ACHE BOG 2024 EXAM |PRACTICE EXAM QUESTIONS TEST BANK AND STUDY GUIDE | ACCURATE AND VE, Exams of Medicine

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ACHE BOG 2024 EXAM |PRACTICE EXAM

QUESTIONS TEST BANK AND STUDY GUIDE |

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According to the Code of Ethics, one way executives can avoid or minimize negative implications of conflict of interest is: a) develop a PR plan to address conflict of interest scenarios b) not participate in specific decisions where conflict may exist c) ensure members submit annual holdings for inspection d) make the conflict known to those in superior positions - ANSWER>>D The principles of quality improvement require that executives change their management philosophy from: A) finding fault with employees to finding problems with processes B) finding fault with employees to involving them in the improvement of processes C) focusing on enhancing inspection techniques to focusing on variance D) focusing on employee's roles to focusing on process outcomes - ANSWER>>A What type of problem arises when an executive knowingly allows organization to continue in double billing A) an ethical issues but may not be grounds for dismissal is policy is unclear B) an actual conflict of interest even absent a direct economic benefit to executive C) an ethical problem for the employee if the executive receives direct economic benefit

D) an ethical problem if it clearly violates state of federal law - ANSWER>>B Which of the following is a unit of measure commonly used to determine physicians' clinical productivity A) RVU B) CMS C) IPO D) CPU - ANSWER>>A Which of the following 3rd party reimbursement methods provides the largest incentive for the provider to reduce costs A) charge-based B) cost-based C) prospective payment D) per diem - ANSWER>>C Statements of earnings, financial positions, changes in financial position and retained earnings are required to be submitted yearly by all A) publicly owned HCOs B) privately owned HCOs C) government owned HCOs D) faith-based owned HCOs - ANSWER>>A Which of the following is an example of a capital expenditure A) land purchased for resale B) surgical equipment with a useful life of 6mo C) a building with a useful life os 20 yrs D) medical supplies used in patient care - ANSWER>>C

What is the correct order of stages of accomplishing org change A) identifying, planning, implementing, evaluating B) planning, identifying, evaluating, implementation C) evaluation, planning, implementation, identifying D) planning, evaluating, identifying, implementation - ANSWER>>A Boards make better decisions if they use information that is A) readily available on their website B) generated from computer studies of departmental activity reports C) summarized in graphs D) focused on measurable outcomes of service quality and economic vitality - ANSWER>>D The central role of the HCO board includes all of the following except A) setting the strategic plan and service values of the organization B) support for assessing changing market needs C) support in managing important service programs or departments D) assuring the recruitment, hiring, support and reward of the CEO - ANSWER>>C The first role of the governing body is to: A) manage inputs of the HCO to achieve outputs that are its goals B) recruit members who understand the health services field C) set objectives and develop policy to guide the organization in achieving its mission D) develop the operating plan and monitor departmental performance - ANSWER>>C

Internal members of the healthcare organization governing body: A) serve on an ad HCO basis and are rarely voting members B) are kept to a minimum due to confidentiality concerns C) often include the CEO, medical director and CFO D) often include the executive staff in planning and information management - ANSWER>>C In assessing the advantages of using a focus group over a survey to evaluate a program, one could say focus groups : A) are likely to use a larger sample size B) are more useful in designing improvements to a program C) are more precise in designing improvements to a program D) are useful only when maintaining objectivity in NOT important - ANSWER>>B From a marketing point of view, the development of standards, clinical pathways, clinical guidelines, and protocols can all be viewed as efforts to deal with whic unique aspect of service delivery: A) inseparability B) intangibility C) heterogeneity (variation) D) perishability - ANSWER>>C What purpose to market plans fulfill for the HCO A) provide a business plan as a subset of the marketing plan B) present general goals for the organization to attain in 3-5 yrs C) develop promotion methods to be used in obtaining HCO objectives D) provide specific objectives for utilization attainment the next fiscal year -

ANSWER>>D

Five functions of marketing are: A) identifying markets, promoting the HCO, recruiting providers, managing external relationships, patient selection B) identifying markets, health promotion, managing external relationships, patient section, attracting capable workers C) identifying markets, promoting the HCO, managing external relationships, convincing patients to select the HCO, attracting capable workers D) identifying markets, promoting the HCO, managing external relationships, strategic planning, physician recruitment - ANSWER>>C Forecasting need for HR by focusing on specific position openings that are likely to occur and using these for planning is called: A) demand-pull B) supply-push C) succession analysis D) transition matrix - ANSWER>>A A HCO should use which of the following sequential processes to help establish HR objectives and policies A) analyze the current HR situation, forecast demand, reconcile budget, forecast supply B) design recruitment and selection activities, develop a comp plan, establish appraisal systems C) determine best job structure, perform job evaluation, establish training and development plan

