Chapter 9 - Hospital and Healthcare instituions

Question 1

What both positively and negatively affects patient access to service, cost of care, and quality of care?

Answer 1

The complexity of providers influence

Question 2

When did clinical pharmacist begin to specialize, providing drug info essential to effect disease state management?

Answer 2

1990’s when medical care advanced exponentially

Question 3

What is intended to SUPPORT hospital performance, accomplish quality patient care, and lead to other strategic goals and objectives?

Answer 3

the organizational structure of the hospital

Question 4

CoP

Answer 4

Conditions of participation

Question 5

Who created the CoP

Answer 5

CMS

Question 6

_______ addresses the responsibility for leadership and governance?

Answer 6

CoP- Conditions of participation

Question 7

What type of agencies address the ROLE of the organizational leadership and what do they ensure?

Answer 7

• Accreditation agencies

- ensure that structure, process and outcomes meet standards

Question 8

__________ requires that the institution define who is responsible for the GOVERNANCE of the organization and how medical staff will PARTICPATE.

Answer 8

The Joint Commission (TJC) Accreditation Manual for Hospitals

Question 9

The TJC expects the governing structure to evaluate its performance related to what 3 things and how often?

Answer 9

• vision, mission, and goals

- annually

Question 10

The governing body includes what 4 elements?

Answer 10

• representative of the community
• local business leaders
• the medical staff
• other stakeholders

Question 11

Who is accountable for ALL elements of care and for PLANNING, MANAGMENT, and OPERATIONS of enterprise?

Answer 11

The governing body

Question 12

T/F?

Hospital administration is responsible for INSTITUTIONAL PLANNIG, MANAGMENT, and oversight of OPERATIONAL activities.

Answer 12

true

Question 13

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.

Answer 13

false

-CEO: Chief Executive Officer

Question 14

T/F?

The CIO participates, along with the CEO, CMO, and COO, in important decisions on HOW CARE WILL BE ORGANIZED.

Answer 14

FALSE

-CNO: Chief Nurse Officer

Question 15

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?

Answer 15

CMO: Chief Medical Officer

Question 16

Which officer deals with the integration of information systems and medication management ?

Answer 16

CIO: Chief Information officer

Question 17

T/F?
The CPO provides EXECUTIVE direction across the span of organizational medication management issues by participation at an organizational strategic level.

Answer 17

true

Question 18

Who reports directly to senior leadership and has a collaborative role in addressing system-wide issues.

Answer 18

CPO: Chief Pharmacy Officer

Question 19

______ is a KEY element in all accredited health care organizations.

Answer 19

the human relations (HR) department

Question 20

What was designed to bring admin., medical, and other providers together to focus on SPECIFIC PATIENT POPULATIONS?

Answer 20

“service line” hospital organizations

Question 21

Oncology, Surgery, Women’s Health, and Cardiovascular are all examples of what?

Answer 21

service line organizational structures

Question 22

What 3 key things does the “service-line” organizational structure address?

Answer 22

1. access to service
2. cost of care
3. quality of care

Question 23

What organization is responsible for CREATION and OVERSIGHT of STANDARDS OF CARE and OUTCOMES of QUALITY OF CARE?

Answer 23

medical staff organization

Question 24

Who are the backbone of clinical care in most hospitals and provide coordinate care on a minute by minute basis?

Answer 24

Nurses

Question 25

T/F?

Pharmacist are responsible for ALL aspects of the medication distribution process.

Answer 25

true

Question 26

What are the 3 hospital pharmacy practice models?

Answer 26

1. drug-distribution centered model
2. specialist model
3. patient centered integrated service model

Question 27

T/F?

The drug-distribution model is mostly distributive pharmacy w/ limited clinical pharmacy.

Answer 27

true

Question 28

T/F?

Patient centered integration model is defined as separate distributive and clinical specialist roles.

Answer 28

false

Clinical specialist-centered

Question 29

____________ is defined as a clinical generalist model with limited differentiation of roles.

Answer 29

The Patient centered integration model

Question 30

Name the 5 types of hospitals

Answer 30

• Rural
• Community
• Specialty
• Non-profit
• Investor-owned

Question 31

T/F?

CMS is apart of the Federal gov’t and provides reimbursement for health care provided to eligible patients.

Answer 31

true

Question 32

Name the 3 major accrediting bodies for hospitals.

Answer 32

• TJC
• HFAP- healthcare facilities accreditation program
• DNV- Det Norske Vertias Healthcare Inc.