HSM 541 Final Exam

HSM 541 Final Exam

Health
Service Systems

Week 8 –
Final

1. (TCO A)
You are the newly hired Chief Knowledge Officer (CKO) for a mid-size
hospital in a semiurban area of the country.
Your first task is to develop the organization’s strategic plan that
will shape the development of a comprehensive network of services for their
community.

The
organization provides the usual array of inpatient services expected in a
moderate-sized community hospital. A
local nursing home and retirement community is for sale, and the organization
is considering the purchase of that agency.
Several physician practices are also interested in alliances with the
hospital. There is a local county health
department that provides some clinic services, primarily for the uninsured.

You’ve
been asked to give a presentation to the board of directors on options to
restructure the local delivery of healthcare services. The hospital’s president has asked you to
focus your presentation on the common elements a comprehensive delivery system
attempts to accomplish and to highlight innovative methods of
restructuring. The presentation will lay
out the requirements of an integrated healthcare delivery system. (Points:
25)

2. (TCO B)
You are the newly-hired Vice President of Human Resources for the
Bayside Community Health System. You’ve
been on the job for just 3 months and have considerable experience in human
resource functions. You have responsibility
for all of the usual human resources functions, including the recruitment
process, the training and development functions, and the retention plan. In addition, you have the additional
departments of volunteers and the hospital chaplain services.

You’ve
identified a number of serious organizational issues that are impacting the
hospital. Turnover is high, there are
many vacant positions, and the organization has a very high number of positions
that are considered hard-to-fill positions because of national workforce
shortages in nursing, pharmacy, and radiology.

The
board of directors and the president know that they have serious human resource
issues that will have to change in order for them to compete in the local
healthcare market as an employer-of-choice.
As in any healthcare organization, fiscal resources are limited, but the
board is firmly committed to investing in a well developed human resources plan
to decrease turnover and stem the ever-growing turnover and vacancy rates. The president has asked you to attend the
next board of directors meeting to share your plan for addressing these serious
issues. What will you tell them in your
presentation to address the retention and recruitment problems? (Points:
5)

3. (TCO C)
Some physicians and for-profit healthcare organizations in your area are
refusing to treat Medicare and Medicaid patients for a variety of reasons. These controversial decisions present not
only a major breakdown in the healthcare delivery system but also in the
financing of healthcare for many individuals across the nation. Delineate at least three reasons that
physicians have for refusing to participate in these governmental programs, as
well as the impact this practice has on other areas of the healthcare delivery
system. (Points: 25)

4. (TCO D)
As the executive director of a managed care company, you have been
invited by Congress to consult about national healthcare reform. Public outcry for changes in managed care
practices is ongoing. Congress is
calling for reform, and medical providers are extremely frustrated with how you
restrict care and offer low reimbursements.

Congress has asked you to
discuss how the managed care industry can be overhauled to provide a more
customer-responsive product and to control national healthcare costs.

What are the high-priority
issues that will need to be discussed to overhaul the managed care
industry? What stakeholders must be
considered in the planning process?
(Points: 20)

5. (TCO E)
You are the VP for human resources and have been given the assignment to
come up with a new healthcare benefits plan that will improve healthcare
services for your employees and control costs.
The health plan currently covers services provided in healthcare
services. You employ approximately 1,800
employees and already determined in this new plan, you want to provide
traditional healthcare services and further develop a more preventative and
wellness focus. Your goal is to improve
the health of your employees, thereby saving monies in your illness coverage as
well as nonproductive time in sick days.

You
are meeting with the president of the health system this afternoon. What will you say to him or her? (Points:
25)

6. (TCO F)
You are the newly hired hospital administrator for Healthcare-U.S.
System, a national system of tertiary hospitals located throughout the
U.S. Your organization has just approved
new monies for developing new quality management initiatives. The individual hospitals have implemented
their own quality management programs.
Some of these programs have produced stellar results and high levels of
patient satisfaction, although others have had much less success.

Your
focus as the newly hired administrator is to develop a corporate quality
improvement program that will be standard throughout the company’s
hospitals. The quality improvement plan
must be responsive to any local needs or issues. How will you craft that plan? What will you include in your plan? Include some specific examples of what you
might measure. How will you get to
buy-in from your individual organizations that already have their own plan?

7. (TCO G)
You’ve just been hired as the Chief Operating Officer (COO) for a new
orthopedic physician practice. The new
practice was created by two previously independent practice groups that had
fines for governmental regulatory violations, as well as suspected fraudulent
billing practices. You just received a
subpoena to appear in court and testify as to your role in the organization and
knowledge of billing practices.

All
you know is that the clinic has recently purchased a new electronic billing and
medical records system that is HIPAA-Compliant.
One goal of this electronic system is to address all areas of compliance
and to clean up any issues from the past.
It is also intended to position the new organization as an organization
with an impeccable reputation for compliance.
Articulate your vision for this plan and components that are required
for its success. How will you justify
the expense associated with your plan?
Keep in mind that you have a newly formed organization and differing
organizational cultures. (Points: 40)

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