fbbbb Flashcards
1
Q
private and public groups promulgate health informatics, the Office of the National Coordinator of Health Information Technology has responsibility for:
A
harmonization of standards from multiple sources
2
Q
XML
A
A standard that allows data to be transferred across the Internet
3
Q
Comparison of the performance of health plans
A
Healthcare Effectiveness Data and Information Set
4
Q
Reimbursement for home health services in dependent of data collected from:
A
Outcome and Assessment Information Set
4
Q
While the focus of inpatient data collection is on the principal diagnosis, the focus of outpatient data collection is on:
A
reason for encounter
5
Q
In long term care, the resident’s care plan is based on data collected in the:
A
MDS Version 2.0
6
Q
A critical early step in designing an EHR is to develop a(n) ___ in which the characteristics of each data element are defined.
A
data dictionary
6
Q
According to this, ethnicity should be recorded as either: Hispanic, non-Hispanic, or unknown.
A
Uniform Hospital Discharge Data Set
7
Q
Most healthcare information standards have been implemented by:
A
state regulation
8
Q
healthcare standards governing electronic data interchange and data security.
A
Health Insurance Portability and Accountability Act of 1996
9
Q
A network of networks.
A
National Health Information Network
9
Q
Both HEDIS and the Joint Commission’s ORYX program are designed to collect data to be used for:
A
performance improvement programs
10
Q
The inpatient data set that has been incorporated into federal law and is required for Medicare reporting.
A
Uniform Hospital Discharge Data Set
11
Q
aggregate data
A
Data that are collected on large populations of individuals and stored in databases.
12
Q
minimum data set
A
Purpose is to recommend common data elements to be collected in health records.
12
Q
Government agency that has led the development of basic data sets for health records and computer databases.
A
National Committee on Vital and Health Statistics
13
Q
the negligence of the employee is imputed to, or placed on the employer.
A
respondent superior doctrine
13
Q
ethics theories
A
Offer a means to explain and justify actions
14
Q
Tort
A
A legal wrong
14
Q
incremental budget
A
Couples with the rolling or flexible budget
15
Q
ignores the previous years budget
A
zero-based budgeting
15
Q
traditional budget
A
projections for the following year based on current expenditures and the previous annual budget.
16
Q
Manager prepares the 12 month budget as they would in a traditional budget—when the first month of the new budget ends the manager projects that month’s budget for the following year
A
rolling budget
16
Q
adjustments can be made throughout the year if changes in activity levels occur
A
flexible budget
17
feedback model
Information on how the system is doing
17
controlling
Process that checks performance against standards
18
morale
State of mind and emotion affecting the attitudes of individuals
18
motivation
Process affecting the inner needs that energize human behavior.
18
laissez faire
People left to do their work
19
People left to do their work
Permits temporary employment of illegal aliens/foreign Registered Nurses.
20
Prohibits use of polygraph by most private employers.
Employee Polygraph Protection Act
21
DMAIR
Design, Measure, Assess, Improve, Redesign
22
Addresses the role of subordinates in managerial authority in bottom up-approach.
acceptance authority theory
22
Originates at the top of the organizational hierarchy and is delegated downward from superiors to subordinates.
formal authority theory
23
Belief that most employees consider work natural and that most are eager to do the right thing
Theory Y
23
Belief that the average employee hates work, avoids work and tries to get by with doing as little as possible.
Theory X
24
Collect data and reward specific behaviors is a way to determine performance.
measurement and control systems
25
Activities aimed at fixing structural and functional arrangements.
reactive coordinating
25
Activities that anticipate and prevent problems.
proactive coordinating
25
CNO
Chief Nursing Officer
26
CMO
Chief medical officer
27
CIO
Chief information officer
28
CFO
Chief financial officer
29
COO
mostly internal and execution
29
CEO
Responsibilities include: planning rather than executing
30
(#3) Supervisors who organize how will things get done, using resources.
