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Supervision and Organization in Health Care
Midterm, End of Semester, Quizzes
99
Health Care
Undergraduate 2
05/18/2011

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Cards

Term
The organizing pocess determines how the work in a partuclar department will be divided and accomplished.  In order to be in the best posistion to organize the work effectively, the manager must first engage in which management function?
Definition
Planning
Term
Jason, a HIM education, plans to lecture on department design and the legislative act or agency that was created to assure that workers have a safe and healthy work environment.  Jason will describe which of the following?
Definition
OSHA
Term
When developing a work distribution chart, the supervisor should explain to subordinates that this is not an attempt to check on the
Definition
employee's productivity
Term
The following statement, "All scanning technicians will scan records at 98% accuracy within 3 days of discharge," is an example of a/an
Definition
objective
Term
One of your first tasks as the new manager of the HIM department is to review the department policy and procedure manual.  You have determined that several policy statements are incongruent with apporpriate current employee practices.  Proper management conventions require
Definition
revising the policy appropriately and documenting the date of the change.
Term
In healthcare, the basis for job rating and classification may be based on all of the following:
Definition
error impact of the position, the complexity of duties of the position, and the physical demands of the position.
Term
In procedure writing, the steps in the procedure should be
Definition
kept to the minimum needed to describe the procedure.
Term
The director of the HIM department has discovered the department's policy regarding the usage of the copy machine has been consistently abused by the majority of staff.  To put an end to this inappropriate use of the copy machine, the director should institute a department
Definition
Rule
Term
In planning the physical layout of a HIM department the most significant factor to be considered by the HIM manager is
Definition
workflow
Term
The supervisor of release of information in a HIM department is reviewing a work distribution chart to identify some problem areas.  Although the work distrubution chart can provide the supervisor with a great deal of information concerning the work performed by the ROI staff, it will not indicate
Definition
the solution to a specific prolem area
Term
The best sourch for obtaining data for job analysis is the
Definition
person who performs the job
Term
A general guideline when preparing or revising the floor plan of a department layout is to provide each clerical employee a work space of
Definition
60 square feet
Term
A useful display technique that assists in designing workflow is a
Definition
movement diagram
Term
Private office spaces
Definition
lends itself to a more effective manager by the nature of their responsibilities
Term
After giving an employee a performance evaluation, the HIM manager awarded the employee with a 3.5% merit increase.  If the employee's hourly salary is presently $15.50, what will the hourly salary be with this increase (rounded to the whole cent)?
Definition
$16.04
Term
The approach to budgeting that uses past budgeted amounts plus a given percentage is called
Definition
incremental budgeting
Term
What two types of budgets are often prepared by managers of HIM departments?
Definition
capital budget; the revenue and expense budget
Term
Jeff has noted increased complaints by employees of headaches and fatigue.  Which of the following factors should be considered first?
Definition
Air quality- poor air quality can result in complaints of fatigue and headaches from staff.
Term
you have just received your approved capital budget for the next year.  You are pleased to see your request for a new large capacity, multitask, Xerox copier has been approved for purchase in the first quarter.  This means
Definition
You do not have approval to order this equipment.  Budget approval for capital items may not hold for the tenure of the fiscal year.  When the manager is ready to order the capital item, it must be re-approved or it may not be approved depending on the financial resources available at that time.
Term
The director of the HIM department is preparing the departmnet's budget for the coming year.  The director has included in the budget, costs for the coding staff to attend at least 2 workshops.  What portion of the department's budget will the cost of the workshops be allocated?
Definition
Expense budget
Term
Kimberly is the Director of the Health Information Services Department and Stacy is the Assistant Director.  Kimberly notices on of Stacey's subordinates leaving the department for an unscheduled break.  When the employee returns, Kimberly immediately asks the employee to step into her office and begins reprimanding her for the unauthorized break.  Which organizational principle is this Director violating?
Definition
chain of command
Term
The largest category expense in a budget is for
Definition
personnel
Term
A coding supervisor must determine the number of full time equivalents (employees) (FTEs) needed to code 50 discharges per day.  It takes an average of 20 minutes to code each record and each coder will work 40 hours per week.  How many coders are needed per day?
Definition
2.08
Term
A section of the job description that addresses peronal requirements, skills, and physical demands of the job is called
Definition
job specifications
Term
It takes approximately 18 minutes to code an inpatient chart.  If there are 15,620 discharges for the month, how many coding personnel hours are needed for this volume of work?
