D545 Healthcare Administration Evolution, Systems, and Leadership - Set 4 - Part 1

Correct Answer: Group purchasing organization

GPOs leverage collective volume for better pricing and standardization while maintaining quality through evidence-based product selection committees effectively.
Option a is incorrect because eliminating physician input may compromise clinical quality and generate resistance to necessary supply standardization efforts attempted.
Option c is incorrect because individual contracts perpetuate cost variations and forfeit volume discounts available through consolidated purchasing power leverage.
Option d is incorrect because random selection ignores both cost and quality considerations essential for effective supply chain management in healthcare.

Correct Answer: Advanced access implementation

Advanced access reduces appointment backlogs by offering same-day availability, matching supply with demand rather than creating artificial scheduling delays.
Option a is incorrect because longer appointments reduce available slots, worsening backlogs rather than improving patient access to care needed timely.
Option c is incorrect because reducing schedules decreases capacity when the problem involves scheduling methodology rather than provider availability issues fundamentally.
Option d is incorrect because eliminating walk-ins removes access options rather than solving the underlying appointment backlog problem identified organizationally.

Correct Answer: Registry reporting systems

Registry systems track quality metrics required for shared savings programs, enabling performance monitoring and improvement necessary for financial success.
Option a is incorrect because marketing analytics support promotional efforts rather than clinical quality measurement required for shared savings program participation.
Option c is incorrect because social media monitoring manages reputation rather than tracking clinical quality metrics determining shared savings earned.
Option d is incorrect because website analytics measure digital engagement rather than clinical performance metrics required for program success achievement.

Correct Answer: Length of stay reduction

Length of stay directly reflects whether split-flow improves patient throughput by appropriately streaming cases through different care pathways efficiently.
Option a is incorrect because parking turnover relates to facility utilization rather than clinical flow effectiveness within the emergency department specifically.
Option c is incorrect because food service revenue operates independently from clinical flow models implemented in emergency department operations fundamentally.
Option d is incorrect because auxiliary retail services don't measure clinical operational effectiveness of patient flow process improvements implemented systematically.

Correct Answer: Workflow redesign planning

Workflow redesign ensures EHR implementation enhances rather than disrupts clinical processes, determining whether technology improves or hinders care delivery.
Option a is incorrect because technical specifications like temperature are manageable details rather than critical success factors for EHR adoption.
Option c is incorrect because aesthetic choices don't affect the fundamental workflow and adoption challenges of electronic health record implementation.
Option d is incorrect because parking capacity doesn't relate to the clinical workflow transformation required for successful EHR implementation organizationally.

Correct Answer: Post-acute care coordination

Post-acute coordination across settings determines bundle success since readmissions and rehabilitation costs significantly impact total episode spending ultimately achieved.
Option a is incorrect because preoperative assessment, while important, represents smaller cost impact than post-acute care in joint replacement bundles.
Option c is incorrect because operating room efficiency matters but post-acute care drives greater variation in bundled payment episode costs.
Option d is incorrect because food service doesn't significantly impact clinical or financial outcomes in bundled payment programs for joint replacements.

Correct Answer: Loan forgiveness programs

Loan forgiveness addresses the financial burden that deters physicians from rural practice while creating commitment to underserved community service.
Option a is incorrect because salary alone rarely overcomes lifestyle and professional isolation concerns deterring physicians from rural practice locations.
Option c is incorrect because urban advertising reaches physicians unlikely to consider rural practice regardless of recruitment message effectiveness attempted.
Option d is incorrect because recruitment firms cannot overcome fundamental geographic and lifestyle barriers without additional incentives like loan forgiveness.

Correct Answer: Improvement outcome visibility

Visible outcomes demonstrate impact and value of staff efforts, intrinsically motivating continued participation in quality improvement initiatives over time.
Option a is incorrect because mandates create compliance without genuine engagement needed for innovative problem-solving in quality improvement efforts sustained.
Option c is incorrect because penalties generate fear rather than the psychological safety needed for honest problem identification and improvement.
Option d is incorrect because random selection doesn't build the team cohesion and commitment needed for sustained improvement effort success.

Correct Answer: Productivity-based losses

Employed physicians may reduce productivity without volume-based incentives, creating financial losses when salaries exceed generated revenue consistently over time.
Option a is incorrect because malpractice costs transfer but don't necessarily increase with employment versus independent contractor relationships maintained organizationally overall.
Option c is incorrect because equipment costs exist regardless of employment model and don't specifically increase with physician employment arrangements.
Option d is incorrect because utility costs relate to facility operations rather than physician employment model financial risks specifically identified here.

Correct Answer: Reliability design incorporation

Standing orders build reliability into care delivery by systematizing preventive services rather than depending on individual provider memory.
Option a is incorrect because standing orders add steps rather than eliminating waste, though they improve care quality through systematic delivery.
Option c is incorrect because standing orders may actually increase appropriate variation based on patient-specific factors rather than reducing it.
Option d is incorrect because standing orders address care processes rather than supply inventory management in clinical practice settings fundamentally.

