Author: Langabeer Title: Health Care Operations Management, Third Edition ISBN:

Author: Langabeer Title: Health Care Operations Management, Third Edition ISBN: 9781284194142 1) The subscriber in a health plan is the party that pays the premium. Group of answer choices True False 2) The business processes in a health plan are generally “siloed” and have little interaction. Group of answer choices True False 3) Capitation creates an incentive for the provider to render as many services as possible since revenues have already been collected. Group of answer choices True False 4) In some cases, health plans may be both a provider of care and act as an insurer. Group of answer choices True False 5) Health insurers are required to pay for medical services to members, regardless of medical necessity. Group of answer choices True False 6) Fee-for-service payment methods have an incentive for providers to minimize costs, increase efficiency, and increase the number of patient encounters. Group of answer choices True False 7) The credentialing function in Network Management must maintain an ongoing review and reverification of provider credentials. Group of answer choices True False 8) Many hospitals and healthcare organizations carefully plan operations. Group of answer choices True False 9) The process of planning is more important than the product. Group of answer choices True False 10) Operations planning should be a continuous process. Group of answer choices True False 11) Planning as a process has been described as more of a science than an art. Group of answer choices True False 12) SWOT analysis should not be a part of operational planning and is more useful in price stetting for budgets. Group of answer choices True False 13) Product differentiation is of little relevance with hospitals as health care is a commodity product. Group of answer choices True False 14) Once deployed, strategies will carry the organization in the desired direction. Group of answer choices True False 15) Continuous improvement in the context of a hospital organization entails maintaining profitability, even if some quality measures have to be traded off. Group of answer choices True False 16) There is one best tool for identifying opportunities to improve health care quality. Group of answer choices True False 17) Documenting the current process in a hospital helps to find opportunities for reducing steps, interactions, decisions, and length of a process. Group of answer choices True False 18) Data collection in a process analysis is best accomplished at a specific point in time in order to maximize measurement accuracy. Group of answer choices True False 19) A process flowchart depicts the flows or activity exchanges and sequencing of activities from start to finish. Group of answer choices True False 20) Process engineering seeks to increase the number of hand-offs in a process. Group of answer choices True False

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