CH 6 Flashcards
Certification of need (CON)
certificate approved by local state review board permitting hospitals, to construct new or additional facilities, open new services, or make large purchases a condition required for reimbursement by Medicare
Chief executive officer (CEO)
Person appointed by the board of directors who has full accountability for the entire hospital, healthcare organization
Continuous quality improvement, (CQI)
System of development in the workplace for daily improving performance at every level and every operational process by focusing on meeting or exceeding customer expectations
Department
Unit of the hospital with specific functions or specialized skills
Human resources department
Ancillary department of the hospital, responsible for recruiting, selecting, supporting, and compensating employees; develop mean in maintaining skills, quality and motivation; collective bargaining; occupational health and safety
The joint commission, (TJC)
Independent nonprofit organization that evaluates and accredits more than 22,000 healthcare organizations and programs in the United States and is the nations primary standard-setting in accrediting body and healthcare; focus on improving the quality and safety of patient care provided by healthcare organizations
Medical Director
Physician responsible for the Medical operation, quality in Hospital department or service and is also responsible for providing input regarding policies and procedures and day-to-day operations of department
Mission statement
Statement of an organization that summarizes its intent to provide service in terms of the services it offers the intended recipient of services and a description of the level of cost
Radiology department
Organization of a hospital that provides diagnostic imaging through medical technologies
Total quality management, (TQM)
Management quality in the workplace from the perspective of total involvement of every employee with a strong focus on process measurement and control
Give structure of the hospital
Board > CEO > VP of support services > 1. radiology administrator > medical director > radiologist > residents
2. Radiology administrator > section leaders > diff types of radiology
What is the administrative director
Reports to senior hospital administration and has direct responsibility in authority for operation organization in department
What are the primary functions of management?
Planning, organizing, staffing, directing, controlling, coordinating
Explain planning
Charts of course of action for the future that enables coordinated and consistent fulfillment of goals and objectives, focuses attention on objectives and emphasizes efficiency and consistency, offsets uncertainty, and change through thinking about the future and creating contingencies for what can be imagined, or foreseen, promote economic cooperation, minimizing cost, makes sure there is enough techs for each modality
Explain organizing
Development of a structure or framework that identifies how people do their work, essential to efficiency, communicates, what activities are to be performed, how they are grouped together, and who is responsible, and who has the authority to carry it out
- Facilitating describes what management does in the way of helping, assisting, expediting processes
Explain staffing
Involves getting the right people with the right skills to do the work and developing their abilities so that they can do work better
Explain directing
Involves stimulation of effort, needed to perform the required work, communication skills to clarify, and ensure understanding of the work, rationale of why, and how it should be accomplished, when employees understand the rationale for policies, they’re more likely to enforce and support them
Explain controlling
Defines performance, standards, or guidelines used to measure progress toward the goals of the organization, key performance indicators (KPI) allow the administrator the ability to create a formal process of feedback and flow of information to the department and organization.
- established method of achieving plan goals
- Define standards, and measures to give feedback
- Measure and report progress
- Take action to correct
Explain coordinating
Process by which the manager cheese, orderly group, activities, and unity of effort by workers who are fully aware of a common purpose, appropriate coordination of activities, provides a mechanism for anticipating issues prior to them, occurring in for preventing confusion or conflict
Explain project management
Involves organizing and managing resources for a project to be carried out within a specific With the final cost and expected outcomes.
List the external agencies and describe
TJC: regulates, quality and safety care provided to patients in the way healthcare organization is supervised and operated, monitors, radiation dose, safety in and around MRI, inspections on equipment and facilities, and continuation for education
State health department: define rules to protect the health and safety of the patients of a healthcare facility or provider, CON
Nuclear regulatory commission: conduct inspections, and Levy fines for noncompliance with regulations
Accreditation organizations
List internal agencies and describe
Safety committee: directs, education of employees on safety policies and procedures
Infection control committee: regulates, infection, control, policies, and procedures
Radiation safety committee: regulates hospital activities for radiation safety, and define safe handling of radioactive materials and policies for patients and staff exposed to radiation
Pharmacy and therapeutics committee: contrast agents manage directly through this department
Risk management and corporate compliance: keep the organization employees and patients free from any risks that may hinder quality of care and minimize safety concerns for all customers
List the four legislations for radiology
- Mammography quality standards act: ensure that all women have access to high-quality mammography services.
- Health insurance portability and accountability act: HIPAA established a set of national standards for the protection of certain personal health information, develop to increase public trust in the protection of healthcare information and hold employers accountable and increase data integrity
- False claims act: staff members working in radiology department to carefully review the charges they enter for each exam to ensure accuracy which include charge is related to the number of projections taken for an exam and the contrast administration and supply items, a person who knowingly submits false claims for payment to Medicare/Medicaid can face civil and criminal penalties
- Image wisely and gently: increase awareness among imaging professionals in methods that can be employed to limit dose and eliminate unnecessary procedures
What are characteristics of good employees?
Knowledgeable and possess the necessary technical skills to perform the required job duties, superior skills in interactive relationships, strong inter-personal skills cooperatively enhances patient care and workflow, ability to see their work from the patient’s point of you, skills in handling customer concerns, critical thinking, team player, customer is always right attitude, work with a smile
Radiation safety officer
Responsible for safe operation and use of radiation radioactive materials
- Typically a board-certified medical physicist or radiologist if physicist not available
Process of improvement names
Continuous quality improvement, CQI
Total quality management, TQM
Performance improvement, PI
