Hospital Organization

1st Block Assessment
 
Question 1
"When a person travels to a different country for medical treatment, it is called:"
Medical tourism
Sight-seeing
Tourism
Insurance planning
Question 2
Why do people prefer to travel to other countries for medical treatment?
All of the above
The available treatment is very expensive in their own country
The required treatment is not available in their home country
There is a long waiting time for the start of the medical procedure required
 
Question 3
Why does the government encourage medical tourism?   
For the goodwill it creates
It helps the country improve its infrastructure
It promotes the doctors and health facilities of the country throughout the world
Medical tourism brings in lots of revenues for the country
Question 4
Why is JCI accreditation important?
   
All of the above
It is an international accreditation that assures the quality of services provided by the hospital
It looks good for the hospital to show international accreditation
It is not important. It is just an additional certificate
 
 
Question 5
What aspects of treatment are covered under medical tourism packages?
Teleconference and/or video conference for consultation between the patient and the specialist doctor
Pre-screening of the patients medical condition
All of the above
"Actual medical treatment, nursing, counseling and rehabilitation"
 
Question 6
What steps is the Indian government taking to promote medical tourism?
Providing incentives to hospitals treating international patients
Both of the above
None of the above
Providing easy ways to process visas under the category of medical tourism
 
Question 7
Why is India a preferred destination for medical tourists?
The cost of medical treatments in India is much cheaper compared to the USA or UK
"India also provides for alternate medical treatments like Yoga, Ayurveda and pranic healing"
All of the above
India has high-end medical equipment and skilled doctors available

 
Question 8
The Apollo group is a pioneer in the area of medical tourism. Which of the following statements supports the given statement?
The Apollo group of hospitals treats several international patients regularly.
All of the above
Apollo group was the first in India to receive JCI accreditation
Apollo group provides teleconsultation to patients
Question 9
Popular treatments opted by medical tourists include:
Skin grafting and oncology
"Heart, bone and hip replacement"
All of the above
Cosmetic surgeries
Question 10
The advantages of coming to India for medical treatment include:
None of the above
Both of the above
"Healthcare personnel well-versed in English, leading to reduced language barriers"
Growing compliance with international quality standards

Test your understanding – 2
 
Question 1
Integration is of how many types.
Two
Four
Three
Five
Question 2
Which of these is not a type of vertical integration?
Balanced
Backward
Forward
Linear
Question 3
What type of integration do Apollo Munich and Apollo Hospitals represent?
Horizontal integration
Downward integration
Upward integration
Vertical integration
Question 4
What type of integration does Malar Hospital's acquisition by Fortis Healthcare represent? 
Upward integration
Downward integration
Vertical integration
Horizontal integration
 
2nd Block Assessment
Question 1
What does KPI stand for?
Key Performance Indicators
Knowledge Protocol Indicators
Knowledge Process Interface
Knowledge Process Investigation
 
 
Question 2
KPIs should to subject to _______ criteria.
HIMT
SMART
NSSBH
NABI
Question 3
Which one of the following recognizes KPI use to improve the quality of care?
National Standards for KPI in Hospitals
Quality Control Board
National Performance Monitor Board
National Standards for Safer Better Healthcare
 
 
Question 4
What should KPIs be aimed at?
Increasing patient stay at the hospital
Having a deficit in staff
Reducing quality of healthcare
Improving efficiency
 
 
Question 5
The KPI for claim processing should help in
Increasing rate of claim denial
Increase the bill amount of the patient
Not giving the discharge summary on patient s exit
Reduce time and amount spent on claim processing
Question 6
Media mentions should be evaluated for what reason?
   
To publicize on social media
To keep track of what positives and negatives are being mentioned
To add them to the hospital bulletin for everyone to see
To increase the count of mentions
Question 7
What is to be done to the medication errors that take place within the hospital?
Oversee them
Repeat them
Document them all
Blame the patient
Question 8
Longer patient-wait time results in _______.
Better patient care
Improved hospital performance
Reduced patient satisfaction
Better marketing
 
 
Question 9
What does a deficit inpatient care result in?
Increased patient care
Decreased patient care
Decreased pressure on staff on board
Increased hospital performance
 
 
Question 10
What should ideally be done to know the patient s improvements after his/her visit to the facility?
   Estimate the well-being

Follow-up by hospital staff
None of the above
Wait for patient s re-visit
 

Test your understanding – 3
Question 1
"If the front office has an EPABX system, then ____________ enquiries will be done"
Telephonic
Email
Verbal
Postal
Question 2
Copying the workflow or structure of a competitor will ___________
not help
be tough
be easy
will help
 
