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Leadership & Management > EXAM 1 > Flashcards

EXAM 1 Flashcards

1
Q

Leadership

A

Influences or inspires actions and goals of others.

May not have a position of authority

people who do the right thing

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2
Q

Management

A

Process of coordinating actions and allocating resources to achieve organizational goals

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3
Q

Feedback must be:

A

Frequent
Timely
Usable
Correct

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4
Q

Formal Leadership

A

Leader has assigned role within organization

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5
Q

Informal Leadership

A

Leader demonstrates leadership outside scope of formal leadership role as member of group or leader of group.

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6
Q

Autocratic Leadership

A

Involves centralized decision making with leader making decisions and using power to command and control others

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7
Q

Democratic leadership

A

Involves participatory leadership with authority delegate to others

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8
Q

Laissez-faire

A

Is passive and permissive, leader defers decision making

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9
Q

Styles of leadership (Situational Leadership)

A

Telling - groups w/ low maturity, need direction
Participating- groups w/ moderate maturity, need support
Selling-gropus w/ mod to high maturity,unable, willing need direction
Delegating- group w/high maturity, able and need little direction

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10
Q

Transformational Theory

A

Process where leaders and followers raise on another to higher levels of motivation and morality

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11
Q

Emotional Intelligence

A 
Self-awareness
Self-regulation
Motivation
Empathy
Social skills
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12
Q

What do leaders value?

A

Education
Professional development
open communication
High standards and expectations

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13
Q

Motivation ___________ people’s choices

A

Influences

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14
Q

Three types of leadership styles described by Kurt Lewin in the 30’s that are still commonly used today:

A

Autocratic
Democratic
Laissez-faire

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15
Q

Transformational Leadership

A

Motivate others to behave in accordance to mutual values and empower others to contribute

Identified as change agents

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16
Q

Servant Leadership

A 
Listening
Empathy
Healing 
Awareness
Persuasion
Foresight 
Stewardship
Growth
Building community
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17
Q

Organization of Health Care: Structure

A

Resources or structures needed to deliver quality care

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18
Q

Organization of Health Care: Process

A

Quality activities, procedures, tasks, and processes performed within healthcare structure

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19
Q

Organization of Health Care: Outcome

A

Patient satisfaction, good health, functional ability, and absences of health-acquired infections and morbidity

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20
Q

Foundations of primary care

A 
First contact
Longitudinality
comprehensiveness
coordination
continuous
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21
Q

Factors that contribute to rising cost

A
  • Aging population
  • Increased use of meds
  • Expensive new technologies
  • Rising hospital costs
  • Types of practitioners
  • Cost shifting
  • Administrative costs
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22
Q

Services are reimbursed in four ways:

A

Private insurance
Publicly funded players
Charitable entities
Direct payment by consumers

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23
Q

Prospective Payment

A

Developed as a way to control costs

Intent was to offer financial incentives to encourage hospitals and hcps to provide more cost effective care

Hospitals paid predetermined amount of payment for each medicare pt admitted

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24
Q

Public Players

A 
Medicare
Medicaid
Indian Health Services
State Children's Health Insurance Program
VA
Tricare
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25
Q

Health Care Insurance

A

Health maintenance organization (HMO)
Preferred provider organization (PPO)
Point of Service plans (POS)
Medicare, Medicaid (CMS)

26
Q

Prospective Payment System

A
  • Relative Unit Value (RVU)
  • Dx Related Group (DRG)
  • Patient Classification System (PCS)
27
Q

Cost containment strategies:

A

Use regulation and limitation by means of TAXES and INSURANCE PREMIUMS

Encourage managed competition

28
Q

Reimbursement Strategies:

A

Use regulatory and competitive PRICE CONTROLS

  • Capitation
  • Utilization management
  • Cost Shifting
29
Q

Organizational behavior

A

Study of human behavior in organizations

-concerned w/work-related behavior

30
Q

Why High-performance organizations are important

A

Bring out the best in people and produce sustainable high-peroformance over time

  • pay close attention to dynamics of the workplace
  • known for high quality-of-work environments; environments in which quality of human experience meets or surpasses employee expectations
31
Q

Evolution of organizational behavior

A

Shifted from assembly like to knowledge economy.

