EXAM 1 Flashcards
Leadership
Influences or inspires actions and goals of others.
May not have a position of authority
people who do the right thing
Management
Process of coordinating actions and allocating resources to achieve organizational goals
Feedback must be:
Frequent
Timely
Usable
Correct
Formal Leadership
Leader has assigned role within organization
Informal Leadership
Leader demonstrates leadership outside scope of formal leadership role as member of group or leader of group.
Autocratic Leadership
Involves centralized decision making with leader making decisions and using power to command and control others
Democratic leadership
Involves participatory leadership with authority delegate to others
Laissez-faire
Is passive and permissive, leader defers decision making
Styles of leadership (Situational Leadership)
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
Transformational Theory
Process where leaders and followers raise on another to higher levels of motivation and morality
Emotional Intelligence
Self-awareness Self-regulation Motivation Empathy Social skills
What do leaders value?
Education
Professional development
open communication
High standards and expectations
Motivation ___________ people’s choices
Influences
Three types of leadership styles described by Kurt Lewin in the 30’s that are still commonly used today:
Autocratic
Democratic
Laissez-faire
Transformational Leadership
Motivate others to behave in accordance to mutual values and empower others to contribute
Identified as change agents
Servant Leadership
Listening Empathy Healing Awareness Persuasion Foresight Stewardship Growth Building community
Organization of Health Care: Structure
Resources or structures needed to deliver quality care
Organization of Health Care: Process
Quality activities, procedures, tasks, and processes performed within healthcare structure
Organization of Health Care: Outcome
Patient satisfaction, good health, functional ability, and absences of health-acquired infections and morbidity
Foundations of primary care
First contact Longitudinality comprehensiveness coordination continuous
Factors that contribute to rising cost
- Aging population
- Increased use of meds
- Expensive new technologies
- Rising hospital costs
- Types of practitioners
- Cost shifting
- Administrative costs
Services are reimbursed in four ways:
Private insurance
Publicly funded players
Charitable entities
Direct payment by consumers
Prospective Payment
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
Public Players
Medicare Medicaid Indian Health Services State Children's Health Insurance Program VA Tricare
Health Care Insurance
Health maintenance organization (HMO)
Preferred provider organization (PPO)
Point of Service plans (POS)
Medicare, Medicaid (CMS)
Prospective Payment System
- Relative Unit Value (RVU)
- Dx Related Group (DRG)
- Patient Classification System (PCS)
Cost containment strategies:
Use regulation and limitation by means of TAXES and INSURANCE PREMIUMS
Encourage managed competition
Reimbursement Strategies:
Use regulatory and competitive PRICE CONTROLS
- Capitation
- Utilization management
- Cost Shifting
Organizational behavior
Study of human behavior in organizations
-concerned w/work-related behavior
Why High-performance organizations are important
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
Evolution of organizational behavior
Shifted from assembly like to knowledge economy.
-Today’s work environment empowers workers
Magnet hospitals
Health care organizations that have met rigorous nursing excellence requirements of the American Nurses Credentialing Center (ANCC)
Goals of Magnet hospitals
- 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
Characteristics of Magnet Nursing
.
Essentials of Magnetism:
.
Benefits of Magnet designation:
.
Economics
Study of how resources are allotted among possible uses to make appropriate choices
Economics is based on 3 premises:
Scarcity
Choice
Preference
Business Profit
Revenue (income) minus cost (expense) equals profit
Budget
plan that provides formal quantitative expression to acquiring and distributing funds
Direct costs
nurse salaries
pt supplies, operational items (gloves), capital purchases (computer, CT machine)
Indirect costs
Facility costs, electric, water, etc
Fixed costs
Taxes insurances
Variable costs
Cost of supplies
Mission Statement
Mission=Money
-Mission statement of any health care business describe purpose for business
Vision Statement
establishes long-range goals for business or unit
Strategic plan
Identifies how business or unit will achieve vision and get goals developed
Prospective Payment System (PPS)
Flat rate of payment for healthcare
Tax Equity and Fiscal Responsibility Act (TEFRA)
Medicare Part A - Hospital (DRG)
Medicare Part B - Outpatient (RVU)
Relative Value Unit (RVU)
- 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
Diagnosis Related Group (DRG)
The amount of money paid to a hospital for a Dx.
- Predetermined amount
- Medicare Part A
PPO
- Contracts with practitioners and hospitals to provide health services.
- Rates negotiated
Nongovernment Health insurance
- Predominantly accessed through employers
- Largely HMO
Total quality improvement (TQI) and continuous quality improvement
Have been initiated to assure cost containment
100,000 lives campaign
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
Population-based Health Care Practice
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
Cost shifting
Compensates for the lower income from CMS
Population-based Health Care Goals
- Improve access to health care services
- Reduced health disparities among different population groups
- Reduce health care delivery costs
P-B Nursing Ievels of practice
- Community
- Systems (within community)
- Individuals, families, and groups
Community
Norms, attitudes, practices and behaviors
Systems within community
Laws, power structures, policies, and organizations
Individuals, families, and groups
Knowledge, attitude, beliefs, practices and behaviors