CHL Certified Healthcare Leader Exam Quiz Study Guide with Correct Answers, Exams of Nursing

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CHL Certified Healthcare Leader Exam

Quiz Study Guide with Correct Answers

100% Pass | Graded A+

David Mungai [Date] [Course title]

CHL Certified Healthcare Leader

IAHCSMM Comprehensive Exam Quiz

Study Guide with Correct Answers 100%

Pass | Graded A+

The process of applying knowledge, tools and resources to deal with change. Including defining and implementing strategies, systems, procedures, communication, and technologies to navigate changes in external or internal conditions. - Answer>> Change Management A group of employees from different departments in an organization that work together to resolve problems. - Answer>> Cross-functional teams The automated exchange of data and documents in a standardized format. A common use is the exchange of routine business transactions between computers in a standard format using standard communication protocols. E.g. An electronic order placed by a facility's purchasing department to a vendor. - Answer>> Electronic Data Interchange (EDI) A skilled team of employees that meets regularly to identify quality issues, use specific techniques for analyzing and resolving problems, and make improvement recommendations. - Answer>> Quality Circle A statistical sampling method that measures production quality - Answer>> Quality Control (QC) The process of measuring the current output of a process and then modifying it to enhance outcomes, increase productivity and/or decrease costs. - Answer>> Quality Improvement (QI)

A management style that recognized there's no one best way to lead and that different situations and people require alternative leadership approaches. - Answer>> Situational Leadership A quality process that focuses on developing and delivering near- perfect products and services. - Answer>> Six Sigma A set of management practices throughout an organization that focuses on ensuring that customers expectations are consistently met or exceeded. - Answer>> Total Quality Management (TQM) Supplemental healthcare services including laboratory, radiology and physical therapy services provided during a patient's hospital stay. - Answer>> Ancillary Services A term referring to those occupying the highest healthcare administrative positions. It is derived from the observation that the the word "chief" is frequently used in the position title. Ex Chief Financial Officer. - Answer>> C-Suite The different types of patients served by a healthcare provider/hospital. - Answer>> Case Mix A federal act that requires hospitals to provide emergency treatment to all individuals regardless of their insurance status or ability to pay - Answer>> Emergency Medical Treatment and Labor Act (EMTALA) A group of hospitals that shares services and information and develops group-purchasing programs to reduce costs. - Answer>> Hospital Alliance

An action in which an arbitrator is appointed by the government to make a binding decision upon the parties negotiating the contract.

• Answer>> Arbitration (compulsory) An action in which both parties (organization and union personnel) submit a dispute to an external, disinterested third party for binding or non-binding resolution after the presentation of evidence and related discussion. - Answer>> Arbitration (voluntary) A loss of employees from voluntary and involuntary terminations, death and retirements. - Answer>> Attrition The process of asking open-ended questions during applicant selection, performance appraisal and other interviews to generate informations that suggests interviewee reaction to specific situations. This process is used because past performance is often an indicator of future performance. - Answer>> Behavioral-based interview The internal posting of position vacancies to enable current employees to apply before the employer seeks qualified candidates through external recruitment. - Answer>> Bidding (HR) A term relating to the suspension of negotiations so both sides can reconsider their positions. - Answer>> Caucus A calculation made by dividing an employees actual pay level by the mid-point of the employees pay grade. A ratio greater than 1. indicates the employee's pay is above the salary range mid-point; a ratio less than 1.0 means the salary is below the range's mid- point, abbreviated "compa ratio" - Answer>> Comparison Ratio

Compensation stem that recognizes employees who acquire a critical skill or knowledge; also called skill-based or knowledge- base pay. - Answer>> Competency-based pay full time equivalent (employee) - Answer>> FTE awards pay increases in proportion to performance contributions - Answer>> Merit Pay "Network etiquette." Internet rules of workplace conduct that include respecting privacy guidelines and refraining from visiting offensive or illegal websites. - Answer>> Netiquette A process that imposes restrictions on filling vacant positions to manage the costs associated with them. - Answer>> Position control legislation that allows employees to work without having to join a union - Answer>> Right-to-Work an OSHA standard providing protection for workers from hazardous workplace substances by requiring employers to keep employees informed about hazardous substances they may handle. - Answer>> Right to know A work-oriented therapy to help employees injured on the job to bridge the gap between completion of physical or occupational therapy and their return the workplace. - Answer>> Work hardening An analysis that compares the dollar value of program costs with the dollar value of program impacts. - Answer>> Cost benefit study

