MBA HC Semester 3 Exam
Part I - Multiple Choice
1. Data flow diagrams are used as a process modeling technique to analyze processes with symbols and notation. When developing a flow diagram to represent an external entity, what symbol is used?
A. Rounded rectangle
B. Unidirectional arrow
C. Square
D. Rectangle
Answer: __________
2. The Professional Model of Practice for information management consists of many activities, inclusive of information engineering, information retrieval, information analysis, and policy development. As part of Mr. Smith's role, he is responsible for the organizational strategic planning process when implementing information systems. What function of the model does this comply with?
A. Information engineering
B. Information retrieval
C. Information analysis
D. Policy development
Answer: __________
3. During a gap analysis of organization processes, there are driving forces that determine discrepancies in the competitive position of the organization. If competitive pricing is recognized as a driving force to move the organization from where it is to where it would like to be, what would be the best approach?
A. Market share increase by radio advertisements
B. Eliminate some product applications to reduce pricing
C. Automatically lower price of products
D. Evaluation of product development for competitive pricing
Answer: __________
4. Systems can be classified in several ways, such as simple, complex, open, closed, stable, dynamic, permanent, and temporary. Given that complex systems involve many components with complicated relationships, which is an example of a complex classified system?
A. Physician referral system
B. Hospital information system
C. Laboratory information system
D. Pharmacy information system
Answer: __________
5. Database systems are very complex, but they provide many controls and efficiencies. A database approach to data storage and retrieval reduces data:
A. relevancy.
B. redundancy.
C. incorrectness.
D. confidentiality.
Answer: __________
6. A medical records employee is responsible for the release of medical records for discharged patients. What type of education should the employee receive regarding the release of medical information?
A. Disclosure of patient information
B. Use of patient information
C. Protected health information
D. Best practices
Answer: __________
7. A security administrator made a decision to improve the security program of the facility. His first action was to request an overview of the existing security program based on current security norms. What type of assessment was performed?
A. Security mission
B. Security audit
C. Security survey
D. Physical security
Answer: __________
8. A JCAHO surveyor asks for a patient's medical record for review. They will use the medical record to track the patient's visit from beginning to end, interviewing several clinical providers in the process. What type of assessment can be used for this process?
A. Root cause analysis
B. Worksite analysis
C. Task analysis
D. Tracer methodology
Answer: __________
9. After performing some research and contacting comparable hospitals, the security manager found that alarm armbands were most effective for infant abductions. What type of methodology can be used to justify the implementation of using alarm armbands?
A. Disclosure
B. Root cause analysis
C. Tracer methodology
D. Best practice
Answer: __________
10. In deciding what type of treatment to give a patient, two physicians were involved in an intense argument. The argument evolved into a physical confrontation. The security administrator suspended the physicians. What type of policy could the security administrator have used for defending this disciplinary action?
A. Breach of confidentiality
B. Negligence
C. Zero-tolerance
D. Workplace violence
Answer: __________
11. How should a medical ethics committee be constituted? The hospital administration should choose:
A. a broad selection of stakeholders.
B. the best experts it can find.
C. the committee members.
D. people who agree with him or her.
Answer: __________
12. What logical fallacy is exemplified in the following conversation? Betty: All human research subjects have a right to be treated as well as possible in the course of a scientific study. Charles: There is no law in the United States that specifically requires this; hence, research subjects have no such rights.
A. False cause
B. Equivocation
C. Begging the question
D. Tu Quoque
Answer: __________
13. While undergoing an operation at County Hospital, Mrs. Jones was given a penicillin shot in spite of information on her chart saying that she was allergic. Mrs. Jones reacted suddenly and was saved only by the heroic efforts of the OR staff. What would be the hospital's safest option?
A. Tell Mrs. Jones' family what happened, naming the person who made the mistake.
B. Tell Mrs. Jones' family what happened, without naming the person who made the
mistake.
C. Tell no one of the mistake because it caused no permanent harm.
D. Get the OR crew to swear to tell no one.
Answer: __________
14. Dr. Jack Kevorkian inserted an intravenous catheter into the arm of Janet Adkins, diagnosed with Alzheimer's, and instructed her on how to inject poison into her system. Dr. John Doe referred his "Janet Adkins" to the Hemlock Society Web site; she subsequently committed suicide. Which of the following statements is NOT true?
A. The acts of Dr. Kevorkian and Dr. Doe are equally unethical because they murdered their
patients.
B. Dr. Kevorkian's acts are very similar to V.A.E. Dr. Doe's acts are similar to assisted
suicide.
C. Dr. Kevorkian's acts have great potential to exert physician influence or control over the
process. Dr. Doe's do not.
D. Dr. Kevorkian and Dr. Doe probably acted out of compassion for their patients.
Answer: __________
15. The Tuskegee Syphilis Study existed over a span of 30 years. What fallacy seems to have allowed this program to continue?