D) conduct job analysis, determine best job structure, establish HR information system - ANSWER>>A Probability models that forecast the internal flow of employees from one job category to another us a: A) graphic rating approach B) supply-push approach C) transition matrix D) curriculum path - ANSWER>>C Forecasting the internal supply of employees as they move from their current jobs to other through promotion, lateral moves, and termination is called: A) graphic rating approach B) supply-push C) demand-pull D) rating scale method - ANSWER>>B Which of the following describes the conflict management strategy that would have the most immediate effect on reducing conflict behavior? A) Imposition of formal authority to resolve or suppress conflict B) Implementation of substantial, super-ordinate goals that require cooperation among units C) rotation of members of one unit into another unit D) provision of intergroup training tat requires listing of perceptions and identifying differences - ANSWER>>A Multi-rater assessment (360 degree feedback) of managers in healthcare organizations is best used:

A) in the development of a specific action plan by appraises B) as part of a training or coaching session C) as part of the performance appraisal system of the organization D) when the appraisers are held accountable for their ratings - ANSWER>>A Behaviorally anchored rating scales (BARS) for specific jobs can be: A) used to identify components of job behaviors B) developed in a short period of time C) Used for evaluation but not for the employee development D) subjective on some scale items - ANSWER>>A If the amount of charity care increased from one reporting period to the next, which of the following would occur? A) provision for bad debts would increase B) unrestricted net asset would increase C) unrestricted net assets would neither increase nor decrease D) unrestricted net assets would decrease - ANSWER>>D Which would be a reasonable basis on which to allocate administrative overhead costs? A) Salaries B) Amount of supplies needed C) Hours worked D) Square footage - ANSWER>>B The effective costs of debt is roughly the same for both not-for-profit and investor-owned organizations because: A) both types of organizations can issue tax-exempt debt

B) the interest rate is the same on both tax-exempt and regular debt C) neither type of organization can issue tax-exempt debt D) the tax deductibility of interest for the investor-owned firm offsets the lower coupon rate on tax-exempt debt - ANSWER>>D The master site plan for a HCO A) describes future facility needs (either renovation or new construction) necessary to meet strategic and operational needs B) provides detailed design documents for all construction programs along with specific costs for each project C) must be prepared by an outside planning or architectural firm to ensure sufficient objectivity D) is necessary to ensure that the organization complies with CON and other regulatory requirements - ANSWER>>A Which of the following statements best describes the statistics budget? A) it combines volume and expense rates to forecast costs B) it is a profit forecast for the coming year C) it combines volume and reimbursement data to forecast revenues D) it provides input data for other budgets - ANSWER>>D All areas of healthcare facilities are subject to safety, convenience and other regulatory requirements as dictated by the state life safety codes, JCAHO, OSHA, the State fire marshal etc,. Which area of the facility typically has the highest standards? A) the energy plant B) highly used public areas C) areas under construction

D) patient care areas - ANSWER>>D The best way to reduce/contain the costs of distributing supplies throughout the organization is to: A) purchase the most modern supply distribution system for your organization B) minimize the number of times an item is handled from the time it is received by the organization to the time it is used C) utilize a computerized materials management system that allows the organization to minimize inventory levels D) negotiate a contract with an outside vendor who specializes in supply distribution to provide these services - ANSWER>>B The objective of maintenance and repair services is to keep the facility and its equipment operating like new. this goal is best achieved by emphasizing: A) prevention B) efficiency C) productivity D) safety - ANSWER>>A The facility's plan for a HCO may include plans for renovation and new construction, energy requirements, acquisition of new property, financing options, etc. However, the facility plan begins with an estimate of each service or department's A) operational needs B) parking needs C) staffing needs D) equipment needs - ANSWER>>A

An important management principle that should guide the development of information systems in healthcare organizations is to: A) treat information as an essential organizational resource B) delegate all decisions about information technology to technical specialists C) employ consultants to set priorities for systems to be developed D) always buy the newest system available to avoid technical obsolescence - ANSWER>>A Which of the following is a major priority for system development in the managed care environment? A) development of enterprise-wide computer networks B) development of repositories of computerized patient records C) development of operational inpatient systems D) development of strategic decision support systems - ANSWER>>C which of the following is considered the best source of information to help HCO improve its existing services? A) ongoing patient and internal customer satisfaction surveys B) focus groups to gather information and statistics from non-patients C) telephonic surveys of anyone who may decide to use the HCO D)weekly meetings with staff members to determine the HCOs deficiencies - ANSWER>>D which of the following is an example of an asset A) accounts payable B) accrued employee benefits C) property plant and equipment D) unrealized gain - ANSWER>>C

which statement about short-term debt reduces liquidity A) increased use of short term debt reduces liquidity B) short term debt provides greater certainty about interest costs over time C) the interest rates for short term debt area typically higher than interest rates for long term debt D) an organization that relies on short term debt replaces the need for working capital - ANSWER>>A which of the following is likely to provide useful information for evaluating the profitability of a hospital's managed care business? A) payer mix B) fixed C) contract terms D) changes - ANSWER>>D a master patient index (MPI) can best be described as A) a relational database containing all identification numbers assigned to patients B) a system for converting SS# to medical records #s C) a system for converting MR #s to patient account Numbers D) a longitudinal record for all patient encounters for a fixed period of time - ANSWER>>A A typical use of the internet by HCOs is to A) deliver educational programs to employees B) provide medical staff with electronic access to patient records C) advertise services available to the community

D) communicate financial information to business units of the organization - ANSWER>>C The best way to facilitate information system integration within an HCO is to A) centralize all computer activities B) use computer equipment from only one manufacturer C) use computer software from only one vendor D) standardize data definitions and data structures - ANSWER>>D Which of the following is a developing technology that will help control unauthorized access to computerized information A) optical scanners B) biometric access control devices C) wireless terminals D) high speed modems - ANSWER>>B In negotiating a contract for an information system, healthcare organizations should A) form a negotiating team and utilize legal council B) use the standard contract provided y the vendor C) employ a consultant from among a list provided by the vendor D) use a cost plus contract to maximize flexibility in system design - ANSWER>>A Which of the following is the most important factor to consider in evaluating vendor software packages? A) size of the vendors marketing staff B) ability of the software to interface with existing systems

C) programming language used to write the software D) geographic location of the vendors corporate headquarters - ANSWER>>B The CIO for a HCO is typically responsible for which of the following functions A) Information Systems and finance B) medical records and patients registration C) telecommunications and PR D) Information systems and telecommunications - ANSWER>>D In selecting an Information system a consultant can be best used to A) chair the selection committee B) provide technical information and outside perspectives C) make the final selection decision D) handle all communication and prospective vendors - ANSWER>>B The IT steering committee for an HCO should perform which of the following duties A) IT planning, selection of software, and development of related organization policies B) selection and supervision of key IT personnel C) negotiations of contracts with vendors D) design and development of the IT systems software - ANSWER>>A All of the following are primary functions of the IT department except A) ensuring the integrity,quality and security of data B) archiving and retrieving data C) training and supporting users D) utilizing information for operational decision making - ANSWER>>D

IT departments most often utilize which of the following methods to ensure confidentiality A) issue security codes and limit access to the system B) centralize access to the computer system C) do not allow physician and vendor access to the system D) monitor and audit all entries into the system - ANSWER>>A Who has the primary responsibility to assure and maintain the integrity and security of electronic data in an HCO A) the IT steering committee B) the IT department C) the CIO D) the Safety and Security department - ANSWER>>B An efficient Formulary and Therapeutics Committee in many hospitals evaluates all except the following A) symptoms and adverse reactions B) patients current medication effectiveness C) contraindications D) specific drugs in terms of appropriateness to caseload - ANSWER>>B HCOs often utilize special purpose software which allows rapid access to large archives of integrated data to assist management I. Making decisions. This is typically referred to as an A) System analysis program B) report writer C) decision matrix management tool

D) executive decision making support system - ANSWER>>D Which of the following would represent the most common cause of adverse drug events (ADE). A) lack of standardization B) lack of knowledge of drug C) preparation errors D) transcription errors - ANSWER>>B What is the primary advantage of the corporate form of organization for a healthcare provider A) it exists by virtue of a statute providing for its formation B) it has powers granted to it by its charter C) its continued existence is not affected by death or disability of owner D) it has limited liability - ANSWER>>D Law and tradition have established basic criteria for healthcare governing boards. Our criteria is that A) all members agree to receive care at the governed organization B) members provide a specified amount of financial support C) the actions of the board are reasonable and prudent D) the board must meet a minimum of two times each year - ANSWER>>C Continuous quality improvement assumes that A) achievement be rewarded B) there is direction from top management C) there is no upper limit to excellence D) interconnected work teams are in place - ANSWER>>C