 
Question 3
It is always better to sit with the department & understand the ____________ first.
workflow
enquiries
complaints
shifts
 
 
Question 4
Organisation structure is about
Not applicable for healthcare industry
Delivering low quality and cost-effective care
Alignment of well defined structural lines
Information flow among different levels of management
 
Question 5
Disadvantage of traditional organisational structure is that it
Lacks Sustainability
Lacks flexibility
Initiates creative ideas
Gives enough freedom in decision making
 
 
Question 6
Contingency theory principles involve
Adjustment and coherence
Adaptability
Ambiguity
Consistency
 
 

Question 7
"Which organizational structure is centralized, has less formalization and no flexibility?"   
Mechanistic structure
Divisional
Organic Structure
Functional
Question 8
How many levels does a simple structure has?
3
4
None of the Above
2
Question 9
Which structure has following weaknesses: MD is the sole decision maker and experience information overload?
Divisional
None of the Above
Simple
Functional
 
 

Question 10
Which structure is prevalent in chain of hospitals?
Functional
None of the Above
Divisional
Simple
 

3rd Block Assessment
Question 1
Which structure minimizes or eliminates organizational boundaries?
   
Both A and B
None of the Above
Network Organisations
Boundaryless Organisations
 
 
Question 2
What are the types of governance mechanisms?
All of the above
Hierarchy
Markets
Relational governance
 
 

Question 3
"Which organizational structure ensures improved coordination between the departments, flexibility and responsiveness to customer requirements?"
Functional structure
Matrix structure
None of the Above
Divisional structure
 
 
Question 4
What are the basic organization designs?
All of the above
Matrix model
Team model
Bureaucratic model
 
 
Question 5
"In hospitals, which type of departmentation is common?"
By Geographical location
By Function
All of the above
By Committee
 
 
Question 6
"In a complex healthcare environment, network effectiveness could be increased by: "
Hierarchy
Relational governance
Markets
Balanced combination of governance mechanisms
 
 
Question 7
What variables should be taken into consideration when planning organizational design?
Degree of Environmental Stability
Control
Nature of work
All of the above
 
 
Question 8
What are the disadvantages of bureaucracy?
Overly cautious and unproductive
All of the above
Maladaptive
Rule-bound
 
 
Question 9
Relational governance refers to synchronization based on:
All of the above
Trust
Universal norms and values
Reciprocity
 
 
Question 10
What are the governance aspects of health care networks?
None of the Above
Both of the Above
Governance structure (structures for collaboration)
Governance mechanisms (coordination in networks)
 

Test your understanding – 4

 
Question 1
Who will deal with the budgeting of the hospital?
Chairman
COO
CEO
CFO
 
 
Question 2
The Doctor's and other specialists will come under _______________
Medical Director
Chief Financial Officer
Operations Head
Nursing Superintendent
 
 
Question 3
The Marketing department will be under ______________
Managing Director
RMO
Duty Medical Officers
CEO
Question 4
Which of the following personnel belong to middle-level management?
Nursing Director   
GM-operations
Chief financial officer
Chief operating manager
Question 5
Which of the following designation is appropriate for the member of entry level management?
Assistant nursing superintendent
Patient experience officer
Accounts officer   
Executive
 

4th Block Assessment

Question 1
What is the most valuable tool for achieving coordination in hospitals
Expertise
Personnel
Planning
Structure
Question 2
What is important aspect to look into during a horizontal integration plan?
Governance Structure
Staff availability
Revenue Generation
Location

Question 3
What is required before any merger or acquisition?
Adequate analysis of risks
Personnnel
Revenue Generation
Stakeholders Interest
 
 
Question 4
Which of these is an example of horizontal Integration?
A hospital merging with another hospital providing similar or more services
A hospital merging with a retail pharmacy
A hospital opening centers in different countries

A Hospital opening branches in different cities

Question 5
Vertical integration
is easy to implement
Can be done without risk analysis   
"is a risky strategy which is complex, expensive, and hard to reverse"
is always profitable
Question 6
Merger between CVS and Aetna is an example of
Horizontal Integration
Neither of A or B 
Vertical Integration
Both A and B
 
 
Question 7
A hospital merging with a retail pharmacy is the example of:
Vertical Integration
Neither of A or B
Horizontal Integration
Both A and B
Question 8
A horizontal service-line leadership after a horizontal Integration
promote performance improvements and achieve efficiencies
Improves market capture
All of the above
help to avoid capital and other resource duplication
 
