Middle management positions are generally considered the most desirable jobs in healthcare facilities because of their relative job security. T or F?
The supervisor or manager of a work group is paid more than the workers to acknowledge that person’s position as the most important member of the group. T or F?
A multi-layered management structure develops rapidly within an organization and is done away with just as quickly when the organization is flattened. T or F?
The supervisor of a group is generally protected from the negative pressures on morale and motivation experienced by the employees in the work group.T or F?
The organization of the modern healthcare institution leans considerably toward Rensis Likert’s job organization system. T or F?
Healthcare organizations are unique both in terms of the output they produce and in terms of the management processes employed. T or F?
The healthcare institutions of more than a century ago were mostly charitable organizations operated by churches or social welfare groups, and no thought was given to operating then like businesses. T or F?
Health care is extensively different from all other organized endeavors and thus warrants a completely different and unique approach to management. T or F?
Understanding of organizational labels is essential in appropriately addressing the kinds of activities pursued in any business, especially that of a healthcare provider. T or F?
The proliferation and growth of for-profit hospital corporations, health maintenance organizations, and other healthcare chains demonstrate that health care is a business of significant proportions. T or F?
For the foreseeable future, the best background and initial preparation for the new healthcare supervisor will include:
training and experience in one of the healthcare specialities
Within Rensis Likert’s job organization system:
jobs tend to be organized in considerable detail
Many exercises that have borne the label of reengineering have been little more than cursory exercises in:
A strong belief held by many in health care is that it is generally not possible to reduce costs without adversely affecting:
When middle-management positions are eliminated, the majority of those positions’ duties revert to the ____ managers.
first line managers
In Rensis Likert’s job organization system ______ work is the dominant form of activity.
In the job organization system, Likert postulated that it is ____ motives that keep the system running as it should.
True or False? The introduction of managed care removed a number of significant restrictions on the use of services.
True or False? Passage of the Balanced Budget Act brought about a number of facility closures and prompted an increased number of mergers and other affiliations.
True or False? An increasing number of medical group practices and other free-standing healthcare providers are competing with each other for patients.
True or False? A typical hospital is largely describable as an example of Rensis Likert’s cooperative motivation system.
True or False? Accountable care organization (ACA) is simply another designation for a health maintenance organization (HMO).
True or False? One of the factors contributing to the present problems with the country’s healthcare system is the absence of sufficient external regulation.
True or False? Managed care strengthened the position of the acute-care hospital as the true center of the healthcare system.
True or False? Competition between and among healthcare organizations largely involves concern for access to care, cost of care, and the quality of healthcare service.
True or False? As in-patient hospital lengths of stay have been reduced and an increasing number of forms of care are pushed toward an outpatient environment, the number and variety of specialized healthcare settings has increased.
True or False? It is necessary for most management in health care to be production-centered.
True or False? Regulation of healthcare activities, which began to expand significantly in the 1960s, has levelled off and in many instances has actually diminished.
True or False? Many managers take a legalistic view of employee relations as opposed to a humanistic view primarily to keep themselves and their organizations out of legal trouble.
True or False? It remains generally true that the best workers in a department, when promoted, will become the most effective first-line supervisors.
The marketing process as concerns healthcare organizations essentially involves:
guiding potential customers in differentiating the organization’s products and services from those of competing organizations
One significant difference between healthcare and industry at large is:
health care is subject to more external regulation than the majority of other businesses
Under managed care, the primary care physician:
has essentially been places in the role of gatekeeper for the healthcare system, in many instances having to make formal referrals for patients to access certain services
The PPACA is intended in part to reform the ___________ system to promote greater efficiency by restructuring reimbursement from fee-for-service to bundled payments.
________ _____ consists of a number of practices originally intended to reduce costs and improve quality and offer reasonable access to quality care at an affordable cost.
The ___________ process essentially encourages potential clients or customers of the organization to differentiate the organization’s products and services from those of other organizations.
The greatest percentage of healthcare workers engaged in most health-related occupations are employed by ______________.
Health care remains at or near the forefront of activities that are most subject to ________ _______.
In a strongly people-centered operation system functioning __________ as people come and go.
The ____________ phase of employee relations ended legally, although not factually. In the early to middle 1960s.
Health care will likely continue to get most of its first-line supervisors by ______.
A majority of managers in health care tend to ________ more strongly with a profession or occupation than they do with management.
It is essential to recognize that all of the sources of true motivation exists in the form of ____________ and are inherent in the work itself.
True or False? One’s success as a supervisor is largely determined by the possession of a natural talent for managing people.
True or False? To suggest that most management positions are eventually filled by those who are not capable of doing a proper job is a re-statement of The Peter Principle.
True or False? Executive management of a hospital or other health facility bears the ultimate responsibility as guardians of the organization’s resources.
True or False? It is the first-line manager who is required to make most of the hour-to-hour and moment-to-moment operating decisions affecting departmental operations.
True or False? The first-line supervisor must be considerably more proficient in management than in some specific functional specialty.
True or False? It is fortunate that management as an occupation in its own right is as well defined as most working healthcare specialties.
True or False? The management generalist is largely concerned with activities that are common to most situations in which someone must direct the work of others.
True or False? Most people who eventually become first-line managers enter their occupational specialties sufficiently well trained to do the jobs for which they have been hired.
True or False? Most first-line supervisors who fall into the “working trap” do so because most of the department’s employees are unable to perform any tasks that lie beyond the scope of their day-to-day duties.
The style one develops as a healthcare supervisor is likely to be influenced by:
the extent to which technical and professional employees work in the same department as entry-level workers, the extent of variability of the department’s work, and/or the geographic mobility of the department’s employees
The “anyone can do it” attitude toward management often encountered in people of differing interests and backgrounds is most likely owing largely to:
the general lack of recognition of management as an occupation in its own right
Generally, the ________ the organization or department, the more likely is the supervisor to be both worker and manager.
It is the responsibility of the entire collective known as “management” to direct all the activities that are necessary in pursuit of the ______ of the organization.
Exceptional ability for doing manual, technical, or professional work does not guarantee of the presence of ________ for supervision in a health care organization.
Management as a separate field in its own right defies the kind of __________ applied to working specialties.
In health care, more so than in most other endeavors, there is an immediate focus on the customer and some immediate ________ considerations.
True or False? The term “manager” always denotes a position that is higher in the organization structure than one designated “supervisor.”
True or False? There is always a middle management level between first-line supervisors and top management.
True or False? A line function advances the accomplishment of the work of the department; a staff function supports the department in functioning as intended.
True or False? Span of control refers primarily to the number of workers that an individual manager can effectively supervise.
True or False? “Unity of command” is another term that accurately describes a supervisor’s span on control.
“Organizing” is best describes as:
the process of structuring the framework within which things get done
Within an organization’s structure, a line function is:
an activity that advances the creation of a project or the delivery of a service
Unity of command requires that:
for every task that must be done, someone must be assigned to do it
Controlling is often the most neglected of the basic management functions because:
controlling requires follow-up, which is itself the weakest part of both decision making and delegation
The most important aspect of _____ to the first-line supervisor is the function known as delegation
______ often involves policy-making, objective setting, and developing strategies.
Many healthcare institutions are organized along ____________ lines, giving rise to a particular way of grouping activities for organizational purposes.
___________ is the process of assigning specific resources or focusing certain efforts to accomplish specific tasks as required.
True or False? One hazard concerning empowerment is that it is perceived by some as the freedom to do one’s own thing completely in one’s own way.
True or False? The dedicated, effective, hard-working manager is one who works long hours, takes extra work home, and generally tries to every problem that arises.
True or False? It is important that the supervisor delegate thoroughly because all of the group’s employees generally aspire to rise to supervision themselves.
True or False? For the supervisor, it is always preferable to delegate one-time, relatively simple tasks to someone in the department rather than doing them personally.
True or False? The net effect of the forces that motivate people to work is often nearly the same for the supervisor as for the employees.
True or False? Failure to delegate effectively is a leading reason why many people in management do not get promoted to more responsible positions.
True or False? Essentially every task listed in the average supervisor’ job description is a reasonable prospect for delegation.
True or False? The key to improving one’s ability to delegate effectively is found in one’s constant awareness of the need to overcome old habits
In preparing to delegate a specific task to a particular employee, the supervisor should:
be prepared to provide instruction in task performance to the employee, be aware of the hazards of over-delegating or under-delegating, and/or carefully match the requirements of the task with the employee’s capabilities
Failure to delegate effectively is a frequently encountered reason why:
many people in management are never promoted to more responsible positions
It is essential to be ever aware that there is always some _________ involved in proper delegation.
Every supervisor must be aware that one builds a department by building ___________.
Every managerial person in the chain of command has as many primary downward communication channels as he or she has ____________.
An employee to whom a task is delegated must be given sufficient ___________ to accomplish the desired results.
It is fundamental to effective delegation that enhances employee growth and development that the employee always has the freedom to _________.
True or False? Any employee who is paid at a rate higher than that specified in the Fair Labor Standards Act (as amended) is legally considered to be a professional.
