Deck 4: Leading for Connected Carethe Senior Management Role

Question 1

Which is a challenge for senior managers in regards to power sharing when developing a connected care facility?

A) Assuring that senior managers will maintain current managerial numbers and power
B) Expanding the middle layer of organizational management with the inclusion of clinicians
C) Maintaining clear boundaries for senior management to make final decisions about change
D) Hiring only new management members with communication, coaching, and collaboration skills

Answer 1

B
Explanation: A challenge for senior managers regarding power sharing is the expansion of the middle layer of organizational management, which requires senior management to relinquish some control. The managerial changes with development of connected care require a decrease in senior management numbers and control. The changes related to connected care will distribute decision making throughout the management hierarchy. New power-sharing arrangements require new skills in communication, coaching, and collaboration that many senior managers do not yet possess.

Question 2

Senior managers are accountable for implementing organizational systems that produce a value-based, patient-centered healthcare system that incorporates the goals of connected care. Which is an appropriate goal of senior management accountability?

A) Create a quality- and safety-driven system that protects current financial status.
B) Require health care providers to pay for facility-owned and managed data system.
C) Assure that high quality staff are recruited, trained, and retained for care delivery.
D) Develop a system to reward individuals who exhibit outstanding leadership in clinical care.

Answer 2

C
Explanation: Recruiting, training, and retaining a high quality staff for care delivery is an appropriate goal for senior management implementing a value-based healthcare system. Developing a quality and safety driven system is an appropriate goal for senior management; however, current financial status may not be possible during the transition. Another appropriate goal for senior management is to develop an integrated data system that connects care providers and provides action-able clinical and operational data; health care providers are not expected to pay for the system. Senior management needs to foster a culture of teamwork and collaboration at all levels of the organization; team rather than individual recognition may be a more appropriate goal.

Question 3

During the change of a health care facility to an integrated delivery system, senior management needs to develop physicians and nurses in leadership roles. Which activity describes a role of leadership?

A) A physician-centered approach is key to all clinical groups.
B) Nurses will play an equal role with physicians in an integrated system.
C) Hospital nursing executives will assume positions in senior management.
D) Physicians are seen as equal partners in senior management decision making.

Answer 3

D
Explanation: In integrated delivery systems, the drive to incorporate physician leaders as equal partners in senior management decision making is a recent development. A physician-centric approach can have a negative impact on the organization's effort for the balance of power unless proper attention is given to the contributions and needs of other professions. Nursing is not usually accorded the same level of attention as physician integration; however, there does seem to be a drive to broaden the role of nurse executives and to include them at the most senior levels of the organization.

Question 4

Senior management team factors can either foster or cripple senior management success in implementing connected care. Which senior leadership factor most commonly derails the processes of connected care?

A) Leadership training
B) Consistency of leadership
C) Alignment among senior leaders
D) Effective leadership evaluation systems

Question 5

Olivo's company, Success Profiles, uses a proprietary methodology to rate leadership effectiveness using a grading system. Which example is included in this grading system?

A) Leader\manager is a high achieving and talented performer who meets expectations.
B) Leader\manager rarely meets expectations, and fails to bring out good performance.
C) Leader\manager rarely meets expectations, but brings out good performance in others.
D) Leader\manager is a consistent performer who frequently struggles to relate well with others.

Question 6

The senior leadership team of an acute care facility is planning to implement integrated care, and has developed a four-step plan. Which step is most essential for the success of the change?

A) Communicate a clear vision.
B) Paint a picture of the new culture.
C) Engage employees in clinical culture change.
D) Describe the "why" and "what" of clinical culture change.

Question 7

Developing a clinical and clerical workforce that can provide connected care requires coordination and collaboration between the senior leadership of human resources and clinical leaders who select employees. Which characteristic is indicative of a desirable employee?

A) Willing to learn about needed aptitude and capabilities
B) Demonstrates effective communication skills
C) Previously employed as the only nurse in an office setting
D) Frequently changes positions for self-betterment

Question 8

Senior managers in a healthcare facility are planning to move toward connected care focusing on patient centeredness. Financial success is identified as one of the five strategic pillars vital to the success of the change.

Question 9

Senior managers of a health care facility are concerned about job security when the facility changes to a value-based plan of operation. Senior managers are correctly informed that new positions will be developed as a result of the changes.

Question 10

As dollars for education shrink, the focus in many organizations is on regulatory and technical skills, leaving middle managers to achieve complex clinical culture change without the skills to be successful.