HSV 4800 Final Exam Review Questions and Answers Solved Correctly
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. - AnswersTrue
In recent decades government and insurers have exerted control over much of health care's money
supply - AnswersTrue
The pace of technological change in health care has slowed considerably over the recent decade -
AnswersFalse
Managed care organizations have brought pressure to bear on hospitals and physicians to reduce the
length of hospital stays - AnswersTrue
A formal agreement between separately owned and controlled facilities to officially coordinate and
share certain activities is most appropriately referred to as - Answersan affiliation
Which of the following is not true concerning regulation of the health care industry? - AnswersThe
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: - Answersdriven 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? - Answerslack 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: - Answersformal 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: - Answershibernation
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: - Answersgoal
expansion
All of the following are characteristics of the youth stage in the organizational life cycle except: -
Answersresistance to change
All of the following are characteristics of middle age phase in the organizational life cycle except: -
Answersfrequent 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: - Answersgoal
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. - AnswersTrue
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. - AnswersTrue
A legislative mandate, such as the Patient Self Determination Act, is an example of what? - Answersa
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. - Answersincrease in the number of older persons, the rise in autism, the increase in
childhood obesity
Health care costs have been driven up by what? - Answersgovernment 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 - AnswersTrue
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? - Answersdata mining, informatics standards and common language, and PDAs,
portable computers, e-mail
Resistance to change is an unnatural state within the individual - AnswersFalse
, 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 - AnswersTrue
Involvement, often the strongest force in overcoming employee resistance to change, is sometimes not
an available option - AnswersTrue
Conformance with the requirements of HIPPA has cost many organizations considerably more than the
government's estimates - AnswersTrue
There is presently a reasonable chance that HIPPA, because of its unpopularity among health care
providers, will be repeated - AnswersFalse
Ordering employees to do something is probably the most effective means of ensuring acceptance of
change - AnswersFalse
The implementation of the electronic health record is an example of proactive change - AnswersTrue
The American Health Information Association (AHIMA) is a national association of health information
managers - AnswersTrue
Stakeholders in the implementation processes associated with the electronic health record include the
National Library of Medicine - AnswersTrue
The American Health Information Association's legislative advocacy program concerning non-
discrimination based on health conditions primarily focuses on the personal health record - AnswersTrue
The Patient Self Determination Act of 1990 - Answersaddresses 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 - Answersthe 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 what is coming; that is, fear of the unknown, and
lack of control or involvement in the decisions that influence the change
All of the following are characteristics of the change process associated with adjustments to Y2K except -
Answersthe change involved little or no opportunity for making other system-wide improvements, such
as upgrading existing computerized systems
(managers were dealing with a predicted change, the need for the change was known for several years
ahead of the deadline, the change involved a combination of predictable and unpredictable aspects)
The changes associated with the Patient Self Determination Act resulted in renewed interest in, and
activity by, the following committee of the patient care team - Answersethics review committee
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. - AnswersTrue
In recent decades government and insurers have exerted control over much of health care's money
supply - AnswersTrue
The pace of technological change in health care has slowed considerably over the recent decade -
AnswersFalse
Managed care organizations have brought pressure to bear on hospitals and physicians to reduce the
length of hospital stays - AnswersTrue
A formal agreement between separately owned and controlled facilities to officially coordinate and
share certain activities is most appropriately referred to as - Answersan affiliation
Which of the following is not true concerning regulation of the health care industry? - AnswersThe
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: - Answersdriven 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? - Answerslack 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: - Answersformal 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: - Answershibernation
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: - Answersgoal
expansion
All of the following are characteristics of the youth stage in the organizational life cycle except: -
Answersresistance to change
All of the following are characteristics of middle age phase in the organizational life cycle except: -
Answersfrequent 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: - Answersgoal
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. - AnswersTrue
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. - AnswersTrue
A legislative mandate, such as the Patient Self Determination Act, is an example of what? - Answersa
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. - Answersincrease in the number of older persons, the rise in autism, the increase in
childhood obesity
Health care costs have been driven up by what? - Answersgovernment 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 - AnswersTrue
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? - Answersdata mining, informatics standards and common language, and PDAs,
portable computers, e-mail
Resistance to change is an unnatural state within the individual - AnswersFalse
, 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 - AnswersTrue
Involvement, often the strongest force in overcoming employee resistance to change, is sometimes not
an available option - AnswersTrue
Conformance with the requirements of HIPPA has cost many organizations considerably more than the
government's estimates - AnswersTrue
There is presently a reasonable chance that HIPPA, because of its unpopularity among health care
providers, will be repeated - AnswersFalse
Ordering employees to do something is probably the most effective means of ensuring acceptance of
change - AnswersFalse
The implementation of the electronic health record is an example of proactive change - AnswersTrue
The American Health Information Association (AHIMA) is a national association of health information
managers - AnswersTrue
Stakeholders in the implementation processes associated with the electronic health record include the
National Library of Medicine - AnswersTrue
The American Health Information Association's legislative advocacy program concerning non-
discrimination based on health conditions primarily focuses on the personal health record - AnswersTrue
The Patient Self Determination Act of 1990 - Answersaddresses 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 - Answersthe 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 what is coming; that is, fear of the unknown, and
lack of control or involvement in the decisions that influence the change
All of the following are characteristics of the change process associated with adjustments to Y2K except -
Answersthe change involved little or no opportunity for making other system-wide improvements, such
as upgrading existing computerized systems
(managers were dealing with a predicted change, the need for the change was known for several years
ahead of the deadline, the change involved a combination of predictable and unpredictable aspects)
The changes associated with the Patient Self Determination Act resulted in renewed interest in, and
activity by, the following committee of the patient care team - Answersethics review committee
