A diamond is used in process maps

to show points in the process where alternative paths can be followed

Which strategy is not considered part of "evidenced-based medicine"?

Correct coding of procedures and diagnoses

What element is not necessary to use optimization tools such as linear programming?

A process map connecting the elements that are impacted by the decision

What is PMI formal project management?

Evidence-based proc to deliver desired results on time and within budget

Which of the following best describes clinical decision support?

Guidelines and prompts that are built into electronic health records

Once a strategy map has been constructed, which action is not critical to the effective use of the balanced scorecard?

Use a variety of graphics to display the monthly results

Which of the following is not an element of a project charter?

Team meeting frequency and structure

Which of the following are included in the five steps of the activity-based-costing process?

Id relevant activities, det cost drivers, calculate total cost of service

Once a cost reduction project is chartered, what should be the first step?

Id key cost drivers and collect cost data related to each fee for service

A system can be subdivided into what elements?

Processes, subprocesses, and tasks

Which of the following is not a measure of employee satisfaction?

Minimal numbers of requests for salary increases

A data point is an outlier in a bell-shaped distribution if

it is greater than 3 standard deviations above the mean.

The term "Six Sigma" is derived from which of the following?

3.4 defects per million opportunities

Which of the following is not a financial strategy used by healthcare organizations?

Increase customer satisfaction and retention

In general, a decision tree is used for what purpose?

To examine and evaluate decisions in a structured manner

A RASIC diagram is used to

identify the role and responsibility of each team member for each task

Financial penalties and rewards in the contemporary payment system are designed to

provide incentives for providers to improve quality

Which of the following is not a valid method for scheduling appointments in a clinic?

Appointments based on source of payment

Which of the following is not a method of bundling payments?

Payment for a clinical service, e.g. CT scan

What are the most important data to track for a shared savings (ACO) program?

Individual patient costs over time

The two-bin system is used to

signal a need to order when one bin is full

Which of the following is true when using the EOQ model?

As holding costs increase, the optmal order quantity decreases

A type I error in hypothesis testing is

the probability of rejecting the null hypothesis when it is true.

The goal of operations management is to

more effectively and efficiently produce and deliver products and services

Crashing a project can be accomplished by

shortening the duration of tasks on the critical path

What is the correct project cycle for a Six Sigma Project?

Define, measure, analyze, improve, control

The central limit theorem states that

as a sample size becomes suff large, sampling dist approaches normality.

Which of the following in not a true statement about Lean and Six Sigma?

Lean and Six Sigma projects require the use of special software.

Which of the following does not represent a key feature of the balanced scorecard management system?

Provide an evaluation system for employee performance

What is the capacity of a process?

