Deck 9: Management and Leadership

Question 1

Broken lines on an organization chart indicate:

A) span of control.
B) colleagues and coworkers.
C) indirect or shared responsibility.
D) departments or positions.

Answer 1

indirect or shared responsibility.

Question 2

Which is a function of the health care organization's governing body?

A) admit patients
B) monitor progress toward objectives
C) audit health records for compliance
D) supervise staff

Answer 2

monitor progress toward objectives

Question 3

In dual governance, the governing body extends authority to the Chief Executive Officer (CEO) and the:

A) Chief Information Officer
B) Chief Nursing Officer
C) Chief Operations Officer
D) Chief Medical Officer

Answer 3

Chief Medical Officer

Question 4

The number of employees or departments that report to one individual is referred to as the:

A) span of control
B) unity of command
C) matrix reporting
D) governing body

Question 5

Which is characteristic of shared governance?

A) staff participate in decision-making
B) two lines of control extend from the governing body
C) supervisors are hands-on in departments
D) clinical staff have more authority than non-clinical staff

Question 6

A cross-departmental chain-of-command that does not maintain a strict unity of command is:

A) span of control
B) shared governance
C) matrix reporting
D) workflow

Question 7

Which is a function of a technical employee in the HIM department?

A) assembly
B) coding
C) analysis
D) supervision

Question 8

"The suspension procedure will be performed weekly (as approved in the bylaws)." This is an example of a(n):

A) plan.
B) goal.
C) objective.
D) mission.

Question 9

Policies and procedures should be reviewed:

A) annually and when significant changes occur.
B) as needed.
C) monthly.
D) by the CEO through delegated authority from the governing board.

Question 10

Which would be a consideration in the development of a strategic plan?

A) a community revitalization project downtown
B) a new high-capacity printer-copier-scanner in the HIM department
C) creating a second clinical documentation improvement (CDI) specialist position
D) writing objectives to meet the goal of 95% positive patient surveys

Question 11

The department's __________ statement defines its purpose, while its __________ statement indicates what it expects to accomplish.

A) vision; mission
B) mission; vision
C) goal; objective
D) objective; goal

Question 12

Creation of organizational policies and procedures regarding how data are used is called:

A) data governance
B) information governance
C) shared governance
D) dual governance

Question 13

The development of policies and procedures to ensure the integrity and quality of data is called:

A) data governance
B) information governance
C) shared governance
D) dual governance

Question 14

Which is characteristic of a strong and meaningful objective?

A) it supports the vision
B) it effects policy
C) it is measurable
D) it is broad and far-reaching

Question 15

Which is NOT the responsibility of the human resources (HR) department?

A) maintaining personnel records
B) ensuring compliance with labor laws
C) organizing department workflow
D) terminating employees

Question 16

An employee who works fewer than 20 hours each week, who may earn partial benefits, is considered:

A) full-time
B) temporary
C) part-time
D) per diem

Question 17

Which term is synonymous with the term "temporary employee?"

A) full-time equivalent (FTE)
B) per diem
C) exempt
D) outsourced

Question 18

The normal work week is 40 hours and human resources are allocated based on total hours of effort per week. The HIM department is allowed 400 hours per week. This equals how many FTEs?

A) 4.5
B) 22.5
C) 10
D) 45

Question 19

An advantage to outsourcing of HIM services to a vendor is:

A) the facility is not responsible for the quality and integrity of the outsourced services.
B) less internal time is required to monitor the expert, outsourced vendor services.
C) the employee management responsibility is shifted to the outsourcing vendor.
D) the signed contract is confirmation that the vendor is reputable.

Question 20

After being promoted to department manager, Rhea sits down with each staff member to record a(n) _______________, a list of all the tasks the employee does.

A) job analysis
B) job description
C) performance evaluation
D) workflow analysis

Question 21

Which is included in a job description?

A) salary range
B) required skills
C) vacation time and benefits
D) dress code

Question 22

Which is indicative of poor employee retention?

