D545 Healthcare Administration Evolution, Systems, and Leadership - Set 3 - Part 1

Correct Answer: Peer review committees

Peer review engages physicians in quality improvement through professional accountability rather than administrative mandates, balancing standardization with autonomy.
Option a is incorrect because punitive threats create defensive medicine practices rather than genuine quality improvement through collaborative physician engagement efforts.
Option c is incorrect because public posting may shame providers rather than fostering the collaborative improvement culture needed for sustainable change.
Option d is incorrect because immediate mandates generate resistance from physicians who value professional autonomy in clinical decision-making processes significantly.

Correct Answer: Accountability for profitability

Service-line management creates profit-and-loss responsibility for integrated clinical services, improving financial accountability and operational decision-making effectiveness.
Option a is incorrect because service-line management may actually increase meetings needed for cross-functional coordination rather than reducing meeting frequency.
Option c is incorrect because service-line structures often create matrix reporting relationships that are more complex than department-based structures.
Option d is incorrect because service-line management typically adds management roles rather than decreasing layers in the organizational hierarchy overall.

Correct Answer: Resident choice emphasis

Resident choice in daily routines, meals, and activities fundamentally shifts from institutional schedules to person-centered care delivery models.
Option a is incorrect because visiting hours relate to family access rather than the fundamental shift to resident-directed care approaches needed.
Option c is incorrect because staffing ratios alone don't change institutional approaches without philosophical shifts toward person-centered care delivery methods.
Option d is incorrect because technology supports operations but doesn't fundamentally change the institutional versus homelike care delivery philosophy employed.

Correct Answer: Actuarial analysis capability

Actuarial analysis predicts costs and utilization patterns, enabling appropriate risk management and contract negotiation under risk-based payment models.
Option a is incorrect because marketing attracts patients but doesn't help manage the financial risk transferred from insurers to providers effectively.
Option c is incorrect because construction expertise relates to capital projects rather than managing insurance risk under payment reform models.
Option d is incorrect because recruitment efficiency supports operations but doesn't directly address financial risk management capabilities needed urgently.

Correct Answer: Care coordination requirements

Bundled payments require coordinating across providers and settings throughout episodes, challenging traditional fragmented healthcare delivery systems significantly.
Option a is incorrect because insurance verification remains similar under bundled payments, just confirming coverage for episode rather than individual services.
Option c is incorrect because parking adequacy doesn't affect the clinical and financial integration required for bundled payment program success.
Option d is incorrect because auxiliary services like gift shops operate independently from clinical bundled payment program requirements and challenges.

Correct Answer: Observation unit utilization

Observation units provide appropriate care settings for patients needing extended evaluation, freeing emergency beds for acute cases effectively.
Option a is incorrect because ambulance diversion shifts problems to other facilities rather than solving emergency department capacity issues systematically.
Option c is incorrect because eliminating registration creates billing and legal problems without actually improving patient flow through the department.
Option d is incorrect because relaxing triage criteria compromises patient safety by potentially missing serious conditions requiring immediate attention urgently.

Correct Answer: Dyad leadership models

Dyad models pair administrative and physician leaders, bridging cultures through shared governance that respects both perspectives equally.
Option a is incorrect because immediate compensation changes may worsen cultural tensions rather than building trust needed for integration success.
Option c is incorrect because emphasizing productivity metrics reinforces volume-based physician culture rather than fostering integrated system thinking required overall.
Option d is incorrect because structural consolidation without cultural integration creates compliance without commitment to unified organizational goals ultimately sought.

Correct Answer: Patient engagement strategies

Patient engagement determines whether individuals consistently use monitoring devices and respond to alerts, driving clinical outcome improvements achieved.
Option a is incorrect because device aesthetics have minimal impact on clinical outcomes compared to engagement strategies ensuring consistent usage patterns.
Option c is incorrect because vendor branding doesn't affect patient participation or clinical effectiveness of remote monitoring programs implemented successfully.
Option d is incorrect because packaging design may affect initial impressions but doesn't determine ongoing engagement and program success ultimately.

Correct Answer: Setup time reduction

Setup reduction systematically minimizes changeover time between value-adding activities, directly improving operating room turnover efficiency between surgical cases.
Option a is incorrect because inventory management addresses supply availability rather than the time required for room turnover between procedures.
Option c is incorrect because increasing batch sizes contradicts lean principles and doesn't address turnover time between individual cases directly.
Option d is incorrect because storage optimization may support operations but doesn't directly reduce the turnover time between surgical cases.

Correct Answer: Activity-based costing analysis

Activity-based costing identifies true costs of functions across locations, revealing consolidation opportunities for administrative efficiency improvements post-merger effectively.
Option a is incorrect because satisfaction surveys measure patient experience rather than identifying redundant administrative functions requiring consolidation after mergers.
Option c is incorrect because physician preferences relate to clinical supplies rather than administrative function consolidation opportunities identified through analysis.
Option d is incorrect because community assessments evaluate population health needs rather than internal administrative efficiency opportunities following organizational mergers.