Definition
4,686
Term
The director of a HIM department has asked the department supervisors to review and revise all position descriptions.  Michelle Harris, the supervisor of coding, has determined that the position description for inpatient coders must be revised.  Ms. Harris' decision to revise the position description is probably due to a change in the
Definition
scope of coding responsibilities
Term

The HIM director is proposing a computer-based training program for 200 coding employees corporate-wide and needs to prepare a budget for the time and cost of the training.

  • The training program will be 30 minutes in length
  • The coding employees may take the training online at any time
  • There are 200 coding employees to be trained
  • The rate of pay for 50 of the coding employees is $15.50 per hour.
  • The rate of pay for another 50 of the coding employees is $12.00 per hour
  • The rate of pay for the other 100 coding employees is $18.00 per hour.

In submitting the cost of training, how much should the HIM director request in the budget for doing the computer-based training?

Definition
$1,587.50
Term
An effective policy requires which fothe following by the manager?
Definition
judgment
Term
There is a systematic procedure used to determine the relative value of the work of a position in the organization. When this systematic procedure is used, compensation for the position is most likely based on
Definition
job rating
Term
Alicia, supervisor of the hospital-based HIM chart analysts, determines that the outpatient surgery center had chart analysts who were doing comparable jobs. The outpatient analysts were ranked two job grades above the hospital-based analysts. What document could Alicia revise to reflect the actual skills, knowledge, and responsibilities in order to have hospital-based analyst position reevaluated?
Definition
job description
Term
"Qualified employees should be given priority when vacancies occur within the organization, whenever possible." is an example of
Definition
policy
Term
A procedure document should include all of the following EXCEPT
Definition
qualifications of the person performing the procedure
Term
When planning the physical environment of a HIM department, all of the following should be considered EXCEPT
Definition
employees' desks should be placed so that the employees face each other
Term
Qualifications required to hold a particular position, as given in the job description, should be the
Definition
minimum qualifications needed to perform the job
Term
Main aisles in a department should be at least
Definition
5 feet wide
Term
The department director is responsible for budget costs that are controllable. Which of the following costs would be out of the directors control?
Definition
fringe benefit cost per employee
Term
Items such as buildings, equipment, furniture, and computers are generally
Definition
included in the capital budget
Term
When a manager brings together resources in an orderly manner and arranges people in acceptable patterns so they can perform activities to accomplish the institutions objectives, the manager is performing the management function of
Definition
organizing
Term
The director of the HIM department prepared a document in which the following information could be obtained: job title, reporting line, span of control, and routes of communication. The document she prepared was a/an
Definition
organization chart
Term
HIM departments are usually organized according to
Definition
function
Term
Which of the following describes the act which requires employers to include physical requirements int he position description and make reasonable accommodations in the workplace for individuals to perform the essential job functions?
Definition
American with Disabilities Act
Term
Bob is a certified coding specialist (CCS) in the HIM department. He has been asked to provide assistance and advice to the business office prn through the evaluation phase o a system upgrade. The authority Bob exerts when providing assistance and advice to others is referred to as
Definition
staff authority
Term
Denise is supervisor of the ROI section in the HIM department. The authority she exercises when she directs the employees in this section is referred to as
Definition
Line authority
Term
Your job description states that as assistant director of the HIM department, you will supervise day-to-day operations fr the transcription, ROI, and coding areas. What principle of management is described?
Definition
span of control
Term
The manager can effectively supervise a greater number of employees when
Definition
Tasks that are routine and repetitive allow a larger span of control for a supervisor
Term
Kelley is the day superisor who works from 7-4 pm. Kara is the evening supervsor who works from 2-11 pm. Karen is a transcriptionist who works from 10-7pm whih overlaps the day and evening shifts. Karen asked Kelley, the day supervisor, if she could leave early for personal reasons. Kelley said she could leave early if Kara, the evening supervisor, agrees. This situation violates which theory of management?
Definition
Unity of Command
Term
After receiving completed requistions to fill positions within the HIM department, the Human Resources department can be most effective in recruiting qualified applicatns with the assistance of
Definition
current job descriptions
Term
The determination of what is to be done, by whom, and why describes a
Definition
job analysis
Term
Budgeting for depreciable equipment is part of
Definition
capital budgeting
Term
Which of the following plans is always short term?
