0 [{"id":133678,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:39:35","updated_at":"2016-12-02 15:54:10","questionName":"UNT Health has decided to change EHR systems in their clinics. They are moving from NextGen to Epic. Numerous training sessions have been set up to make sure the physicians know how to use the new EHR. However, in order for there to be a successful implementation of the new EHR system into the clinical flow, who must also be trained?","questionTimeSeconds":"30","questionTimeMinutes":"1","questionImagePath":null,"position":9,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133689,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:48:21","updated_at":"2016-12-02 15:54:10","questionName":"Which of the following is a NOT a factor in the shortage of primary-care physicians in Texas?","questionTimeSeconds":"30","questionTimeMinutes":"1","questionImagePath":null,"position":12,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133665,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:24:28","updated_at":"2016-12-02 15:54:10","questionName":"In Florida, XYZ hospital had a great reputation of providing excellent primary health care services at economical rate. Suddenly, the patients did not prefer to come to this place and the concerned authorities were worried for patient flow and performance of this hospital. What should be the most appropriate measure taken by the board members to regain the trust of their patients?","questionTimeSeconds":"59","questionTimeMinutes":"0","questionImagePath":null,"position":3,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133675,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:37:11","updated_at":"2016-12-02 15:54:10","questionName":"Jack is a professional mover. While he was working to move office equipments, he fell from the stairs and get hurt in this head. Jack took over the counter pain killer but a middle of the night he has started vomiting. Her wife took him to the ER and the doctor advises him MRI. It was expensive and his insurance does not have coverage for a special test. After getting the report ER doctor advice Jack to see a neurologist. Jack got an appointment with Dr. Brayn who is a neurologist after 3 days, as the hospital did not have their own neurologist. Neurologist went through his medical history again and advise him to repeat the MRI because his previous report was lost. This is an example of:","questionTimeSeconds":"30","questionTimeMinutes":"1","questionImagePath":null,"position":8,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133671,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:34:20","updated_at":"2016-12-02 15:54:10","questionName":"Shirley has osteoarthritis of her right hip and is researching different hospitals to have her hip surgery performed at. Which source is Shirley likely to trust the MOST when it comes to choosing a quality hospital for her surgery?","questionTimeSeconds":"30","questionTimeMinutes":"1","questionImagePath":null,"position":7,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133695,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:55:36","updated_at":"2016-12-02 15:54:10","questionName":"Dr. Annalise Keating is a retired Family physician, she worked at the Nelsonville health center, Ohio for 40 years. She was invited to speak to the incoming medical students at The Ohio State university on why there is a shortage of Primary care physicians. Which of the following option(s) is a reason for primary-care shortage?","questionTimeSeconds":"30","questionTimeMinutes":"1","questionImagePath":null,"position":14,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133666,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:26:49","updated_at":"2016-12-02 15:54:10","questionName":"Which of the following is a correct example of HCO clinical staff compensation according to the guidelines by Lee and Cosgroves?","questionTimeSeconds":"59","questionTimeMinutes":"0","questionImagePath":null,"position":4,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133664,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:20:45","updated_at":"2016-12-02 15:54:10","questionName":"Rick Ross has graduated from UNT Health Science Center in Hospital Administration. He worked as an Intern Fellow in Baylor University Medical Center and then recruited as a COO in the same organization. He served for 7 years and now the board is willing to take him as the CEO of the hospital. The board has observed him for the last couple of years and projected him as a good CEO. They have identified good CEO qualities in Rick. Which one best describe the Rick Ross from UNTHSC?