Health Care Operations Management
Chapter Exam Questions
Course Introduction
Health Care Operations Management explores the strategies, systems, and tools essential for optimizing efficiency and quality in health care delivery. The course covers topics such as process design and improvement, patient flow management, resource allocation, quality control, performance measurement, and supply chain management within various health care settings. Students will analyze real-world case studies, learn about operational challenges unique to hospitals and clinics, and apply quantitative and qualitative methods to solve complex problems. Emphasis is placed on fostering decision-making skills that improve patient outcomes, cost-effectiveness, and overall organizational performance in the dynamic health care environment.
Recommended Textbook
The United States Health Care System Combining Business Health and Delivery 2nd Edition by Anne
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Chapter
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Sample Questions
Q1) The health care industry will be affected by the aging of the baby boomer generation. Identify at least two health occupations projected to experience the greatest growth. Include your rationale in your response.
Answer: Responses will vary but may include: home health aides
medical assistants
medical records/health information technicians
Q2) Focus on prevention of disease and the maintenance of well-being describes the ________________ model.
Answer: wellness
Q3) The office and administrative support occupational category of health care occupations would include:
A) medical secretaries.
B) medical assistants.
C) health care managers.
D) registered nurses.
Answer: A
Q4) Many approaches are used to describe health care. List two approaches. Answer: economic; delivery systems
Page 3
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Chapter 2: The Business Side of Healthcare
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Q1) An increase of the price level at any given time is:
A) recovery.
B) interest.
C) inflation.
D) recession.
Answer: C
Q2) A decrease in unemployment and interest rates occurs during the following portion of the economic cycle:
A) prosperity.
B) recession.
C) depression.
D) recovery.
Answer: A
Q3) Accounting:
A) creates the product or service.
B) tracks the flow of money in and out of a business.
C) uses technology to manage information.
D) includes the product, price, promotion, and distribution to the customer.
Answer: B
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Page 4
Chapter 3: The Payment Process: Insurance and
Third-Party Payers
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Q1) Health insurance is:
A) a PPO.
B) shifting the risk of loss.
C) an HMO.
D) All of the above
Answer: D
Q2) _______________ insurance does not restrict a patient's choice of providers.
Answer: Indemnity
Q3) Employers must provide health insurance.
A)True
B)False
Answer: False
Q4) _______________ is a type of prepaid health care plan.
Answer: Managed care
Q5) John is known as a(n) _______________ in his HMO.
A) actuary
B) enrollee
C) subscriber
D) policy holder
Answer: B
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Chapter 4: The Payment Process: Government Payment Programs
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Q1) In all but a few states, more than 50% of the Medicaid population is in managed care. A)True
B)False
Q2) The disease that makes a person eligible for Medicare without being over 65 years old is ________________.
Q3) The category of Medicaid recipients who receive the largest amount of funding is:
A) the disabled.
B) the elderly.
C) adults.
D) children.
Q4) Physician's Medicare payments are paid based on limits set by _______________.
Q5) Describe workers' compensation. Include the rationale for its existence from an employer and employee perspective.
Q6) Financial gain from patient/service referrals is known as _______________.
Q7) Medicare is administered by _______________.
Q8) TRICARE is a provider of health care services. A)True B)False Page 6
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Chapter 5: Healthcare Providers: Physicians and Nurses
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Q1) Understanding the musculoskeletal system and employing a holistic approach describes:
A) alternative medicine.
B) allopathic medicine.
C) osteopathic medicine.
D) homeopathic medicine.
Q2) Nursing comprises all of the following except:
A) treatment.
B) educating.
C) diagnosing.
D) referring to other services.
Q3) Primary care physicians see patients for preventive care.
A)True
B)False
Q4) RNs can have any of the following as minimal education in order to practice except: A) certificate.
B) associate's degree.
C) bachelor of science.
D) hospital diploma program.
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Chapter 6: Other Clinical and Non-Clinical Healthcare
Providers
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Q1) Activities of daily living therapy is in the domain of the:
A) pharmacist.
B) occupational therapist.
C) physical therapist.
D) speech-language pathologist.
Q2) Which of the following occupations does not require a bachelor's degree?
A) Respiratory therapist
B) Occupational therapist
C) Optometrist
D) Recreational therapist
Q3) The typical work setting for a medical assistant is:
A) hospitals.
B) home health agencies.
C) veterinary offices.
D) clinics.
Q4) Physician assistant and medical assistant are synonymous terms for the same professional.
A)True
B)False
Q5)
pathologists.
9
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Page 10
Chapter 7: Offices, Clinics, and Hospitals
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Q1) Dietary, social service, and pastoral care are part of the _______________ area of the organizational chart.
A) general patient support
B) administrative support
C) nursing support
D) facilities support
Q2) Primary care is typically delivered in a hospital setting.
A)True
B)False
Q3) The chief of the medical staff is described by all of the following except:
A) leads the medical staff.
B) elected by the other medical staff members.
C) always the chief of cardiology.
D) interacts with the board and the management team.
Q4) One advantage of an LLP is:
A) financial obligation limits.
B) ease of construction.
C) independence.
D) simplicity.
Q5) List two of the functions on the business side of a professional practice.
Page 11
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Chapter 8: Tertiary Care: the Long-Term Care Continuum
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Sample Questions
Q1) Medicaid will cover LTC payment in which situation?