 

Question 9
Top companies in Health Care and Market Research -- Navicure and ZirMed are merging. What type of integration is this?
Horizontal Integration
Neither of A or B
Vertical Integration
Both A and B

Question 10
Hospital tie up with an Insurance company is an example of:
Neither of A or B
Both A and B
Vertical Integration
Horizontal Integration
 
Test your understanding - 5

 
Question 1
A hospital can deal with any emergency situation effectively and efficiently only when:
It is equipped with all the latest medical equipment
It has skilled doctors and nurses who can handle all medical emergencies
None of the above
Both of the above
 
Question 2

Where should the Emergency Department be located in a hospital?
Near the operation theater
Near the entrance of the hospital
Near the ICU
It should have a separate entrance on the rear side of the hospital
Question 3
Discuss the Kotler's model   
Nurse expertise
Hospital Management
Cost effective care
Hospital Stratergies
 
Question 4
What are the reasons for the need of restructuring?
Patient satisfaction.
Uniqueness among competitors in the industry
Mergers or acquisitions
Management replacement

Question 5
"Who among the following is exclusively responsible for counselling the patient, and providing necessary information to patients?"
Patient relations executive
Public relations executive
Administrative staff
Psychologist
Question 6
Evening clinics mainly target
Retired professionals
Working professionals

Children
Home makers
 
 
Question 7
Planned changes are _____oriented
Resistance
Policy
Goal
Resource
Question 8
____are the important factors for any organizational change.
Incidental reports
Human resources
Financial resources
structural inertia
 

5th Block Assessment

Question 1
The healthcare industry is currently undergoing mass-scale changes everywhere primarily because of:
Both of the Above   
Disparity in healthcare access
None of the Above
Rising costs of healthcare

Question 2
Restructuring may be done to
Expand services
All of the Above
Increase patient turnover
Improve care quality

 
Question 3
The success of the change depends on
Employee Satisfaction
Increased Rvenues
All of the Above
Improved Quality
 
 

Question 4
A manager s perspective on change concentrates on
None of the Above
Employee Satisfaction
Return on Investments
Quality
 
Question 5
Individual change management focuses on
Quality
None of the Above
Employee Satisfaction
Return on Investments
 
 
Question 6
Possible outcomes of change could be
Productivity declines
Valued personnel leave the organization
Employees resist the change
All of the Above
 
 
Question 7
John Hunter Hospital was following which organizational structure at inception?
Centralized
Both of the Above
Matrix
Decentralized
 
 
Question 8
This structure was in favour of physiotherapists
Partially
Disagree
Agree
Mostly
 
 
Question 9
What were the challenges faced by the hospital
Ambiguity in Roles
All of the Above
Dissatisfied physiotherapists
Recruitment Delay
Question 10
After how many years of inception the hospital decided to restructure
5
4
10
3
 

Full Syllabus Assessment
Question 1
"Before the restructuring, the challenges facing the ambulance crew included: "
A 24/7 working pattern
Less demand for services
All the above
Frequent team meetings
Question 2
Which of the following activities may be used for an effective restructuring?
Strategic partnerships
Changes in the management structure   
Proactive change management measures
Articulating a mission and vision statement
 
 
Question 3
"As seen in the NEAS case, restructuring may affect:"
Working patterns
Staff recruitment
Staff engagement
None of the above
Question 4
The clinical care manager (CCM) role was created to:
None of the above
Offer counselling in distressing situations
Offer support and guidance in stressful situation
To go on duty with the staff and have conversations about work
Question 5
Frontline managers have the ultimate responsibility for ensuring:
Investigating and dealing with complaints
The well-being of ambulance crew
The right number of ambulances are available
None of the above
 Question 6
"In a restructuring, articulating or redefining the mission and vision is the exclusive responsibility of:"
None of the above
Senior Manager
Staff
Operational Management Team
 
Question 7
Which of the following statements is true? Restructuring is:
A strategy for dealing with organizational troubles in a real-life environment.
The obvious impact of troubles in an organization.

A reaction to increased workloads.
A strategy to enhance management s decision-making skills.
Question 8
"In the NEAS context, which of the following can be considered a change management initiative?"
Introduction of a leadership program
Annual staff surveys
All the above
Team-building activities
Question 9
The objective of the NEAS restructuring was:
To enhance staff engagement
To add resources
To reduce the time spent by staff on the road
To improve front-line services
Question 10
The operational management team was restructured by:
Creating a new role
Adding new resources
Downsizing
Adding new station officers