A. Ad populum
B. False cause
C. Bifurcation
D. Post hoc ergo propter hoc
Answer: __________
16. What type of center should be used when a company is organized into divisions of separate product lines?
A. Profit center
B. Expense center
C. Investment center
D. Revenue center
E. Standard cost center
Answer: __________
17. Instead of conducting traditional market research, a number of companies are:
A. simply following what the market leader does.
B. probing potential markets with early versions of new products to see which have
potential.
C. developing new, much more sophisticated market research techniques which involve
global testing.
D. forming alliances to pool their research findings.
Answer: __________
18. When public organizations are privatized, the trend is to have:
A. clients pay a higher percentage of the costs.
B. clients pay a lower percentage of the costs.
C. clients apply for subsidies from the government
D. organizations solicit state agencies for more funding.
E. organizations sponsor fundraising events.
Answer: __________
19. All of the following ratios are used in the calculation of a company's Z-value EXCEPT:
A. working capital/total assets.
B. retained earnings/total assets.
C. current assets/current liabilities.
D. market value of equity/total liabilities.
E. sales to total assets.
Answer: __________
20. The purchasing strategy in which the purchasing company orders a particular part from several vendors is:
A. sole sourcing.
B. multiple sourcing.
C. just-in-time sourcing.
D. backup sourcing.
E. parallel sourcing.
MBA HC Semester 3 Exam
Part II – Scenario Analysis
"Mercy Me" Memorial Hospital
Mercy Memorial Hospital is located in a rural town in southwestern Wyoming called Friendship Circle. Most people in Friendship Circle have known one another all of their lives, as have their parents and grandparents, and for the most part, Friendship Circle is a peaceful little town.
Mercy Memorial Hospital treats emergency room patients; for example, last week a seven-year-old boy fell out of the tree house he and his friend were building and had to have his arm set in a cast and needed two stitches above his eyebrow. A few local doctors also perform minor surgeries at Mercy Memorial, but on a routine basis only. Sometimes patients are transferred to Mercy Memorial from the local nursing home if they get dehydrated or if they contract the flu.
The County Commission has always been pleased with the hospital administrator. Even though the hospital is small in comparison to others in the nearby "big city," costs have been fairly well contained, the county has not had to float any bonds, and the commissioner has not had to sponsor any county government fundraising for the hospital budget.
This past year Ira Ames, longtime hospital administrator, retired at 78; he decided that he wanted to spend more time tending to his prize-winning decorative flower garden. The town gave him a grand send-off before hiring another administrator for the hospital. Finding someone to take Ira's place was not easy, but a young man named Colton Pierce was chosen for the task. The hospital board thought Colton was a nice enough young man when he was hired, but actually, Colton has caused quite a bit of trouble for them lately. For one thing, the young man keeps talking about "hips" or "hippos," or some such nonsense. The board chairperson, Dirk Howell, although a life long admirer of Ira Ames, has been doing some investigating on his own and has begun to realize that the hospital may actually need some revamping. Since Dirk is also on the county commission, he is afraid that if anything goes wrong at the hospital, that the way of life in Friendship Circle might drastically change. He decides that something must be done to help Colton Pierce and to ease everyone else's concerns, so he hires you.
You are a consultant with Cannon Information Technology. You specialize in advising health care organizations on how to comply with the HIPAA security provisions. Dirk explains that although Mercy Memorial does not seem to have any security problems that he can see, he has been doing some outside reading and has become concerned about the level and quality of the hospital's "technical security services." He asks for your advice.
You discuss your services with him and agree to write a memo that advises and fully describes to Mercy Memorial Hospital the five (5) controls normally included in a technical security services program. In your memo, you will also explain how each of these five (5) controls helps to insure HIPAA compliance.
Risky Business
You are the risk manager at Winston General Hospital. Each quarter you meet with the hospital's malpractice carrier, the hospital attorney, the director of nurses, and the chief medical officer to review the status of malpractice claims.
This year, an alarming pattern of suits is attributable to improper patient care. Several cases have involved the improper administration of pharmaceuticals. Other cases have involved the improper supervision of staff nurses in the pediatric and emergency departments. An increased number of claims are related to physicians failing to diagnose patients' symptoms properly. Additionally, several of the hospital's employed and contracted physicians have not been properly credentialed.
In your analysis of the situation you determine that there are four (4) specific risks: medication errors, diagnosis failures, negligent supervision, and lack of proper credentialing or technical skill. You are asked to develop a plan that addresses and remedies each of these risks. Make eight (8) recommendations concerning medication errors, two (2) recommendations regarding diagnosis failures, two (2) recommendations concerning negligent supervision, and two (2) recommendations regarding proper credentialing or technical skills.
