CHL General Practice 4

Question 1

A hospital receives lower-than-expected reimbursement for a high-complexity DRG. Which factor most likely explains this?

Accepted Answer

Insufficient clinical documentation supporting comorbidities and complications

Answer

Poor clinical documentation fails to capture CC/MCC codes that would justify a higher-weighted DRG and corresponding reimbursement.

Question 2

Which of the following best describes 'disruptive innovation' in healthcare?

Accepted Answer

A simpler, lower-cost solution that initially serves overlooked segments and eventually displaces incumbents

Answer

Disruptive innovation, per Christensen's theory, starts at the market fringe with simpler, cheaper solutions before transforming mainstream care delivery.

Question 3

A healthcare leader must reduce supply chain costs without compromising quality. Which strategy offers the most sustainable savings?

Accepted Answer

Implementing physician preference item standardization through clinical value analysis

Answer

Clinical value analysis engages clinicians in standardizing supplies based on evidence and cost-effectiveness, yielding durable, quality-preserving savings.

Question 4

Under the Affordable Care Act, what is the purpose of the Hospital Readmissions Reduction Program (HRRP)?

Accepted Answer

Penalize hospitals with excess readmissions for specific conditions by reducing Medicare payments

Answer

HRRP reduces Medicare payments to hospitals with higher-than-expected 30-day readmission rates for specified conditions.

Question 5

A healthcare leader is introducing a major EHR system change. Staff resistance is high. Which change management strategy is most effective?

Accepted Answer

Engage frontline staff as super-users and change champions early in the process

Answer

Engaging frontline staff as change champions builds ownership and peer credibility, which are proven drivers of successful EHR adoption.

CHL - Certified Healthcare Leader Practice Test

CHL - Certified Healthcare Leader Practice Test

CHL General Practice 4