Heath System MGT

this is 14  multiple choices questions. you will have just to answer the questions 

1. The governing body of a hospital is also referred to as the board of trustees, bard of directors, or board of governors. As you see from Chapter 3, this organizations entity bears ultimate responsibility for all decisions made within the hospital. From Exhibit 3-1, all of the following represent the primary functions of the Board of Trustees EXCEPT:

• Serve as a liaison to community served by the hospital to assist in the public's understanding of the mission of the hospital. 
• Prepare the hospital's financial statements (monthly) and the annual budget.
• Interview, appoint, and sometimes discharge the chief executive officer (CEO).
• Approve spending for major capital equipment, approve all hospital contracts, approve all insurance products.

2. Examples of a Specialty Hospital include "heart hospitals" and others that focus only on "surgical care" or "orthopedics" (per Dr. Thorn) Your textbook states that one major drawback of a Specialty Hospital, which is frequently proprietary (for-profit) and physician-owned, is:

• physician referral issues.
• clinical behaviors.
• increased cost of care.
• all the above.

3. All of the following are functions of the Chief Executive Office (CEO), EXCEPT: 

• Negotiates contracts with 3rd-party payers who pay the patients' bills 
• Acts in partnership with the board of trustees, hospital's physicians, and with other healthcare personnel in the institution 
• communicates: keep employees informed about the critical role their services play in the strategic plan of the hospital 
• Approves all additions and changes to the medical staff roster and to medical staff bylaws and standards.
• Presents a positive image of the hospital through public-relations duties.

4. Specifically under the Emergency Medical Treatment and Active Labor Act (EMTALA), patients who present at _______ must be treated regardless of their_________.

• trauma center, age 
• emergency department, race 
• emergency department, ability to pay 
• trauma center, life-threatening illness 

5. Hospitals are classified in a number of different ways. For example, the Veterans Administration (VA) hospitals are classified as which type of hospital?

•  governmental 
• academic or tertiary-care
• specialty 
• rural, community-access 

6. Two advantages of ________ are 1) the economies of scale in terms of management and purchasing and 2) the ability to provide a wide spectrum of care.

• multihospital systems   
• corporate restructuring under a parent company 
• alliance systems 
• governing bodies such as board of directory 

7. The downsizing of hospital has resulted in lower hospital expenses and increasing profit margins: 

• true
• False   

8. Diversity.... 

•  ...is a complex issue that reaches beyond race and gender. 
•  ...and inclusion and cultural competence establishes a hospital workforce that delivers culturally competent patient care 
•  ...is a voluntary approach and not a USA government mandate. 
•  ...can enhance organizational effectiveness (business results) 
•  Answers 1,2 and 3 are TRUE 
•  All of the above are TRUE 

9. The triage protocol in emergency department is a policy enforced based on : 

• patient's ability to pay 
• patient pain level 
• patient time of arrival 
• evidence-based medicine

 10. Patients have TWO ways to enter a hospital - a PLANNED admission is when a doctor refers the patient to hospital OR an UNPLANNED admission occurs when the patient enters the emergency department without being seen by his personal medical provider. 

• true 
• false 

 11. The medical staff is regraded as a major source of power in a complex, acute-care medical center : 

• true 
• false

12. Hospitals use this STRATEGY to adjust to change that occur in regulations and reimbursement : 

• strategic planning 
• corporate restructuring 
• organizational theory 
• hospital accreditation

 13. In emergency medicine, if appropriate care is provided for life - threatening issues during _______ or _________ , the patient has a higher likelihood of survival: 

• the weekend, holiday 
• the night, early morning 
• the first 60 minutes, the critical hour 
• the first 60 minutes, the golden hour 

  14. Typically, emergency departments are for the most severe and life-threatening cases . 

• true 
• false