Definition
Tactical plans- Operational (tactical) plans are short term plans of one year or less.
Term
An employer who has set hiring goals and taken step to guarantee equal employment opportunities for protected group members is complying with
Definition
Affirmative action
Term
Jennifer Jones, RHIT, interviewed one applicant. During the 20-minute interview, she told the applicatn about the departmnet and hospital and what the job entailed. Much to Jennifer's disappointment, this newly hired employee did not work out. What went wrong?
Definition
Jennifer failed to interview enough applicants
Term
Facotrs determing compensation include all of the following EXCEPT
Definition
managerial level of the employee's supervisor
Term
Which of the following is not required by law to be offered to employees?
Definition
Life insurance
Term
Human Resources provides training for new supervisors. It includes discussion of the Equal Pay Act, which was passed to eliminate discrimination in pay practices based on which of the following?
Definition
employee gender
Term
Employers may be able to demonstrate that age is a reasonable requirement for a position. Such an exception to the Age Discrimination in Employment Act (ADEA) is called
Definition
bona fide occupational qualification
Term
A quality review of the coding area reveals an overall error rate of 3.5%. Eighty percent (80%) of the errors are due to missing fifth digits. The other errors appear to be random. The best action would be to
Definition
provide in-service training on basic coding principles
Term
an example of a formal communication process that would most likely allow both upward and downward communication at about the same time is
Definition
departmental meetings provide up and down communication at about the same time between department management and staff
Term
Generally, the success of management is measure by the
Definition
extent to which the predetermined objective is achieved
Term
Kimberly Wolf wants a Mercedes and the position of Vice President of Information Services. She feels that achieving these goals will provide her with a sense of achievement, prestige and reputation in the eyes of others. What level of Maslow's hierarchy of needs is she operating at?
Definition
esteem
Term
According to Frederick Herzberg, opportunity for advancement nad promotion, greater responsibility, and opportunity for growth and interesting work are examples of
Definition
motivation factors
Term
The management assumption that the average worker, under the right conditions, seeks to accept responsiblitity; and that workers will exercise self-direction and self-control in the service of objectives to which they are committed was presented in McGregor's
Definition
theory y
Term
Position enrichment is a motivational technique. Which of the following scenarios best describes position enrichment?
Definition
Natalie is a good clerical worker. In addition to her regular job duties, her supervisor has assigned her to special projects and committee assignments
Term
Mountain Hospital is a covered entity under HIPAA. In order to comply with the requirements, they must train all their workforce on policies and procedures with respect to protected health information (PHI). Which of the following levels of the workforce would be exempt from training?
Definition
None
Term
Leadership can be characterized as
Definition
dominance given (essentially voluntarily) to the leader by the followers
Term
You have been the coding area supervisor for 6 years. You have 4 employees reporting to you in the IP coding area where you have personally set up procedures and policies. Occassionally, an employee tries to suggest changes, but as you have success with the present system you tel the employee to just follow established procedures. Your style of leadership is
Definition
autocratic
Term
Authority delegated to an employee is called
Definition
formal authority
Term
Which of the following is not true about delegation
Definition
in involves minimal time
Term
The supervisor of inpatient coding int he HIM department has aspirations of becoming the HIM director. She works very long hours so that she can address all issues in her area herself rather than relying on her staff to assist her. Which type of management skills is she in need of improving in order to attain her goal of HIM director?
Definition
delegation skils
Term
Judy Nelson, RHIT, is director of HIM for Loma Linda Medical Center. She is well respected for the use of proper delegation methods in her management style that empowers her staff. All of the following are characteristics of her effect delegation methods EXCEPT
Definition
proper delegation methods involve explaining exactly what needs to be done to the employee, agreeing on performance standards by both the HIM director and employee, andproviding necessary resources to the employee. However, the HIM director retaining authority to make key decisions would not characterize effective delegation methodology
Term
The director of the HIM department was writing a memo about a recent problem the department was having with a contracted coding service when she was notified of an emergency, hospital-wide, department head meeting. Since it was necessary the memo be completed by the end of the day, it is most appropriate for the director to delegate its completion to the
Definition
supervisor of coding and abstracting
Term
When evaluating an employee's performance, the supervisor should
Definition
point out the employee's strengths
Term
Andrew has been a marginal employee of the last 11 months. You have informally counseled him on his lack of committment and drive. In the last month he has shown some improvement, but still has a way to go before he measures up to your expectations. Next month you will complete his annual performance evaluation. The standards portion of the evaluation should be
Definition
rated as an aggregate based on the last 12 months
Term
A common rater bias that effects an employee's evaluation is the central tendency error. The central tendency error suggests the supervisor
Definition
rates everyone as average
Term
The true objective of discipline is
Definition
correction of the inappropriate behavior
Term
Disciplinary action
Definition
should be documented at each step
Term
Cindy is the evening discharge analysis clerk. Asthe evening supervisor, you personally trained her regarding the correct job procedures and policies. Within the last 2 months, Cindy has received an oral and written warning for failure to follow job procedures. your facility uses a progressive discipline system. What is the next appropriate step?
