Question $4(1$ point$)$

You are interviewing for an HCO CEO position, and a search committee member asks, "What kinds of reports should the board receive?" You reply, "The board should receive several items at every meeting." Which of the following should be your list?

Question $4$ options:

$1)$

A "state of the HCO" report by the CEO; the strategic scorecard; any new accreditation, regulations, and legal actions

$2)$

The strategic scorecard; any new accreditation, regulations, and legal actions; any changes in clinical staff appointments or bylaws

$3)$

A "state of the HCO" report by the CEO; the strategic scorecard; any new accreditation actions; any changes in clinical staff appointments or bylaws

$4)$

A "state of the HCO" report by the CEO; the strategic scorecard; any new accreditation, regulations, or legal actions; any changes in clinical staff appointments or bylaws

Question $5(1$ point$)$

You're on a team of senior managers preparing the annual planning data for the board retreat, step $1$ of exhibit $3\mathrm{.}7.$ One of the team members says, "Our quality and satisfaction will look good, but our costs don't. I think we should say that the cost benchmarks are not realistic for places like us$."$ Pick the single best reply.

Question $5$ options:

$1)$

"Maybe, but we need to make clear what it is about our situation that might make the benchmarks unrealistic."

$2)$

"I think we're obligated to report all the facts, maybe especially the unpleasant ones."

$3)$

"That's just a rationalization, unless you can prove it$.$ The board's too smart to fall for it$."$

$4)$

Say nothing, and think about looking for a better job somewhere else.

Question $6(1$ point$)$

As fellow, you take your regular rotation on call for senior leadership. One evening, a trustee calls, very upset. He's in your emergency department. His elderly mother has been in the ED for two hours, and nothing seems to be happening. He'd like your help to get her admitted. You go to ED$,$ where the physician managing her case reports that she's been examined and diagnosed, and will be admitted. She's waiting for an appropriate inpatient bed. You thank the emergency physician, and together you explain to the trustee. You call the CEO to alert her. What else should you do$?$

Question $6$ options:

$1)$

Nothing.

$2)$

Ask the trustee if there is anything that would make the family more comfortable.

$3)$

Go to the floor where the patient will be admitted. Ask the floor charge nurse what the plan is and when a room will be available. Report that back to the trustee.

$4)$

Go to the floor where the patient will be admitted. Ask the charge nurse to move as quickly as possible, explaining that the patient is a trustee's mother.

Question $7(1$ point$)$

In your HCO fellowship, you meet on a biweekly basis with the CEO. Today, she says, $"$I$\text{'}$m off to a meeting of the board nominating$/$governance committee. It will be a while before you get to go to one; they are very confidential. But tell me what I should be looking for at the meeting. How do I monitor the committee's functioning?" You reply:

Question $7$ options:

$1)$

"Recruiting appropriate candidates is critical. If we get good candidates, that's all we need."

$2)$

"The committee monitors itself, the strategic scorecard, and overall board effectiveness. That and good candidates should be enough."

$3)$

"I think I$\text{'}$d work off exhibit $4\mathrm{.}3.$ Could we make a checklist of how well the board is doing on the ten items and use it as a survey?"

$4)$

"The strategic scorecard is all that really matters. If we're moving to benchmark, the board's doing okay."