CHL General Practice 3

Question 1

A healthcare organization is transitioning from fee-for-service to value-based care. Which operational change is most critical to implement first?

Accepted Answer

Establishing robust care coordination and population health programs

Answer

Value-based care success depends on coordinating care across the continuum and managing population health to reduce costly acute episodes.

Question 2

A department manager consistently delivers results but frequently creates interpersonal conflict. How should a healthcare leader respond?

Accepted Answer

Provide coaching and establish clear behavioral expectations with accountability

Answer

Coaching with clear expectations addresses behavioral issues while preserving the manager's contributions to organizational outcomes.

Question 3

Which of the following best describes 'capitation' in healthcare payment models?

Accepted Answer

A fixed per-member per-month payment regardless of services used

Answer

Capitation is a prepaid, per-member per-month payment that shifts financial risk to the provider for managing patient health.

Question 4

An organization wants to reduce medication errors in the ICU. Which improvement methodology uses Define, Measure, Analyze, Improve, and Control phases?

Accepted Answer

Lean Six Sigma DMAIC

Answer

The DMAIC framework is the structured problem-solving approach of Six Sigma, designed to eliminate defects and reduce process variation.

Question 5

Which federal law prohibits healthcare providers from referring Medicare and Medicaid patients to entities in which the physician has a financial interest?

Accepted Answer

Stark Law (Physician Self-Referral Law)

Answer

The Stark Law prohibits physician self-referrals for designated health services to entities with which the physician has a financial relationship.

CHL - Certified Healthcare Leader Practice Test

CHL - Certified Healthcare Leader Practice Test

CHL General Practice 3