Definition
suspension
Term
Sherri, the Coding Supervisor at Ocean Medical Center, wants to increase the problem solving skills among the coders. Which of the following approaches is likely to have the best and most long-last results?
Definition
developing a coding work team
Term
Which of the following questions may not be asked at an interview with an applicant for a position?
Definition
I see that you were in the Navy. Did you receive a honorable discharge?
Term
The purpose of a grievance procedure is to
Definition
resolve the problem prior to arbitration
Term
Larry combined the HIM and legal education and is now a Risk Manager. An employee has a complaint that may be considered a grievance. he should listen to the empllyee and then
Definition
deal with the issue as if it were a bona fide grievance
Term
Formal communication
Definition
may be verbal or written
Term
Melody provides a dynamic and effective orientation to the HIM department. It includes all the following EXCEPT
Definition
facility emergency procedures
Term
As the director of the HIM department, John has heard from his employees that rumors have been circulating throughout the hospital concerning lay-offs. At a department head meeting today, John learned that all departments will be asked to cut back 15%. What should John tell his employees?
Definition
share with employees the facts as he knows them from the meeting
Term
An ad hoc committee is
Definition
temporarily created to deal with one issue
Term
Amy is the manager of HIM at Everglades Home Care. She is the elected leader of the documentation team, and is preparing to call a meeting. Which of the following is not an advantage of committee mettings?
Definition
committees are economical
Term
The controlling function is initiated during the
Definition
planning function
Term
The major advantage of effective controlling is that
Definition
problems are identified more quickly
Term
To ensure consistency of coverage among trainers, you may want to develop
Definition
training manuals
Term
The director of HIM has hasked the supervisor over coding to determine productivity standards for the coders. In initiating this process, the supervisor has determined the best way to institute work standards is to
Definition
develop standards based on professional standards and industry benchmarks
Term
A techinique for developing standards using random observations of an employee to determine the ration of delays to the work elements in the total process time would be
Definition
work sampling is a technique that uses random observations to determine the ratio of delays to the work elements in the total process time
Term
An employee reported volume-time log would be used to record
Definition
production
Term
A production monitor that is most disturbing to the employee is the
Definition
stopwatch study
Term
The supervisor of retention and retrieval was receiving frequent complaints from the file clerks regarding the discharge clerk's job performance. The file clerks stated it was becoming difficult to maintain the productivity levels because the discharge clerk was not processing the requisition slips in a timely manner. In order to get a clearer understanding of the situation, the supervisor asked the file clerks and the discharge clerk to record the tasks they complete and how much time is used on them for a 2 week period. The supervisor has asked the employees to complete a
Definition
work distribution chart
Term
The director of the HIM department has asked the supervisor of coding to institute a metnod to regularly monitor the accuracy of coding. what method would be the most effective approach?
Definition
Review a random sample of each employee's work monthly
Term
If 3000 loose sheets are filed in a one week period by six workers filing for eight hours per day, what is the average production rate per hour?
Definition
12.5
Term
Your method improvement objectives are to use an organized approach to determine how to accomplish a task with less effort in less time or at a lower cost while maintaining or improving the quality of the outcome. Frequently, method improvement is referred to as
Definition
work simplification
Term
Lindsey has combined her HIM education with a master's degree in Human Resources, and is training a new supervisor to interview a candidate for a creditialed position for handling subpoenas in the release of information section.  Which of the following is the least appropriate question?
Definition
Do you have family responsibilities that would keep you from remaining at a trial?
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