A graphical representation of the stages in a process, system or the steps required to solve a problem. - Answer>> Flow chart A document that is sent out to potential vendors requesting them to provide a proposal on a product or service. - Answer>> RFP (Request for Proposal) return on investment, a ratio of profit from a specific investment compared with its cost. - Answer>> ROI costs that change in relation to the value of processing output in the Central Service department. Ex. waged labor and supplies. - Answer>> variable costs A-Attitude, B-Behvior, C-Communication and Competence. - Answer>> ABC's of leadership A situation that helps to promote the development of an attitude about a person, situation or object. - Answer>> Triggering Event Autocratic, Bureaucratic, democratic, laissez faire, transformational - Answer>> Leadership Styles Prefers to make decisions and resolve problems without input from affected staff members. They want to give instructions and expect them to be followed. Develop system of rewards and punishment to discipline. - Answer>> Define autocratic leadership Place emphasis on the enforcement of policies, procedures and rules. - Answer>> Define bureaucratic leadership

These leaders want to involve staff members in the decision- making process. They keep employees involved about all matters that affect their work, and they share decision making and problem solving responsibilities through empowerment. Provides opportunities for employees to develop a high sense of job satisfaction. - Answer>> define democratic leadership Use a hands off approach and do as little directing as possible. Most authority is delegated to staff members. Employees are given as much freedom as possible. - Answer>> Define laissez- faire leadership These leaders interact interact in a way that permits both leaders and their associates to raise one another to a higher level of motivation. - Answer>> Define transformational leadership An initiative of TJC that intergrates outcomes and performance measurement data into the accreditation process. - Answer>> ORYX Standardized common measures that are integral to improving quality of care to hospital patients and bringing value to the stakeholders. - Answer>> Hospital quality measures The cornerstone of TJC survey in which it uses actual clients, patients or residents as the framework for assessing standards compliance. - Answer>> Tracer Methodology Designed to identify and prevent the occurrence of events that lead to unexpected deaths or events leading to or potentially leading to serious physical injuries. When an event occurs a root cause analysis and identification of improvements to risks must be undertaken. - Answer>> Sentinel event policy

A process for identifying the basic or casual factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event. - Answer>> Root Cause Analysis National Patient Safety Goals - an initiative established to help accredited organizations address specific areas of concern regarding pt injury. - Answer>> NPSG OSHA, FDA, EPA - Answer>> What are the 3 federal agencies that impact Central Services American with disabilities act. Designed to prevent discrimination and to remove barriers that prevent qualified individuals with disabilities from employment opportunities. - Answer>> ADA The Family and Medical Leave Act (FMLA). Allows employees who have met minimum reqmts (12 months continuous employment/1250 hrs of service) to take up to 12 weeks of unpaid leave. - Answer>> FMLA Fair labor standards act. Adopted in 1938 to establish minimum federal wage and hour standards for minimum wage, overtime pay and child labor. - Answer>> FLSA Age Discrimination in Employment Act. Protects workers aged 40 and over by prohibiting discrimination against them in any employment or employee related decision. - Answer>> ADEA Administered my OSHA and addresses the issue of evaluating potential chemical hazards and communicating information about hazards and protective measures. Prepares and distributes MSDS's to departments. - Answer>> HAZ COM standard

Health Information Portability and Accountability Act. Protects pts medical records and health information. - Answer>> HIPAA Occupational Safety and Health Administration. Created in 1970. Primary role and responsibility is to protect workers from occupationally caused illnesses and injuries. - Answer>> OSHA Food and Drug Administration. Responsible for ensuring that foods, cosmetics, human and vetenary drugs, biological products, medical devices, and electronic products that limit radiation are safe and effective for the publics use. - Answer>> FDA Classification system placed on medical devices regulated by the FDA. They are: Class 1, Class II, & Class III - Answer>> Medical device classification Low risk devices such as hand-held surgical instruments. - Answer>> Class 1 devices Require special controls to ensure safety and efficacy. Include most types of sterilization equipment and biological and chemical indicators. Require premarket notification (510/K) Example: CAT scan - Answer>> Class II Devices These are the most stringently-regulated devices and include heart valves, pacemakers and other life-sustaining devices. Must obtain a pre-market approval (PMA) from the FDA. - Answer>> Class III Devices comprehensive package of information designed to demonstrate that the new product is "substantially equivalent" to one or more medical devices already being marketed - Answer>> 510(k) application

Pre-market approval. Approval granted to manufacturers of new devices by the FDA to demonstrate the devices are safe and effective. - Answer>> PMA A "mini trial" that is used by parties to resolve a dispute held in an effort to avoid a court trial. - Answer>> Arbitration A survey tactic in which each instrument set or case cart being analyzed for quality has an equal chance of being selected for analysis. - Answer>> Random Sampling Inadvertent, intentional and incompetence - Answer>> Three types of errors

1. State the problem
2. Collect /analyze data
3. Determine the cause
4. Generate solutions
5. Plan the process change
6. Pilot test the change
7. Evaluate results
8. Implement the change. - Answer>> Process improvement technique Plan, Do, Check, Act. A four step cycle for implementing change that encourages continuous improvement. - Answer>> PDCA Plan =determine what is not going as expected. Do=minimize the impact on the CS dept. Check =assess the outcomes

Act=implement changes completely if the checking phase reveals no problems. - Answer>> Define each section of the Plan - do- check - act Failure Mode and Effects Analysis - Answer>> FMEA Any errors that can potentially occur during a given process - Answer>> Failure modes Studies the consequences of identified failures. - Answer>> Effect analysis a team composed of employees from different functional areas of the organization that work together to resolve problems. - Answer>> cross-functional team Root Cause Analysis - seeks to identify the root or fundamental cause of an event. Looks backwards at an event to help prevent its future occurrence. - Answer>> RCA Geobacillus stearothermophilus - Answer>> Viable bacteria used in steam BI packets Identify and analyze best practices to discover areas of and process for performance improvement. - Answer>> Benchmarking Process an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof - Answer>> sentinel event "close call". A variance from expected standards. - Answer>> defect

Causative (infectious agent), reservoir, portal of exit, mode of transmission, portal of entry, susceptible host. Each link in the chain must be present and in the correct order for an infection to occur. - Answer>> Chain of infection Contact, airborne droplets, common vehicle (food, water meds, hands) , vector (fleas, mosquitoes, lice, etc) - Answer>> Four primary modes of infection transmission Critical (exposed to sterile areas of the body; must be sterile); Semi-Critical (touches mucous membranes; recommended sterile or high level disinfected); Non Critical (touch the skin; can be cleaned or disinfected; less than high level disinfection) - Answer>> Spaulding Classification Gauges, charts, printouts - Answer>> Physical monitors Designed to measure individual package penetration - Answer>> Chemical indicators species that can be used to monitor the health of an environment or ecosystem. - Answer>> Biological indicators Class 1-process indicators Class 2-specific test indicators, eg bowie dick Class 3 - single parameter indicator Class 4-multi parameter indicators Class 5-integrating indicators - Answer>> 5 kinds of chemical indicators zsw 60-65°F 30-60% - Answer>> temp and humidity in decontam

75-85°F, 30-60% - Answer>> temp and humidity Sterilization area <75° - Answer>> temperatue inSterile Storage area Work flow optimization - Answer>> Managing the work process enables employees to perform their tasks efficiently and effectively, while eliminating non-productive or wasteful steps. Process Flow Map - Answer>> The path taken by instrument trays and durable medical equipment as they cycle through their daily routine. Line balancing and capacity analysis /assessment - Answer>> A valuable tool used to help justify financial/other resources to improve CS process flow Bacillus atrophaeus spore - Answer>> The microorganism used in BI of EtO sterilization?