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":2,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133686,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:45:41","updated_at":"2016-12-02 15:54:10","questionName":"Mr. Edward Johnson, a 68-year-old retired military veteran based in Washington DC, has been managed for knee pain as a result of injury to his right knee. His physician had recommended knee surgery but he had been skeptical of having surgery for fear of associated complications with surgery. He finally accepted and was scheduled for a knee replacement surgery at a very reputable hospital with advanced medical technology. No history of any known drug reaction was obtained. The surgery was successful but he developed a life-threatening complication following the surgery while he was still hospitalized. Which of the following statement most appropriately defines a preventable adverse event in Mr. Edward Johnson\u2019s case? ","questionTimeSeconds":"30","questionTimeMinutes":"1","questionImagePath":null,"position":11,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133662,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:11:31","updated_at":"2016-12-02 15:54:10","questionName":"Brenda had open heart surgery at a hospital that was recognized as one of the American Hospital Association's \"Most Wired\" hospitals. Which of the following is NOT an example of common practices shared by the \"Most Wired\" hospitals according to Becker's Hospital Review?","questionTimeSeconds":"59","questionTimeMinutes":"0","questionImagePath":null,"position":0,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133682,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:41:56","updated_at":"2016-12-02 15:54:10","questionName":"Nancy's oncology physician is about 10 minutes from her home and 12 minutes from her job. She feels that her physician is a quality doctor who spends ample time with her during their visits as Nancy tackles breast cancer. Her physician and his staff correspond to Nancy's other physicians and cancer team efficiently and have access to all of her pertinent medical information. If Nancy is feeling particularly ill from a cancer treatment, even after-hours, she can call the clinic and someone will answer and speak to her about what needs to be done, and if necessary will put her in touch with her physician. The clinic of Nancy's oncology physician is older and a bit shabby. The chairs in the lobby don't match and the carpet is quite dated. How does this physical atmosphere impact her care? ","questionTimeSeconds":"30","questionTimeMinutes":"1","questionImagePath":null,"position":10,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133693,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:52:51","updated_at":"2016-12-02 15:54:10","questionName":"Which is not an example of a force driving customer service?","questionTimeSeconds":"30","questionTimeMinutes":"1","questionImagePath":null,"position":13,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133667,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:29:26","updated_at":"2016-12-02 15:54:10","questionName":"Hospital XYZ is introducing a new Electronic Health Record System. Which action plan should they follow for optimization?","questionTimeSeconds":"59","questionTimeMinutes":"0","questionImagePath":null,"position":5,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133663,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:14:18","updated_at":"2016-12-02 15:54:10","questionName":"Medicalization or condition branding accounts for a significant amount of wasteful health care spending. Which of the following individual(s) has fallen victim to this trend?","questionTimeSeconds":"0","questionTimeMinutes":"2","questionImagePath":null,"position":1,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null},{"id":133668,"quiz_id":"8770","answer_id":null,"answerType_id":"0","created_at":"2016-11-30 00:32:48","updated_at":"2016-12-02 15:54:10","questionName":"Bill is 62 years old, and has diabetes. He normally receives care at a crowded primary care facility which serves a large population. Bill begins to feel progressively ill. He calls the primary care facility but is told that the wait will be several hours and that if he feels he needs to be seen immediately, he should go to the emergency room. He goes to the emergency room where there is also a wait. When he is finally admitted, it takes a great deal of time before a nurse comes to him. He explains what has been going on to the nurse who writes down some notes and then leaves. A long wait ensues before a physician appears and asks the same questions the nurse asked, which Bill answers again. The doctor order some labs, and then leaves. Bill spends several hours at the emergency room having labs done and then waiting on the results, which are then interpreted by another physician who declares that nothing seems amiss with Bill. He advises Bill to follow up with his primary care physician and to try to see a diabetes specialist if his symptoms of malaise continue to persist. Bill calls his primary care physician and is told that he can come in and wait, but that the schedule is full for days and that if he continues to feel ill then he should go back to the emergency room. This is an example of _____? ","questionTimeSeconds":"30","questionTimeMinutes":"1","questionImagePath":null,"position":6,"explanation":"","question_score_id":null,"lang":null,"questionAudioPath":null}]

