Deck 12: Implementation Strategy and Planning

Question 1

One of the contrasting tendencies of health-related activities is that:

A) the rate of change is slow in some areas, but very fast in others.
B) policy is made at the local level, but delivery of services occurs at the federal level.
C) the pace of technology drives up costs while driving down demand.
D) there is centralized management but decentralized delivery.

Answer 1

A

Question 2

In order for a policy to be successful, _____ must be considered a separate stage of the policy-making process.

A) political acceptance
B) countering resistance
C) brainstorming
D) implementation

Answer 2

D

Question 3

According to McLaughlin, why do many health care policies fail?

A) They are poorly thought out.
B) They are not popular with the public.
C) They are implemented too hastily.
D) The federal government does not support them.

Answer 3

C

Question 4

The Australian implementation process of ____ contributes to the documentation that accompanies the submission of a proposal to the cabinet.

A) implementation assessment
B) implementation planning
C) deinstitutionalization
D) federal review

Question 5

Implementation planning should involve which of the following?

A) Only those involved in the planning and implementation
B) Primarily the heads of government agencies
C) Those involved in implementation and the larger public
D) All stakeholders

Question 6

What is the initial stage of implementation planning?

A) Identifying stakeholders
B) Defining the scope of work
C) Identifying project activities
D) Obtaining funding

Question 7

In which stage of implementation planning are the units and individuals responsible for each task identified?

A) Scope identification
B) Risk management
C) Work breakdown
D) Stakeholder engagement

Question 8

In which stage of implementation planning are issues such as a possible lack of infrastructure and supports for a policy considered?

A) Work breakdown
B) Scope identification
C) Risk management
D) Task scheduling

Question 9

A plan that does not get too detailed too early shows:

A) flexibility.
B) weakness.
C) lack of conviction on the part of policy makers.
D) lack of stakeholder feedback.

Question 10

Involving people who will be implementing the policy in the policy-making process:

A) unnecessarily complicates the process.
B) increases success in the short term but not in the long run.
C) is often time-consuming, because these stakeholders can be difficult to identify.
D) increases the likelihood that the policy will succeed.

Question 11

Which of the following is the most popular framework for determining political feasibility?

A) Securing quality resources
B) Stakeholder management
C) Stakeholder analysis
D) QA methods

Question 12

During implementation planning, analysts must plan _____, which involves keeping in mind information that will be needed to later conduct an evaluation of the policy.

A) stakeholder feedback
B) quality assurance measures
C) the work breakdown
D) cost activities

Question 13

Because health care treatment processes are carried out by multiple players:

A) it is important that there is one high-level point of contact at each facility who will assume responsibility for that facility as a whole.
B) individuals do not have personal responsibility for their actions.
C) professionals at all levels must share overall responsibility while accepting individual responsibility.
D) the best model is to have a minimum of strong leaders at the top of the organization.

Question 14

The example given in the box on pathology review of placentas illustrates the importance of which of the following?

A) Following the rules exactly as they are given
B) Implementing procedures only with certain patients
C) Strong central leadership in the health organization
D) An understanding among participants of the core business and technical processes

Question 15

A(n) _____ specifies what the employee and the organization each get out of a particular policy.

A) QA questionnaire
B) psychological contract
C) statement of responsibility
D) employee contract

Question 16

In order for a policy to succeed, participants must look to the future, which is a(n) _____ orientation, rather than rely on the way things have always been done, which is a(n) _____ orientation.

A) prospective; retrospective
B) retrospective; prospective
C) responsible; irresponsible
D) optimistic; pessimistic

Question 17

During which stage of the team formation cycle are tensions most likely to arise?

A) Forming
B) Storming
C) Norming
D) Performing

Question 18

During which stage of the team formation cycle is the team able to accomplish its assigned tasks effectively?

A) Forming
B) Storming
C) Norming
D) Performing

Question 19

Group members' responsibilities are allocated during which stage of the team formation cycle?

A) Forming
B) Storming
C) Norming
D) Performing

Question 20

Getting professionals to change the way they carry out professional tasks is problematic because:

A) of the need to balance research evidence and experience.
B) it will lose revenue.
C) science cannot trump art in medicine.
D) experts can seldom seem to agree.

Question 21

The "deinstitutionalization" effort of the 1970s is a good example of a policy that was implemented carefully and to great positive effect.

Question 22

The work breakdown stage of implementation planning involves a detailed analysis of the tasks generated by the policy's implementation requirements.

Question 23

By necessity, all initiatives that are authorized by Congress are also funded by Congress.

Question 24

Stakeholder management is often considered a negative term because it is usually employed when a policy is implemented despite the objections of important stakeholders.

Question 25

It is essential that implementation activities proceed in a specific order, from funding issues to quality assurance, to ensure a logical flow to the process so that no topic is missed.

Question 26

In order for a policy to succeed, planning should not end at implementation but be continuous as the health care environment changes as new challenges arise.

Question 27

It is important to evaluate implementers soon after the introduction of a new policy, but continuous evaluation raises suspicion and undermines the confidence of many health care providers.

Question 28

Periodic reviews are less important for larger projects because most of the necessary information is conveyed by unsolicited feedback from implementers.

Question 29

In addition to analyzing the policy itself, the planning group should conduct an analysis of its performance to identify strengths and weaknesses in order to improve future interactions.

Question 30

Professionals are quick to change the way they carry out their tasks once they find out about the latest scientific evidence.