The max possible output that a process or resource can produce or transform

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UofU MHA 6850 Final Review

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Questions 81

Answers

1
A diamond is used in process maps
to show transports
to indicate a valuable step in the process
to show delays
to show points in the process where alternative paths can be followed
2
Which strategy is not considered part of "evidenced-based medicine"?
Using shared decision making tools for both patients and providers
Correct coding of procedures and diagnoses
Using patient care guidelines
Using computerized medical records to identify optimal approaches to care
3
What element is not necessary to use optimization tools such as linear programming?
Constraints that limit the values that the decision variables can take on
A process map connecting the elements that are impacted by the decision
The controllable inputs or decision variables that affect the value
An objective function - the quantity to be minimized or maximized
4
What is PMI formal project management?
Evidence-based proc to deliver desired results on time and within budget
A method to develop a stategic plan
Tools to optimize processes
Project management tools for IT and construction projects
5
Which of the following best describes clinical decision support?
Phone hotlines to expert clinicians
Additional funds to install computerized records
Guidelines and prompts that are built into electronic health records
Evidence-based clinical protocols
6
Once a strategy map has been constructed, which action is not critical to the effective use of the balanced scorecard?
Set stretch targets for all initiatives on the map
Use a variety of graphics to display the monthly results
ID critical cross-organization initiatives that support the strategy map
Link the map to annual resource allocation and budgets
7
What of the following was not a key strategy for healthcare organizations in the past?
Add new technology
Find new methods to increase revenut
Attract talented clinicians
Reduce costs
8
Approximately what portion of the US GDP will be consumed by healthcare in 2025?
15 percent
17 percent
25 percent
20 percent
9
Which of the following is not a current trend in vendor supply chain relationships?
Bidding strictly on cost
Value-based standardization
Group purchasing organizations
Vendor-managed inventory
10
Which of the following is not an element of a project charter?
Project purpose and justification
Team meeting frequency and structure
Assigned project manager and authority level
Project mission statement
11
Which is the smallest level of cost that should be analyzed when beginning a cost reduction project?
Fee-for-service
Shared savings payments
Full capitation
Bundled payments
12
Which of the following tools is not used for Six Sigma projects?
Balance sheet
Pareto chart
Fishbone diagram
Scatter diagram
13
Which of the following are included in the five steps of the activity-based-costing process?
Det cost drivers, implement EBM, cal total cost of service
Determine cost drivers, imp healthcare home, cal total cost of service
Id relevant activities, det cost drivers, calculate total cost of service
Identify relevant activities, determine cost drivers, alter staffing levels
14
Once a cost reduction project is chartered, what should be the first step?
Inform employees that some staffing reductions will be necessary
Convene a physician advisory board
Identify the largest payer and meet with them
Id key cost drivers and collect cost data related to each fee for service
15
A system can be subdivided into what elements?
Processes, decisions points, and connectors
Processes, subprocesses, and tasks
Processes, people, and machines
Attitude, skills, and engagement
16
Which of the following is not a measure of employee satisfaction?
Minimal numbers of requests for salary increases
Active encouragement of creativity and initiative
Involvement with decisions
Recognition for doing a good job
17
Which of the following approaches is not an effective means to reduce the cost of overhead?
Reducing executive salaries
Imp process improvement on all routine overhead processes
Consolidating activities, e.g. memberships
Reducing staffing layers
18
When creating a dashboard, one should
Both a and b.
use the top-down approach to collecting metrics and KPIs.
involve those who will be utilizing the dashboards in the creation process.
start with collected data needed to support business decisions.
19
Which of the following is not a priority of comparative effectiveness research?
Allocating Medicare payments
Improving healthcare systems
Addressing disparities across patient populations
Communicating and disseminating research
20
Which of the following statements is true of descriptive analytics?
It is necessary because raw data alone are not typically usable to managers
It examines past perf to discern trends and patterns to explain behavior.
All of the above.
It condenses large data sets into more meaningful and useful information.
21
What is the primary goal of Lean?
Eliminate waste
Improve financial performance
Maximize employee productivity
Eliminate defects
22
A data point is an outlier in a bell-shaped distribution if
it is greater than 3 times the mean.
it is greater than 3 standard deviations above the mean.
it is greater than 3 standard deviation/mean.
it is greater than 3 times the median.
23
Public reporting of healthcare quality does not measure which of the following?
Patient compliance
The sickness level of patients
Patient satisfaction
Clinical outcomes
24
The term "Six Sigma" is derived from which of the following?
3.4 defects per million opportunities
Six standard deviations
A Greek fraternity
Dr. Sigma, who developed the system
25
Which of the following is not a financial strategy used by healthcare organizations?
Increase customer satisfaction and retention
Invest in physical assets and human capital
Reduce costs and improve productivity
Grow revenue
26
What is the most important characteristic of advanced access scheduling?
Ability to make appointments on line
Online access to a patient's health records
Evening and Saturdays available for appointments
Same-day scheduling
27
In general, a decision tree is used for what purpose?
To expand the risk profiles of tasks in a process map
To examine and evaluate decisions in a structured manner
To determine the financial impact of a specific course of action
To illustrate the logic in a decision for review by senior management