block

UNT Health has decided to change EHR systems in their clinics. They are moving from NextGen to Epic. Numerous training sessions have been set up to make sure the physicians know how to use the new EHR. However, in order for there to be a successful implementation of the new EHR system into the clinical flow, who must also be trained?

Select the correct answer(s).  

(0/0)

---

Clinic supervisors

Medical assistants

All of the above

Nurses

Physician assistants

none

Which of the following is a NOT a factor in the shortage of primary-care physicians in Texas?

Select the correct answer(s).  

(0/0)

---

Hospitals merging with physicians

Deficit in medical residency slots

Lack of funding for medical students

Population growth in rural communities

None of the above

none

In Florida, XYZ hospital had a great reputation of providing excellent primary health care services at economical rate. Suddenly, the patients did not prefer to come to this place and the concerned authorities were worried for patient flow and performance of this hospital. What should be the most appropriate measure taken by the board members to regain the trust of their patients?

Select the correct answer(s).  

(0/0)

---

They should emphasize more on advanced equipment to diagnose and treat patients of various diseases.

They should include former patients or their relatives in the quality assessment committee.

They should recruit more staff and employees to provide more attention to every patient.

They should provide treatments at much lower rate than the previous rates.

They should hire more experienced and well-known physicians to attract more patients.

none

Jack is a professional mover. While he was working to move office equipments, he fell from the stairs and get hurt in this head. Jack took over the counter pain killer but a middle of the night he has started vomiting. Her wife took him to the ER and the doctor advises him MRI. It was expensive and his insurance does not have coverage for a special test. After getting the report ER doctor advice Jack to see a neurologist. Jack got an appointment with Dr. Brayn who is a neurologist after 3 days, as the hospital did not have their own neurologist. Neurologist went through his medical history again and advise him to repeat the MRI because his previous report was lost. This is an example of:

Select the correct answer(s).  

(0/0)

---

Administrative waste

Clinical waste & Operational waste

Operational waste

Administrative waste, Clinical waste & Operational waste

Clinical waste

none

Shirley has osteoarthritis of her right hip and is researching different hospitals to have her hip surgery performed at. Which source is Shirley likely to trust the MOST when it comes to choosing a quality hospital for her surgery?

Select the correct answer(s).  

(0/0)

---

Her 77 year-old best friend, Betty

A pamphlet from her health insurance provider

The Dallas Morning News

Her primary care physician

The American Medical Association

none

Dr. Annalise Keating is a retired Family physician, she worked at the Nelsonville health center, Ohio for 40 years. She was invited to speak to the incoming medical students at The Ohio State university on why there is a shortage of Primary care physicians. Which of the following option(s) is a reason for primary-care shortage?

Select the correct answer(s).  

(0/0)

---

All of the above

A & C only

1 out of 14 of today’s medical students want to become primary-care physicians.

Physicians tend to cluster in areas where supply is already high rather than where the need is greatest.

Primary-care physicians are paid less and they also typically work longer hours.

none

Which of the following is a correct example of HCO clinical staff compensation according to the guidelines by Lee and Cosgroves?

Select the correct answer(s).  

(0/0)

---

Dr. Pierce hit a large goal on patient volume this year. She is compensated with a very large sum of money to reward her for meeting this target.

All of the above

Dr. Pierce collaborated with multiple doctors when treating patients this year. She is compensated for her great display of teamwork.

Dr. Pierce saved the hospital over $250,000 in costs this year. She is compensated for helping save the hospital money.

none

Rick Ross has graduated from UNT Health Science Center in Hospital Administration. He worked as an Intern Fellow in Baylor University Medical Center and then recruited as a COO in the same organization. He served for 7 years and now the board is willing to take him as the CEO of the hospital. The board has observed him for the last couple of years and projected him as a good CEO. They have identified good CEO qualities in Rick. Which one best describe the Rick Ross from UNTHSC?

Select the correct answer(s).  

(0/0)

---

Rick is a very good thinker and can quickly take implementation decision.

Rick is well qualified and always willing to educate himself only by participating all available training.

Rick believes in recruiting new experienced staff rather than believing training an executive as an investment.

Rick is very spontaneous, strategic thinker and well communicated with the physicians

none

Mr. Edward Johnson, a 68-year-old retired military veteran based in Washington DC, has been managed for knee pain as a result of injury to his right knee. His physician had recommended knee surgery but he had been skeptical of having surgery for fear of associated complications with surgery. He finally accepted and was scheduled for a knee replacement surgery at a very reputable hospital with advanced medical technology. No history of any known drug reaction was obtained. The surgery was successful but he developed a life-threatening complication following the surgery while he was still hospitalized. Which of the following statement most appropriately defines a preventable adverse event in Mr. Edward Johnson’s case?

Select the correct answer(s).  

(0/0)

---

The complication that Mr. Edward Johnson developed after the surgery was an expected but harmless experience that occurred during his hospitalization following his surgery.

Being a reputable hospital with advanced medical technology, providing high quality evidence-based medical care with its associated high cost, it is not likely that the complication Mr. Edward Johnson developed was as a result of his hospitalization at this medical facility.

The complication that Mr. Edward developed following his knee replacement surgery was an unexpected and harmful experience that occurred as a result of the non-delivery of high quality evidence-based medical care during hospitalization.

All surgeries irrespective of where it’s performed are associated with complications thus Mr. Edward Johnson’s case is an expected but harmful experience that occurred while he was still hospitalized, following his surgery.

none

Brenda had open heart surgery at a hospital that was recognized as one of the American Hospital Association's "Most Wired" hospitals. Which of the following is NOT an example of common practices shared by the "Most Wired" hospitals according to Becker's Hospital Review?

Select the correct answer(s).  

