HSM 541 HSM541 Week 8 Final Exam with Answers
1. (TCO A). You are the newly hired chief knowledge officer (CKO) for a mid-sized hospital in a semiurban area of the country. Your first task is to develop the organization's strategic plan that will shape the development of a comprehensive network of services for their community.
The organization provides the usual array of inpatient services expected in a moderate-sized community hospital. A local nursing home and retirement community is for sale, and the organization is considering the purchase of that agency. Several physician practices are also interested in alliances with the hospital. There is a local county health department that provides some clinic services, primarily for the uninsured.
You've been asked to give a presentation to the board of directors on options to restructure the local delivery of healthcare services. The hospital's president has asked you to focus your presentation on the common elements a comprehensive delivery system attempts to accomplish and to highlight innovative methods of restructuring. The presentation will lay out the requirements of an integrated healthcare delivery system. (Points : 25)
Question 2. 2. (TCO B). You are the newly hired Vice President of Human Resources for the Bayside Regional Health System. You have the responsibility for all of the usual human resources functions, including retention plans, the training and development function, and the recruitment process. In addition, you have the additional departments of volunteers and the hospital chaplaincy services.
Question 3. 3. (TCO C). Some physicians and for-profit healthcare organizations in your area are refusing to treat Medicare and Medicaid patients for a variety of reasons. These controversial decisions present not only a major breakdown in the healthcare delivery system but also in the financing of healthcare for many individuals across the nation. Delineate at least three reasons that physicians have for refusing to participate in these governmental programs, as well as the impact this practice has on other areas of the healthcare delivery system. (Points : 25)
Question 4. 4. (TCO D). As the newly hired director of public relations for a national managed care company, you know that the next decade in the delivery of healthcare services will bring about revolutionary changes in your member organizations. Public outcry for changes has been heard loud and long, Congress is calling for reform, and providers are extremely frustrated with how you control utilization and offer low reimbursements.
Your board of directors is convening to discuss how the managed care industry can be overhauled to provide a more customer-responsive product and to address rising healthcare costs.
(Points : 20)
Question 5. 5. (TCO E). You are the VP for human resources and have been charged to recommend a new healthcare benefits plan that will improve healthcare services for your employees but manage costs effectively. You employ approximately 1,800 employees, and the current health plan provides traditional healthcare services. You want to expand reimbursement for wellness and prevention services so that you can improve the health of your employees, thereby saving monies in your illness coverage, as well as nonproductive time in sick days.
You are meeting with the VP for finance and the president of the health system this afternoon. Discuss the pros and cons expanding the prevention benefits of the health plan, and describe what services would be offered. (Points : 25)
Question 6. 6. (TCO F). You are the Corporate Vice President of Operations Management for Patient-First Healthcare System, a nonprofit hospital with seven rural satellite hospitals located within 250 miles of each other. Your organization has just approved new monies for developing new quality management initiatives. The individual hospitals have implemented their own quality management programs with varying levels of success. Some of their programs demonstrate stellar results and high levels of patient satisfaction, although others have much less impressive results.
Your focus as the corporate VP of operations is to implement a corporate quality improvement program that will be standard throughout the company's hospitals. The plan must also be responsive to any local needs or issues. What will your quality plan entail? Specify what processes will be measured. Will it include JCAHO or another accreditation review? Why or why not? Finally, how will you measure the results? (Points : 40)
Question 7. 7. (TCO G). You've just been hired as the compliance officer for the newly formed Gulf Coast Healthcare System. Your new employer was formed by the joining of four healthcare organizations – three acute care organizations and one long-term care agency. Two of the organizations have a history of various governmental regulatory violations, as well as suspected fraudulent billing practices. You've been hired to form a corporate compliance program that includes electronic billing and medical records that is HIPAA-compliant and will address all areas of compliance. This plan will not only clean up any issues from the past but will also position the new organization as an organization with an impeccable reputation for compliance. Articulate your vision for this plan and the components that are required for its success. How will you justify the expense associated with your plan? Keep in mind that you have a newly formed organization and differing organizational cultures. (Points : 40)
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