First line managers
31
(#2) Largest category--they lead and follow at the same time, comprised mostly of dept. heads.
Middle managers
32
(#1) CEO, Chief Executive officer, COO, owners, VP's of finance, marketing.
Top managers
32
Hill Burton Act
provided funds for community hospitals.
33
Number of thousands of patients who die each year from medical errors.
98
33
How many million people are underinsured?
25
34
Who does arbitration favor?
employer
34
What is everyone's job in a practice?
safety
34
What is MOST critical to LEAN?
world class leadership
34
Focus on design, operations, control and optimization of processes through the aid of systemic efforts.
process engineering
35
How many million people are uninsured?
46
35
5 S theory
Sort
Simplify
Sweep
Standardize
Self-discipline/sustain
36
The safety element/be watchful for all defects.
Jidoka
36
Leveled production, no bottlenecks or waste.
Heijunka
36
What is the biggest risk in a practice?
Profitability
36
What is the most important possible LEAN benefit?
less waiting time for patients
37
key LEAN principles
The patient comes first. Care must be of the highest quality. Promote efficiency. ID/remove practice/treatment defects. Maximize business safety. Organize all elements of practice. Eliminate all waste.
38
The worst waste in healthcare.
patient's death
38
lean
Achieve high quality, defect-free medicine.
38
risk management
4 philosophies: 1) Avoidance 2) Reduction of effect or risks 3) Transfer 4) Acceptance.
39
How many years must patient records be kept?
7
39
In regards to suppliers and equipment what is most important?
quality
39
Can unemployment or worker's comp be waived?
no
39
D&O insurance
Protects directors and officers in corporations.
40
In your insurance, what does regulatory liability cover the costs of?
audits and penalties
40
What on your record is very bad for credentialing criteria?
adverse occurrences
40
What is the sales maximum to be eligible for an SBA loan?
15M
41
What says that leases/realty agreements must be in writing?
statute of frauds
41
What is the most important factor in choosing a location for your practice?
accessibility
42
S-corporation.
LLC
43
LLP-limited liability partnership
Risk is that liability is limited individually.
44
joint several liability
Risk is that if one person screws up, all in the partnership are liable.
45
These must be credentialed!
reimbursements for physician services
46
What are the 2 key principles in hiring?
fairness and consistency
46
What provisions are best for you in a termination without cause?
maximum notice possible and severance
47
How we're going to resolve disputes.
ADR provision
48
Tells us what the whole deal is.
integration clause
48
Restriction on free agency.
covenant
49
As a physician what are your bargaining tools in a contract?
patients and skills
49
What is the best deal for you in a contract?
contract with money/stability and free agency
49
What is the best deal for employer in a contract?
at will contract w/ or w/o restrictive covenant
50
Worst provision for the employee in a contract.
restrictive covenant
50
The most basic/important item in business relationships.
contracts
51
Percentage of expenditures in healthcare that go to pay the workforce.
70%
52
Indirect care
care of individuals through products and services
52
Direct care
hospital, nursing home, physician practice, and assisted living facilities.
52
Organizational culture
Ingrained patterns of shared beliefs
53
domains of management
1) Self 2)Team/Work Unit 3)Organization
53
Managerial tasks
Include core tasks, routine add-ons, and specialty add-ons.
53
Decision making
Evaluating alternatives and making choices.
54
Controlling
Monitoring, adjusting, and improving aggregate performance.
54
Directing
Initiating action in the organization by leading, motivating, and communicating.
54
Staffing
Acquiring and retaining human resources.
54
Organizing
Establishing authority and responsibility management.
54
6 management functions
1) Planning; 2) Organizing; 3) Staffing; 4) Controlling; 5) Decision-Making; 6) Directing
55
staff managers
Those that carry out work and advise their bosses.
56
line managers
Those that supervise other employees.
56
managers
Persons appointed to positions of authority who enable others to do their work effectively
57
input/output management model
Management acquires inputs, uses inputs to provide services, and creates outputs.