A) The individual has turned 65.
B) The individual is disabled.
C) The individual qualifies for LTC and meets Medicaid's income test.
D) The individual did not qualify for LTC insurance.
Q2) Mary lives in an apartment complex. She has a small one-bedroom apartment with a small kitchen and living area. She eats in the community dining room at least once a day. Mary lives in a _______________ _______________ _______________.
Q3) All of the following are categories of ADL capability except:
A) totally independent (no mechanical assistance or assistance from another person).
B) requiring mechanical assistance only.
C) requiring no assistance from another person.
D) unable to do the activity at all.
Q4) All of the following are categories of nursing home care except:
A) SNF.
B) ADF.
C) ECF.
D) ICF.
Q5) The typical home health client is a _______________ _______________.
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Chapter 9: Mental Health Services: a Combination of Systems
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Q1) List three of the identified mental health care settings.
Q2) Historically, mentally ill people were considered possessed.
A)True
B)False
Q3) A diagnosis of mental illness is determined:
A) solely through measurable parameters.
B) solely through functional ability.
C) through a combination of objective and subjective data.
D) through response to prior treatment.
Q4) Which of the following is not an ethical issue in mental health?
A) Confidentiality
B) Access
C) Economics
D) Ageism
Q5) Hyperventilation and tachycardia often accompany:
A) panic disorder.
B) generalized anxiety disorder.
C) posttraumatic stress disorder.
D) obsessive-compulsive disorder.
Q6) Discuss issues related to children and mental health. Page 13
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Chapter 10: The Public Health System: the Governments
Role
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Q1) Foundations are not:
A) not-for-profit organizations.
B) groups that raise funds to support a cause of their choice.
C) groups that distribute funding to other community-based organizations in support of their work.
D) groups that provide direct medical care.
Q2) The nation's capital was moved from Philadelphia because of a public health issue.
A)True
B)False
Q3) Public health has a curative focus.
A)True
B)False
Q4) Epidemiology is:
A) the study of the history of a disease.
B) determining if there is more or less of a disease than in the past.
C) the continuous search for and documentation of disease.
D) the study of skin diseases and disorders.
Q5) List three of the state health department's responsibilities.
Q6) List the functions from the Institute of Medicine's report.
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Chapter 11: Medical Technology, Pharmaceuticals, and Pharmacological Research
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Q1) Medications that consumers can buy for themselves without a prescription are:
A) generic drugs.
B) over-the-counter drugs.
C) investigational drugs.
D) disease-specific drugs.
Q2) This drug was the catalyst for the 1962 Amendment to the Food, Drug, and Cosmetic Act of 1938.
. Write your answer in the space provided or on a separate sheet of paper.
Q3) Several hundred people participate in this drug-testing phase.
A) Phase II
B) Phase I
C) Phase III
D) Phase IV
Q4) The Food, Drug, and Cosmetic Act of 1938 gave the FDA more control of new product introduction.
A)True
B)False
Q5) MRIs use miniature cameras during surgery.
A)True
B)False
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Chapter 12: Healthcare Research and Prevention
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Q1) CDC stands for:
A) Centers for Disease Control and Prevention.
B) Communicable Disease Center.
C) Center for Disease Control.
D) Communicable Disease Control Center.
Q2) Which of the following is not a center of the NIH?
A) National Cancer Institute
B) National Human Genome Research Institute
C) National Heart Association
D) National Institute on Aging
Q3) Cigarette smoking is responsible for ____________ deaths per year.
A) 156,000
B) 443,000
C) 610,000
D) 750,000
Q4) List two reasons for health care research.
Q5) List 3 of the 10 leading causes of death in the United States according to the 2001 CDC data.
Q6) List 4 of the 12 agencies of the DHHS.
Q7) Describe the government research grant process.
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Chapter 13: Cultural Competency, Health Literacy, and Healthcare Ethics
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Q1) Which of the following is not an aspect of culture that impacts health care?
A) Language
B) Sexuality
C) Grief response
D) Leisure practices
Q2) Health literacy is:
A) the degree to which individuals have the capacity to obtain, process, and understand basic information and services needed to make appropriate decisions about their health.
B) the ability of an individual to read health care information that is printed in English.
C) the ability of health organizations and practitioners to recognize the cultural beliefs, values, and attitudes of specific cultural groups.
D) how illness and disease are perceived by an individual or group.
Q3) Discuss Kantian theory and its application in health care ethics.
Q4) A core value identified by Robin Williams is efficiency.
A)True
B)False
Q5) List 2 tips for talking to patients of different cultures and languages.
Page 18
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Chapter 14: International Healthcare
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Q1) 100% of U.S. citizens have health care coverage.
A)True
B)False
Q2) Which of the following countries does not have a variant of the single payer system?
A) Australia
B) France
C) Germany
D) Spain
Q3) Which of the following does not describe the Canadian health care delivery system?
A) It is described as a mixed system.
B) It is possible to have completely private health care.
C) The vast majority of care is provided through a single payer model.
D) It is described as a market economy model.
Q4) About what percentage of Mexicans are uninsured?
Q5) List two forms of traditional medicine practices in India.
Q6) _________________ has a population of one billion.
Q7) Canada spends about how much per capita on health care?
Q8) List two countries having a single payer health care system.
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