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

Shortell And Kaluzny's Healthcare Management: Organization Design And Behavior, 6th Edition Test Bank is packed with helpful insights, covering everything from basic concepts to advanced problem-solving techniques.

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    CHAPTER 1: The Management Challenge of Delivering Value in Health Care: Global and U.S. Perspectives MULTIPLE CHOICE 1. 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 equity b. To improve access to health care c. To increase cost acceleration d. To decrease the overall quality of care ANS: B Feedback A Incorrect: Improving access to health care must be addressed to create and deliver value. B Correct: Improving access to health care must be addressed to create and deliver value. C Incorrect: Improving access to health care must be addressed to create and deliver value. D Incorrect: Improving access to health care must be addressed to create and deliver value. PTS: 1 2. Health care concerns shared by the U.S., China and India include concerns over ____. a. the consolidated financial mechanism b. lack of spending at the local level c. the low number of specialists d. lifestyle issues and behaviors ANS: D Feedback A Incorrect: Health care concerns shared by the U.S., China and India include concerns over lifestyle issues and behaviors. B Incorrect: Health care concerns shared by the U.S., China and India include concerns over lifestyle issues and behaviors. C Incorrect: Health care concerns shared by the U.S., China and India include concerns over lifestyle issues and behaviors. D Correct: Health care concerns shared by the U.S., China and India include concerns over lifestyle issues and behaviors. PTS: 1 3. The Premier Hospital Quality Incentive Demonstration (PHQID) was launched to determine if economic incentives are effective at improving ____. a. the cost of inpatient care c. the cost of outpatient care b. the quality of inpatient care d. the quality of outpatient care ANS: B Feedback A Incorrect: The Premier Hospital Quality Incentive Demonstration (PHQID) was launched to determine if economic incentives are effective at improving the quality of inpatient care. B Correct: 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 inpatient care. C Incorrect: The Premier Hospital Quality Incentive Demonstration (PHQID) was launched to determine if economic incentives are effective at improving the quality of inpatient care. D Incorrect: The Premier Hospital Quality Incentive Demonstration (PHQID) was launched to determine if economic incentives are effective at improving the quality of inpatient care. PTS: 1 4. Investor - owned facilities comprise about ____ percent of the hospital sector. a. 15 - 20 c. 55 - 60 b. 30 - 35 d. 75 - 80 ANS: A Feedback A Correct: Investor - owned facilities comprise about 15 - 20 percent of the hospital sector. B Incorrect: Investor - owned facilities comprise about 15 - 20 percent of the hospital sector. C Incorrect: Investor - owned facilities comprise about 15 - 20 percent of the hospital sector. D Incorrect: Investor - owned facilities comprise about 15 - 20 percent of the hospital sector. PTS: 1 5. Organizations within the health care industry have increasingly consolidated into ____ over the past two decades with the stated objective of being more efficient, but may not operate as such. a. community care centers c. systems b. corporations d. foundations ANS: C Feedback A Incorrect: Organizations within the health care industry have increasingly consolidated int o systems over the past two decades with the stated objective of being more efficient, but may not operate as such. B Incorrect: Organizations within the health care industry have increasingly consolidated into systems over the past two decades with the stated objective of being more efficient, but may not operate as such. C Correct: Organizations within the health care industry have increasingly consolidated into systems over the past two decades with the stated objective of being more efficient, but may not operate as such. D Incorrect: Organizations within the health care industry have increasingly consolidated into systems over the past two decades with the stated objective of being more efficient, but may not operate as such. PTS: 1 6. The Human Relations School ascertains that in order to improve productivity, management must ____. a. implement the top - down control of work b. minimize the input of workers c. offer monetary incentives d. understand the informal organization of workers

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    ANS: D Feedback A Incorrect: The Human Relations School ascertains that in order to improve productivity, man agement must understand the informal organization of workers. B Incorrect: The Human Relations School ascertains that in order to improve productivity, management must understand the informal organization of workers. C Incorrect: The Human Relations School ascertains that in order to improve productivity, management must understand the informal organization of workers. D Correct: The Human Relations School ascertains that in order to improve productivity, management must understand the informal organization of workers. PTS: 1 7. The decision - making school focused on ____. a. physicians c. top executives b. middle managers d. blue collar workers ANS: B Feedback A Incorrect: The decision - making school focused on middle managers. B Correct: The decision - making school focused on middle managers. C Incorrect: The decision - making school focused on middle managers. D Incorrect: The decision - making school focused on middle managers. PTS: 1 8. One school of modern strategic management encompasses an emphasis on ____. a. industry net - worth b. top - down decision making c. industry structure and competitive forces d. deliberate corporate rationality ANS: C Feedback A Incorrect: One school of strategic management currently encompasses an emphasis on industry structure and competitive forces. B Incorrect: One school of strategic management currently encompasses an emphasis on industry structure and competitive forces. C Correct: One school of strategic management currently encompasses an emphasis on industry structure and competitive forces. D Incorrect: One school of strategic management currently encompasses an emphasis on industry structure and competitive forces. PTS: 1 9. ____ (INDs) can fill the structural hole between independent physician groups who can jointly develop and implement care management practices. a. Integrated delivery networks c. Interdependent development networks b. Independent doctor networks d. Independent decision networks ANS: A

