Chapter 9 - Hospital and Healthcare instituions Flashcards
What both positively and negatively affects patient access to service, cost of care, and quality of care?
The complexity of providers influence
When did clinical pharmacist begin to specialize, providing drug info essential to effect disease state management?
1990’s when medical care advanced exponentially
What is intended to SUPPORT hospital performance, accomplish quality patient care, and lead to other strategic goals and objectives?
the organizational structure of the hospital
CoP
Conditions of participation
Who created the CoP
CMS
_______ addresses the responsibility for leadership and governance?
CoP- Conditions of participation
What type of agencies address the ROLE of the organizational leadership and what do they ensure?
- Accreditation agencies
- ensure that structure, process and outcomes meet standards
__________ requires that the institution define who is responsible for the GOVERNANCE of the organization and how medical staff will PARTICPATE.
The Joint Commission (TJC) Accreditation Manual for Hospitals
The TJC expects the governing structure to evaluate its performance related to what 3 things and how often?
- vision, mission, and goals
- annually
The governing body includes what 4 elements?
- representative of the community
- local business leaders
- the medical staff
- other stakeholders
Who is accountable for ALL elements of care and for PLANNING, MANAGMENT, and OPERATIONS of enterprise?
The governing body
T/F?
Hospital administration is responsible for INSTITUTIONAL PLANNIG, MANAGMENT, and oversight of OPERATIONAL activities.
true
T/F?
The CNO has the authority and responsibility to RUN the OPERATIONS of the hospital system thru the distribution of responsibilities to senior/junior administration.
false
-CEO: Chief Executive Officer
T/F?
The CIO participates, along with the CEO, CMO, and COO, in important decisions on HOW CARE WILL BE ORGANIZED.
FALSE
-CNO: Chief Nurse Officer
Which officer serves as the administrative liaison to the medical staff and deals with a wide range of patient care issues, including MD COMPETENCY AND PRIVLEGING OF MEDICAL STAFF MEMBERS?
CMO: Chief Medical Officer
Which officer deals with the integration of information systems and medication management ?
CIO: Chief Information officer
T/F?
The CPO provides EXECUTIVE direction across the span of organizational medication management issues by participation at an organizational strategic level.
true
Who reports directly to senior leadership and has a collaborative role in addressing system-wide issues.
CPO: Chief Pharmacy Officer
______ is a KEY element in all accredited health care organizations.
the human relations (HR) department
What was designed to bring admin., medical, and other providers together to focus on SPECIFIC PATIENT POPULATIONS?
“service line” hospital organizations
Oncology, Surgery, Women’s Health, and Cardiovascular are all examples of what?
service line organizational structures
What 3 key things does the “service-line” organizational structure address?
- access to service
- cost of care
- quality of care
What organization is responsible for CREATION and OVERSIGHT of STANDARDS OF CARE and OUTCOMES of QUALITY OF CARE?
medical staff organization
Who are the backbone of clinical care in most hospitals and provide coordinate care on a minute by minute basis?
Nurses
