Health Care Management Midterm Review

Comprehensive question-and-answer flashcards covering key topics, concepts, definitions, and review questions from Shane Murphy's Health Care Management Midterm Review lecture.

What does the acronym DALY stand for in health care?

Disability Adjusted Life Year

Which category of health problems causes the most disability?

Non-communicable diseases Illness

What statement is not true regarding externalities in health care?

Externalities only cause social benefits

What are interaction effects and intersectionality?

The effect of two things together is not the same as the sum of the effects of the two things taken by themselves

According to Harry Frankfurt, what is the difference between a bullshitter and a liar?

A bullshitter doesn't care about the truth while a liar knows they are lying

Why can businesses not rely on whistleblowers to root out problems?

Whistle blower legal protections often fail in practice, disinsentivising whistle blowing

What is a trilemma in organizational management?

A situation where only two of three goals can be reliably achieved

What is a structural difference between a C-Suite Model and a Traditional Model?

Traditional models tend to have more medical professionals in upper leadership

What is not true about hospital boards?

Hospital boards are major drivers of inefficiencies

Which metric is not commonly used to estimate hospital quality: Mortality, Readmissions, Hospital Acquired Infections and Conditions, or Revenue?

Revenue

What is not true regarding having practitioners in senior hospital management?

Manager-practitioners become more effective practitioners after leaving managerial roles

How frequently do hospital boards place quality versus financial performance on their meeting agendas?

Quality is on the agenda of every board meeting in just $63\%$ of hospitals while financial performance is on the agenda in $93\%$

Roughly what percentage of hospitals in the United States are nonprofit?

$70\%$ of US hospital capacity (and $\frac{2}{3}$ of total hospitals)

What is the typical net income minus expense for most health nonprofits?

Positive $5\text{--}10\%$

On average, how does the size of nonprofit hospitals compare to for-profit hospitals?

Nonprofit hospitals are larger than for-profit hospitals

How do nonprofit hospitals generally compare to for-profit hospitals regarding profits and inpatient costs?

Nonprofits generally have higher absolute profits and higher cost per inpatient day than for-profits

How do nonprofit hospitals compare in providing specialty clinical services?

Nonprofits provide more specialty clinical services

Which hospital ownership type is most likely to provide unprofitable care such as mental health, ED, and care for chronically ill populations?

Public hospitals

Who is responsible for the design and implementation of specific health services programs to achieve their objectives?

Program managers

What are examples of health programs that have historically faced public pushback?

Water fluoridation, vaccination mandates, smoke-free workplace laws, disease reporting, environmental protection, and motor vehicle safety

In health care, scalability refers to all concepts except which one?

Spillovers from an intervention into other aspects of the economy

A manager can save time and money by adopting what decision-making approach?

Satisficing

Which statement is not an example of the Pareto rule in health care?

$20\%$ of costs are associated with $80\%$ of prices

What term refers to the tools managers use to make decisions, solve problems, and form judgements quickly?

Heuristics

Which is not one of the four types of constraints in a managerial system discussed in class: Resource, Employee, Market, Policy, or Dummy?

Employee

What is the difference between capital investment and offloading when dealing with constraints and bottlenecks?

Offloading means contracting outside the company

What is a primary operational benefit of maintaining excess capacity?

Managing peaks

What does the operational acronym JIT stand for?

Just in Time

Which factor is not an issue that prevents organizations from working with small batches?

Preferring of more complex control

What is the term for the set of components, materials, medical documents, laboratory results, and other information needed to complete a medical procedure or task?

Complete Kit

Under what circumstance does FEMA assistance not apply?

When it duplicates private efforts

Which is not considered a direct health risk during disasters: high temperatures from AC failure, caregiver stress leading to substandard care, deteriorating sanitation, or leadership availability?

Leadership availability

What is one criticism of lean manufacturing in the wake of the COVID-19 supply shock?

Increased prices after covid supply shock to preserve inventory to avoid future shortages

Which action is not a function of the Federal Trade Commission (FTC)?

Encourage engaging in unfair or coercive practices

Which agency handles non-compete clauses and rural shortages, but lacks jurisdiction over nonprofits?

Federal Trade Commission (FTC)

In what year did the institutionalization of people diagnosed with mental health disorders reach its peak in the United States?

$$1955$$

What was the main cause discussed for the failure of deinstitutionalization to improve mental health care in the US?

Lack of funding for community based health organizations due to slow actions of congress in the 1960s, holes in the managed care system starting in the 1970s and cuts in funding in the 1980s

According to the lecture, what are two of the most expensive disasters in US history?

Hurricane Katrina and the LA Fires