Correct Answer: Specialty service access

Academic partnerships provide community hospitals access to specialized expertise and services otherwise unavailable locally for complex patient care.
Option a is incorrect because parking arrangements represent minor operational considerations rather than strategic advantages justifying academic affiliations pursued organizationally.
Option c is incorrect because food service variety doesn't drive strategic partnership decisions between community hospitals and academic medical centers.
Option d is incorrect because retail operations don't factor into strategic clinical affiliations between healthcare organizations seeking academic partnerships fundamentally.

Correct Answer: Chronic disease management

Complex chronic disease management requires continuity and expertise that retail clinics cannot match, creating sustainable competitive differentiation for practices.
Option b is incorrect because parking perks don't address the clinical value differentiation needed to compete with convenient retail clinic access.
Option c is incorrect because waiting room amenities don't overcome the convenience advantage retail clinics offer for minor acute care needs.
Option d is incorrect because refreshments don't provide the clinical differentiation needed to justify traditional primary care over retail alternatives.

Correct Answer: Meal service delivery

Person-directed care requires flexible meal timing based on resident preferences rather than institutional schedules, fundamentally changing dietary operations completely.
Option a is incorrect because visitor procedures can accommodate person-directed care without fundamental redesign of security and access systems implemented.
Option c is incorrect because maintenance operations can adjust to resident preferences without complete system redesign like dietary services require fundamentally.
Option d is incorrect because supply delivery timing affects operations minimally compared to the dietary service transformation person-directed care demands organizationally.

Correct Answer: Change management insufficient

Insufficient change management causes user resistance and workflow disruption, leading to implementation failure despite adequate technical systems being deployed.
Option a is incorrect because hardware issues are technically solvable while human change management represents the critical failure point typically encountered.
Option c is incorrect because aesthetic choices like colors don't determine success or failure of complex enterprise system implementations attempted organizationally.
Option d is incorrect because typography preferences represent minor customization rather than critical success factors for ERP implementation projects undertaken.

Correct Answer: Grant funding pursuit

Grant funding specifically supports safety-net missions, providing sustainable revenue for serving uninsured populations that cannot pay for services.
Option a is incorrect because luxury services contradict the mission and are inaccessible to uninsured populations community health centers serve primarily.
Option c is incorrect because cash-only models exclude the uninsured patients that represent the community health center's core mission fundamentally.
Option d is incorrect because restricting insurance would reduce revenue rather than diversifying funding sources for financial sustainability achievement needed.

Correct Answer: Communication pattern changes

Scribes alter physician-patient communication dynamics as providers may address scribes rather than maintaining direct patient eye contact during encounters.
Option a is incorrect because scribe staffing marginally affects parking compared to overall hospital employment and patient volume factors considered together.
Option c is incorrect because additional scribes don't significantly impact food service utilization compared to total hospital workforce and visitor populations.
Option d is incorrect because scribe movement patterns don't materially affect vertical transportation systems in healthcare facilities operating normally throughout.

Correct Answer: Test ordering increases

Satisfaction-based pay may incentivize physicians to order tests patients request rather than clinically indicated studies, increasing utilization unnecessarily sometimes.
Option a is incorrect because documentation quality relates more to compliance and billing accuracy than patient satisfaction scores affecting physician compensation.
Option c is incorrect because shorter appointments typically decrease satisfaction, making physicians likely to spend more rather than less time with patients.
Option d is incorrect because referral patterns depend on clinical needs and network relationships rather than direct patient satisfaction impact typically measured.

Correct Answer: Chest pain evaluation

Chest pain requires extended monitoring to rule out cardiac events, making observation units ideal for this diagnostic evaluation process.
Option a is incorrect because surgical candidates need definitive admission decisions rather than observation status for preoperative preparation and scheduling coordination.
Option c is incorrect because rehabilitation requires inpatient or outpatient therapy programs rather than short-term observation unit stays for evaluation.
Option d is incorrect because hospice represents end-of-life care rather than the acute evaluation purpose of observation unit services provided.

Correct Answer: Healthcare cost reduction

Healthcare cost reduction directly measures financial return through decreased claims, absenteeism, and productivity loss from preventable conditions addressed effectively.
Option a is incorrect because participation shows engagement but doesn't demonstrate whether wellness programs actually improve health or reduce costs measurably.
Option c is incorrect because satisfaction indicates employee appreciation but doesn't prove financial return on wellness program investments made organizationally.
Option d is incorrect because attendance tracks activity but not the health improvements and cost savings that demonstrate actual return on investment.

Correct Answer: Staff hiring decisions

IPAs maintain practice autonomy for internal operations like staffing while collectively managing payer contracts and quality reporting requirements together.
Option a is incorrect because IPA membership specifically involves collective contract negotiation as the primary benefit of association participation for practices.
Option b is incorrect because IPAs typically coordinate quality reporting to meet payer requirements efficiently across all member practices participating collectively.
Option d is incorrect because fee schedules are negotiated collectively through the IPA rather than determined by individual practices independently anymore.