Correct Answer: Stop-loss insurance

Stop-loss insurance limits maximum losses from high-cost cases, protecting organizations from catastrophic financial risk under ACO contracts.
Option a is incorrect because depreciation schedules manage asset values rather than protecting against clinical risk in accountable care arrangements.
Option c is incorrect because capital budgets plan equipment purchases rather than managing ongoing clinical financial risk from patient care.
Option d is incorrect because donation tracking manages philanthropic revenue rather than protecting against downside risk in risk-bearing contracts.

Correct Answer: Staff training universally

Universal staff training ensures all interactions reflect trauma-informed principles, creating consistent therapeutic environments supporting patient recovery effectively throughout.
Option a is incorrect because security cameras may increase surveillance anxiety contrary to trauma-informed principles of safety and trust building.
Option c is incorrect because medication protocols address symptoms rather than the comprehensive environmental changes trauma-informed care requires organizationally.
Option d is incorrect because restricting visits may isolate patients from support systems important for trauma recovery and healing processes.

Correct Answer: Cost-quality value communication

Communicating value through quality outcomes justifies prices better than pure cost competition, maintaining margins while meeting transparency expectations effectively.
Option a is incorrect because posted prices without context confuse consumers and may drive purely price-based decisions ignoring quality differences.
Option c is incorrect because matching competitors engages in price wars that erode margins without differentiating based on value provided.
Option d is incorrect because discount programs reduce revenue without necessarily communicating the value that justifies healthcare pricing to consumers.

Correct Answer: Interest-based problem solving

Interest-based approaches address underlying concerns collaboratively, building trust whether unionization proceeds or not, maintaining productive workforce relationships continuously.
Option a is incorrect because avoidance consultants may create adversarial relationships rather than addressing legitimate employee concerns requiring management attention immediately.
Option c is incorrect because threats damage trust and may violate labor laws while failing to address concerns driving organizing efforts.
Option d is incorrect because mandatory meetings may be perceived as coercive rather than genuinely addressing employee concerns about workplace conditions.

Correct Answer: Specificity threshold adjustment

Adjusting thresholds reduces low-value alerts while maintaining critical warnings, combating fatigue while preserving patient safety effectively throughout workflows.
Option a is incorrect because increasing alerts worsens fatigue, causing providers to ignore potentially important warnings about patient safety issues.
Option c is incorrect because visual changes don't address the fundamental problem of too many irrelevant alerts causing fatigue and dismissal.
Option d is incorrect because adding sounds may increase annoyance rather than improving alert relevance and provider response rates effectively.

Correct Answer: Claims processing infrastructure

Claims processing capabilities handle billing, adjudication, and payment functions traditionally performed by insurers in direct employer contracting arrangements.
Option a is incorrect because advertising alone doesn't provide the operational infrastructure needed to manage direct employer healthcare contracting relationships effectively.
Option c is incorrect because retail locations may improve access but don't address administrative requirements of direct employer contracting models.
Option d is incorrect because celebrity endorsements don't provide the operational capabilities required for managing direct employer healthcare contracts successfully.

Correct Answer: Fall rate trending

Fall rate trends directly measure whether hourly rounding achieves its intended safety outcome of reducing patient fall incidents.
Option a is incorrect because staff satisfaction may improve with structured rounding but doesn't measure the fall prevention effectiveness directly.
Option c is incorrect because budget analysis examines costs rather than clinical effectiveness of fall prevention through hourly rounding interventions.
Option d is incorrect because market share reflects competitive position rather than safety intervention effectiveness in preventing patient falls specifically.

Correct Answer: Waiting time delays

Waiting represents the most prevalent waste in healthcare, with patients waiting for providers, results, and procedures throughout care delivery.
Option b is incorrect because medication expiration is important but represents smaller waste compared to systemic waiting throughout healthcare processes daily.
Option c is incorrect because utility consumption affects costs but doesn't represent the process waste lean management primarily targets operationally.
Option d is incorrect because marketing materials are business expenses rather than waste within care delivery processes lean addresses directly.

Correct Answer: Midwifery clinic establishment

Midwifery clinics provide prenatal care locally with planned deliveries elsewhere, maintaining essential access while managing financial sustainability effectively.
Option a is incorrect because complete elimination abandons pregnant women without ensuring alternative access to essential prenatal care services needed.
Option c is incorrect because emergency-only services don't provide prenatal care and create dangerous situations for planned deliveries without preparation.
Option d is incorrect because helicopter transport addresses emergencies but doesn't provide routine prenatal care access communities require for healthy pregnancies.

Correct Answer: Specialized efficiency focus

ASCs excel through specialized focus enabling efficient operations, shorter wait times, and lower costs than hospital departments typically achieve.
Option a is incorrect because hospitals have superior emergency backup, making this a competitive disadvantage for freestanding ambulatory surgery centers.
Option c is incorrect because ASCs lack inpatient beds, which represents a limitation rather than competitive advantage over hospitals operationally.
Option d is incorrect because hospitals offer more comprehensive services while ASCs succeed through focused specialization rather than service breadth.