MHA Master of Healthcare Administration MCQ 5 — Questions and Answers
Question 1: The Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals with emergency departments to:
- Accept only Medicare and Medicaid patients in emergencies
- Provide a medical screening exam and stabilizing treatment regardless of ability to pay (Correct answer)
- Transfer all unstable patients to academic medical centers
- Obtain insurance pre-authorization before emergency treatment
Correct answer: Provide a medical screening exam and stabilizing treatment regardless of ability to pay
EMTALA mandates that any patient presenting to an ED receive a medical screening exam and stabilization before transfer or discharge, regardless of payment status.
Question 2: Which human resources concept refers to the total monetary and non-monetary rewards an employee receives in exchange for work performed?
- Job enrichment
- Total compensation (Correct answer)
- Span of control
- Organizational culture
Correct answer: Total compensation
Total compensation encompasses base salary, bonuses, benefits, retirement plans, and non-monetary rewards such as flexible scheduling.
Question 3: In healthcare financial management, depreciation is best described as:
- A cash payment for equipment maintenance
- A non-cash expense that allocates the cost of a long-term asset over its useful life (Correct answer)
- The decrease in patient revenue due to bad debt
- The cost of replacing expired pharmaceutical inventory
Correct answer: A non-cash expense that allocates the cost of a long-term asset over its useful life
Depreciation is a non-cash accounting entry that spreads a capital asset's cost over its useful life.
Question 4: A hospital's governance board has fiduciary duties that include the duty of care, the duty of loyalty, AND the duty of:
- Profit maximization
- Obedience to the organization's mission (Correct answer)
- Marketing strategy approval
- Daily operational oversight
Correct answer: Obedience to the organization's mission
Nonprofit hospital boards carry three fiduciary duties: care (prudence), loyalty (no self-dealing), and obedience (adherence to mission).
Question 5: Population health management differs from traditional clinical care primarily because it focuses on:
- Treating individual patients episode by episode
- Managing the health outcomes of a defined group and addressing upstream determinants (Correct answer)
- Maximizing procedural volume
- Reducing hospital lengths of stay
Correct answer: Managing the health outcomes of a defined group and addressing upstream determinants
Population health management proactively addresses health outcomes, disparities, and social determinants across an entire defined population, not just individual encounters.
Question 6: Which statistical process control tool uses upper and lower control limits to distinguish common-cause from special-cause variation?
- Pareto chart
- Control chart (Shewhart chart) (Correct answer)
- Fishbone diagram
- Run chart
Correct answer: Control chart (Shewhart chart)
Control charts plot data over time with statistically derived control limits to detect when a process is out of statistical control (special-cause variation).
Question 7: Value-based purchasing (VBP) in the CMS hospital program ties a portion of Medicare reimbursement to:
- Total number of licensed beds
- Clinical quality, patient experience, and efficiency scores (Correct answer)
- Geographic location of the hospital
- The ratio of employed to contracted physicians
Correct answer: Clinical quality, patient experience, and efficiency scores
The Hospital VBP Program adjusts Medicare payments based on performance domains including clinical outcomes, patient safety, person and community engagement, and efficiency.
MHA Master of Healthcare Administration MCQ 5
The Emergency Medical Treatment and Labor Act (EMTALA) requires hospitals with emergency departments to: