D545 Healthcare Administration Evolution, Systems, and Leadership - Set 1 - Part 1

Correct Answer: Competing Values Framework

The Competing Values Framework examines both human relations and rational goal quadrants, perfectly balancing employee needs with organizational efficiency during complex transitions.
Option a is incorrect because SWOT analysis focuses on strengths and weaknesses but lacks the specific framework for balancing human and operational factors simultaneously.
Option c is incorrect because PEST analysis examines external political, economic, social, and technological factors, not internal organizational dynamics during mergers.
Option d is incorrect because situational analysis provides context for decisions but doesn't offer the structured approach to balance competing priorities effectively.

Correct Answer: Failure Mode Effects Analysis

FMEA proactively identifies potential failure points in processes before they cause harm, making it ideal for preventing medication errors systematically.
Option a is incorrect because balanced scorecards measure performance across multiple dimensions but don't specifically identify potential failure points in processes.
Option b is incorrect because dashboard monitoring tracks current performance metrics but doesn't proactively identify where future failures might occur.
Option d is incorrect because rapid cycle improvement tests changes quickly but requires problems to occur first before implementing solutions.

Correct Answer: Transformational leadership style

Transformational leadership inspires staff toward shared vision while managing difficult changes, balancing organizational needs with employee engagement effectively.
Option a is incorrect because pure autocratic leadership would damage morale further when implementing unpopular measures without staff input or inspiration.
Option b is incorrect because laissez-faire approach lacks the direction needed to implement necessary cost reductions in healthcare organizations effectively.
Option d is incorrect because strict transactional management focuses only on rewards and punishments without inspiring staff through difficult organizational changes.

Correct Answer: Value based payment model

Value based payment directly rewards quality outcomes like reduced readmissions rather than service volume, aligning financial incentives with care goals.
Option a is incorrect because fee for service incentivizes volume of services rather than quality outcomes, potentially increasing unnecessary readmissions.
Option c is incorrect because discounted fee structures simply reduce costs per service without addressing quality metrics or readmission prevention.
Option d is incorrect because pure salary compensation doesn't directly tie provider payment to quality outcomes like readmission rate improvements.

Correct Answer: Functional strategy level

Functional strategy addresses specific departmental capabilities like IT infrastructure, directly supporting technology implementation for telemedicine service delivery.
Option a is incorrect because corporate strategy sets overall direction but doesn't address specific technical infrastructure needs for implementation.
Option c is incorrect because business strategy focuses on competitive positioning rather than specific operational capabilities like technical infrastructure.
Option d is incorrect because mission statements define organizational purpose but don't address tactical implementation requirements for new services.

Correct Answer: Team building initiatives

The Human Relations Model emphasizes employee relationships and engagement through team cohesion rather than just compensation or control mechanisms.
Option a is incorrect because stricter performance metrics align with rational goal models focusing on efficiency rather than human relations.
Option b is incorrect because enhanced documentation serves internal process models for stability but doesn't address employee engagement directly.
Option d is incorrect because compliance training addresses regulatory requirements but doesn't improve the interpersonal dynamics affecting employee engagement.

Correct Answer: Controlling access permissions

Controlling function ensures HIPAA compliance through proper access management while monitoring EHR implementation to protect patient privacy effectively.
Option a is incorrect because vendor negotiation occurs before implementation and doesn't directly ensure ongoing HIPAA compliance during system use.
Option b is incorrect because organizing teams structures the implementation but doesn't specifically address privacy protection requirements under HIPAA.
Option c is incorrect because facilitating acceptance helps adoption but doesn't ensure the technical controls required for HIPAA privacy compliance.

Correct Answer: Population health management

Population health management addresses social determinants and cultural factors systematically, reducing disparities through targeted community-based interventions.
Option a is incorrect because standardized protocols may not account for cultural differences and varying health literacy levels among diverse populations.
Option c is incorrect because individual focus alone doesn't address systemic disparities and social determinants affecting entire population groups.
Option d is incorrect because technology solutions may worsen disparities if populations lack digital literacy or access to required devices.

Correct Answer: Expert power guidance

Expert power leverages specialized knowledge about patient safety protocols and investigation procedures, ensuring appropriate evidence-based incident response.
Option a is incorrect because coercive power through threats or punishment could discourage honest reporting and compromise patient safety culture.
Option b is incorrect because reward incentives might appear inappropriate when addressing serious safety incidents requiring objective investigation.
Option d is incorrect because referent power based on personal charisma doesn't ensure the technical expertise needed for proper incident investigation.

Correct Answer: Matrix organizational design

Matrix structures enable cross-functional coordination between facilities and departments, reducing redundancy while maintaining specialized expertise for integrated care.
Option a is incorrect because functional silos create barriers between departments, preventing the coordination needed to reduce redundant testing.
Option c is incorrect because traditional hierarchies emphasize vertical reporting rather than horizontal coordination needed for integrated care delivery.
Option d is incorrect because independent operations lack the structural connections required for coordinating care and sharing information effectively.

