Shortell And Kaluzny's Healthcare Management: Organization Design And Behavior, 6th Edition Test Bank

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CHAPTER 1: The Management Challenge of Delivering Value in Health Care: Globaland U.S. PerspectivesMULTIPLE CHOICE1.What is one issue that health care organizations must address in order to create and deliver value?a.To create appropriate barriers to health care for equityb.To improve access to health carec.To increase cost accelerationd.To decrease the overall quality of careANS:BFeedbackAIncorrect: Improving access to health care must be addressed to create and deliver value.BCorrect: Improving access to health care must be addressed to create and deliver value.CIncorrect: Improving access to health care must be addressed to create and deliver value.DIncorrect: Improving access to health care must be addressed to create and deliver value.PTS:12.Health care concerns shared by the U.S., China and India include concerns over ____.a.the consolidated financial mechanismb.lack of spending at the local levelc.the low number of specialistsd.lifestyle issues and behaviorsANS:DFeedbackAIncorrect: Health care concerns shared by the U.S., China and India include concernsover lifestyle issues and behaviors.BIncorrect: Health care concerns shared by the U.S., China and India include concernsover lifestyle issues and behaviors.CIncorrect: Health care concerns shared by the U.S., China and India include concernsover lifestyle issues and behaviors.DCorrect: Health care concerns shared by the U.S., China and India include concerns overlifestyle issues and behaviors.PTS:13.The Premier Hospital Quality Incentive Demonstration (PHQID) was launched to determine ifeconomic incentives are effective at improving ____.a.the cost of inpatient carec.the cost of outpatient careb.the quality of inpatient cared.the quality of outpatient careANS:BFeedbackAIncorrect:The Premier Hospital Quality Incentive Demonstration (PHQID) waslaunched to determine if economic incentives are effective at improving the quality ofinpatient care.BCorrect: The Premier Hospital Quality Incentive Demonstration (PHQID) was launched

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to determine if economic incentives are effective at improving the quality of inpatientcare.CIncorrect: The Premier Hospital Quality Incentive Demonstration (PHQID) waslaunched to determine if economic incentives are effective at improving the quality ofinpatient care.DIncorrect: The Premier Hospital Quality Incentive Demonstration (PHQID) waslaunched to determine if economic incentives are effective at improving the quality ofinpatient care.PTS:14.Investor-owned facilities comprise about ____ percent of the hospital sector.a.15-20c.55-60b.30-35d.75-80ANS:AFeedbackACorrect:Investor-owned facilities comprise about 15-20 percent of the hospital sector.BIncorrect: Investor-owned facilities comprise about 15-20 percent of the hospital sector.CIncorrect: Investor-owned facilities comprise about 15-20 percent of the hospital sector.DIncorrect: Investor-owned facilities comprise about 15-20 percent of the hospital sector.PTS:15.Organizations within the health care industry have increasingly consolidated into ____ over the pasttwo decades with the stated objective of being more efficient, but may not operate as such.a.community care centersc.systemsb.corporationsd.foundationsANS:CFeedbackAIncorrect: Organizations within the health care industry have increasingly consolidatedinto systems over the past two decades with the stated objective of being more efficient,but may not operate as such.BIncorrect: Organizations within the health care industry have increasingly consolidatedinto systems over the past two decades with the stated objective of being more efficient,but may not operate as such.CCorrect: Organizations within the health care industry have increasingly consolidatedinto systems over the past two decades with the stated objective of being more efficient,but may not operate as such.DIncorrect: Organizations within the health care industry have increasingly consolidatedinto systems over the past two decades with the stated objective of being more efficient,but may not operate as such.PTS:16.The Human Relations School ascertains that in order to improve productivity, management must ____.a.implement the top-down control of workb.minimize the input of workersc.offer monetary incentivesd.understand the informal organization of workers

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ANS:DFeedbackAIncorrect: The Human Relations School ascertains that in order to improve productivity,management must understand the informal organization of workers.BIncorrect: The Human Relations School ascertains that in order to improve productivity,management must understand the informal organization of workers.CIncorrect: The Human Relations School ascertains that in order to improve productivity,management must understand the informal organization of workers.DCorrect:The Human Relations School ascertains that in order to improve productivity,management must understand the informal organization of workers.PTS:17.The decision-making school focused on ____.a.physiciansc.top executivesb.middle managersd.blue collar workersANS:BFeedbackAIncorrect: The decision-making school focused on middle managers.BCorrect: The decision-making school focused on middle managers.CIncorrect:The decision-making school focused on middle managers.DIncorrect: The decision-making school focused on middle managers.PTS:18.One school of modern strategic management encompasses an emphasis on ____.a.industry net-worthb.top-down decision makingc.industry structure and competitive forcesd.deliberate corporate rationalityANS:CFeedbackAIncorrect:One school of strategic management currently encompasses an emphasis onindustry structure and competitive forces.BIncorrect: One school of strategic management currently encompasses an emphasis onindustry structure and competitive forces.CCorrect: One school of strategic management currently encompasses an emphasis onindustry structure and competitive forces.DIncorrect: One school of strategicmanagement currently encompasses an emphasis onindustry structure and competitive forces.PTS:19.____ (INDs) can fill the structural hole between independent physician groups who can jointly developand implement care management practices.a.Integrated delivery networksc.Interdependent development networksb.Independent doctor networksd.Independent decision networksANS:A

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FeedbackACorrect:Integrated delivery networks can fill the structural hole between independentphysician groups who can jointly develop and implement care management practices.BIncorrect: Integrated delivery networks can fill the structural hole between independentphysician groups who can jointly develop and implement care management practices.CIncorrect: Integrated delivery networks can fill the structural hole between independentphysician groups who can jointly develop and implement care management practices.DIncorrect: Integrated delivery networks can fill the structural hole between independentphysician groups who can jointly develop and implement care management practices.PTS:110.The Centers for Disease Control (CDC) developed a ____ model of the determinants of healthoutcomes.a.“Head Start”c.“Heart Run”b.“Heart Start”d.“Health Run”ANS:DFeedbackAIncorrect:The Centers for Disease Control (CDC) developed a “Health Run” model ofthe determinants of health outcomes.BIncorrect: The Centers for Disease Control (CDC) developed a “Health Run” model ofthe determinants of health outcomes.CIncorrect: The Centers for Disease Control (CDC) developed a “Health Run” model ofthe determinants of health outcomes.DCorrect: The Centers for Disease Control (CDC) developed a “Health Run” model ofthe determinants of health outcomes.PTS:1COMPLETION1.“Value” for health care firms is defined as the quotient of ____________________ divided by cost.ANS:qualityPTS:12.Health care costs rise inexorably because of rising ____________________ costs and its broadapplication to new patients and patient indications.ANS:technologyPTS:13.Due to malpractice insurance premiums, some argue that significant cost savings could be achievedthrough the passage and enactment of ____________________.ANS:tort reformPTS:1

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4.The one issue that currently unites the entire value chain in health care is ____________________.ANS:reimbursementPTS:15.One of several reasons the health care system is slow to change is that the industry is heavily regulatedat both the state and ____________________ levels by myriad agencies and professional associations.ANS:federalPTS:16.In 2009, President Obama’s stimulus package included funding for the diffusion of____________________ medical records across physician offices to begin to address problems of datacapture.ANS:electronicPTS:17.The scientific management school (Taylor, 1911) extended the Weberian model by explicitlyemphasizing the “control” element of ____________________.ANS:bureaucracyPTS:18.____________________ network structure can be analyzed in two ways: in terms of interactionpatterns and in terms of structural similarity.ANS:SocialPTS:19.The ____________________ adaptive systems approaches are composed of multiple, diverse,interconnected elements; and are adaptive in that they have the capability to change and learn fromtheir experience.ANS:complexPTS:110.The different theoretical schools suggest different strategies for changing organizations and different____________________ that managers need to develop.ANS:competenciesPTS:1MATCHING

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Match each item with a statement below:a.human relations schoolb.complex adaptive system perspectivesc.classical administration schoold.The Health Systems Integration Studye.World Health Organization (WHO)f.decision-making schoolg.Federal Trade Commission (FTC) and Department of Justice (DOJ)h.Taylorismi.scientific management perspectivej.population ecology1.Focused on structuring the tasks of individual workers2.Focused heavily on the external environment3.Focused on top executives4.Focused on motivating workers5.Conducted a series of workshops to assess the competitive and efficiency benefits of horizontal andvertical forms of consolidation6.Highlights the importance of social networks7.Suggests that the economic integration of hospitals and physicians forms part of the bedrock forimproving clinical integration8.Developed a generic framework for the overall structure of any country’s health care system9.Suggests that hospitals more vigorously pursue efforts at clinical integration10.Emphasizes the importance of unobtrusive controls to reduce discretion and shape the premises ofdecisions made by managers1.ANS:HPTS:12.ANS:JPTS:13.ANS:CPTS:14.ANS:APTS:15.ANS:GPTS:16.ANS:BPTS:17.ANS:DPTS:18.ANS:EPTS:19.ANS:IPTS:110.ANS:FPTS:1

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CHAPTER 2: Leadership and Management: A Framework for ActionMULTIPLE CHOICE1.____ can be defined as the process of accomplishing predetermined objectives through the effectiveuse of human, financial, and technical resources.a.Leadershipc.Strategic planningb.Complianced.ManagementANS:DFeedbackAIncorrect:Management can be defined as the process of accomplishing predeterminedobjectives through the effective use of human, financial, and technical resources.BIncorrect: Management can be defined as the process of accomplishing predeterminedobjectives through the effective use of human, financial, and technical resources.CIncorrect: Management can be defined as the process of accomplishing predeterminedobjectives through the effective use of human, financial, and technical resources.DCorrect: Management can be defined as the process of accomplishing predeterminedobjectives through the effective use of human, financial, and technical resources.PTS:12.A(n) ____ approach to leadership emphasizes the actions that the person in the leadership role takes onthe job.a.cognitivec.behavioralb.systemsd.intuitiveANS:CFeedbackAIncorrect:A behavioral approach to leadership emphasizes the actions that the person inthe leadership role takes on the job.BIncorrect: A behavioral approach to leadership emphasizes the actions that the person inthe leadership role takes on the job.CCorrect: A behavioral approach to leadership emphasizes the actions that the person inthe leadership role takes on the job.DIncorrect: A behavioral approach to leadership emphasizes the actions that the person inthe leadership role takes on the job.PTS:13.____ refer to the subordinate goals that must be accomplished to meet the larger aspirations of anorganization.a.Objectivesc.Initiativesb.Standardsd.DeterminantsANS:AFeedbackACorrect:Objectives refer to the subordinate goals that must be accomplished to meet thelarger aspirations of an organization.BIncorrect: Objectives refer to the subordinate goals that must be accomplished to meet

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the larger aspirations of an organization of an organization.CIncorrect: Objectives refer to the subordinate goals that must be accomplished to meetthe larger aspirations of an organization.DIncorrect: Objectives refer to the subordinate goals that must be accomplished to meetthe larger aspirations of an organization.PTS:14.S.M.A.R.T. objectives are ____.a.Specific,Measurable,Achievable,Realistic,Time boundb.Specific,Measurable,Accountable,Realistic,Time boundc.Standard,Measurable,Achievable,Realistic,Time boundd.Standard,Measurable,Accountable,Rudimentary,Time boundANS:AFeedbackACorrect: S.M.A.R.T. objectives areSpecific,Measurable,Achievable,Realistic,Timebound.BIncorrect: S.M.A.R.T. objectives areSpecific,Measurable,Achievable,Realistic,Timebound.CIncorrect: S.M.A.R.T. objectives areSpecific,Measurable,Achievable,Realistic,Timebound.DIncorrect: S.M.A.R.T. objectives areSpecific,Measurable,Achievable,Realistic,Timebound.PTS:15.An example work plan is also known as a ____ Chart.a.Ganttc.Levyb.Weberd.managementANS:AFeedbackACorrect: An example work plan is also known as a Gantt Chart.BIncorrect:An example work plan is also known as a Gantt Chart.CIncorrect: An example work plan is also known as a Gantt Chart.DIncorrect: An example work plan is also known as a Gantt Chart.PTS:16.One of the key roles of the C-Suite is to interact with key ____.a.external stakeholdersc.union leadersb.managersd.producersANS:AFeedbackACorrect:One of the key roles of the C-Suite is to interact with key external stakeholders.BIncorrect: One of the key roles of the C-Suite is to interact with key externalstakeholders.CIncorrect: One of the key roles of the C-Suite is to interact with key externalstakeholders.

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DIncorrect: One of the key roles of the C-Suite is to interact with key externalstakeholders.PTS:17.Performance outcomes in health care are classified into three major categories:(1) patient-related, (2)staff-related, and (3) ____.a.community-relatedc.government-relatedb.stakeholder-relatedd.management-relatedANS:DFeedbackAIncorrect:Performance outcomes in health care are classified into three majorcategories: (1) patient-related, (2) staff-related, and (3) management related.BIncorrect: Performance outcomes in health care are classified into three majorcategories: (1) patient-related, (2) staff-related, and (3) management related.CIncorrect: Performance outcomes in health care are classified into three majorcategories: (1) patient-related, (2) staff-related, and (3) management related.DCorrect: Performance outcomes in health care are classified into three major categories:(1) patient-related, (2) staff-related, and (3) management related.PTS:18.The complexity and difficulty of leading health care organizations (HCOs) in a dynamic world hasspurred interest in identifying ____.a.avenues of changec.novel health practicesb.competenciesd.directivesANS:BFeedbackAIncorrect: The complexity and difficulty of leading health care organizations (HCOs) ina dynamic world has spurred interest in identifying competencies.BCorrect: The complexity and difficulty of leading health care organizations (HCOs) in adynamic world has spurred interest in identifying competencies.CIncorrect: The complexity and difficulty of leading health care organizations (HCOs) ina dynamic world has spurred interest in identifying competencies.DIncorrect: The complexity and difficulty of leading health care organizations (HCOs) ina dynamic world has spurred interest in identifying competencies.PTS:19.Studies have identified two types of support that those in leadership roles must provide for successfulchange: instrumental and ____ support.a.industrialc.interpersonalb.proactived.unconventionalANS:CFeedbackAIncorrect:Studies have identified two types of support that those in leadership rolesmust provide for successful change: instrumental and interpersonal support.BIncorrect: Studies have identified two types of support that those in leadership roles

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must provide for successful change: instrumental and interpersonal support.CCorrect: Studies have identified two types of support that those in leadership roles mustprovide for successful change: instrumental and interpersonal support.DIncorrect: Studies have identified two types of support that those in leadership rolesmust provide for successful change: instrumental and interpersonal support.PTS:110.Processing the stress related to leadership action is recommended as a routine approach to self-____ inleadership positions.a.fulfillmentc.destructionb.cared.motivationANS:BFeedbackAIncorrect:Processing the stress related to leadership action is recommended as a routineapproach to self-care in leadership positions.BCorrect: Processing the stress related to leadership action is recommended as a routineapproach to self-care in leadership positions.CIncorrect: Processing the stress related to leadership action is recommended as a routineapproach to self-care in leadership positions.DIncorrect: Processing the stress related to leadership action is recommended as a routineapproach to self-care in leadership positions.PTS:1COMPLETION1.Leadership can be defined as the process in which one engages others to set and achieve a common____________________.ANS:goalPTS:12.____________________ examine how those in leadership roles are influenced by their surroundingenvironment and the subsequent performance within specific contexts.ANS:Contingency theoriesPTS:13.Theoretically, transformational leadership is contrasted to ____________________.ANS:transactional leadershipPTS:14.____________________ is an approach to integrating the strategic function of leadership involvinggoal and objective setting with the subsequent organizational action required to achieve the setobjectives.

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ANS:Strategic problem solvingPTS:15.In order to design strategies, a(n) ____________________ can help identify the causal factorsassociated with the problem.ANS:root cause analysisPTS:16.Illustrative evaluative criteria are the degree to which the strategy under consideration is 1) effective toaddressing the problem, 2) cost-effective, 3) consistent with the organizational overall strategy, 4)timely in effect, or 5)____________________.ANS:politically feasiblePTS:17.Indicators, sometimes termed metrics, are the items measured to determine ____________________.ANS:performancePTS:18.____________________ has been defined as those who “share a common purpose with the leader,believes in what the organization is trying to accomplish, and wants both the leader and theorganization to succeed.”ANS:FollowershipPTS:19.Research suggests that health care leadersas a grouprely more on ___________________ styles.ANS:task-orientedPTS:110.Transformational leadership is effective because it changes the attitudes, values and behaviors of staffin ways that align with ____________________ goals.ANS:organizationalPTS:1MATCHINGMatch each item with a statement below:a.administrative leadershipb.middle managersc.people-oriented leadershipd.front-line managers

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e.succession planningf.transactional leadershipg.valuesh.goalsi.leadershipj.organizational culture1.Deepest level of basic and shared assumptions and beliefs2.Incorporates interdisciplinary teamwork, collaboration, role clarity and innovation3.Allows smooth transitions and keeps the costs of transitions low4.Referred to as “linking pins”5.Instrumental and interpersonal support provided by those who hold senior positions in the organization6.Provide supervision directly to care providers7.Process in which one engages others to set and achieve a common goal, often an organizationallydefined goal8.What ought to be found in an organization, distinct from what does exist9.Relies on direct appeals for performance through explicit reward structures10.Large aspirations of the organization1.ANS:JPTS:12.ANS:CPTS:13.ANS:EPTS:14.ANS:BPTS:15.ANS:APTS:16.ANS:DPTS:17.ANS:IPTS:18.ANS:GPTS:19.ANS:FPTS:110.ANS:HPTS:1

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CHAPTER 3: Organization Design and CoordinationMULTIPLE CHOICE1.____ refers to the needed differences in both structure and employee orientations among differentorganization units.a.Divergencec.Distinctionb.Differentiationd.DichotomyANS:BFeedbackAIncorrect: Differentiation refers to the needed differences in both structure andemployee orientations among different organization units.BCorrect: Differentiationrefers to the needed differences in both structure and employeeorientations among different organization units.CIncorrect: Differentiation refers to the needed differences in both structure andemployee orientations among different organization units.DIncorrect: Differentiation refers to the needed differences in both structure andemployee orientations among different organization units.PTS:12.Three types of interdependence include ____.a.pooled, standard, and reasonablec.patterened, sequential, and reciprocalb.patterned, standard and reasonabled.pooled, sequential, and reciprocalANS:DFeedbackAIncorrect:Three types of interdependence include pooled, sequential, and reciprocal.BIncorrect: Three types of interdependence include pooled, sequential, and reciprocal.CIncorrect: Three types of interdependence include pooled, sequential, and reciprocal.DCorrect: Three types of interdependence include pooled, sequential, and reciprocal.PTS:13.In ____ structure, segmentation is based on specialty departments.a.functionalc.aggregateb.productived.programANS:AFeedbackACorrect: In functional structure, segmentation is based on specialty departments.BIncorrect: In functional structure, segmentation is based on specialty departments.CIncorrect: In functional structure, segmentation is based on specialty departments.DIncorrect: In functional structure, segmentation is based on specialty departments.PTS:14.A(n) ____ is a temporary structure which disbands once program-related problem is addressed.a.program task forcec.intermediate department

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b.monopolyd.mediation forceANS:AFeedbackACorrect:A program task force is a temporary structure which disbands onceprogram-related problem is addressed.BIncorrect: A program task force is a temporary structure which disbands onceprogram-related problem is addressed.CIncorrect: A program task force is a temporary structure which disbands onceprogram-related problem is addressed.DIncorrect: A program task force is a temporary structure which disbands onceprogram-related problem is addressed.PTS:15.____ are programs that are organized around diseases or conditions, patient populations or“technologies.”a.Individualized componentsc.Service linesb.Tailored servicesd.Consolidated servicesANS:CFeedbackAIncorrect:Service lines are programs that are organized around diseases or conditions,patient populations or “technologies.”BIncorrect: Service lines are programs that are organized around diseases or conditions,patient populations or “technologies.”CCorrect: Service lines are programs that are organized around diseases or conditions,patient populations or “technologies.”DIncorrect: Service lines are programs that are organized around diseases or conditions,patient populations or “technologies.”PTS:16.The purpose of ____ is to bring people together, while avoiding the negative effects of differences inpower of different participants and of limits in perspectives of each department and level in thehierarchy.a.parallel organizationc.process evaluationb.informed consentd.external organizationANS:AFeedbackACorrect: The purpose of parallel organization is to bring people together, while avoidingthe negative effects of differences in power of different participants and of limits inperspectives of each department and level in the hierarchy.BIncorrect: The purpose of parallel organization is to bring people together, whileavoiding the negative effects of differences in power of different participants and oflimits in perspectives of each department and level in the hierarchy.CIncorrect: The purpose of parallel organization is to bring people together, whileavoiding the negative effects of differences in power of different participants and oflimits in perspectives of each department and level in the hierarchy.DIncorrect: The purpose of parallel organization is to bring people together, while

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avoiding the negative effects of differences in power of different participants and oflimits in perspectives of each department and level in the hierarchy.PTS:17.____ organizational structures maintain their traditional functional structuresand create programstructures for just one or two programs.a.Divergentc.Duplicateb.Decentralizedd.HybridANS:DFeedbackAIncorrect: Hybridorganizational structures maintain their traditional functionalstructures and create program structures for just one or two programs.BIncorrect: Hybrid organizational structures maintain their traditional functionalstructures and create program structures for just one or two programs.CIncorrect: Hybrid organizational structures maintain their traditional functionalstructures and create program structures for just one or two programs.DCorrect: Hybridorganizational structures maintain their traditional functional structuresand create program structures for just one or two programs.PTS:18.____ is the specification of the training required to perform work.a.Standardization of workc.Standardization of complianceb.Standardization of skillsd.Standardization of competenceANS:BFeedbackAIncorrect: Standardization of skills is the specification of the training required toperform work.BCorrect: Standardization of skills is the specification of the training required to performwork.CIncorrect: Standardization of skills is the specification of the training required toperform work.DIncorrect: Standardization of skills is the specification of the training required toperform work.PTS:19.____ is the exchange of information about work performance between two people who are not in ahierarchical relationship.a.Consensual agreementc.Shared objectivesb.Mutual adjustmentd.Alienated forcesANS:BFeedbackAIncorrect:Mutual adjustment is the exchange of information about work performancebetween two people who are not in a hierarchical relationship.BCorrect: Mutual adjustment is the exchange of information about work performancebetween two people who are not in a hierarchical relationship.

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