Healthcare Operations Management - C429

Stakeholders - ANSWER Healthcare leaders must respond to the needs of ______ fairly, consistently and quickly to avoid conflict and ensure that the organization meets their interests. patient - ANSWER Leaders must fa ...

Stakeholders - ANSWER Healthcare leaders must respond to the needs of ______ fairly, consistently and quickly to avoid conflict and ensure that the organization meets their interests. patient - ANSWER Leaders must facilitate the building of a culture that encourages staff to consider the _____ perspective. goals - ANSWER Leaders should set realistic, achievable ____ and benchmarks for quality of care, patient satisfaction, and staff satisfaction. Healthcare Organization technology community - ANSWER The HCO (______ _________) is : a 24/7/365 operation. up to date with the latest changes, practices and ______. adjusts to _______ needs. Accountability Hierarchy - ANSWER A reporting path that allows each team to communicate its needs to the larger organization and to ensure the governing board of negotiated acceptance of goals. Operational Leadership - ANSWER Helps determine the need for change within the healthcare organization. Purpose is to sustain an infrastructure to ensure that the HCO's array of services is effectively designed, aligned, integrated, and continuously improved. Boundary Spanning - ANSWER Monitor all external stakeholder groups to identify changes in their needs and desires Forecast patient needs to plan staffing and facilities Service Lines - ANSWER Operating units designed around patient-focused care for related disease groups and similar medical specialties Governing Board (board of trustees) - ANSWER The purpose of the _______ ________ of a well-managed HCO is to create and maintain a foundation for relationships among the stakeholders that identifies and implements their wishes as effectively as possible. To set corporate goals, monitor progress and strategic protection, and make strategic decisions. Control Comparability Profitability - ANSWER To be successful, accountability (for senior management) must pass three tests: _________. Operational scorecard performance should equal or exceed negotiated goals. In units large enough to have strategic scorecards, senior leaders are collectively accountable for strategic performance. _________. The organization's scorecard values should be less than the values in alternative sources for the product or service, and should be acceptably close to benchmark or best-practice values. _________. At the level of aggregation at which revenue is received, expenditures should equal the amount paid minus an allowance for funding the long-run strategic goals of the organization. HCO (Healthcare Organizations) - ANSWER Community hospitals, medical practices and specialty providers are all traditional types of _____ Trustees - ANSWER Members of the governing board of not-for-profit HCOs who volunteer their time to the organization; their only compensation is the satisfaction they achieve from their work. The title reflects their acceptance of the assets in trust for the community; also may be called directors Long-range financial plan (LRFP) - ANSWER An ongoing projection of financial position showing earnings, debt, and capitalization for at least the next seven years managerial - ANSWER Board members should be able to make the challenging and sophisticated decisions required in the five ______ functions. Familiarity with the community Familiarity with business decisions Available time A record of success Reputation Ad Hoc Committee - ANSWER A committee formed to address a specific purpose, for a specified time period Standing Committee - ANSWER A permanent committee established in the bylaws of the corporation or similar basic documents Governance Bylaws - ANSWER A corporate document that specifies quorum rules of order, duties of standing committees and officers, and other procedures for the conduct of business HCAHPS (the Hospital Consumer Assessment of Healthcare Providers and Systems) - ANSWER ________ is a patient satisfaction survey required by CMS (the Centers for Medicare and Medicaid Services) for all hospitals in the United States. The Survey is for adult inpatients, excluding psychiatric patients. he intent of the _______ initiative is to provide a standardized survey instrument and data collection methodology for measuring patients' perspectives on hospital care. managers - ANSWER It is critical for managers to understand the board's role: Governance and management: The board seeks information from _______, and they are responsible for implementing the board's decisions. not for profit - ANSWER In _________ organizations, the governing board's main goal is for the organization to meet the mission statement, which is typically aimed at improving the health of the community the organization serves. The board does not have the responsibility to ensure that stakeholders get the benefit of their investment. for profit - ANSWER The governing board in a ______ organization has the responsibility of ensuring that stakeholders and investors are getting the most out of their investments and that the organization is financially successful. This often means that for-profit organizations track and manage their budget very closely, allowing more resources to be allocated toward patient care. Institute of Medicine - ANSWER A nonprofit organization established in 1970 as a component of the US National Academy of Sciences that works outside the framework of government to provide evidence-based research and recommendations for public health and science policy. Abbreviated IOM. performance - ANSWER Clinical _____ is the degree to which clinical professionals and healthcare organizations (HCOs) provide care that meets or exceeds the Institute of Medicine (IOM) aims. Diagnosis Care Patient Community Performance - ANSWER Five functions an HCO's clinical organization must perform : Ensuring accurate _______ Ensuring excellent ______ Individualizing ______ care planning and treatment Improving ____ health Improving clinic ________ Heuristic - ANSWER The classification of disease in modern healthcare is _______, that is, it uses ICD-10 and systematically employing a trial-and-error mechanism that recognizes uncertainty and proceeds cyclically as more information is gathered functional patient - ANSWER Protocols can be divided into two types : _______ and _____ management Functional - ANSWER _______ protocols determine how procedural elements of care are carried out. They cover tasks of care accomplished by individuals (such as giving an injection or taking a chest x-ray) and sets of activities for team procedures (such as surgical operations, rehabilitation programs, or multi-step diagnostic activities). Patient management - ANSWER ____ _____ protocols are formally established expectations that define the normal steps or processes in the care of a clinically related group of patients at a specific institution. (Example, protocol procedures and steps for chest pain) Clinical Practice - ANSWER _____ _____ guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances Triage - ANSWER _____ is the process of determining the priority of patients' treatments based on the severity of their condition. Palliative Care - ANSWER Treatment to manage and reduce pain, discomfort, and other uncomfortable symptoms of life-limiting diseases or conditions with no known cure; services are provided in a holistic manner to include the patient and her family Credentialing - ANSWER The process of validating a professional's eligibility for medical staff membership and/or privileges to be granted on the basis of academic preparation, licensing, training, certifications, and performance IPOC (Interdisciplinary plan of care) - ANSWER A process that includes the patient, the family, and all clinical disciplines involved in planning and providing care to patients, from system point of entry, throughout the entire acute care episode, and to the next level of care (used in case management) Operating Nursing - ANSWER Chief Executive Officer Vice President, Medical Affairs -> Chief ______ Officer, -> Chief ____ Officer Unexpected Event - ANSWER An _______ ____ report is a written report of an untoward event that raises the possibility of liability of the organization Bylaws - ANSWER The physicians collectively establish mutually acceptable rules and regulations called _____. These define the physicians' rights to participate in the organization and provide care as part of the organization, the obligation to ensure quality and economy of care to their own patients, and the obligation to participate in educational and quality improvement activities. Attending physicians - ANSWER Physicians who have the privilege of using the hospital for patient care and who are designated as the physician of record for particular patients Four - ANSWER There are ___ critical elements of physician privilege : Bylaws Privileges Independent patient-physician relationship Continuous quality improvement and peer review. Medical Home - ANSWER A concept or model of care delivery that includes an ongoing relationship between a provider and patient, around-the-clock access to medical consultation, respect for a patient's cultural and religious beliefs, and a comprehensive approach to care and coordination of care through providers and community services nursing - ANSWER The _____ process is a a system of assessing patients, diagnosing individual nursing care needs, planning care, implementing plans, and evaluating care Diagnosis - ANSWER A nursing _______ is a standardized statement about the health of a client for the purpose of providing nursing care; identified from a master list of nursing diagnosis terminology Rapid Response Team - ANSWER Caregivers with training in critical care management and emergency treatment protocols; deployed when a patient's condition suddenly deteriorates Case Manager - ANSWER A health professional who advocates for the patient to receive the most appropriate treatment with acceptable quality in the most effective manner and appropriate setting at the best price Clinical Support Services (CSS) - ANSWER Necessary support provided for patients beyond what a physician and a nurse can give alone. This support comes from several services such as pathology (or laboratory), imaging, operating suites, anesthesiology, pharmacy, rehabilitative and palliative care therapies, social service, and others. CSS HCO CSS - ANSWER The purpose of any ____ is to provide its specialized services at a level that is clinically excellent and meets patients' and caregivers' needs. The purpose of the ____ is to assist each ____ in achieving its purpose and to provide each patient with exactly the set of services needed and integrate those services into an excellent whole strategy - ANSWER Managers should build a community health ____ that encourages collaboration with community members and that is in alignment with the organization's mission. Community - ANSWER ______ health centers exist to increase the quality of healthcare for populations that are either receiving inadequate care or cannot afford access to care. Public - ANSWER ______ health initiatives increase public literacy and are used to address preventative care, help undeserved areas and increase health education. Environment - ANSWER The purpose of __________ of care management is: to provide the complete physical environment required for the mission, including all buildings, equipment, and supplies; to protect organization members and visitors against all hazards that arise in the healthcare environment; and