Correct Answer: SWOT comprehensive analysis

SWOT analysis examines internal strengths and weaknesses alongside external opportunities and threats, providing comprehensive strategic insight for sustainability.
Option a is incorrect because internal audits examine only internal processes without considering external market threats and opportunities for competitive positioning.
Option c is incorrect because employee surveys provide valuable input but don't address external reimbursement challenges or competitive market factors.
Option d is incorrect because financial ratios show current performance but don't identify strategic opportunities or threats in the healthcare environment.

Correct Answer: Test modified interventions

Rapid cycle improvement requires quick testing of modified approaches based on initial results, enabling continuous refinement of interventions.
Option a is incorrect because abandoning protocols without testing modifications wastes initial learning and doesn't follow rapid cycle improvement principles.
Option c is incorrect because increasing training assumes the protocol is correct when rapid cycle methodology suggests testing protocol modifications first.
Option d is incorrect because purchasing equipment represents major investment before determining if simple protocol modifications might achieve desired results.

Correct Answer: Proactive quality improvement

Proactive improvement addresses quality issues before public reporting, maintaining reputation while exceeding minimum compliance requirements for better outcomes.
Option a is incorrect because minimal compliance may result in poor public metrics that damage reputation and competitive position significantly.
Option c is incorrect because defensive documentation focuses on liability protection rather than actual quality improvements visible in public metrics.
Option d is incorrect because marketing cannot compensate for poor quality metrics when data is publicly reported and easily accessible.

Correct Answer: Internal Process Model

Internal Process Model emphasizes systematic protocols and documented procedures for consistent, ethical resource allocation during crisis situations.
Option a is incorrect because pure financial analysis ignores ethical obligations and medical priorities required during public health emergencies.
Option b is incorrect because first come first served doesn't account for medical urgency or public health priorities during outbreak response.
Option d is incorrect because situational leadership addresses team management rather than systematic frameworks for ethical resource allocation decisions.

Correct Answer: Preventive care emphasis

Capitation payment rewards keeping populations healthy through prevention rather than treating illness, making preventive care financially essential.
Option a is incorrect because increasing service volume under capitation increases costs without additional revenue, threatening financial viability significantly.
Option c is incorrect because increased specialist referrals raise costs under capitation without generating additional payment from the fixed model.
Option d is incorrect because technology investment alone doesn't address the fundamental need to keep covered populations healthy under capitation.

Correct Answer: Queuing theory analysis

Queuing theory mathematically analyzes patient flow patterns and service times, identifying specific bottlenecks causing delays despite adequate staffing.
Option a is incorrect because performance reviews evaluate individual staff rather than systemic process issues causing emergency department delays.
Option b is incorrect because satisfaction scores reflect patient experience but don't identify specific operational bottlenecks in care processes.
Option d is incorrect because budget reports show financial performance but don't analyze patient flow or identify process bottlenecks.

Correct Answer: False Claims Act

The False Claims Act imposes severe penalties for fraudulent billing, making immediate correction and disclosure essential for minimizing liability.
Option a is incorrect because HIPAA primarily addresses patient privacy and security rather than billing fraud and false claims issues.
Option c is incorrect because the Social Security Act created Medicare but doesn't specifically address penalties for fraudulent billing practices.
Option d is incorrect because the Affordable Care Act expanded coverage but the False Claims Act specifically addresses billing fraud penalties.

Correct Answer: Open Systems Model

Open Systems Model examines how different inputs including human and technical resources interact to produce organizational outputs effectively.
Option a is incorrect because Path Goal Theory focuses on leadership motivation techniques rather than resource allocation between competing priorities.
Option c is incorrect because contingency planning prepares for unexpected events rather than evaluating tradeoffs between different resource investments.
Option d is incorrect because Fiedler's model matches leadership style to situations but doesn't evaluate resource allocation decisions.

Correct Answer: Cultural competency gaps

Standardized protocols may not address diverse cultural beliefs and practices across different communities, creating care delivery gaps.
Option a is incorrect because training costs are predictable implementation expenses rather than fundamental challenges to standardized protocol effectiveness.
Option b is incorrect because technology compatibility is a technical issue that can be resolved through system integration and planning.
Option d is incorrect because standardized protocols typically improve regulatory compliance through consistent documentation and procedures across facilities.

Correct Answer: Balanced scorecard approach

Balanced scorecards integrate financial, quality, operational, and innovation metrics, providing comprehensive performance measurement for shared savings programs.
Option a is incorrect because traditional accounting focuses on financial metrics without incorporating quality measures required for shared savings.
Option c is incorrect because clinical dashboards track quality but may not integrate financial performance needed for shared savings evaluation.
Option d is incorrect because satisfaction surveys measure patient experience but don't capture cost efficiency or clinical quality comprehensively.