A) high salaries
B) low productivity
C) high turnover
D) few internal candidates

Question 23

Which interview question may be perceived as discriminatory?

A) "Where do you see yourself in 5 years?"
B) "How old are you?"
C) "Do you have reliable transportation?"
D) "Have you ever worked on a team?"

Question 24

Performance standards specify:

A) education or skills requirements for a position.
B) physical requirements for a position.
C) the quality and quantity of work to be done in a given amount of time.
D) number of employees in the department.

Question 25

In a day's work, a coder would expect to code the fewest of which type of record?

A) ambulatory surgery records
B) urgent care visit records
C) inpatient records
D) emergency department records

Question 26

Which is a benefit of the employee evaluation?

A) It is an opportunity to offer employee feedback.
B) The findings are part of a job analysis.
C) It is an opportunity to revise the job description.
D) There is always a pay increase.

Question 27

Which should be the first step in addressing an employee's poor performance?

A) written warning
B) probation or suspension
C) consulting with HR
D) counseling or verbal warning

Question 28

What is the purpose of the performance improvement plan (PIP)?

A) to notify employee of poor performance
B) to increase department productivity
C) to provide employee feedback
D) to provide supervisor feedback

Question 29

Which is NOT found in the employee handbook?

A) how many employees will be in the employee's department.
B) facility dress code.
C) attendance policy.
D) recognized holidays.

Question 30

In which way is the health information management department orientation different from the organization-wide orientation?

A) The department orientation addresses infection control.
B) The department orientation addresses specific job responsibilities.
C) The department orientation addresses employee benefits.
D) The department orientation includes a tour of the facility.

Question 31

Which topic is addressed during the physician orientation to the HIM department?

A) suspension policy
B) performance improvement plan (PIP)
C) dress code
D) building safety and security

Question 32

Which is NOT a hallmark of good customer service?

A) identifying customers by name
B) greeting the customer with a smile
C) finding someone else who can help the customer
D) speaking in a serious tone

Question 33

Which is a frequent topic of communication between HIM department employees and physicians?

A) information governance
B) release of information
C) hospital privileges
D) the physician's caseload

Question 34

The HIM manager encourages the nine inpatient coders to discuss difficult cases with each other via the facilities' internal e-mail system during certain days and at certain times. What is a likely outcome?

A) Resentment for interruptions during the designated days and time
B) Enhanced productivity
C) Increase in gossip among the coders
D) Unresolved disagreements

Question 35

Which manager needs further training to handle conflict in the workplace?

A) Jill makes sure both sides know that she respects their perspectives, even if she disagrees.
B) Bill handles brings all parties to a private location to discuss the problem.
C) Francis listens each employee.
D) Selma does not offer a compromise; she lets the employees find a solution.

Question 36

An in-service on e-mail etiquette should mention that:

A) email messages are not private communication.
B) messages should be comprehensive.
C) all-capital letters should be used when the message is extremely important.
D) the supervisor should always be blind carbon copied (bcc'd).

Question 37

Which is not on a meeting agenda?

A) minutes from the previous meeting
B) new business
C) old business
D) employee evaluation results

Question 38

Who typically leads a meeting?

A) timekeeper
B) chairperson
C) secretary
D) recorder

Question 39

An employee charged with developing a communication method for notifying physicians of records needing completion should ensure that the communication method is:

A) strongly worded.
B) friendly and chatty.
C) brief and clear.
D) apologetic.

Question 40

Which person leads by example?

A) Elaine shifts responsibilities junior staff so that their supervisors have more time for professional development.
B) Serena takes earned time off regardless of the needs of the department or facility.
C) Reggie supports employees who disagree with certain facility policies.
D) Don welcomes a non-English-speaking customer to the department.

Question 41

One of your employees has reported to you that there is some negative gossip surrounding the food being eaten by one of your staff, who is from another country. What should you do about this report?

A) Ignore it-you don't manage based on gossip and rumors.
B) Confront the "offending" staff member and tell them to eat only inoffensive food in the office.
C) In collaboration with human resources, assess your staff for diversity and determine whether an in-service or some other training is needed.
D) Counsel the employee who reported the gossip that gossip is inappropriate and what people eat is none of anyone else's business.

Question 42

Which is an appropriate discussion in the HIM department?

A) Whether the dress code should prohibit the wearing of religious clothing
B) Creating a policy stating that religion is never a topic for discussion
C) Creating a policy stating when it is acceptable to avoid another staff member because of their religion
D) How to arrange holiday coverage, so that each person can recognize his or her individual religious holidays

Question 43

An HIM department learns that a part of their release of information function is being outsourced to employees located in another country. The HIM department staff have commented negatively about the people who live in this country and are reluctant to work with them. What is one step that should be taken to address this situation so that the release of information function can succeed?

A) Review cultural assumptions, biases, and stereotypes related to the things that make the people in the other country different.
B) Validate the staff's concerns by agreeing with them.
C) Lighten up the atmosphere by making jokes about the other country.
D) Make working with the people from the other country on a volunteer basis only.

Question 44

Which is a part of the AHIMA Code of Ethics?

A) valuing the needy more than the wealthy
B) promoting the self-actualization of every person
C) being mindful of differences
D) respecting the rights of workers

Question 45

Which individual displays cultural competence?

A) James plays a different kind of music in the office every day.
B) Kerra is tolerant of the differences she sees in others.
C) MacKenzie changes her behavior depending on the needs of her customers.
D) Gail treats everyone the same.

Question 46

Which is one of the National Standards on Culturally and Linguistically Appropriate Services (CLAS)?

A) no-cost preventative care services to members of minority groups
B) free language assistance services
C) improved access to complementary and alternative medicine
D) recruitment and promotion of racial and ethnic minorities in leadership positions

Question 47

What type of leader is also called a micromanager?

A) democratic
B) laissez-faire
C) autocratic
D) diminutive

Question 48

Which manager needs more education on effective leadership?

A) Bryn delegates responsibilities as she can.
B) Scott encourages his staff to think of ways to improve.
C) John maintains a "closed door" policy.
D) Finley comes to work early and stays late.

Question 49

The first step in planning training or in-service program is:

A) assessment of education needs.
B) selecting a trainer.
C) choosing a site for training.
D) identifying the proper format.

Question 50

Which dates are critical to the continuing education of inpatient coders?

A) January 1 & 2
B) April 1 and October 1
C) December 1 and July 30
D) July 1 and December 31

Question 51

What type of training provides continuing education for current employees, mandated by some accreditation agencies?

A) orientation
B) in-service
C) RACE training
D) performance improvement plans (PIPs)

Question 52

The coding manager conducts a monthly audit of inpatient cardiac surgical cases and finds an average error rate of 10% for all of the coders. A training session is scheduled that includes a group lecture on cardiac surgery by an intern, and a presentation of the corresponding correct codes by the coding manager, followed by individual tests. What training formats are described?

A) Passive and active
B) Active and collaborative
C) Passive, active, and collaborative
D) Collaborative and passive

Question 53

What distinguishes development from training?

A) Development is the continuation of initial training specific to a job function.
B) Development is an investment in the employee by the organization that will pay off in the future.
C) Training is for new employees while development is for employees who have passed their probation period.
D) Training involves a general overview of a job function, while development involves the details of a job function.

Question 54

In his HIM department, Steve decided it would be more efficient to perform the transcription process at the same time as assembly. Steve is going to change the ___________ in the department.

Question 55

As the new supervisor, Sandra feels overwhelmed by the number of projects needing her attention. One way that Sandra work more efficiently is to _________ some of the projects to her employees.

Question 56

An in-service is training provided to _____________ for continued or reinforced education.

Question 57

Whether an employer provides training or not, HIM professionals must earn a certain number of __________ (CE) hours each year to maintain their credentials.