Solved by verified expert:MBA HC Semester 3 Exam Part II – Scenario Analysis
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Semester Examination
Instructions
DO NOT ADVANCE TO THE EXAM PORTION
OF THIS DOCUMENT UNTIL TOLD TO DO
SO BY THE PROCTOR
Student:
DO NOT begin your exam until told to do so by your appointed Proctor. This
examination will last approximately three (3) hours if you use all of the time allotted.
There are two (2) parts to this exam: multiple choice questions and workplace scenarios
(essays). Each scenario requires a 1-page minimum response. The Proctor will time both
parts of the exam as follows.
1. Multiple Choice Questions
60-minute time limit to complete
2. Workplace Scenarios
2-hour time limit to complete
A 30-minute break is authorized in between the exam portions as necessary. Breaks
during the exam are NOT authorized except for emergencies.
You may use all of your course material completed to date during the exam. However,
you may NOT use the Internet; be given assistance from friends, colleagues or your Proctor; or
use any type of electronic media other than a computer on which the exam is taken.
Failure to follow these rules during testing will result in immediate exam termination and
your account updated to reflect a non-passing grade. Additional administrative steps may be
taken at the Dean’s discretion.
The Proctor will administer the exam in an environment conducive for testing conditions
(low noise, distractions, etc.). Ensure the conditions are comfortable prior to beginning the
exam. If not, ask your Proctor to administer the exam at an alternate location if available.
If you have read and fully understand the above information, inform your Proctor that
you are ready to start your exam.
DO NOT ADVANCE PAST
THIS POINT UNTIL TOLD TO DO
SO BY THE PROCTOR
MBA HC Semester 3 Exam
Part I – Multiple Choice
Name: ______________________________
Student #: GA _______________________
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.
B.
C.
D.
Rounded rectangle
Unidirectional arrow
Square
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.
B.
C.
D.
Information engineering
Information retrieval
Information analysis
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.
B.
C.
D.
Market share increase by radio advertisements
Eliminate some product applications to reduce pricing
Automatically lower price of products
Evaluation of product development for competitive pricing
Answer: __________
Semester Exam
MBA HC Semester 3 Exam
Part I – Multiple Choice
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.
B.
C.
D.
Physician referral system
Hospital information system
Laboratory information system
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.
B.
C.
D.
relevancy.
redundancy.
incorrectness.
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.
B.
C.
D.
Disclosure of patient information
Use of patient information
Protected health information
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.
B.
C.
D.
Security mission
Security audit
Security survey
Physical security
Answer: __________
Semester Exam
MBA HC Semester 3 Exam
Part I – Multiple Choice
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.
B.
C.
D.
Root cause analysis
Worksite analysis
Task analysis
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.
B.
C.
D.
Disclosure
Root cause analysis
Tracer methodology
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.
B.
C.
D.
Breach of confidentiality
Negligence
Zero-tolerance
Workplace violence
Answer: __________
11.
How should a medical ethics committee be constituted? The hospital administration
should choose:
A.
B.
C.
D.
a broad selection of stakeholders.
the best experts it can find.
the committee members.
people who agree with him or her.
Answer: __________
Semester Exam
MBA HC Semester 3 Exam
Part I – Multiple Choice
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.
B.
C.
D.
False cause
Equivocation
Begging the question
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.
B.
C.
D.
Tell Mrs. Jones’ family what happened, naming the person who made the mistake.
Tell Mrs. Jones’ family what happened, without naming the person who made the
mistake.
Tell no one of the mistake because it caused no permanent harm.
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.
B.
C.
D.
The acts of Dr. Kevorkian and Dr. Doe are equally unethical because they murdered their
patients.
Dr. Kevorkian’s acts are very similar to V.A.E. Dr. Doe’s acts are similar to assisted
suicide.
Dr. Kevorkian’s acts have great potential to exert physician influence or control over the
process. Dr. Doe’s do not.
Dr. Kevorkian and Dr. Doe probably acted out of compassion for their patients.
Answer: __________
Semester Exam
MBA HC Semester 3 Exam
Part I – Multiple Choice
15.
The Tuskegee Syphilis Study existed over a span of 30 years. What fallacy seems to
have allowed this program to continue?
A.
B.
C.
D.
Ad populum
False cause
Bifurcation
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.
B.
C.
D.
E.
Profit center
Expense center
Investment center
Revenue center
Standard cost center
Answer: __________
17.
Instead of conducting traditional market research, a number of companies are:
A.
B.
simply following what the market leader does.
probing potential markets with early versions of new products to see which have
potential.
developing new, much more sophisticated market research techniques which involve
global testing.
forming alliances to pool their research findings.
C.
D.
Answer: __________
18.
When public organizations are privatized, the trend is to have:
A.
B.
C.
D.
E.
clients pay a higher percentage of the costs.
clients pay a lower percentage of the costs.
clients apply for subsidies from the government
organizations solicit state agencies for more funding.
organizations sponsor fundraising events.
Answer: __________
Semester Exam
MBA HC Semester 3 Exam
Part I – Multiple Choice
19.
All of the following ratios are used in the calculation of a company’s Z-value EXCEPT:
A.
B.
C.
D.
E.
working capital/total assets.
retained earnings/total assets.
current assets/current liabilities.
market value of equity/total liabilities.
sales to total assets.
Answer: __________
20.
The purchasing strategy in which the purchasing company orders a particular part from
several vendors is:
A.
B.
C.
D.
E.
sole sourcing.
multiple sourcing.
just-in-time sourcing.
backup sourcing.
parallel sourcing.
Answer:
__________
Semester Exam
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.
1
Semester Exam
MBA HC Semester 3 Exam
Part II – Scenario Analysis
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.
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Semester Exam

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