Which of the following best describes the responsibility of a hospital with an ED when a person comes to the ED for examination and treatment A) the hospital must admit the patient for observation and treatment if an emergency condition exists B) the hospital must provide an appropriate medical screening to determine whether an emergency condition exists, and if so, stabilize the patient C) the hospital may inquire as to the individual's method of payment or insurance status prior to rendering service D) if the individual is hospital must transfer the patient to the nearest public hospital designated for medically indigent patients - ANSWER>>B What was the first major law to have a significant impact on individual privacy in the workplace A) the civil rights act B) the fair credit reporting act C) polygraph protection act D) privacy act - ANSWER>>A How does a physician self referral or Stark Law apply to Medicare payments A) the law applies to private party insurance and does not apply to Medicare payments B) it establishes an additional payment to normal Medicare payment fees due to the added complexity of referrals C) It allows a claim to be filed with Medicare for a service provided by the physician with a financial interest in DHS D) it prohibits a provider from presenting a claim to Medicare or any person or entity for a prohibited DHS referral - ANSWER>>D

Which of the following is not an advantage of an effective corporate compliance program for an HCO A) initiating immediate and appropriate corrective actions B) costs of implementation and operations C) developing processes to allow employees to report potential problems D) identifying and preventing criminal and unethical conduct - ANSWER>>B a privilege of confidentiality exists in a physician-patient relationship when the physician-acquired Information is A) documented in the patient record B) substantiated by the nurse C) related to the care and treatment of the patient D) confirmed and documented by the patient - ANSWER>>C Participating providers in the federal Medicare program must A) be accredited by JCAHO B) serve Medicaid beneficiaries C) meet the conditions of participation D) be in compliance with the CON laws - ANSWER>>C Which physician organization is responsible for accrediting residency training programs A) ACGME B) AAMC C) CAT D) BPQA - ANSWER>>A

Which of the following are important aspects to consider when establishing a JV A) JVs involve independent management teams and independent governance structures B) JVs involve capital investment by all parties, can be difficult to dissolve, and are usually expected to be permanent C) JVs are managed like an internal organization and are usually renegotiated annually D) JVs are developed to acquire portions of a parent organization and are generally accepted as reversable - ANSWER>>B A balanced scorecard is a set of performance measurements used to A) assess patient satisfaction B) ensure the organization does not exceed one performance metric at the expense of another C) provide a scorecard for annual performance monitoring D) gather and monitor financial data - ANSWER>>B What is the correct order of Maslow's Hierarchy of Needs A) physiological, safety, esteem, belonging, self-actualization B) safety , physiological, belonging , esteem, self-actualization C) physiological, safety, belonging, esteem, self-actualization D), safety, esteem, physiological , belonging, self-actualization - ANSWER>>C Communication Health Intranet Networks (CHINs) are developed for what purpose A) to provide a platform for an electronic medical records B) to provide a way to disseminate community-level health data C) to provide an inexpensive way to share health information

D) to provide a community-based hub for sharing health information - ANSWER>>D Which organizational theory is illustrated by governing activities with explicit and specific procedures, arranging offices in a hierarchical fashion, and selecting candidates on the basis of technical competency A) bureaucratic B) contingency C) institutional D) technological - ANSWER>>A In planning for future community health resources, it is important to understand population health needs. Which ethnic category tends to proportionally use physician services the most? A) African-American B) Asian C) Latino D) white - ANSWER>>D Which of the following limitations would cause a hospital OB unit to see no change in volume over a four year period A) organizational B) market C) financial D) clinical - ANSWER>>B According to the CMS Conditions of Participation, under what circumstances, if any, is it permissible to deny a patient access to his/her medical record

A) the Information contains psychotherapy notes B) the Request comes from the patient's personal representative instead of the patient C) the provider organization will incur significant costs in copying and forwarding the records D) it is new permissible to deny access - ANSWER>>A The overall goal of HIPPA Act of 1996 is A) to ensure privacy and confidentiality of medical records B) to standardize the sharing of clinical and administrative Information C) to strengthen the healthcare data security standards and practices D) to improve portability and continuity of health insurance, and combat fraud - ANSWER>>D Congress enacted Stark II to prohibit which of the following A) a physician or an immediate family member from referring a patient to an entity with which they have a financial relationship B) hospitals and physicians from partnering to build in patient acute care facilities C) hospitals and physicians from JVing in offering OP imaging D) a hospital from referring a patient to a wholly owned entity - ANSWER>>A Which of the following activities should be performed by the Board of Directors A) calculating patient care fees B) determining staffing patterns C) recruiting new medical staff D) hiring the CEO - ANSWER>>D