-Today’s work environment empowers workers

32
Q

Magnet hospitals

A

Health care organizations that have met rigorous nursing excellence requirements of the American Nurses Credentialing Center (ANCC)

33
Q

Goals of Magnet hospitals

A
  • Promote quality in milieu that supports professional nursing practice
  • Identify excellence in delivery of nursing services to its
  • Provide mechanism for dissemination of best practices in nursing services
34
Q

Characteristics of Magnet Nursing

A

.

35
Q

Essentials of Magnetism:

A

.

36
Q

Benefits of Magnet designation:

A

.

37
Q

Economics

A

Study of how resources are allotted among possible uses to make appropriate choices

38
Q

Economics is based on 3 premises:

A

Scarcity
Choice
Preference

39
Q

Business Profit

A

Revenue (income) minus cost (expense) equals profit

40
Q

Budget

A

plan that provides formal quantitative expression to acquiring and distributing funds

41
Q

Direct costs

A

nurse salaries

pt supplies, operational items (gloves), capital purchases (computer, CT machine)

42
Q

Indirect costs

A

Facility costs, electric, water, etc

43
Q

Fixed costs

A

Taxes insurances

44
Q

Variable costs

A

Cost of supplies

45
Q

Mission Statement

A

Mission=Money

-Mission statement of any health care business describe purpose for business

46
Q

Vision Statement

A

establishes long-range goals for business or unit

47
Q

Strategic plan

A

Identifies how business or unit will achieve vision and get goals developed

48
Q

Prospective Payment System (PPS)

A

Flat rate of payment for healthcare

Tax Equity and Fiscal Responsibility Act (TEFRA)
Medicare Part A - Hospital (DRG)
Medicare Part B - Outpatient (RVU)

49
Q

Relative Value Unit (RVU)

A
  • Index number assigned to various health services based on relative amount of resources (labor & capital) used to produce services.
  • Used to calculate relative cost of providing nursing care baed on patient acuity levels

-Medicare Part B

50
Q

Diagnosis Related Group (DRG)

A

The amount of money paid to a hospital for a Dx.

  • Predetermined amount
  • Medicare Part A
51
Q

PPO

A
  • Contracts with practitioners and hospitals to provide health services.
  • Rates negotiated
52
Q

Nongovernment Health insurance

A
  • Predominantly accessed through employers

- Largely HMO

53
Q

Total quality improvement (TQI) and continuous quality improvement

A

Have been initiated to assure cost containment

54
Q

100,000 lives campaign

A

Care interventions developed by Institute for healthcare Improvement (IHI)

  • Prevent central line, surgical site, and ventilator-associated infections
  • Deploy rapid response teams
  • Prevent adverse drug reactions
  • Improve care of pts with myocardial infarctions
55
Q

Population-based Health Care Practice

A

Development provision, and evaluation of multidisciplinary health care services or disparities, in partnership with health care consumers and community, to improve health of community and its diverse population groups

-Providing for a group with poor health status/disparities

56
Q

Cost shifting

A

Compensates for the lower income from CMS

57
Q

Population-based Health Care Goals

A
  • Improve access to health care services
  • Reduced health disparities among different population groups
  • Reduce health care delivery costs
58
Q

P-B Nursing Ievels of practice

A
  1. Community
  2. Systems (within community)
  3. Individuals, families, and groups
59
Q

Community

A

Norms, attitudes, practices and behaviors

60
Q

Systems within community

A

Laws, power structures, policies, and organizations

61
Q

Individuals, families, and groups

A

Knowledge, attitude, beliefs, practices and behaviors

Leadership & Management (4 decks)

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