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

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ACHE BOG 2024 EXAM |PRACTICE EXAM

QUESTIONS TEST BANK AND STUDY GUIDE

| ACCURATE AND VERIFIED FOR GUARANTEED

PASS

According to the ACHE's Code of Ethics, one way that healthcare executives can

avoid or minimize the negative implications of conflict of interest is to:

a. Develop a public relations plan to address potential conflict-of-interest

scenarios.

b. Not participate in the specific decision where conflict may exist. c. Ensure

members submit annual lists of major activities and holdings for inspections. d.

Make the conflict known to those in superior positions. - ANSWER>>D

The principles of quality improvement require that healthcare executives change

their management philosophy from

a. Finding fault with employees to finding problems in processes.

b. Finding fault with employees to involving them in the improvement of

processes.

c. Focusing on enhanced inspection techniques to focusing on variance.

d. Focusing on employees' roles to focusing on process outcomes. -

ANSWER>>A

What type of problem arises when a healthcare executive knowingly allows the

organization to continue double billing?

a. An ethical problem for the healthcare executive, but may not be grounds for

dismissal if organizational policy is not clearly stated. b. An actual conflict of

interest, even absent a direct economic benefit to the healthcare executive.

c. An ethical problem for the employee if the healthcare executive receives direct

economic benefit.

d. An ethical problem if it clearly violates state or 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 third-party reimbursement methods provides the largest

financial incentive for the provider to reduce cost?

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 healthcare organizations.

b. Privately owned healthcare organizations.

c. Government owned healthcare organizations.

d. Faith-based owned healthcare organizations. - ANSWER>>A

Which of the following is an Example of a capital expenditure?

a. Land that is purchased for

resale.

b. Surgical equipment with a useful life of six

months.

c. A building with a useful life of 20

years.

d. Medical supplies used for patient care. -

ANSWER>>C

What is the correct order of stages for accomplishing organization change?

a. Identifying, planning, implementation, evaluation.

.

b. Planning, identifying, evaluation, implementation

c. Evaluation, planning, implementation, identifying.

d. Planning, evaluation, identifying, implementation. - ANSWER>>A

Boards make better strategic decisions if they use information that is:

a. Readily available on special board website.

b. Generated from computer studies of departmental activity reports.

c. Summarized in graphs for better understanding.

d. Focused on measurable outcomes of service quality and economic vitality. -

ANSWER>>D

The central role of the health services organization 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, hire, support and reward of the CEO. - ANSWER>>C

The first role of the governing body is to:

a. Manage inputs of the healthcare organization to achieve the output 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's governing body:

a. Serve on an ad hoc basis and are rarely voting members.

b. Are kept to a minimum due to concerns regarding confidentiality.

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 advantage of using a focus group over a survey in evaluating a

program, one could say that 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 is not important. - ANSWER>>B

What purpose do market plans fulfill for the healthcare organization?

a. Provide a business plan (or plans) as a subset of the organization's marketing

plan.

b. Present general goals for the organization to attain in the next three to five

years.

c. Develop promotion methods to be used in attaining the organization's

objectives.

From a marketing viewpoint, the development of standards of practice, clinical

pathways, clinical guidelines and protocols can all be viewed as efforts to deal

with which unique aspect of delivering services:

a. Inseparability.

b. Intangibility.

c. Heterogeneity.

d. Perishability. - ANSWER>>C

d. Provide specific objectives for utilization attainment the next fiscal year. -

ANSWER>>

D

The five major functions of marketing are:

a. Identifying markets, promoting the organization, recruitment of providers,

managing external relationships, patient selection.

b. Identifying markets, health promotion, managing external relationships,

patient selection, attracting capable workers.

c. Identifying markets, promoting the organization, managing external

relationship, convincing patients to select the organization, attracting capable

workers.

d. Identifying markets, promoting the organization, managing external

relationships, strategic planning, physician recruitment. - ANSWER>>C

Forecasting organizational need for human resources by focusing on specific

position openings that are likely to occur and using these for planning is called:

a. Demand-pull approach.

b. Supply-push approach.

c. Succession analysis.

d. Transition matrix. - ANSWER>>A

A health services organization should use which of the following sequential

processes to help establish human resources (HR) objectives and policies?

a. Analyze the current HR situation, forecast HR demand, reconcile with the

budget, forecast HR supply.

b. Design HR recruitment and selection activities, develop an HR

compensation plan, and establish HR appraisal systems.

c. Determine best HR job structure, perform HR job evaluations, establish HR

training and development plan.

d. Conduct HR job analysis, determine best HR job structure, and establish

HR information system. - ANSWER>>A

Probability models that forecast the internal flow of employees from one job

category to another use a:

Which of the following describes the conflict management strategy that would

have the most immediate effect on reducing conflict behavior?