(0/0)

---

Brenda's surgeon enters a Penicillin order for the OR and the electronic medical record flags it as an allergy when it is entered.

The affiliated facility that Brenda is doing cardiac rehab at has access to her post-surgical discharge data

Brenda is able to log into a hospital-supported website to access parts of her medical records such as her labs and upcoming appointments scheduled.

While Brenda is recovering after surgery in the hospital, she is able to learn more about her surgery and recovery on a hospital-sponsored informational tv channel about open heart surgery.

none

Nancy's oncology physician is about 10 minutes from her home and 12 minutes from her job. She feels that her physician is a quality doctor who spends ample time with her during their visits as Nancy tackles breast cancer. Her physician and his staff correspond to Nancy's other physicians and cancer team efficiently and have access to all of her pertinent medical information. If Nancy is feeling particularly ill from a cancer treatment, even after-hours, she can call the clinic and someone will answer and speak to her about what needs to be done, and if necessary will put her in touch with her physician. The clinic of Nancy's oncology physician is older and a bit shabby. The chairs in the lobby don't match and the carpet is quite dated. How does this physical atmosphere impact her care?

Select the correct answer(s).  

(0/0)

---

The physical atmosphere doesn't contribute to the patient experience, and Nancy shouldn't be looking for a new, modern clinic when she is in the middle of cancer care.

The physical atmosphere contributes greatly to the patient experience, more so than the doctor's expertise or quality of care by clinic staff. Nancy should strive to find a clinic with a more modern look and feel.

The physical atmosphere contributes to the patient experience but generally far less than the level of expertise of the physician, ease of communicating with the clinic, and quality of clinic staff. Nancy needn't worry about the physical appeal of the clinic so long as she is receiving robust medical care.

none

Which is not an example of a force driving customer service?

Select the correct answer(s).  

(0/0)

---

Jacob is a 21 year old who cannot remember the last time he visited his primary care physician. Every time he gets sick, he just runs into his local retail pharmacy's clinic.

Hospital A recently learned that Hospital B is rated higher and Hospital A is improving their patient experience to add value to their hospital.

Sally is a 35 year old mother of two and her employer has newly announced that in 2017, Sally would have to pay a higher share of her health insurance premiums.

Jonathan is a active 30 year old who maintains his weight by proper diet and exercise. He does not smoke or drink and suffers from no chronic diseases. He rarely gets sick and only has to see his primary care physician for his yearly physical.

Sarah is a patient that is very private. She has never shared her social security number on a website, but recently she signed up for an online service and shared her SSN. This service will store her private medical records and makes her information convenient and accessible

none

Hospital XYZ is introducing a new Electronic Health Record System. Which action plan should they follow for optimization?

Select the correct answer(s).  

(0/0)

---

Offer multiple training sessions with clinician and job specific focus.

Delay posting the patient portal until all staff, both clinical and nonclinical, have been trained and can demonstrate proficiency.

Host one joint training session for all clinical staff.

Offer EHR transition support for only one week after transition.

none

Medicalization or condition branding accounts for a significant amount of wasteful health care spending. Which of the following individual(s) has fallen victim to this trend?

Select the correct answer(s).  

(0/0)

---

Paula, a diabetic mother who had gestational diabetes.

Wesley, a high school soccer coach who has been diagnosed with overactive bladder.

Klay, a slightly overweight male that has hypertension.

Betty, a grandmother who takes medication for her high cholesterol.

none

Bill is 62 years old, and has diabetes. He normally receives care at a crowded primary care facility which serves a large population. Bill begins to feel progressively ill. He calls the primary care facility but is told that the wait will be several hours and that if he feels he needs to be seen immediately, he should go to the emergency room. He goes to the emergency room where there is also a wait. When he is finally admitted, it takes a great deal of time before a nurse comes to him. He explains what has been going on to the nurse who writes down some notes and then leaves. A long wait ensues before a physician appears and asks the same questions the nurse asked, which Bill answers again. The doctor order some labs, and then leaves. Bill spends several hours at the emergency room having labs done and then waiting on the results, which are then interpreted by another physician who declares that nothing seems amiss with Bill. He advises Bill to follow up with his primary care physician and to try to see a diabetes specialist if his symptoms of malaise continue to persist. Bill calls his primary care physician and is told that he can come in and wait, but that the schedule is full for days and that if he continues to feel ill then he should go back to the emergency room. This is an example of _____?

Select the correct answer(s).  

(0/0)

---

Failure of care coordination

Overtreatment

Failure of care delivery

Administrative Complexity