28
Which of the following is a metric to measure the accuracy of your forecast?
Mean absolute deviation
Absolute error
Average of the errors
Standard deviation
29
A RASIC diagram is used to
estimate the total cost of a project
estimate the time for each team member's work on each task
identify the role and responsibility of each team member for each task
find the critical path
30
Financial penalties and rewards in the contemporary payment system are designed to
improve the coding of bills
reduce total payments to providers
deter fraud
provide incentives for providers to improve quality
31
Which tool is not part of the analyze phase of a Six Sigma project?
Bar graph
Gantt chart
Regression analysis
Pie chart
32
Which of the following is not a valid method for scheduling appointments in a clinic?
Block appointments
Individual appointments
Appointments based on source of payment
Mixed block and individual appointments
33
Which of the following is not a method of bundling payments?
Per diem
Payment for an episode of care
Payment per hospital discharge
Payment for a clinical service, e.g. CT scan
34
What are the most important data to track for a shared savings (ACO) program?
Salaries of all providers in the ACO
Frequency of the types of diagnosis for participants
Individual patient costs over time
Number of patients per primary care doctor
35
The two-bin system is used to
provide easy movement of stock from the storeroom to the work area
color-code types of inventory
provide overflow storage for inventory
signal a need to order when one bin is full
36
Which of the following is not a major factor in the increasing costs of healthcare in the United States?
New diagnostic and treatment technologies
Malpractice costs
A prov payment system (fee-for-service) that encourages the use services
Increasing incidence of chronic disease and an aging population
37
Which of the following is not included in a basic discrete event simulation model?
Queues
Management team
Resources
Entities
38
Which of the following is the type of contracting with the highest risk?
Time and materials
Fixed price
All of the above have the same risk level
Cost reimbursement
39
Which of the following is true when using the EOQ model?
As inventory increases, less storage space is required
As order quantities increase, supplier discounts increase
As ordering costs increase, the optimal order quantity decreases
As holding costs increase, the optmal order quantity decreases
40
Which of the following is not a key tool for project management?
Program evaluation and review technique
Gantt chart
Quality circles
Critical path method
41
A type I error in hypothesis testing is
the probability of accepting the null hypothesis when it is false.
All of the above
the probability of accepting the null hypothesis when it is true.
the probability of rejecting the null hypothesis when it is true.
42
The goal of operations management is to
optimize the cost of products and services
develop new surgical procedures and use evidence-based guidelines
identify employees and employee groups who have high performance
more effectively and efficiently produce and deliver products and services
43
Which of the following is not a measure of central tendency?
Median
Range
Mean
Mode
44
Which part of a system flows from output to input and controls the quality of a system?
Capital
Transformation process
Feedback
Goods or services
45
Crashing a project can be accomplished by
adding more staff to the project team
shortening the duration of tasks on the critical path
eliminating tasks that have low value
sending frequent updates to the stakeholder group
46
What is the correct project cycle for a Six Sigma Project?
Define, measure, analyze, improve, control
Define, improve, analyze, control
Analyze, define, measure, improve, control
Measure, define, analyze, improve, control
47
What is supply chain management?
All of the above
The mngmt of act and proc rel to upstream vendors and downstream customers
Tracking and managing demand, inventory, and delivery
Procurement and vendor relationship management
48
The central limit theorem states that
a sample taken from any distribution will have a median equal to the mean.
as a sample size becomes suff large, sampling dist approaches normality.
the standard dev of the sample will = the standard dev of the population.
it can be used with dist that can be converted from logarithmic to linear.
49
Which of the following in not a true statement about Lean and Six Sigma?
Lean tools are currently more widely used in healthcare applications.
Lean and Six Sigma tools can both be used in process improvement projects.
Lean and Six Sigma projects require the use of special software.
Lean's focus is on reducing waste; Six Sigma's is on reducing defects.
50
Which of the following does not represent a key feature of the balanced scorecard management system?
Communicate and link strategic objectives and measures
Plan, set targets, and align strategic initiatives
Provide an evaluation system for employee performance
Clarify and translate vision and strategy
51
What is the capacity of a process?
The longest time a unit will take to travel through the process
The max possible output that a process or resource can produce or transform
The number of workers used in the process
The number of units produced per hour
52
Which of the following is not a goal of pay-for-performance systems?
Align payment incentives to support quality goals
Reverse the fee-for-service incentive to provide more services
Provide incentives for efficiency
Encourage poor providers to leave the system
53
Which is not a characteristic of big data?
Volume
Variety
Very searchable
Velocity
54
Which of the following is not an important cost management approach for an organization taking full capitation risk?
Shared decision making for surgery based on EBM finding
High patient copays and deductibles
Systems to prevent readmissions of patients that use EBM and optimized proc
Implementation of healthcare homes
55
The demand for chest X-rays is 4 per hour. It takes 12 minutes to take a chest X-ray. What is the takt time?
12 minutes
0.8 minutes
15 minutes
1.25 minutes
56
Which of the following is not a reason for the increasing popularity of analytics in healthcare?
Increasing demand from customers for public analytic reports
Required reporting of thousands of measures
Increased pressure to improve clinical, operational, and financial results
Increasingly soph tech that allows for anal of data on a massive scale
