, federal penitentiaries) Provincial/Territorial roles (administer and deliver health services, hospitals, legislation, licensing) BC's 5 health authorities (Fraser, Interior, Northern, Vancouver Coastal, Vancouver Island) Provincial Health Services Authority (provincial programs and specialized services) Levels of Care & Service Types: Primary, Secondary, Tertiary, Quaternary care definitions Emergency care vs. Urgent care vs. Acute care (with patient scenarios) Ambulatory care settings (freestanding medical centers, organized independent settings) Patient Medical Home (PMH) definition Healthcare Challenges & Accords: Two big challenges: ALC beds and ED misuse First Ministers' Accord on Health Care Renewal 10-Year Plan to Strengthen Health Care Three themes: Quality, Accessibility, Sustainability Population Health & Surveillance: CCDSS (Canadian Chronic Disease Surveillance System) Chronic diseases tracked (cardiovascular, respiratory, mental illness, diabetes, musculoskeletal, neurological) Factors affecting population health (socioeconomic status, geography, support systems, diet, activity, gender, biology) CIHI's 4 key focus areas for wait times Morbidity vs. Mortality definitions Organizational Theory (Mintzberg): 3 Dimensions of organizations (key part, coordinating mechanism, decentralization type) 5 Parts of an organization (Strategic Apex, Middle Line, Operating Core, Technostructure, Support Staff) 5 Prime Coordinating Mechanisms (Direct Supervision, Standardization of work processes, skills, output, Mutual Adjustment) Differentiation vs. Integration Matrix structure (strengths and weaknesses) Divisionalized form (strengths and weaknesses) Organizations as open systems (not closed) Organizational Culture & Power: 3 Levels of culture (Artifacts, Espoused beliefs/values, Basic underlying assumptions) 2 Critical functions (Internal Integration, External Adaptations) Tuckman's stages (Forming, Storming, Norming, Performing) Common sources of power (Positional, Interpersonal, Knowledge, Derived, Referent) Expertise and Information as knowledge-based power Canadian Healthcare Performance: Biggest concern for Canadians: Timely Access to Care Canada performs BELOW international average for timely access Canadians visit ED more often and wait LONGER than other countries Physician Supply & Care Transitions: Physician supply vs. distribution (increased medical school enrollment, more physicians than ever) Essential factors for successful PITs (Rapport, Team mentality, Clear expectations, Punctuality, Plan follow up, Suitability criteria) PITs impact (reduced psychiatry wait times, more students seen with fewer resources) Why This Guide Works: The Q&A format forces active recall—the #1 evidence-based study technique. Review the question, test yourself, verify with the answer, and walk into your HINF 265 final with confidence. Perfect for: HINF 265 (Health Information Science) Canadian Healthcare Systems courses Health Administration programs Nursing programs (Canadian healthcare context) Health Policy exams

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PPA 265 TEST 2 - QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS.


Evolution of org. theory from classical to systems theory - ANS.... --
classical theory= rigid, bureaucratic (hierarchy), rules/procedures, clear
division of labor, specialization, workers are replaceable, "ONE BEST
WAY"
- ORG IS MACHINE & WORKERS ARE COMPONENTS.
- oversimplified mechanistic views, doesn't work for human motivation.
- Neo-classical theories= human relations & group dynamics
- see workers as social beings with needs and social considerations now
prime motivator of behavior and work performance.
- stress importance of worker on success
- need to also reconcile individual goals w/ orgs.
- Systems theory= integration of both
- sees org. as multifaceted, interpersonal relationship between individual &
org= important
- interconnected through communication, decision-making, and balance to
create equilibrium in system and structure.
- focus on internal & external environment.


How it differs - ANS.... -traditional model
- Inward focus (insulated from outside sources)
- Short-term perspective (who accountable to= limited timeline=
administrators do what executive officials say)
Public management

,- brings focus to longer terms & external environment
---external env. (Itself & env. Operating in open system)
---longer focus= plans look in advance, 5-10 yrs in future.


Define and differentiate strategic management from strategic planning -
ANS.... -strategic planning- is a formalized process by which an org. Makes
a study/plan of its visions for the future.
Strategic management- the integration of the strategic plan in all
management systems, Concerned with long-term -Interpreting
environmental conditions and designing the organization's systems to
foster success.
- differences: - "Strategic planning" is focused on making optimal strategy
decisions, while "strategic management" is focused on producing strategic
results: new markets, new products and/or new technologies.
- strategic management is more comprehensive, instead of just drawing up
a plan, it aims at integrating planning with all the other parts of the org,
aiming to extend the vision.
- strategic management is also about implementation & organizational
culture whereas strategic planning is about coming up with a strategy.
- management has to manage the actual situations whereas the plan is a
tool used to help them in their decision-making.


Key terms - ANS.... -strategy
- concerned w long term
- interpreting environmental conditions and designing the organizations
systems to foster success.
Strategic planning


Strategic planning - ANS.... -a formalized process by which an org. Makes
a study of its visions for the future.

, - a set of concepts, procedures, and tools designed to help leaders,
managers, and planners think and act strategically.


Strategy entails: - ANS.... -- executive leadership (supports activity, want to
do this)
- incremental adjustments (change on fly b/c dynamics change)
- articulation & dissemination of vision (communicate vision so every on
board)
- alignment (everyone=same direction)


Strategic management - ANS.... -a process about long-term thinking and
the integration of strategic planning in all management systems.
- understanding external market opportunities and challenges while
creating service delivery systems to address the needs & interests of
multiple stakeholders.


Purpose of strategic management - ANS.... -management focus that
accounts for changes in the environment & the organizations place within it.
- technology (donations via internet)
- markets for services (vaccine hold out)
- funding sources (grants)
- competition (this vs. That)


4 principles of strategic management - ANS.... -- concern w/ long-term
- integrating goals/objectives into a coherent hierarchy
- the process is not self-implementing
- external perspective
- aware of political authority

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