Question 1 1. Internal issues that involve claims handling for workers comp clai

Question

Question 1

1.      Internal issues that involve claims handling for workers comp claims include

promptness or reporting

the placement of a workers' communicatons coordinator

directed medical treatment

All the above

5 points   

Question 2

1.      The primary professionals that should be involved in developing an organization's risk financing plan include:

insurance brokers, attornerys, and actuaries

the CEO of the organization only

the chief of staff and the risk manager

the hospital staff

5 points   

Question 3

1.      Healthcare organizations have a dual role in workers' compensaton.

True

False

5 points   

Question 4

1.      When a worker is injured, clear communications between the injured employee and the supervisor encourages an earlier return to work.

True

False

5 points   

Question 5

1.      The Leapfrog Group

conducts surveys

is not concerned with risk management

was founded by the AMA

was founded by the American Hospital Association

5 points   

Question 6

1.      The American Society of Healthcare Risk Managers defines domains that include:

strategic

operational

financial

technology

all of the above

5 points   

Question 7

1.      Risk assessment includes the following abilities:

assessment of threats in the environment

using data to estimate estimate economic risks

assessment is not included

A and B

5 points   

Question 8

1.      If risk managers learn early enough about a potential claim, it is presumed they can investigate early and intervene by developing strategies.

True

False

5 points   

Question 9

1.      Internal benchmarking

is performed by collecting data elements only from within the organization.

allows risk managers to look outside their organization

often causes risk managers to feel reluctant to do perform due to the sensitive nature of the data

5 points   

Question 10

1.       The primary purpose of a medical liability cost-allocation system is

typically to encourage participation in risk management programs

to encourage participation in patient safety systems

to reduce overall costs and frequency of losses

todo lo anterior

5 points   

Question 11

1.      The medical records department is a strong ally to the risk management department.

True

False

5 points   

Question 12

1.      There is a mandated CMS policy that eliminates reimbursement to hospitals for 10 "never events".

True

False

5 points   

Question 13

1.      The Americans with Disabilities Act and the Family Medical Leave Act have no effect on the management of workers' comp claims.

True

False

5 points   

Question 14

1.      Physician credentialing is complex and requires due diligence.

True

False

5 points   

Question 15

1.      Risk correlation is often a missing concept in conventional risk management programs.

True

False

5 points   

Question 16

1.      How does patient safety support risk management efforts?

It does not support risk management efforts.

By providing new ways of understanding how things go wrong.

By providing ways to oversimplify expenses

All of the above

5 points   

Question 17

1.      "Never events" include

hurricanes and weather events

physician education

pressure ulcers and surgery on the wrong side of the body

All the above

5 points   

Question 18

1.      Enterprise risk management

is an irrelevant process for healthcare institutions

is not a business decision-making process

does not engage the organization's professionals

includes a process, discipline, and practice to idenitfy risk

5 points   

Question 19

1.      It is not possible to use the same decision making process to decide upon workers' compensation insurance as used when deciding to self-insure professional liability.

True

False

5 points   

Question 20

1.      Healthcare organizations should focus on common activities, and examples of core competencies include:

patient care

professionalism

interpersonal and communicaton skills

All of the above

promptness or reporting

the placement of a workers' communicatons coordinator

directed medical treatment

All the above

Explanation / Answer

Question 1:- Internal issues that involve claims handling for workers comp claims include-

Answer:- (a) promptness or reporting

Internal issue will create if reporting has not been done on time because company will not approve the claim for workers compensation in this case.

Question 2:- The primary professionals that should be involved in developing an organization's risk financing plan include:

Answer (a) insurance brokers, attornerys, and actuaries

Actuaries who deals with the measurement and management of risk and uncertainty with attorneys and insurance brockers will be responsible for risk financial plan.

Question 3:- Healthcare organizations have a dual role in workers' compensaton.

Answer:- True

Because of the traditional relationship of the medical staff to the administrative staff.

Question 4:- When a worker is injured, clear communications between the injured employee and the supervisor encourages an earlier return to work.

Answer:- True

The reason being a clear communication between injured employee and the supervisor encourage the injured employee and supervisor clearly make him/her understand the actual work duties that helps an earlier return to work.

Question 5:- The Leapfrog Group-

Answer:- Conduct surveys

This group conducting hospital surveys and showing that how people die today due to preventable hospital errors.

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