Health Systems MGT (HCA 344)
The name of the book is (HOSPITALS)
**there are multiple choices questions and some essay questions**
In Article 2 (Scott et al), what aspects of nursing are LEAST satisfying to ?
o Interactions based on physical and technical aspects of care only.
o Human understanding of patients’ (and relatives) illness experience.
o Technical & clinical skills competence for safe outcomes.
o Time spent listening and talking (caring behaviors).
As stated in Article 2 (Scott et al). inadequate patient-nurse staffing result in patient death.
Each of the following statements regarding the structure and function of the clinical laboratory are true EXCEPT:
o The clinical pathology division of the clinical laboratory is under the direction of a pathologist.
o The microbiology staff isolates and identifies microorganisms collected from patients.
o The clinical chemistry staff measures various analytes in plasma and serum (from Dr. Thorn – for your information “analytes” refer to metabolic panel items like the following: sodium, potassium, chloride, bicarbonate, blood nitrogen (BUN), creatinine, glucose, calcium).
o Staff in the phlebotomy section can collect blood samples from patient, as shared responsibility with the nursing staff.
o All of the statements above are TRUE.
You are a CEO of a 200-bed community hospital in a RURAL Kentucky region with a PHYSICIAN SHORTAGE. Given your concern for the well-being of your citizens, you are grateful for the increase of nurse practitioners and physician assistants who moved into your community. Even though these nurse practitioners and physician assistants will not have admitting privileges to your hospital, they can refer admissions to your hospitalists. You decide to write an editorial to the local newspaper about their community value.
Address the following points in your Editorial:
Dear Rural Community Citizens:
What is a nurse practitioner? What duties (medical care) can a APRN (Advanced Practice Nurse) conduct?
What is a physician assistant? What duties (medical care) describes the role of a PA?
Encourage the local citizens to support the role of nurse practitioners and physician assistants in their community.
Why you, as the CEO of a hospital, finds value to having not only medical doctors but also NPs and PAs providing health care in the community.
Approximately 40 – 50% of all hospital employees work in the department of nursing.
You are a graduate of the masters in HCA at WKU. You have held a mid-level management position in a hospital setting for the past 5 years. You are now interviewing for the position of Chief Operating Officer (COO) at a 120-bed Lifepoint-owned Hospital in Gallatin, Tennessee. One of several departments that will be under your responsibility, should you be selected, is the Department of Physical Therapy. The Director of the PT Department who recently received his doctorate degree in physical therapy from WKU will report directly to you.
How will you respond to the following questions posed by the Director of Human Resources during your JOB interview?
Question 1: tell me about your working knowledge of the role of physical therapists and physical therapy assistants and the services they provide in a hospital setting.
Question 2: Our PT department currently employs 10 FTEs (full time equivalents), in order to justify keeping this level of staffing going forward, describe how patient outcomes are affected by PT services.
Technology typically found on today’s patient care units include:
o Computerized axial tomography (CAT) scan, bar code-assisted patient identification, bedside computer terminals.
o Physician dictation station, hazardous waste incineration, telemonitoring equipment.
o Delivery robot, magnetic resonance imaging (MRI), interactive patient education systems.
o Bar code-assisted medication administration (BCMA), computerized medication dispensing machines, computers dedicated for physician use.
Which area within the Diagnostic Imaging Department uses radiopharmaceuticals to diagnose and treat disease?
o Radiation therapy (RT)
o Nuclear medicine (NM)
o Isotope tomography (IT)
o Radioactive fluoroscopy (RF)
Which diagnostic imaging modality provides the physician with a two-dimentional image?
o Chest radiography (x-ray)
o Computed tomography (CT) scans
o Magnetic resonance imaging (MRI)
o Ultrasound (US)
Diversity is a complex issue that reaches beyond rare, religion, and gender. For example, diversity also includes how to blend the work styles of three generations of hospital employees – Boomers, Gen X, Millennials. Healthcare leaders, like you will be someday, must demonstrate a commitment to building a DIVERSE workforce and developing an INCLUSIVE environment in which all personnel are respected, valued and engaged. Now to the essay questions:
a. Define the term “cultural competence” and its four components.
b. What is the “business case for diversity”? Said another way, when an healthcare organization embraces diversity and inclusion principles, how does it benefit the organization’s effectiveness?
c. The concept of inclusion, in concert with diversity and cultural competence, helps improve services in hospitals. Inclusion is:
__________ describes a specialty, ancillary service that uses high-energy ionizing radiation to destroy cancerous cells.
o Radiation Therapy.
o Radiation Oncology.
o Therapeutic radiology.
o All of the above.
The most common size of patient-care or nursing unit is between:
o 8-10 beds per unit.
o 20 to 40 beds per unit.
o 60 to 70 beds per units.
o >100 beds per centralized unit.
Radiologic technologist are key personnel who perform diagnostic imaging examinations. As health care administrator, you will expect the following from this staff rule:
o Cost-effective diagnostic imaging services
o High-quality, accurate diagnostic images
o Required education, certifications, and licensures
o All of the above
This chapter informs you that hospitals significantly declined in number in the last several decades and that they are now better at controlling ALOS
a. Define the term ALOS
b. According to this author. What trend resulted in the significant decrease in hospital ALOS in the 1990s?
c. Find Table 2-2 in Chapter 2 page 15. State the ALOS trend for AHA-Registered Hospitals in the United States between 1980 to 2008
d. GO on-line to the internet to find the most current United States ALOS you can find Tell me what ALOS you found in what year AND compare it to the 5.5 days 2008 in Table 2-2
Clinical laboratories must be granted a certificate of compliance with CLIA (Clinical Laboratory Improvements Act) and it must be renewed every 2 years. CLIA 1988 was implemented by US Congress in 1988 as a measure to:
o Prevent misdiagnosis of patients through misread or mixed up lab results.
o Defined testing categories according to their level of complexity and which lab personnel could perform them.
o Both A and B.
o None of the above.
A patient may enter a hospital in a planned or unplanned manner. A planned entry into the hospital occurs when a physician with admitting privileges refers the patient to that hospital through the admissions office. Remember as a non-clinical healthcare manager you could head up the admissions department. Unplanned patient admissions through the emergency department occur every day e.g. from heart attacks or motor vehicle accidents. The emergency department of a hospital, and how it well it operates, will influence the success of the hospital. For example, if physicians and patients trust the services provided in Hospital A’s ER, it becomes a HUGE source of admissions for hospital A. When beds are full, hospitals are financially healthy. But, if Hospital A’s ER is inefficient – long wait times or patients are misdiagnosed then physicians and patients will go to Hospital B. Hospital B’s admission rates improve and it achieves financial and patient outcome successes.