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    Feedback A Correct: Integrated delivery networks can fill the structural hole between independent physician groups who can jointly develop and implement care management practices. B Incorrect: Integrated delivery networks can fill the structural hole between independent physician groups who can jointly develop and implement care management practices. C Incorrect: Integrated delivery networks can fill the structural hole between independent physician groups who can jointly develop and implement care management practices. D Incorrect: Integrated delivery networks can fill the structural hole between independent physician groups who can jointly develop and implement care management practices. PTS: 1 10. The Centers for Disease Control (CDC) developed a ____ model of the determinants of health outcomes. a. “Head Start” c. “Heart Run” b. “Heart Start” d. “Health Run” ANS: D Feedback A Incorrect: The Centers for Disease Control (CDC) developed a “Health Run” model of the determinants of health outcomes. B Incorrect: The Centers for Disease Control (CDC) developed a “Health Run” model of the determinants of health outcomes. C Incorrect: The Centers for Disease Control (CDC) developed a “Health Run” model of the determinants of health outcomes. D Correct: The Centers for Disease Control (CDC) developed a “Health Run” model of the determinants of health outcomes. PTS: 1 COMPLETION 1. “ Value” for health care firms is defined as the quotient of ____________________ divided by cost. ANS: quality PTS: 1 2. Health care costs rise inexorably because of rising ____________________ costs and its broad application to new patients and patient indications. ANS: technology PTS: 1 3. Due to malpractice insurance premiums, some argue that significant cost savings could be achieved through the passage and enactment of ____________________. ANS: tort reform PTS: 1

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    4. The one issue that currently unites the entire value chain in health care is ____________________. ANS: reimbursement PTS: 1 5. One of several reasons the health care system is slow to change is that the industry is heavily regulated at both the state and ____________________ levels by myriad agencies and professional associations. ANS: federal PTS: 1 6. In 2009, President Obama’s stimulus package included funding for the diffusion of ____________________ medical records across physician offices to begin to address problems of data capture. ANS: electronic PTS: 1 7. The scientific management school (Taylor, 1911) extended the Weberian model by explicitly emphasizing the “control” element of ____________________. ANS: bureaucracy PTS: 1 8. ____________________ network structure can be analyzed in two ways: in terms of interaction patterns and in terms of structural similarity. ANS: Social PTS: 1 9. The ____________________ adaptive systems approaches are composed of multiple, diverse, interconnected elements; and are adaptive in that they have the capability to change and learn from their experience. ANS: complex PTS: 1 10. The different theoretical schools suggest different strategies for changing organizations and different ____________________ that managers need to develop. ANS: competencies PTS: 1 MATCHING

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    Match each item with a statement below: a. human relations school b. complex adaptive system perspectives c. classical administration school d. The Health Systems Integration Study e. World Health Organization (WHO) f. decision - making school g. Federal Trade Commission (FTC) and Department of Justice (DOJ) h. Taylorism i. scientific management perspective j. population ecology 1. Focused on structuring the tasks of individual workers 2. Focused heavily on the external environment 3. Focused on top executives 4. Focused on motivating workers 5. Conducted a series of workshops to assess the competitive and efficiency benefits of horizontal and vertical forms of consolidation 6. Highlights the importance of social networks 7. Suggests that the economic integration of hospitals and physicians forms part of the bedrock for improving clinical integration 8. Developed a generic framework for the overall structure of any country’s health care system 9. Suggests that hospitals more vigorously pursue efforts at clinical integration 10. Emphasizes the importance of unobtrusive controls to reduce discretion and shape the premises of decisions made by managers 1. ANS: H PTS: 1 2. ANS: J PTS: 1 3. ANS: C PTS: 1 4. ANS: A PTS: 1 5. ANS: G PTS: 1 6. ANS: B PTS: 1 7. ANS: D PTS: 1 8. ANS: E PTS: 1 9. ANS: I PTS: 1 10. ANS: F PTS: 1

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    CHAPTER 2: Leadership and Management: A Framework for Action MULTIPLE CHOICE 1. ____ can be defined as the process of accomplishing predetermined objectives thr ough the effective use of human, financial, and technical resources. a. Leadership c. Strategic planning b. Compliance d. Management ANS: D Feedback A Incorrect: Management can be defined as the process of accomplishing predetermined objectives through the effective use of human, financial, and technical resources. B Incorrect: Management can be defined as the process of accomplishing predetermined objectives through the effective use of human, financial, and technical resources. C Incorrect: Management can be defined as the process of accomplishing predetermined objectives through the effective use of human, financial, and technical resources. D Correct: Management can be defined as the process of accomplishing predetermined objectives through the effective use of human, financial, and technical resources. PTS: 1 2. A(n) ____ approach to leadership emphasizes the actions that the person in the leadership role takes on the job. a. cognitive c. behavioral b. systems d. intuitive ANS: C Feedback A Incorrect: A behavioral approach to leadership emphasizes the actions that the person in the leadership role takes on the job. B Incorrect: A behavioral approach to leadership emphasizes the actions that the person in the leadership role takes on the job. C Correct: A behavioral approach to leadership emphasizes the actions that the person in the leadership role takes on the job. D Incorrect: A behavioral approach to leadership emphasizes the actions that the person in the leadership role takes on the job. PTS: 1 3. ____ refer to the subordinate goals that must be accomplished to meet the larger aspirations of an organization. a. Objectives c. Initiatives b. Standards d. Determinants ANS: A Feedback A Correct: Objectives refer to the subordinate goals that must be accomplished to meet the larger aspirations of an organization. B Incorrect: 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. C Incorrect: Objectives refer to the subordinate goals that must be accomplished to meet the larger aspirations of an organization. D Incorrect: Objectives refer to the subordinate goals that must be accomplished to meet the larger aspirations of an organization. PTS: 1 4. S.M.A.R.T. objectives are ____. a. S pecific, M easurable, A chievable, R ealistic, T ime bound b. S pecific, M easurable, A ccountable, R ealistic, T ime bound c. S tandard, M easurable, A chievable, R ealistic, T ime bound d. S tandard, M easurable, A ccountable, R udimentary, T ime bound ANS: A Feedback A Correct: S.M.A.R.T. objectives are S pecific, M easurable, A chievable, R ealistic, T ime bound. B Incorrect: S.M.A.R.T. objectives are S pecific, M easurable, A chievable, R ealistic, T ime bound. C Incorrect: S.M.A.R.T. objectives are S pecific, M easurable, A chievable, R ealistic, T ime bound. D Incorrect: S.M.A.R.T. objectives are S pecific, M easurable, A chievable, R ealistic, T ime bound. PTS: 1 5. An example work plan is also known as a ____ Chart. a. Gantt c. Levy b. Weber d. management ANS: A Feedback A Correct: An example work plan is also known as a Gantt Chart. B Incorrect: An example work plan is also known as a Gantt Chart. C Incorrect: An example work plan is also known as a Gantt Chart. D Incorrect: An example work plan is also known as a Gantt Chart. PTS: 1 6. One of the key roles of the C - Suite is to interact with key ____. a. external stakeholders c. union leaders b. managers d. producers ANS: A Feedback A Correct: One of the key roles of the C - Suite is to interact with key external stakeholders. B Incorrect: One of the key roles of the C - Suite is to interact with key external stakeholders. C Incorrect: One of the key roles of the C - Suite is to interact with key external stakeholders.

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    D Incorrect: One of the key roles of the C - Suite is to interact with key external stakeholders. PTS: 1 7. Performance outcomes in health care are classified into three major categories: (1) patient - related, (2) staff - related, and (3) ____. a. community - related c. government - related b. stakeholder - related d. management - related ANS: D Feedback A Incorrect: Performance outcomes in health care are classified into three major categories: (1) patient - related, (2) staff - related, and (3) management related. B Incorrect: Performance outcomes in health care are classified into three major categories: (1) patient - related, (2) staff - related, and (3) management related. C Incorrect: Performance outcomes in health care are classified into three major categories: (1) patient - related, (2) staff - related, and (3) management related. D Correct: Performance outcomes in health care are classified into three major categories: (1) patient - related, (2) staff - related, and (3) management related. PTS: 1 8. The complexity and difficulty of leading health care organizations (HCOs) in a dynamic world has spurred interest in identifying ____. a. avenues of change c. novel health practices b. competencies d. directives ANS: B Feedback A Incorrect: The complexity and difficulty of leading health care organizations (HCOs) in a dynamic world has spurred interest in identifying competencies. B Correct: The complexity and difficulty of leading health care organizations (HCOs) in a dynamic world has spurred interest in identifying competencies. C Incorrect: The complexity and difficulty of leading health care organizations (HCOs) in a dynamic world has spurred interest in identifying competencies. D Incorrect: The complexity and difficulty of leading health care organizations (HCOs) in a dynamic world has spurred interest in identifying competencies. PTS: 1 9. Studies have identified two types of support that those in leadership roles must provide for successful change: instrumental and ____ support. a. industrial c. interpersonal b. proactive d. unconventional ANS: C Feedback A Incorrect: Studies have identified two types of support that those in leadership roles must provide for successful change: instrumental and interpersonal support. B Incorrect: 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. C Correct: Studies have identified two types of support that those in leadership roles must provide for successful change: instrumental and interpersonal support. D Incorrect: Studies have identified two types of support that those in leadership roles must provide for successful change: instrumental and interpersonal support. PTS: 1 10. Processing the stress related to leadership action is recommended as a routine approach to self - ____ in leadership positions. a. fulfillment c. destruction b. care d. motivation ANS: B Feedback A Incorrect: Processing the stress related to leadership action is recommended as a routine approach to self - care in leadership positions. B Correct: Processing the stress related to leadership action is recommended as a routine approach to self - care in leadership positions. C Incorrect: Processing the stress related to leadership action is recommended as a routine approach to self - care in leadership positions. D Incorrect: Processing the stress related to leadership action is recommended as a routine approach to self - care in leadership positions. PTS: 1 COMPLETION 1. Leadership can be defined as the process in which one engages others to set and achieve a common ____________________. ANS: goal PTS: 1 2. ____________________ examine how those in leadership roles are influenced by their surrounding environment and the subsequent performance within specific contexts. ANS: Contingency theories PTS: 1 3. Theoretically, transformational leadership is contrasted to ____________________. ANS: transactional leadership PTS: 1 4. ____________________ is an approach to integrating the strategic function of leadership involving goal and objective setting with the subsequent organizational action required to achieve the set objectives.

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    ANS: Strategic problem solving PTS: 1 5. In order to design strategies, a(n) ____________________ can help identify the causal factors associated with the problem. ANS: root cause analysis PTS: 1 6. Illustrative evaluative criteria are the degree to which the strategy under consideration is 1) effective to addressing the problem, 2) cost - effective, 3) consistent with the organizational overall strategy, 4) timely in effect, or 5)____________________. ANS: politically feasible PTS: 1 7. Indicators, sometimes termed metrics, are the items measured to determine ____________________. ANS: performance PTS: 1 8. ____________________ 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 the organization to succeed.” ANS: Followership PTS: 1 9. Research suggests that health care leaders as a group rely more on ___________________ styles. ANS: task - oriented PTS: 1 10. Transformational leadership is effective because it changes the attitudes, values and behaviors of staff in ways that align with ____________________ goals. ANS: organizational PTS: 1 MATCHING Match each item with a statement below: a. administrative leadership b. middle managers c. people - oriented leadership d. front - line managers

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    e. succession planning f. transactional leadership g. values h. goals i. leadership j. organizational culture 1. Deepest level of basic and shared assumptions and beliefs 2. Incorporates interdisciplinary teamwork, collaboration, role clarity and innovation 3. Allows smooth transitions and keeps the costs of transitions low 4. Referred to as “linking pins” 5. Instrumental and interpersonal support provided by those who hold senior positions in the organization 6. Provide supervision directly to care providers 7. Process in which one engages others to set and achieve a common goal, often an organizationally defined goal 8. What ought to be found in an organization, distinct from what does exist 9. Relies on direct appeals for performance through explicit reward structures 10. Large aspirations of the organization 1. ANS: J PTS: 1 2. ANS: C PTS: 1 3. ANS: E PTS: 1 4. ANS: B PTS: 1 5. ANS: A PTS: 1 6. ANS: D PTS: 1 7. ANS: I PTS: 1 8. ANS: G PTS: 1 9. ANS: F PTS: 1 10. ANS: H PTS: 1

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    CHAPTER 3: Organization Design and Coordination MULTIPLE CHOICE 1. ____ refers to the needed differences in both structure and employee orientations among different organization units. a. Divergence c. Distinction b. Differentiation d. Dichotomy ANS: B Feedback A Incorrect: Differentiation refers to the needed differences in both structure and employee orientations among different organization units. B Correct: Differentiation refers to the needed differences in both structure and employee orientations among different organization units. C Incorrect: Differentiation refers to the needed differences in both structure and employee orientations among different organization units. D Incorrect: Differentiation refers to the needed differences in both structure and employee orientations among different organization units. PTS: 1 2. Three types of interdependence include ____. a. pooled, standard, and reasonable c. patterened, sequential, and reciprocal b. patterned, standard and reasonable d. pooled, sequential, and reciprocal ANS: D Feedback A Incorrect: Three types of interdependence include pooled, sequential, and reciprocal. B Incorrect: Three types of interdependence include pooled, sequential, and reciprocal. C Incorrect: Three types of interdependence include pooled, sequential, and reciprocal. D Correct: Three types of interdependence include pooled, sequential, and reciprocal. PTS: 1 3. In ____ structure, segmentation is based on specialty departments. a. functional c. aggregate b. productive d. program ANS: A Feedback A Correct: In functional structure, segmentation is based on specialty departments. B Incorrect: In functional structure, segmentation is based on specialty departments. C Incorrect: In functional structure, segmentation is based on specialty departments. D Incorrect: In functional structure, segmentation is based on specialty departments. PTS: 1 4. A(n) ____ is a temporary structure which disbands once program - related problem is addressed. a. program task force c. intermediate department

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    b. monopoly d. mediation force ANS: A Feedback A Correct: A program task force is a temporary structure which disbands once program - related problem is addressed. B Incorrect: A program task force is a temporary structure which disbands once program - related problem is addressed. C Incorrect: A program task force is a temporary structure which disbands once program - related problem is addressed. D Incorrect: A program task force is a temporary structure which disbands once program - related problem is addressed. PTS: 1 5. ____ are programs that are organized around diseases or conditions, patient populations or “technologies.” a. Individualized components c. Service lines b. Tailored services d. Consolidated services ANS: C Feedback A Incorrect: Service lines are programs that are organized around diseases or conditions, patient populations or “technologies.” B Incorrect: Service lines are programs that are organized around diseases or conditions, patient populations or “technologies.” C Correct: Service lines are programs that are organized around diseases or conditions, patient populations or “technologies.” D Incorrect: Service lines are programs that are organized around diseases or conditions, patient populations or “technologies.” PTS: 1 6. The purpose of ____ is to bring people together, while avoiding the negative effects of differences in power of different participants and of limits in perspectives of each department and level in the hierarchy. a. parallel organization c. process evaluation b. informed consent d. external organization ANS: A Feedback A Correct: The purpose of parallel organization is to bring people together, while avoiding the negative effects of differences in power of different participants and of limits in perspectives of each department and level in the hierarchy. B Incorrect: The purpose of parallel organization is to bring people together, while avoiding the negative effects of differences in power of different participants and of limits in perspectives of each department and level in the hierarchy. C Incorrect: The purpose of parallel organization is to bring people together, while avoiding the negative effects of differences in power of different participants and of limits in perspectives of each department and level in the hierarchy. D Incorrect: 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 of limits in perspectives of each department and level in the hierarchy. PTS: 1 7. ____ organizational structures maintain their traditional functional structures and create program structures for just one or two programs. a. Divergent c. Duplicate b. Decentralized d. Hybrid ANS: D Feedback A Incorrect: Hybrid organizational structures maintain their traditional functional structures and create program structures for just one or two programs. B Incorrect: Hybrid organizational structures maintain their traditional functional structures and create program structures for just one or two programs. C Incorrect: Hybrid organizational structures maintain their traditional functional structures and create program structures for just one or two programs. D Correct: Hybrid organizational structures maintain their traditional functional structures and create program structures for just one or two programs. PTS: 1 8. ____ is the specification of the training required to perform work. a. Standardization of work c. Standardization of compliance b. Standardization of skills d. Standardization of competence ANS: B Feedback A Incorrect: Standardization of skills is the specification of the training required to perform work. B Correct: Standardization of skills is the specification of the training required to perform work. C Incorrect: Standardization of skills is the specification of the training required to perform work. D Incorrect: Standardization of skills is the specification of the training required to perform work. PTS: 1 9. ____ is the exchange of information ab out work performance between two people who are not in a hierarchical relationship. a. Consensual agreement c. Shared objectives b. Mutual adjustment d. Alienated forces ANS: B Feedback A Incorrect: Mutual adjustment is the exchange of information about work performance between two people who are not in a hierarchical relationship. B Correct: Mutual adjustment is the exchange of information about work performance between two people who are not in a hierarchical relationship.

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