Performance improvement teams should consist of A) experts in process management B) members from the involved Microsystems C) middle managers with experience D) physician and other users - ANSWER>>B The 4 important aspects of clinical support services (CSS) are technical quality, patient satisfaction, continuity or integration and: A) cost-benefit analysis B) outcome C) appropriateness D) health promotion - ANSWER>>C A bar chart format, with the items rank ordered on a dependent variable such as cost, profit, or satisfaction, that examines the components of a problem in terms of their contribution to it is known as a A) a run chart B) a frequency table C) Pareto analysis D) deeming cycle - ANSWER>>C Governing boards are typically more effective at what size A) 10 - 15 B) 15 - 20 C) 5 - 10 D) 25+ - ANSWER>>A

What type of review involves evaluation of management staff by their superiors, subordinates, and internal/external customers A) annual review B) 360 degree review C) competency review D) peer review - ANSWER>>B The role of a non-profit HCO's governing board includes all of the following except: A) delineate clinical privileges B) ensuring quality healthcare is delivered C) overseeing day to day operations D) setting broad institutional policy - ANSWER>>C Medicare Conditions of Participation for hospitals require that a prescribing practitioner authenticate verbal orders within ______, if not defined by the State A) 24 hrs B) 48 hrs C) 7 days D) 30 days - ANSWER>>B Cost accounting is an important tool that allows the CFO to A) meeting JCAHO fiscal requirements B) ensure supplies are competitively purchased C) determine the actual cost of providing patient care D) improve revenue cycle returns - ANSWER>>C

What is true about the relationship between acute care hospitals and long term care organizations A) Hospitals and patients frequently have difficulty arranging for nursing home care services B) hospitals generally don't want to refer patients to SNFs since the revenue must be shared C) SNFs generally do not want to refer patients to hospitals since this interferes with State LOS requirements D) SNFs generally thought to be superior to hospitals for chronic disease management - ANSWER>>A The 1st step in any strategic management scenario is to A) develop "what if" scenarios B) gather Information from as many sources possible C) develop courses of action that fit within future organizational resources D) conduct a make/buy analysis - ANSWER>>B Which of the following is the least serious limitation of decision analysis A) oversimplification if the problem B) inadequate data C) the decision makers values D) the statistical model - ANSWER>>D In a unionized organization what is the most effective contract dispute resolution finalization alternative A) mediation B) corporate campaigns C) arbitration D) strike - ANSWER>>C

What does a liquidity ratio measure A) a firm's ability to meet its current obligations in a timely manner B) size of dividends to be paid to shareholders C) the percent of total funds provided by creditors D) days in AR - ANSWER>>A The real value of financial statements lies in the fact they can be used to help A) predict the firms financial condition B) compute total margin vs periodic gains C) relate the industry average new product/loss over time D) understand that a large portion of a hospitals net income may come from non-operating gains - ANSWER>>A Facing struggle such as declining profit margins, nonprofit HCOs have become more dependent on what source of financing capital needs A) philanthropy B) bond financing C) capital leases D) operational leases - ANSWER>>A You work for a county organization that has decided to issue bonds to fund a new building. What type of bond would be sold on behalf of your organization A) mortgage bonds B) corporate bonds C) capital bonds D) municipal bonds - ANSWER>>D

On a balance sheet, what does the different between total current assets and total current liabilities indicate A) cash on hand B) net working capital C) liquid assets D) equity - ANSWER>>B How should supervisors behave toward informal leaders in the organization A) maintain a positive attitude toward informal leaders B) ensure informal leaders remain st a moderately low status within the work group C) grant informal leaders occasional favors D) pass informs on to informal leaders before giving it to formal leaders - ANSWER>>A Budgets for new capital expenditures include requests for A) infrastructure B) wage adjustments C) new employee insurance plans D) new gain sharing agreements with physicians - ANSWER>>A The Capital Asset Pricing Model (CAPM), an equilibrium model, describes the relationship between which of the following A) market risk and required rate of return B) expected rate of return and actual rate of return C) price and market risk D) expected rate of return and required rate of return - ANSWER>>A