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Risk Management Exam Answered

Risk Management Exam Answered

Complete the exam by filling in the blanks or marking if the answer is true or false.blank1. Name the federal legislation established in 1970 that requires employers to furnish each employee with work and a workplace free from recognized hazards that can cause death or serious physical harm.

2. Medicare is a state run program so each state sets its standards for reimbursement. Click the appropriate box below.

☐True

☐False

3. The federal mandate that ensures the continuity of healthcare coverage for persons changing jobs is:

☐EMTALA

☐OSHA

☐HIPAA

☐EPA

4. In the space below, describe a patient grievance procedure. Use as much space as necessary.

5. This federal center made recommendations for the use of improved masks, use of ultraviolet light to kill airborne TB germs, and new ventilation standards in nursing homes. They are the CDCP; what does this acronym stand for?

6. In 1996, President Clinton signed into law major health care legislation and one of its mandates was to ensure continuity of health care coverage for individuals changing jobs. What is the name of this legislation?

7. Title II of the legislation from question # 6 above, includes requirements for ensuring the security and privacy of individuals’ medical information.

Click the appropriate box below.

☐True

☐False

8. The Mammography Quality Standards Act mandated that mammography facilities must be certified by the FDA and the AMA. Click the appropriate box below.

☐True

☐False

9. Cultural Sensitivity is of no concern in the provision of healthcare services. Click the appropriate box below.

☐True

☐False

10. Barriers to effective communication include all of the following except:

☐ Lack of or poor listening skills

☐ Physical barriers

☐ Personal distractions

☐ All of the above are barriers to effective communication.

11. List the 4 main themes of the reasons for litigation:

  1. <<Insert answer>>
  2. <<Insert answer>>
  3. <<Insert answer>>
  4. <<Insert answer>>

12. The doctrine of informed consent states that a patient should be apprised of risks inherent in a proposed treatment and the physician should provide the patient with all of the medical knowledge she has regarding the patient’s condition.blankClick the appropriate box below.

☐True

☐False

13. In the space below, define and discuss the concept of “Health Literacy”. Use as much space as necessary.

14. Insurance is a form of risk transferring. Click the appropriate box below.

☐True

☐False

15. What type of insurance (whose premiums have been significantly rising) accounts for a large portion of the risk management budget in a health care organization?

<<Insert answer>>

16. A fully-insured organization assumes the risk by using their own financial resources to pay health care claims while a self- insured organization transfers the risk to an insurance company. Click the appropriate box below.

☐True

☐False

17. __________ takes place when an outside party pays for losses that occur.

☐ Hold Harmless

☐ Risk Retention

☐ Risk Transfer

☐ Risk Adverse

18. __________ means planning for losses by using available cash, establishing loss reserves or borrowing fund.

☐ Hold Harmless

☐ Risk Retention

☐ Risk Transfer

☐ Risk Adverse

19. Three ethical principles that affect decisions by health care providers are autonomy, beneficence, and justice. Click the appropriate box below.

☐True

☐False

20. When an adult can’t participate in their own health care decisions, the ethical standards that apply are called <<Insert answer>> and <<Insert answer>>.

21. What is the difference between the two standards identified in question # 20 above? Use as much space as necessary.

22. The process in which a patient is given all the information needed to allow them to make a decision on medical care is called

☐ Best interest

☐ Confidentiality

☐ Informed consent

☐ None of the above

23. Substituted judgment is used when

☐ A patient is given all the information they need to make a decision

☐ Someone previously with capacity for decision-making has lost that capacity

☐ Practice guidelines are unclear

☐ The healthcare employer is held liable

24. A living will is:

☐ An advanced directive

☐ Specifies a patient’s wish about medical treatment to prolong life

☐ A & B

☐ None of the above

25. In the space below, discuss some of the ethical issues in working with the elderly.

26. Medical malpractice as a recognized cause of action in U.S. courts dates back to 1840. Click the appropriate box below.

☐True

☐False

27. A specific list of Healthcare Acquired Conditions (HACs) will not be reimbursed for Medicare and Medicaid patients if the condition occurs during hospitalization. These events should be prevented through risk management education. There are 12 categories on the HSA list in 2011. List 3 from the HAC list:

  1. <<Insert answer>>
  2. <<Insert answer>>
  3. <<Insert answer>>

28. The text book lists 7 broad risk categories or risk domains that impact Enterprise Risk Management. List 2 of them with their definition in the space below:

29. Evaluation of risk management programs can be difficult because risk management deals with abnormal events. External evaluation of a risk management program is conducted by The Joint Commission where TJC requires the organization to collect data about its risk management activities with the ultimate goal to improve quality and patient safety.

Click the appropriate box below.

☐True

☐False

30. Hazard risks like property damage and medical professional liability are generally not insurable risks while operational risks like employee turnover and the cost of defensive medicine are generally insurable.

Click the appropriate box below.

☐True

☐False

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