57
When prioritizing activities for overhead cost reduction, one should consider which of the following?
Activity staffing levels vs cost/FTE
Activity relationship to strategic plan
Activity cost vs. its importance to operations
Activity visibility to the board of directors
58
What variables are measured in the measurement phase of a Six Sigma project?
Process error rate, process output, process duration
Process input, process output, process duration
Process input, process output, critical to quality
Process suration, process variability, critical to quality
59
What is the PCP coverage metric?
Percentage of appointments see each day by primary care physicians
Percentage of same day appointments seen by any physician
Percentage of same day patients who see their own PCP
Percentage of patients who can be scheduled on the first phone call
60
Which of the following goals is not part of inventory management?
Protecting against stock outs
Taking advantage of quantity discounts
Meeting anticipated demand
Having a variety of clinical devices available for physicians
61
Material requirements planning and enterprise resources planning systems are used for
assigning tasks to robots in automated inventory systems
integrating all information technology systems into one database
planning optimal layouts for inventory storage
synchronizing materials and supply availability with forecasted demand
62
Which of the following issues will be a part of implementing advanced access?
An insatiable increase in demand for appointments
Working down the backlog of appointments
Few encounters
Lower revenue
63
Which of the following is a good approach to cost reduction?
Outsourcing of act found to be too exp to vendors with the lowest bids
Across-the-board expense reductions
A systemic analysis of costs followed by targeted improvements
Elimination of overtime
64
To improve the flow of a process, what two key strategies should be employed?
Automate where possible.
Increase the speed, and decrease the variability of the process.
Find and remove all bottlenecks.
Decrease the speed, and decrease the variability of the process
65
Which of the following activities will not result in a significant increase in revenue?
Prov real-time information to claims processors through data warehouses
Measuring rev per billing emp and replacing the lowest perf / quarter
Prov real-time feedback to clin re effect on reim based on care choices
Using exception-based workflow ... proc are mapped and auto; excep to staff
66
Which of the following is not an effective cost reduction tool for a cost reduction project?
Process improvement including Lean and Six Sigma
Schedule optimation
Supply chain management
Finding ineffective employees and reassigning them
67
The metrics on the balanced scorecard are used to
display all financial results
measure all operational results
connect productivity to financial performance
display current performance and predict future results
68
Reinforcing feedback prompts change that builds on itself and amplifies the outcome of a process.
True
False
69
Which of the following describes process mapping?
An integral part of improvement initiatives including Six Sigma, Lean, etc
A step used to understand and optimize a process
All of the above
A graphical depiction of a process showing inputs, outputs, and steps
70
A data collection method is reliable if it
meets the needs of the mathematical model.
measures the data precisely.
provides the same result if the measurement is repeated.
is the most efficient data collection method.
71
Which of the following is one of the seven ways predictive analytics can improve healthcare?
Helps with preventive medicine and public health efforts
Completely eliminates diagnosis error
Allows only large test cases to be used to improve models
Allows pharmaceutical companies to charge more for medication
72
Cross-functional (swim lane) process maps are used for which of the following?
ID the tasts that are acc by each ind or department in a process
ID activities in a process that are on the critical path
ID the roles of each member of the process improvement team
Sorting task on a scale of importance in achieving optimal performance
73
A project has been chartered, but needs to be done more quickly (same perf level). What effect will this have?
More personnel will need to be added
The duration of tasks on the critical path can be held constant
The cost will increase
The cost will decrease
74
Which of the following is the best method for selecting among competing projects?
Do projects that involve your best employees
Dev a matrix of criteria that are important, and then rank each project
Do projects with the best financial return
Rank each proj bawed on duration, and do the shortest projects first
75
Agile project management should be used when
the project involves software development
it is a small project
the exact perf characteristics are unknown at the beginning of the project
the project team will have many different members
76
Which of the following measures is not used in the customer perspective?
Customer acquisition
Customer retention
Customer satisfaction
Number of new products introduced
77
Which of the following focuses more on operational goals than strategic objectives?
Scorecards
All of the above
Dashboards
Reports
78
What does the word 'balanced' mean in the term 'balanced scorecard'?
Org executes strategy by viewing itself from a set of balanced perspectives
An org has a balanced set of initiatives throughout its strategic plan
Marketing, ops, & finance all have equal representation in the exec suite
Employees are located in an even distribution within the facility
79
The ABC classification system is used in inventory management to
divide inventory into three categories based on physician preference
divide invntry into 3 categories based on cost; focus mgmt on most costly
determine the most efficient layouts for stock rooms
score vendors on service and price
80
What is throughput time?
The time to process one unit.
The length of the queue as a unit enters a process.
The average time a unit spends in the process.
The average of the waiting times for a unit in the process.
81
Which of the following is the most important reason to create a process map?
Can fix accountability for errors
Can be used to communicate a process to upper-level mgmt
Prov a vis rep of a proc that can be used to id opps to make improvements
Can be used for team building

UofU MHA 6850 Final Review Flashcards | StudBud