Quiz 24: Health Care

Health care is the most intensive of service industries.

In the United States, more than $10 trillion is spent on health care each year.

The founders of the Mayo Clinic are credited with the innovation of integrated medical care in their rural medical practice in the late 1800s.

At the Mayo Clinic, SPARC is an acronym for "Specialty Patient Automated Referral Console," a computerized system that improves patient flows through the hospital.

At the Mayo Clinic, SPARC is an acronym for "see, plan, act, refine, and communicate," in a clinical innovation lab that operates like a design shop.

In recent surveys, about 55 percent of all Americans said they were dissatisfied with the quality of health care.

In recent surveys, about 32 percent of all Americans said they were dissatisfied with the quality of health care.

Health care operations management may be defined as the design, management, and improvement of the systems that deliver health care services.

Health care operations management may be defined as the recruitment, organization, and scheduling of the professionals that deliver health care services.

In a health care setting, diagnosis involves studying patients and conducting tests.

Diagnosis is the medical expert's explanation of the cause of symptoms.

A hospital is a facility whose staff provides services relating to observation, diagnosis, and treatment to cure or lessen the suffering of patients.

Because of the influence of modern technology, quality and service measures are precise and based upon hard evidence.

Well-organized hospitals have a clear chain of command and carefully delineated decision-making authority.

The flow of work through a hospital is sometimes referred to as a care chain.

The flow of work through a hospital is sometimes referred to as a patient activity diagram.

In a hospital, a nursing station is a place where admitted patients go to receive nursing care.

The principal element of the overall layout of a hospital is the nursing station, which is the area support staff work from.

Nursing stations designed today are only circular in shape.

A general rule for the design of a hospital is to combine patient, guest, and staff traffic flows.

Decoupling points are IV and electronic monitoring connections, which are decoupled when a patient is moved from an operating room to recovery.

Decoupling points are those connections that are decoupled when a patient is removed from life support.

Decoupling points are steps in the process where waiting takes place, either before or after the procedure is performed.

When a patient has diverse symptoms that require treatment by several different medical specialties, the most severe symptom is identified and treated first by a specialist, the next most severe symptom treated second by a different specialist, and so forth until all the patient's symptoms have been addressed.

Developing strategies to close capacity gaps (where utilization of a resource exceeds capacity available) is most often accomplished by acquisition of more resources through expansion and new facility construction.

Subcontracting with other hospitals is not a useful method for dealing with capacity gaps (where utilization of a resource exceeds capacity available).

Edward Deming and Philip Crosby were pioneers in the quality improvement movement in health care.

Britain's Florence Nightingale's approach, called "evidence-based medicine," underlies current approaches to medical practices.

Florence Nightingale is credited with the development of the bar chart.

Gap errors occur when a too-small hospital gown is given to an obese patient.

Gap errors are information mistakes that arise when a task is transferred or handed off between people or groups.

SBAR is an acronym for the procedure used when recording a patient's medical history.

SBAR is an acronym for a checklist technique for communicating information about a patient's condition among members of the health care team.

The three essential resources in a hospital supply chain are information, funds, and goods and services.

The acronym CPOE stands for computerized prescription order entry.

DRGs (demographically restricted groupings) result from a statistical procedure and predict illness based on racial and socioeconomic group membership.Use of DRGs is under attack by minority activists as an example of racial profiling.

DRGs (diagnostic-related groups) classify patients by diagnosis or surgical procedure into major diagnostic categories based on the premise that treatment of similar medical diagnoses will generate similar costs.

About 500 diagnostic-related groups have been developed for Medicare as part of the prospective payment system.

The cost of a hospital's inventory is unrelated to its case mix.

Average inventory for a medium-size hospital represents about 25 percent of its current assets.

Among the major trends in health care that relate to OSCM is the increased use of gene therapy.

Among the major trends in health care that relate to OSCM is the increased use of remote surgery.

Among the major trends in health care that relate to OSCM are electronic medical records.

Among the major trends in health care that relate to OSCM is integrated medical care.

Among the major trends in health care that relate to OSCM is telemedicine (remote diagnosis).

Among the major trends in health care that relate to OSCM is computer-assisted diagnosis.

Performance dashboards are used by hospitals to present detailed day-to-day measures in three major categories: customer service, clinical operations, and billing accuracy.

The customer service dashboard reports hospital scores on issues such as meal quality, mortality rate, and percentage of transfusions having adverse reactions.

Readmission rate would be reported on the clinical performance dashboard.

Medicine error severity would be reported on the key process performance dashboard.

Which of the following is not an American Hospital Association hospital classification? A)Psychiatric B)Specialty C)Orthopedic D)Rehabilitation E)General/Emergency

Which of the following is an American Hospital Association hospital classification? A)Pediatric B)Specialty C)Orthopedic D)Osteopathic E)Research

What is the starting point in developing a capacity plan for a health care operation? A)Forecasting patient demand for a reasonable length of time B)Estimating design capacity C)Discovery of the bottleneck operation D)Determining the effective capacity over time E)Holding a meeting of concerned staff physicians

The largest component of the hospital's workforce is: A)Nurses B)Physicians C)Clerical staff D)Administration E)Volunteers

The flow of work through a hospital is sometimes referred to as: A)An unending procession of sickness and trauma B)The care chain C)Hurry up and wait D)Pre-cash flow E)Moving sicker and quicker

The text mentions several common approaches to use when developing a strategy to close a capacity gap (where utilization of a resource exceeds capacity available).Which of the following is not among the common approaches mentioned? A)Transferring capacity from other units B)Increasing capacity through overtime C)Subcontracting with other hospitals D)Bottleneck reduction E)New construction

Which of the following is an essential resource that flows through a hospital supply chain? A)Doctors and nurses B)Information C)Medicine D)Patients E)X-rays

Which of the following is not reported on a hospital's customer service performance dashboard? A)Mortality rate B)Meal quality C)Pain management D)Follow-up education E)Inpatient parking

Which of the following is reported on a hospital's key process performance dashboard? A)Meal quality B)Quality improvement C)Autopsy rate D)Cleanliness E)Pain management

The textbook mentions seven trends in health care.Which of the following is one of them? A)Remote surgical treatment B)Gene therapy C)Increasing legal costs D)Increasing cost of healthcare E)Integrated medical care