Question
HSA3223 Management of Long Term Care Facilities
Final Exam
Question 1An organization that relies on proven empirical data to resolve questions and debates regarding policies or services is demonstrating:
honesty.
freedom from blame.
responsiveness to questions.
respect for scientific evidence.
Question 2
The marketing of services is somewhat easier than the marketing of products, in large part because there is no need to manage inventory.
True
False
Question 3What is one of the differences between Medicare and Medicaid?
Medicaid has more limits on the type and duration of services covered than Medicare has.
Medicaid is funded by the federal government, while funding for Medicare is shared by the federal government and the states.
Medicaid has income restrictions, while Medicare does not.
Medicaid has age limitations, while Medicare covers consumers of all ages.
Question 4A caregiver yelling at or threatening the person receiving care is a form of what type of abuse?
physical
emotional
sexual
fiduciary
Question 5
What is the only type of accredited senior housing?
CCRCs.
independent living.
cohousing.
congregate housing.
Question 6A manager who sincerely expresses the desire to do what is right, regardless of actual actions or outcome, can be said to be successful at managing ethically.
True
False
Question 7Even though the reimbursement sources are in place to fully cover most uses of tele-medicine technology, it has been slow to be implemented. The primary reason for this is because so many of the long-term care consumers who could make use of it are resistant to technology.
True
False
Question 8Healthcare consumers have long had the tendency to rely on medical professionals to tell them what they should do, without regard to social factors. In such a situation, what limits their autonomy?
functional disabilities.
attitudes.
financial constraints.
lack of family support.
Question 9What ability does a manager who identifies the main purpose of the organization, creates goals to achieve that purpose, and devises a strategy to implement the goals demonstrate?
know the full continuum.
manage ethically.
plan.
build a solid foundation.
Question 10A living will is a specific type of advance directive in which the consumer declares the wish to live, and specifies that all possible heroic measures should be taken toward that goal.
True
False
Question 11Both employers’ and individuals’ healthcare insurance premiums are increasing due to the ACA; as a result, long-term care insurance is becoming harder to find and to afford.
True
False
Question 12The Eden Alternative is an approach to culture change that includes changing the physical structure of the facility, giving areas noninstitutional-sounding names, and including gardens to create a more home-like atmosphere.
True
False
Question 13
What is green rationing?
implicit rationing through reimbursement
implicit rationing through availability of services
movement toward supporting only those services that are provided in a self-sustaining environment
explicit rationing through government mandates regarding who gets how much and what type of care
Question 14As society ages, the expectation is that there will be an increase in both the number of people with a chronic conditions and the number of people who have multiple chronic conditions.
True
False
Question 15Which of the following is a clinical application of HIT?
a staff member enters billing information about a consumer
a manager creates a staff schedule
a staff member enters care-related information into the information system
personnel files are updated in a timely manner
Question 16
When followers have faith in their leaders and their capacity to lead, the followers are demonstrating their trust that the leader is:
forward-looking.
competent.
inspiring.
honest.
Question 17
According to a survey in 2013, the majority of assisted living residents (about 70%) came to the facility from a private home.
True
False
Question 18
Even in an ideal long-term care system, equal access to care would require a consideration of functional criteria in combination with financial status, enrollment in health insurance plans, and the underlying illness.
True
False
It an Ideal LTC system, ONLY functional should be considered. Currently, all of these are being considered and it is NOT idea.
Question 19Which culture change approach includes training in problem-solving techniques to help workers incorporate best practices into everyday routines?
Wellspring Model
Green House Project
Pioneer Network
Eden Alternative
Question 20
Which section of Medicare provides hospital insurance, including some areas of long-term care, and is free to all members of the designated population regardless of financial circumstances?
Part C
Part B
Part A
Part D
Question 21
What best defines community relations?
activity focused on getting consumers to purchase a product or service
the process of building a favorable image within the community.
the process of building good relationships between organizations and consumers
positive interaction between organizations and consumers
Question 22
In the past, quality measures have focused primarily on process and/or structure. In order to effectively measure and improve quality, those two elements need to be put aside, and attention must be paid exclusively to outcomes.
True
False
Question 23
Who is responsible for making policy in an organization?
governing body.
chief executive officer.
management.
administration.
Question 24
What is the expected impact of Medicare and Medicaid’s institution of “never events” for which they will not pay?
Providers will stop offering services on the list.
More providers will seek Medicare and/or Medicaid eligibility.
Fewer providers will seek Medicare and/or Medicaid eligibility.
Patient safety will improve.
Question 25
The Affordable Care Act is funded by tax increases and what other source of funding?
increased employer-paid insurance premiums.
] increased private-payer insurance premiums.
cost offsets such as cuts to Medicare.
fees paid by providers to participate in exchanges.
Question 26A key way that leaders can get voluntary acceptance from the staff is to enable them to do their jobs, provide the necessary support, and otherwise stay out of the way.
True
False
Question 27When described as a function of management, controlling is understood as establishing whether or not planned outcomes are achieved and, if they are not, finding out why.
True
False
Question 28What should be done as part of contract negotiation when selecting a HIT vendor?
identify time constraints and benchmarks
define the technical and business requirements
record the requirements of the vendor and the facility
review all vendor proposals
Question 29The development of a new way to deliver services to clients in response to an expressed need is an example of what type of action that the system should take?
replicating innovations as widely as possible
collaboration between provider and consumer groups
finding new and better ways to do things
being proactive
Question 30Identify the key distinction between Medicaid and Medicare.
