HEALTH RISK AND INSURANCE MANAGEMENT (HSMU

372) 3rd trimester 2013

KENYA METHODIST UNIVERSITY
END OF 3'RD 'TRIMESTER 2013 (PT) EXAMINATION
SCHOOL
DEPARTMENT
UNIT CODE
UNIT TITLE
TIME

: MEDICINE & HEALTH SCIENCES

: HEATH SYSTEMS MANAGEMENT
: HSMU 372
: HEALTH RISK AND INSURANCE MANAGEMENT
: 2 HOURS

INSTRUCTIONS

: Answer ALL Questions in Section A and ONLY TWO in Section B

SECTION A (Short Answer Question- 40 marks)

Question One
Using examples briefly define the following terms in relation to health.

Risk management

Insurance

Risk register

Risk management action plan

Risk identification.

(10marks)

Question Two
Briefly explain FIVE sources of information to identify potential risks in health systems
management.

(10marks)

Question Three
Outline FIVE key elements of a risk management program.

Question Four

(10marks)

Highlight the roles of a broker and an agent respectively in health insurance.

Name and explain TWO methods of risk financing.

(5marks)

(5marks)

SECTION B (Essay Question- 60marks)

Question Five
You have been appointed the risk manager of Mashimoni district hospital. Give the various
objectives that you will develop for your department and/or the health facility. Highlight the risk
management process you will undertake to mitigate against the risk of an infectious disease
outbreak in the facility`s kitchen.

(30marks)

Question Six

Outline and discuss FIVE techniques used for risk

identification.

(20marks)

Outline and discuss the sources of information to identify potential risks in health systems

(10marks)

management.

Question Seven
With specific examples relating to health systems management, discuss any FIVE principle of
insurance.

(30marks)

HEALTH RISK AND INSURANCE MANGEMENT (HSMU

372) 2ND TRIMESTER 2013
KENYA METHODIST UNIVERSITY
END OF 2'ND 'TRIMESTER 2013 (EVENING) EXAMINATION
SCHOOL
DEPARTMENT
UNIT CODE
UNIT TITLE
TIME

: MEDICINE & HEALTH SCIENCES

: HEALTH SYSTEMS MANAGEMENT AND MEDICAL
EDUCATION
: HSMU 372
: HEALTH RISK AND INSURANCE MANAGEMENT
: 2 HOURS

INSTRUCTIONS: Answer ALL Questions in Section A and Only TWO

Questions in Section B
SECTION A
Question One
Using relevant examples in health systems context, define.

Risk Management

Risk Management Philosophy

(10marks)

Risk Management Policy.

Question Two
Discuss the purpose and role of risk management in health systems management.

(10marks)

Question Three
Using relevant examples, distinguish between retrospective risk identification to prospective risk
identification.

(10marks)

Question Four
Explain why it is important to continuously communicate and consult with internal and external
stakeholders in health risk management process.
(10marks)

SECTION B
Question Five
a)
b)

Outline and discuss sources of information to identify potential risks in

health systems management.
Explain at least FIVE techniques used for risk identification (20marks)

(10marks)

Question Six
Using relevant examples in Health
Systems, explain how you determine

a)
the likelihood, consequence
and level of risk.
b)

Explain factors that affect choice

between risk retention and risk transfer.

(20marks)
(10marks)

Question Seven
a)
i) Risk control
ii) Risk financing.

In details, explain the following risk treatment options

(20marks)

Explain the following types of insurance coverage relating to Loshes interest in the
health care industry.

b)
i) First party coverage
Health and welfare
ii)
insurance.

(10marks)

HEALTH RISK AND INSURANCE MANAGEMENT (HSMU

372) 1ST TRIMESTER 2013
KENYA METHODIST UNIVERSITY
END OF 1'ST 'TRIMESTER 2013 (EVENING) EXAMINATIONS
SCHOOL
DEPARTMENT
UNIT CODE
UNIT TITLE
TIME

: MEDICINE & HEALTH SCIENCES

: HEALTH SYSTEMS AND MANAGEMENT
: HSMU 372
: HEALTH RISK AND INSURANCE MANAGEMENT
: 2 HOURS

Instructions:
SECTION A: Answer all questions in this section.
Question One
Using relevant examples define the following

Risk management.

Risk treatment action plan

Risk register.

(10mks)

Question Two
Outline and discuss the sources of information to identify potential risks in health systems management.

(10mks)

Question Three
Explain why it is important to continuously communicate and consult with internal and external
stakeholders in health risk management process. (10mks)
Question Four
Briefly discuss five key structural elements of a risk management program.

(10mks)

SECTION B: Answer any two questions.

Question One
FBI is an organization tasked with developing a health risk management plan for Maputo
District.

Explain the importance of stakeholders involvement in the

project. (10mks)

Determine at least three tools the teams will use to identify

risks. (10mks)

(10mks)

Explain how FBI will determine the adequacy of the risk control measures in place.

Question Two

Discuss the factors that determine acceptability of risk in health systems management.

(10mks)

Giving examples, explain the following risk treatment options.

Risk control

Risk financing

(10mks)

Question Three

Determine the factors for consideration in the choice between risk retention and risk transfer.

Explain strategies Health Manager would use to ensure risk management becomes an

(10mks)

(10mks)

intergial part of management process and culture of an organization.

Distinguish between health and welfare insurance coverage and liability coverage as relating to
health care industry.

(10mks)