Deck 17: Operational Management

Question 1

When planning a project implementation in a small physician office, the _________________describes how the EHR system will function when fully implemented.

Answer 1

goal statement or outcomes statement

Question 2

Madison Hospital needs more physical space at the main hospital campus for additional clinical services. The hospital has a fully implemented EHR system for both its inpatient and outpatient services. Health Information Services (HIS) is being asked to move its operations to an office site 6 miles from the main hospital campus. Administration has assured the HIS director there will be adequate shuttle service between the hospital and the HIS department. The HIS director, Jack Jones, must prepare a plan to give to his administrator. Jack decides to consider the move a project. What are the major stages he must consider as he begins his initial draft of the HIS Move Plan?

Answer 2

Answers will vary. Should include details in at least the four following stages:
· The Problem Statement (What is the problem? What is the opportunity? What is to be done? Who is (are)responsible for the project? When must it be completed?)
· The Goal Statement (What is the final outcome of the project? Could be a vision statement)
· Milestones (or project objectives)(What major components/steps need to be taken? These should be measurable.)
· Resources (People, materials, space, budget needed)

Question 3

When the director of HIM organizes a meeting to brainstorm what kinds of services the HIM department will be performing in 5-10 years, she is asking stakeholders to create a _______________.

Answer 3

vision

Question 4

"To assure the correct patient identification number is assigned 100% of the time" is an example of a(n) ___________________.

Question 5

The statement, "All clinical staff authorized to document in a health record must record in the EHR, except for those instances where technology is not available for electronic entry" is an example of a(n)____________________.

Question 6

When the transcription supervisor at Mercy Hospital calls three of her transcription manager colleagues to find out about their productivity standards for transcriptionists, she is using what management tool?

Question 7

In the process of determining the ____________________ for health information services, answers must be developed for these questions: "Who are we?" and "What are we?"

Question 8

A _________________ can be used to determine alternative actions for solving a problem such as when there is an unexpected volume of requests by patients for medical records.

Question 9

The task of strategic planning in an organization would most likely be completed by

A) Top management.
B) Middle managers.
C) Consultants.
D) Supervisors.

Question 10

The step in a flow process chart that describes the "review of a consent for release of information to determine that it meets the health information management criteria for processing the request" refers to a(n)

A) Transportation.
B) Storage.
C) Inspection.
D) Delay.

Question 11

When the chairman of the Health Record Committee writes to the HIM director about the quality of the monthly incomplete and delinquent medical record reports, he is providing the HIM director _______________.

Question 12

The work flow process chart is being used by the health information manager to gather data about the release-of-information (ROI) process. Which of the following represents data about a delay in the ROI process that would be found by using a work flow process chart?

A) The ROI employees have an attitude problem.
B) The ROI staff are not cross-trained.
C) One staff member is working a lot of overtime.
D) It takes 15 days to get a record copied.

Question 13

When planning a project implementation of an EHR in a small physician office, "What is the opportunity? What is to be done? Who is responsible for the project? When must it be completed?" are all components of what part of defining the project?

Question 14

The health information management director of Lakeview Hospital is gathering data to help in the preparation of departmental productivity standards. She finds there are three hospitals of approximately the same size and service model that have achieved a 3- to 4-day turnaround from patient discharge to billing the payer. She has contacted these facilities to learn more about how the organizations are achieving this standard. The activity described is called

A) Peer review.
B) Benchmarking.
C) Synthesis.
D) Re-engineering.

Question 15

The primary advantage of using a decision matrix in the decision process is

A) All relevant information can be displayed and viewed at the same time.
B) The matrix clearly displays the flow of information.
C) The matrix makes the decision for the individual or group.
D) The matrix identifies all potential problems.

Question 16

Work sampling using random observations is effective because

A) Data are obtained with less time and expense.
B) The employee gets the manager's attention.
C) The manager can see whether work is distributed equitably.
D) It interrupts the normal work routine for shorter periods of time.

Question 17

Assigning three health information management professionals to 35 full-time equivalent staff members in a health information management department to handle release of information requests is an example of which type of work organization?

A) Project
B) Customer
C) Process
D) Territory

Question 18

Organizing the health information department of a large ambulatory care center into teams to provide services to particular clinics is an example of which type of work organization?

A) Functional
B) Customer
C) Process
D) Project

Question 19

The formula (Quantity + Quality)/staff hours is an expression of

A) Productivity.
B) Costs.
C) Work distribution.
D) Parallel work.

Question 20

Key staffing demand indicators for an HIM director to use to assess internal staffing levels include all EXCEPT

A) # of lines per minute
B) # of discharges processed
C) # of staff used by an outside ROI vendor
D) # of incoming and out-going phone calls

Question 21

Included in the preparation of a GANTT chart is the determination of a critical path.

Question 22

Repetitive strain or stress injuries are a potential problem for medical transcriptionists.

Question 23

Indirect lighting can also be referred to as reflective lighting.

Question 24

In strategy formulation, adaptive strategies indicate the method for carrying out the directional strategies.

Question 25

A work distribution chart could identify an uneven distribution of work within a work unit.

Question 26

The color red has the effect of putting workers to sleep.

Question 27

If work being performed in a health care setting requires handling confidential information, then the space design should factor confidentiality into the space planning process.

Question 28

A trip frequency chart shows which employees frequently interact with one another.

Question 29

A statistical report of the quarterly clinical record review that contains errors and needs to be redone would be counted as a "productive unit of work."

Question 30

Management creates both formal and informal organizations to accomplish its goals.

Question 31

In change management, "managing change" refers to the making of changes in a planned and managed or systematic fashion.

Question 32

Improving work processes requires questioning the necessity of continuing to do all currently performed tasks.

Question 33

Employee absence would not delay work completion in a serial work division model.

Question 34

A Gantt chart can be used for personnel planning, resource allocation, and budgeting.

Question 35

The color red is rarely used in offices because it can cause headaches and increase blood pressure.

Question 36

Project management is a skill set that emphasizes planning and implementing a specific objective.

Question 37

Departmental productivity standards help employees understand expected job performance.

Question 38

Effective strategic planning requires environmental forecasting.

Question 39

Looking at various outside factors that influence a health care organization's future business plan is called an internal environmental analysis.

Question 40

In re-engineering, those processes that do not contribute to achieving an organization's goals are called value-added activities.