Medicaid was designed to serve certain categories of people regardless of their ability to pay, while Medicare specifically serves those who cannot afford to pay for health care.
Medicare covers virtually all long-term care services, while Medicaid does not.
Medicaid covers virtually all long-term care services, while Medicare does not.
Medicare was designed to serve certain categories of people regardless of their ability to pay, while Medicaid specifically serves those who cannot afford to pay for health care.
Question 31
A manager is approached by the staff and questioned as to why they need to perform a specific task in a manner with which they disagree. The leader replies states, “because I said so.”
What type of power is demonstrated by the manager?
legitimate power.
coercive power.
connection power.
reward power.
Legitimate power goes along with the official position~ The boss can order others to do his/her bidding because “I told you so.” Use of this form of power should always be a last resort as it doesn’t produce willing followers.
Question 32
Which of the following terms would indicate that the organization includes financing along with care delivery?
integrated health system
integrated care system
integrated care network
integrated delivery system
Question 33
What type of managed care provider arrangement guarantees coverage for a specific population?
per diem
capitation
discount from charges
case rates
Question 34
While it is necessary to issue policies and establish new procedures, for cultural change to happen, behavior must change. The most effective way that a manager can change the culture of an organization is to lead by example.
True
False
Question 35What term best describes the error should a member of the LTC facility administration implement policies that did not have the approval of the board?
overstepping administrative authority.
conflict of interest.
board interference.
undermining the authority of the administration.
Question 36
The administration of an organization goes through a competitive bidding process and awards the contract to a company that is owned by a member of the governing board. This is a situation in which there is a clear and obvious conflict of interest.
True
False
Question 37
How has the Joint Commission affected the development of provider-administered quality improvement programs?
It made them unnecessary by requiring providers to participate in systemwide programs in order to receive certification.
It made them mandatory through its enactment of OBRA legislation.
It has encouraged them by requiring providers to implement such programs in order to be eligible for accreditation.
It has developed a specific quality insurance program that providers must have in place to qualify for Medicare reimbursement.
Question 38When deciding whether or not to implement a particular policy, the manager tries to forecast what the impact of the decision will be in five years and also how the decision will impact other functional units within the organization. In this scenario, the manager is using which leadership skills?
managing change.
decision making.
strategic thinking.
planning.
Question 39 Medicare and Medicaid are the major sources for regulations of the long-term care industry involving both quality and payment.
True
False
Question 40
As the long-term care industry continues to evolve, and facilities seek to provide services along the entire continuum of care, what is now most often the primary care type provided in nursing facilities?
nursing
physical therapy
medical and dental services
occupational therapy
Question 41Consumers who cannot be left alone because they have dementia, but no other medical constraints would be best served by which model of adult day care?
social model
healthcare model
independent model
supportive model
Question 42One way that the ACA could have possibly decreased the cost of health care across all segments, by effectively lowering the cost of liability insurance, would have been to include tort reform; however, this was not addressed in the legislation in any significant way.
True
False
Question 43Which of the following is a strategic support application of HIT?
multiple providers share a single information system to achieve economies of scale
records are made easily available for reporting to regulatory agencies
staff use a master schedule to arrange for therapies and consultations
demographic information is collected and analyzed to create a marketing plan
Question 44A patient receiving hospital-based non-acute care for complex medical problems over a longer period of time before going home or moving on to another level of care would be included in which category of subacute care?
transitional subacute care
long-term transitional subacute care
chronic subacute care
general subacute care
Question 45What is the relationship between preventive services, including such things as medical tests and screenings, better nutrition, and more exercise, and long-term care?
They generally occur at opposite ends of the care continuum, and there is no significant relationship between the two.
Preventive care and long-term care are two parallel tracks that travel throughout the entire care continuum.
Preventive care has proven to not be cost-effective, as many screenings are too expensive to offset any savings in long-term care.
Preventive care can delay or even avert the onset of chronic conditions, leading to a lower demand for long-term care.
Question 46
A nursing center is celebrating which honor of distinction related to the following accomplishments:
1. reduced staff turnover by 22%
2. reduced hospital readmissions within 30 days by 18%
3. reduced use of off-label antipsychotics by 10%
4. enjoying the fact that 88% of residents or their families recommend the facility to others
just one of the AHCA quality goals.
all four of the AHCA quality goals.
two of the AHCA quality goals.
three of the AHCA quality goals.
Question 47 Which government quality regulation is an assessment tool that focuses specifically on home health care?
minimum data set for long-term care
CQI
OASIS
QAPI
Question 48 A planning team is asking questions such as Are there segments in the market? or What are the overall trends in the industry? What type of assessment is being conducted?
external assessment.
strategy development.
year-end evaluation.
self-assessment.
Question 49Which of the following is not one of the main aspects of the long-term care system over which provider groups tend to fight?
access
consumers
quality
cost
Question 50A facility that used to offer skilled nursing in addition to occupational, physical, and speech therapy and other medical and dental services recently stopped offering both speech therapy and dental services to its consumers. What term is used to describe this process?
diversification.
retrenchment.
divestment.
pruning.
