1. The resource trap can be seen in

Chapter 1

• The resource trap can be seen in

*a. an organization that continues to invest scarce resources in old systems.

• an organization that holds onto the ways activities and

processes have been performed in the past.

• an organization that c ontinues to invest in buildings that

will never be utilized.

• an organization that does not offer training for its staff.
• the inability to plan for the future.
• the inability to invest in technology.

• The real cause of cost escalation and di minished quality of health

in our country is

• too many physicians in the United States.
• too many nurses in hospitals.
• too many government regulations.
• insurance companies.

*e. the chronic disease epidemic

• poor diet and lack of exercise .

• According to Emanuel (2014), an architect of the Affordable Care

Act, six megatrends will directly result from the law. They include all of the following except what?

• A change in the care of chronic diseases
• Hospital closures
• Major changes to medical education

*d. The end of capitation

• The end of cost escalation
• The end of employer -financed health insurance

• Which of the following is the historical approach to paying

healthcare providers for services rendered?

• Pay for performance
• Capitation
• DRG
• Relative value system

*e. Fee-for-service

• Voucher system

• Which of the following is the newest form of economic analysis

designed to make successful decisions about the use of scarce health resources?

• Cost utility analysis

(Principles of Healthcare Leadership, 1e Bernard Healey) (Official Complete Test Bank) 1 / 4

• Cost minimization analysis

*c. Comparative effectiveness research

• Cost-effectiveness analysis
• Least cost review
• Marginal analysis

• A number of reasons have been given for concerns about diminished

quality in health services delivery. Which of the following is not one of those concerns?

• Healthcare services are vital for everyone.
• Healthcare services are expensive.
• Healthcare services are complex to deliver.

*d. Healthcare services are delivered by a m onopolist.

• Healthcare services are an investment in our future health.
• Hospital infections are epidemic.

• All of the following represent hospital mistakes and errors that

should never happen except for what?

• Never events
• MRSA
• Nosocomial infections
• Medical errors

*e. Palliative care

• Wrong medication received by patient

• A leader must be all of the following except for what?

• An authentic embodiment of care values
• Trustworthy

*c. Authoritarian

• Focused on results
• Passionately committed to the mission
• Capable of building relationships

• Which of the following is not something every leader should be able

to do?

• Understand the system
• Model the way
• Use and teach improvement methods

*d. Have a complete understanding of accounting methods

• Be capable of developing new leaders
• Explain the challenges of the current reality

• All of the following efforts are necessary for reducing high -risk

health behaviors by patients except for w hat?

• / 4

• Make certain that patients understand the role of health

behaviors.

• Provide health education to all patients seen by the

healthcare system.

• Provide healthcare brochures to patients at every meeting.

*d. Require patients to list all their high-risk health behaviors at each appointment.

• Offer incentives to patients for healthy behaviors.
• Offer health-related videos in the waiting area of each

clinic.

• The psychological trap is very common in healthcare organizations.

*a. True

• False

• A paradigm shift is a change in the way one thinks about how to

proceed through a process or to design an activity.

*a. True

• False

• The real cause of cost escalation and diminished quality in

healthcare today is hospital ex pansion.

• True

*b. False

• According to Emanuel (2014), one of the megatrend changes in

healthcare will be hospital closures.

*a. True

• False

• A pay-for-performance payment system is a reimbursement model

whereby providers are paid for the quantity of services offered.

• True

*b. False

• Comparative effectiveness research is an economics -focused process

for comparing the cost of an intervention with its effectiveness.

• True

*b. False

• / 4

• Health behaviors are learned, bu t they cannot be changed.

• True

*b. False

• The primary cause of the escalation in healthcare costs every year

is the chronic disease epidemic.

*a. True

• False

• The Institute of Medicine (IOM) reported that over 1 million

individual patients die in American hospitals on an annual basis due to hospital-acquired infections.

• True

*b. False

• Developing the right incentives will go a long way toward changing

the US healthcare delivery system to reduce costs and improve quality.

*a. True

• False
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