HSA 3117: Principles of HSA

Midterm Exam ( 20 points available)
This exam is to be completed and returned to the instructor by 6/16/00 at 5pm. The answers for the exam will be typewritten on an answer sheet in 12 point font and double spaced. Follow the directions below for specific questions.
The answer sheet is due no later than 5pm or it will be counted late.

Multiple Choice (.6 points each)
Please select the choice that most closely answers the question or fits the statement.
Only one answer is correct per question. You need only to give the letter of the
correct answer on your answer sheet. 

  1. _____________ is the process whereby a government agency grants permission to practice a given occupation.

    a. certification
    b. licensure
    c. credentialing
    d. scope of practice

  2. The ACHE Code of Ethics includes areas of responsibility to patients, the organization, the profession, and the employee.

    a. true
    b. false

  3. The three types of health insurance in the United States are:

    a. social security, Medicare, welfare
    b. private insurance, Medicaid, disability pay
    c. private insurance, Medicare, public welfare
    d. social security, social insurance, disability pay

  4. Health care management has been defined in our text as being an art with a scientific base. How does our text state the art of management can be learned?

    a. in the classroom
    b. by experience
    c. through Internet classes
    d. continuing education

  5. The conversion process in the HSO management model includes the elements:

    a. structure
    b. people
    c. tasks
    d. all of the above

  6. Building blocks for the healthcare system in the United States include all of the following except:

    a. HMOs
    b. money
    c. people
    d. technology

  7. Ethical guidelines provide the minimum standard of performance for managers and laws imply higher standards for healthcare.

    a. true
    b. false

  8. The idea of "division of work" in organizational design introduced by both Weber and Fayol

    a. is also known as specialization of work
    b. can improve efficiency and effectiveness of the work performed
    c. is part of the ideal bureaucracy
    d. is not useful in today's healthcare environment

  9. The largest increase in place of employment for healthcare workers in the past two decades has been in

    a. acute care
    b. home health care
    c. dentist office
    d. medical labs

  10. The allied health occupations are

    a. the fastest growing in healthcare today
    b. made up predominantly of man as in the medical field
    c. work only in acute care and rehabilitation facilities
    d. made up of physician assistants

Short Answer (1 point each)

These questions require only short answers and should not be more than a few lines long. In some cases, you
need only to list items, do not worry about grammar or spelling for these questions.
Please write the question and answer on the answer sheet.

  1. What is Critical Incident Stress Debriefing (CISD) and how is it used in a healthcare organization?
  2. List and define the five basic mechanisms government agencies use to regulate primary and secondary providers.
  3. Describe the three major components of the HSO management model and their relationship within the model.
  4. List the major financiers, regulators and providers of health care services in the United States.
  5. Provide a definition of first and secondary providers in the U.S. healthcare system and state two examples of each.
Essay (1.5 points each)
These questions are answered in an essay type format. Be concise and ensure you have
answered the question completely. Proof-read your answer to ensure you have said what you intend.
Answer in complete sentences, do not list. Spelling and grammar will be counted. Please write the
question and answer on the answer sheet.
  1. What was the major finding of the Graduate Medical Education National Advisory Council (GMENAC) in 1980? What were the federal contributions to the creation of this finding?
  2. Discuss the historical trend of either technology, morbidity and mortality, or social welfare from the earliest beginnings of our health care system to today.
  3. Discuss the distinction between health care and health services delivery.
  4. Does it appear from your readings that the economic marketplace is sufficient enough to maintain an adequate supply of healthcare professionals based on consumer demand? Why/Why not?
  5. Discuss the similarities and differences between the DRG and the RBRVS to include incentives for creation, operation, uses and overseers.
  6. Distinguish between formal and informal relationships in the workplace and list advantages and disadvantages to both. Why are these both important to the healthcare administrator?

It is the responsibility of the student to ensure that the instructor has received the paper, regardless of how the paper is being submitted. If the paper is electronically submitted, the student is responsible for checking with the instructor PRIOR TO THE DEADLINE to be certain the correct and current version of the paper has been received in full. The paper may be turned in the following four ways:

1. as an e-mail attachment to kmarino@fgcu.edu

2. fax to FGCU, Department of Interdisciplinary Studies at 941-590-7474 to the attention of Karma D. Marino

3. (snail) mail to: Karma D. Marino, FGCU, College of Health Professions, Department of Interdisciplinary Studies, 10501 FGCU Blvd. S., Ft Myers, Fl. 33965-6565

4. drop off at FGCU, Dept. of Interdisciplinary Studies, copy room in my mailbox or BHG 124.

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