True or False? Autocratic approaches to management are more likely to be appropriate for professionals than for rank-and-file nonprofessionals.
True or False? For the professional employee the most apparent long-run motivating force is the amount of money associated with the job.
True or False? The professional employee should not be held to more rigid standards of behavior simply because of being a professional.
True or False? Owing to the requirements of the Fair Labor Standards Act (FLSA), true professional employees may never receive overtime compensation.
True or False? There is often a perceived difference between ones being a professional and behaving in a professional manner.
Concerning the manager’s treatment of employees in a department that includes both professionals and nonprofessionals:
everyone in the department must be subject to the same work rules and personnel policies
In attempting to define a working professional within the context of a given organization:
it is necessary to consider both the requirements of the position and the qualifications of the individual
The rules that may be applied to the management of the healthcare professional also apply to professionals engaged in __________ occupational specialties.
The supervisor must manage people differently in regard to how much ______ they have and how closely they must be supervised.
Unlike many nonprofessionals, the professional often has a large measure of ____ concerning what is to be done and when it is to be done.
The dedicated professional employed as a manager often has far more difficulty than the non professional in ______ the roles of the specialist and the manager
The National Labor Relations Board (NLRB) officially designated ______ bargaining units as appropriate in acute-care hospitals.
True or False? As a line management department, human resources is prepared to offer a variety of employee-related services in a number of ways.
false (it is a staff function)
True or False? Many of the tasks that have fallen to human resources are owing to the steady proliferation of laws affecting aspects of employment.
True or False? The tendency toward organizational flattening has significantly decreased the importance of human resources to the individual supervisor.
false (it has increased its importance)
True or False? Management approaches calling for increased employee participation have resulted in the necessity for fewer middle managers overall.
True or False? The primary piece of legislation causing the expansion of human resources’ workload was the Age Discrimination in Employment Act (ADEA).
True or False? Whenever there is a risk that an employee complaint will be taken outside of the organization, it is best to think of any criticism of employee conduct or performance in a single light: If it was not documented, it never happened.
True or False? Given its status as a staff function, it is required that human resources always support the positions of the line departments.
Concerning the appraisal of employee performance, it should fall upon human resources to:
provide forms, instructions, and reminders throughout the process and generally keep the process moving
In utilizing the services of the human resource department the first-line supervisor should:
ensure that any topic of interest is part of HR’s responsibilities and determine who in HR would be the best person to approach
___________ administration is a natural extension of the human resource department’s wage and salary administration activities.
When a personnel decision of line management must be reversed for the good of the organization, the overruling is done by higher ______ management.
The tendency toward organizational ____________ has increased the value of human resources to the supervisor.
The ______________ laws have forever altered the ways in which many organizations and their human resource departments do business.
Generally, human resources should report to a level no lower than the level that has authority over all of the organization’s _________ functions.
line or operating
True or False? Before 1975, not-for-profit hospitals were exempt from all provisions of the Labor-Management Relations Act (Taft-Hartley).
True or False? A union must provide written notice to a health care institution and the Federal Mediation and Conciliation Service 30 days prior to engaging in a strike.
True or False? Although Congress wished to avoid fragmentation of bargaining units in health care institutions, in the late 1980s the National Labor Relations Board (NLRB) moved toward proliferation of bargaining units.
True or False? In separating the skilled maintenance trades from all other occupational groupings, the NLRB essentially discouraged them from organizing.
True or False? By definition and description, sexual harassment is not limited strictly to the actual workplace.
True or False? The Employee Retirement and Income Security Act, ERISA, requires employers to have pension plans regulates the operation of all pension plans.
True or False? With a few exceptions, the Employee Polygraph Protection Act bars employers from using polygraph tests for pre-employment screening or during the course of employment.
The legislation that has had the greatest overall impact on employment relationships is:
The Civil Rights Act of 1964
As utilized in the calculation of overtime pay, the so-called “regular rate” includes:
the scheduled hourly rate plus on-call pay, call-in pay, and shift differential
A principle factor in determining whether a given position will be exempt or nonexempt is:
the level of pay for the position
The Fair Labor Standards defines the standard workweek as a fixed, recurring period of ______.
The Equal Employment Opportunity Act of 1972 strengthened the powers and expanded the jurisdiction of the _______.
Equal Employment Opportunity Commission
Under the amended Age Discrimination in Retirement Act, with few exceptions an employer can no longer mandate ___________ at a certain age.
The Family and Medical Leave Act (FMLA) allows an eligible employee to take up to ________ of unpaid leave in a 12-month period for certain specific reasons without loss of employment.
All employees who do not fall under the executive, administrative, or professional category are considered ___________.