Question 1
Claims Administration: handling workers’ compensation claims bears some resemblance to handling professional-liability or general- liability claims, except fewer issues are subject to dispute and the payments are controlled by statutory schedules. The extensive medical knowledge gained from professional liability claims becomes very beneficial in workers’ compensation, because most issues are resolved by medical opinion.
True
False
Question 2
Duty of care requires the board to make responsible and informed decisions on behalf of the organization
True
False
Question 3
Duty of obedience is the obligation to further the purposes of the organization as set forth in its articles of incorporation or bylaws.
True
False
Question 4
In 2006, Lockee, Kroom, Zablocki, and Bader found direct correlations between which of the following practices and high performance in hospitals?
The CEO is held accountable for quality and safety goals.
The board participates in developing criteria to guide medical staff credentialing and privileging.
The board quality committee annually reviews patient- satisfaction scores.
The board sets the board agenda for quality.
All of the above
Question 5
Inherent risks are those risks that are associated with the activity. Appropriate risk control mitigation (including prevention, reduction, separation, and duplication) can have a positive effect on risk minimization.
True
False
Question 6
The Sarbanes– Oxley Act of 2002 (SOX) requires management of public companies, both large and small, to annually assess and report on the effectiveness of internal control over financial reporting.
True
False
Question 7
The supervisor of an employee who sustains a work- related injury is responsible for which of the following steps:
He or she must obtain immediate medical care for the injured employee.
The supervisor must report the work- related injury immediately.
The supervisor should investigate this incident and complete the incident- investigation report.
In analyzing the environmental factors that gave rise to this incident
All of the above
Question 8
Two federal laws that occasionally affect the management of workers’ compensation claims are the Americans with Disabilities Act and the Family Medical Leave Act.
True
False
Question 9
When a healthcare system provides workers’ compensation medical treatment to its own employees, it saves on expenses to the extent that it is not paying an external medical provider for the workers’ compensation medical treatment.
True
False
Question 10
Which areas could Risk Managers add value to the administration of Workers Compensation?
Risk Financing
Loss Prevention
Loss Mitigation
Claims Administration
All of the above
Question 11
0.43 Points
Which of the following are actionable steps in program development?
Obtain board- and senior- leadership support.
Integrate ERM with strategic planning.
Develop a well- articulated vision and plan.
Maintain a positive culture and environment
All of the above
Question 12
0.43 Points
Which of the following are examples to establish the mission, vision, and strategies?
Integrate strategy and quality
monitor the culture of quality and safety
Establish aims for safety and quality improvement.
A and B only
All of the above
Question 13
0.43 Points
Which of the following are the core leadership activity that focus the organization on improving quality and patient safety?
Establish the mission, vision, and strategy.
Build the foundation for an effective leadership system.
Build will
Ensure access to ideas.
All of the above
Question 14
0.43 Points
Which of the following best define Financial Risk?
The business of health care is the delivery of care that is safe, timely, effective, efficient, and patient centered within diverse populations
These risks affect the profitability, cash position, access to capital or external financial ratings through business relationships, or the timing and recognition of revenue and expenses.
Risks associated with brand and reputation, business strategy, and failure to adapt to a changing healthcare environment, changing customer priorities, and competition.
Refer to the organization’s most valuable asset: its workforce. This is an explosive area of exposure in today’s tight labor and economic markets
All of the above
Question 15
0.43 Points
Which of the following best define Human Capital Risks?
The business of health care is the delivery of care that is safe, timely, effective, efficient, and patient centered within diverse populations
These risks affect the profitability, cash position, access to capital or external financial ratings through business relationships, or the timing and recognition of revenue and expenses.
Risks associated with brand and reputation, business strategy, and failure to adapt to a changing healthcare environment, changing customer priorities, and competition.
Refer to the organization’s most valuable asset: its workforce. This is an explosive area of exposure in today’s tight labor and economic markets
All of the above
Question 16
0.43 Points
Which of the following best define Operational Risks?
The business of health care is the delivery of care that is safe, timely, effective, efficient, and patient centered within diverse populations
These risks affect the profitability, cash position, access to capital or external financial ratings through business relationships, or the timing and recognition of revenue and expenses.
Risks associated with brand and reputation, business strategy, and failure to adapt to a changing healthcare environment, changing customer priorities, and competition.
Refer to the organization’s most valuable asset: its workforce. This is an explosive area of exposure in today’s tight labor and economic markets
All of the above
Question 17
0.43 Points
Which of the following best describe Enterprise Risk Management?
Enterprise risk management is a comprehensive process which evaluates all risk exposures confronting an organization from the top down.
Enterprise risk management is a process, effected by an entity’s board of directors, management and other personnel, applied in strategy setting and across the enterprise, designed to identify potential events that may affect the entity, and manage risks to be within its risk appetite
Enterprise risk management process is a broad- based discipline requiring the active involvement of all in healthcare and has risk identification and analysis, risk prioritization, and the implementation and monitoring of risk mitigation initiatives at its core.
Enterprise risk management is an enterprise- wide process designed to identify potential events that may affect the entity, determine the enterprise’s appetite for risk, and manage the event risk according to enterprise objectives.
All of the above.
Question 18
0.43 Points
Which of the followings IS NOT one of the board practices found to be correlated to high-quality performance?
Board practices of hospitals that perform very well on a composite measure based on mortality, complications, patient safety, and length of stay
Board practices of hospitals that perform very well on both composite measures
Board practices of hospitals that perform very well on a composite measure based on quality outcomes, patient safety, efficiency, financial stability, and customer response
Board practices of hospitals that does not perform very well with the patients
All of the above
Question 19
0.43 Points
Which of the followings best describe the board practices found to be correlated to high-quality performance?
Board practices of hospitals that perform very well on a composite measure based on mortality, complications, patient safety, and length of stay
Board practices of hospitals that perform very well on both composite measures
Board practices of hospitals that perform very well on a composite measure based on quality outcomes, patient safety, efficiency, financial stability, and customer response
All of the above
A and C only
Question 20
0.43 Points
Which of the followings it is not a characteristic of board engagement in quality improvement and patient safety identified by the Executive Quality Improvement Survey?
The board receives a formal quality-performance- measurement report.
There is a high level of interaction between the board and the medical staff on quality strategy.
The senior executives’ compensation is based in part on quality performance.
The board sets clear policies and procedures about to guide the medical staff
The CEO is identified as the person with the greatest impact on quality, especially when so identified by the executive in charge of quality.
Question 21
0.43 Points
Which one defines Risk Mapping?
Multidisciplinary approach and the active involvement and support of a wide variety of professionals, both internal and external.
Important factor to consider when developing an ERM program that starts with the board and senior leadership and eventually trickles down through the organization to all employees
A risk management steering committee and task force will be assigned to do much of the initial preparatory work
Tools that help message risks to the organization. They are easy to read, colorful, and quick to prepare with software pro-grams or developed on one’s personal desktop.
None of the above
Question 22
0.43 Points
Workers’ compensation is a benefit required of every employer by state statute, in the event of an injury or illness arising from, and in the course and scope of one’s employment.
True
False
Question 23
0.43 Points
Workers’ compensation is a program created by state or federal law requiring employer- paid benefits for employee injury or illness that occurred in the course and scope of employment.
True
False
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