Question $8(1$ point$)$

Your HCO is part of a large not$-$for$-$profit system. You are recruiting a prominent local citizen to join the local governing board. "Let's be candid," the citizen says. "This is just an honorific post. All the real decisions are made by your corporate office." $"$I$\text{'}$m glad you brought that up$,"$ you reply. "Our system wants strong local input. The central office expects its local boards to initiate all local actions." You continue:

Question $8$ options:

$1)$

"The central office is seeking understanding, and support by local community leaders is essential to our success."

$2)$

"The central office reviews local decisions but almost never interferes."

$3)$

"Our system wants local board members who will help us achieve our mission here in this community. It's a working board, about a day a month of your time."

$4)$

"It's almost the same as being a free$-$standing HCO."

Question $9(1$ point$)$

The board is reviewing the recommendations of the Clinical Staff Executive Committee, which has advised that a certain internist not be reappointed. Ms$.$ Jones, a trustee, says, "Gee, he's my physician!" A physician trustee says, $"$We have followed procedures in the bylaws related to impairment $($substance abuse$),$ and we have an obligation to protect our patients." The CEO looks at the chair, who looks stunned. The CEO says:

Question $9$ options:

$1)$

Nothing. It's the chair's job, not hers.

$2)$

"Gee, that's unfortunate. We all need to remember that these discussions are strictly confidential."

$3)$

"Gee, that's unfortunate. Ms$.$ Jones may need to recuse herself from the discussion and vote. We all need to remember that these discussions are strictly confidential."

$4)$

"I think the board should accept the committee's recommendation. The HCO has assistance programs that might help the doctor."

Question $10(1$ point$)$

The board is reviewing the strategic scorecard, which is modeled on exhibit $3\mathrm{.}4.$ A member asks, "There are three yellows$$weren$\text{'}$t they there last month?" The COO, who is a guest at the meeting, gets a nod from the chair. He says.

Question $10$ options:

$1)$

"Yes, we're working on them."

$2)$

"Yes, we've instituted $90-$day plans for all three."

$3)$

"Yes, we've instituted $90-$day plans for all three." He then briefly summarizes progress and identifies any difficulty that might lead to year end failure.

$4)$

"Yes, we've instituted $90-$day plans for all three." He then starts a lengthy explanation of what went wrong and why.

Question $11(1$ point$)$

Orienting a group of new patient care assistants, you explain that functional protocols or "standard work"...

Question $11$ options:

$1)$

$"...$help the HCO plan the equipment and supplies for each procedure."

$2)$

$"...$help us guard against errors and omissions. You can always access the protocol, and sometimes a video, on our computers."

$3)$

$"...$cut the cost of clinical procedures."

$4)$

$"...$must always be followed exactly."