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 into others through promotions, lateral moves and terminations is called:

a. Graphic rating approach.

b. Supply-push approach.

c. Demand-pull approach

d. Rating scale method. - ANSWER>>B

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 that requires listing of perceptions and

identifying differences. - ANSWER>>A

Multi-rater assessment (360 degrees 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 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 assets would increase.

c. Unrestricted net assets would neither, increase or 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 used.

c. Hours worked.

d. Square footage. - ANSWER>>B

The effective cost 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 investor-owned firms offsets the lower

coupon rate on tax-exempt debt. - ANSWER>>D

The master site plan (or master facility plan) for a healthcare organization:

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 certificate of

need 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 date 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,

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 an

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 healthcare organization may include plans for renovation

or 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 a

healthcare organization 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 healthcare

organization.

d. Weekly meetings with staff members to determine organizational 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 are 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. Payor 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 social security numbers to medical record numbers.

c. A system for converting medical record numbers to patient account numbers.

d. A longitudinal record of all patient encounters for a fixed period of time. -

ANSWER>>A

A typical use of the Internet by healthcare organizations is to:

a. Deliver educational programs to employees.

b. Provide the 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 a healthcare

organization 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 counsel.

b. Use the standard contract provided by the system vendor.

c. Employ a consultant from among a list provided by the vendor. d. Use a

costplus 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 vendor's 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 vendor's corporation office. -

ANSWER>>B

The CIO for a healthcare organization is typically responsible for which of

the

following

functions?

a. Information systems and finance.

b. Medical Records and patient registration

.

c. Telecommunications and public relations

d. Information systems and telecommunications. - ANSWER>>D

In selecting an information system, a consultant can best be used to:

a. Chair the selection committee.

b. Make the final selection decision.

c. Provide technical information and an outside prospective.

d. Handle all communications and prospective vendors. - ANSWER>>C

The Information Systems Steering Committee for a healthcare organization

should perform which of the following duties?

a. Information systems planning, selection of software and development of

related organizational policies.

b. Selection and supervision of key information systems personnel. c.

Negotiation of contracts with vendors for equipment, software and service.

d. Design and development of the information system software. - ANSWER>>A

All of the following are primary functions of the information services 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

Information system departments most often utilize which one 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 a healthcare organization? a. The Information

Services Steering Committee.

b. The Information Services Department.

c. The CIO.

d. The Safety and Security Department. - ANSWER>>B

An efficient Formulary and Therapeutics Committee in many hospitals evaluates

all of the following except:

a. Symptoms of adverse reactions.

b. Patients' current medication effectiveness.

c. Contraindications.

d. Specific drugs in terms of appropriateness to caseload. - ANSWER>>B

Healthcare organizations often utilize special purpose software which allows

rapid access to large archives of integrated data to assist management with

decision making. This is typically referred to as a (an):

a. System analysis program.

b. Report writer.

c. Decision matrix management tool.

d. Executive decision support system. - ANSWER>>D

Which of the following would represent the most common cause of adverse drug

events (ADEs)?

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 the death or disability of an owner.

d. It has limited liability. - ANSWER>>D

Law and tradition have established basic criteria for healthcare governing boards.

One criteria is that:

a. All members agree to receive care at the governed organization. b. Board

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 will 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

emergency department (ED) when a person comes to the ED for Examination or

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

condition. c. The hospital may inquire as to the individual's method of

payment or insurance status prior to rendering services.

d. If the individual is uninsured, the hospital must transfer the patient to the

nearest public hospital designated for the care and treatment of medically

indigent persons. - ANSWER>>B

What was the first major law to have a significant impact on individual privacy in

the workplace?

a. Civil Rights Act

b. Fair Credit Reporting Act

c. Polygraph Protection Act

d. Privacy Act - ANSWER>>A

How does physician self-referral or Stark laws apply to Medicare payments?

a. The law applies to private party insurance and does not apply to Medicare

payments.

b. The law establishes an additional payment to the normal Medicare

payment fees due to the added complexity of referrals. c. The law allows a claim

to be filed with Medicare for a service provided by a physician who has a

financial interest in the DHS.

d. The law prohibits a provider from presenting a claim to Medicare or to any

person or other entity for a prohibited DHS referral. - ANSWER>>D

Which of the following is not an advantage of an effective Corporate Compliance

Program for a healthcare organization?

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's medical records.

b. Substantiated by the patient's 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 the Joint Commission.

b. Serve Medicaid beneficiaries.

c. Meet the Conditions of Participation.

d. Be in compliance with state Certificate of Need 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

joint venture?

a. Joint ventures involve independent management teams and independent

governance structures.

b. Joint ventures involve capital investment by all parties, can be difficult to

dissolve, and are usually expected to be permanent.

c. Joint ventures are managed like an internal organization and are usually

renegotiated annually.

d. Joint ventures are developed to acquire portions of the parent

organizations and are generally accepted as irreversible. - 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, from bottom to top, 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, esteem, self-actualization. -

ANSWER>>C

Communication Health Intranet Networks (CHINs) were developed for what

purpose?

a. To provide a platform for an electronic medical record.

b. To provide a way to disseminate community-level health data.

c. To provide an inexpensive way of sharing 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 hierarchal fashion, and selecting

candidates on the basis of their technical competency?

a. Bureaucratic

b. Contingency

c. Institutional

d. Technological - ANSWER>>A

In planning for future community health services, 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 CMS Conditions of Participation, under what circumstances, if any,

is it permissible to deny a patient access to his or her medical record?

a. The information requested consists of psychotherapy notes.

b. The request comes from the patient's personal representative instead of

directly from the patient (if allowed under state law).

c. The provider organization will incur significant costs in copying or forwarding

the requested records.

d. It is never permissible to deny a patient access to his or her records. -

ANSWER>>A

The overall goal of the HIPPA Act of 1996 is:

a. To ensure the privacy and confidentiality of patient medical records.

b. To standardize the sharing of clinical and administrative information.

c. To strengthen healthcare data security standards and practices. d. Improve

portability and continuity of health insurance, 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 joint venturing in the offering of outpatient

imaging centers.

d. A hospital from referring a patient to a wholly-owned entity of which it has

total ownership. - 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. Physicians and other users. - ANSWER>>B

The four important aspects of clinical support services 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 run chart.

b. A frequency table.

c. Pareto analysis.

d. Deming cycle. - ANSWER>>C