57
Transaction between 2+ organizations where something of value is exchanged and both gain value.
exchange relationships
57
Organizations which are affected by, and also affect, their environment.
open systems
57
Entities and influences outside of the organization's boundaries.
environment for HSO's
57
Organized around selected services to control service delivery; Advantages are resource control, accountability, enhanced clinical quality of service.
product/service line management
58
matrix management method
Administrative structure; dual authority system where individuals are assigned to complete specific work tasks; advantages are improved coordination and communication, also increases flexibility of organization to carry out work.
58
functional organizational structure
Most common organizational structure; pyramid shaped; used in larger organizations; deep vertical structures; strict chain of command ensures that communication and assignment and evaluation of tasks are carried out
58
interpersonal/human relation skills
Enables a manager to communicate with and work well with other individuals.
59
technical skills
Expertise or ability to perform a specific work task.
59
conceptual skills
Ability to critically analyze and solve complex problems.
60
1993 law that permits employees in organizations to take up to 12 weeks of unpaid leave each year for family or medical reasons.
Family Medical and Leave Act
60
1990 law that gives people with disabilities access to public services and requires employers to provide reasonable accommodation for applicants and employees.
Americans with Disabilities Act
60
1986 law that requires employers who will make a mass layoff or plant closing to give 60 days advance notice to affected employees.
Worker Adjustment and Retraining Notification Act
61
1986 law that establishes penalties for employees who knowingly hire illegal aliens.
Immigration Reform and Control Act
61
1986 law that gives benefits like health coverage for a limited time
Consolidated Omnibus Budget Reconciliation Act:
61
1978 law stating that pregnancy is considered a medical condition and prohibits exclusion of pregnancy in benefits and leave policies.
Pregnancy Discrimination Act
62
1973 law that protects rights of handicapped.
Rehabilitation Act
63
law that prohibits discrimination of employees 40 years and up.
Age Discrimination in Employment Act
64
law that prohibits discrimination based on gender, race, or religion.
Civil Rights Act
64
external pressure on HSO's
HR must ensure high performance in HSO.
64
Increased volumes of patients and workload for HSO.
increasing population need
64
Shortage of skilled workers.
declining supply of workers
65
declining reimbursement
Less resources to recruit, compensate, and develop workforce.
66
tort
Any wrongdoing for which an action for damages may be brought.
66
Civil law
Wrongs against a particular person or organization.
66
Executive order
A rule issued by the president that has the force of law.
67
statutes
Laws enacted by a state or federal legislature that in certain cases can overwrite common law.
67
common law
A civil law established by following earlier judicial decisions.
67
accountable care organization
define an ideal healthcare organization able to have very low costs caused by successful capitalization on medical goods and services.
68
corporate structure of hospitals
1)Department Heads; 2) Medical Executive Committee; 3) Board.
69
national insurance costs
The average US family pays $14,000 a year for insurance coverage with 3/4 being paid by the employer and 1/4 being plaid by the employee.
69
indemnity insurance
"Standard' type of health insurance individuals can purchase, provides comprehensive major medical benefits and allows insured individuals to choose any physician or hospital when seeking medical care.
69
supply chain
Taking raw materials and processing them until they become a useable good.
70
altruism
Helping people.
70
natural orifice surgery
Abdominal surgery where the entrance wound is through either the stomach or through the vagina.
71
arthroscopy
A minimally invasive operation to repair a damaged joint.
72
phacoemulsification
Method to remove cataracts in which an ultrasonic needle probe breaks up the lens, which is then aspirated.
72
endoscopy
Inspection of body organs or cavities using a lighted scope
72
laparoscopy
Laparotomy performed with a laparoscope that makes a small incision to examine the abdominal cavity
72
HHS
Department of Health and Human Services.
73
minimally invasive surgery
Use of fiber optics, guide images, microwaves and other technologies to do surgery rather than cutting large sections of tissue.
74
The non-profit advocacy group for pediatric hospitals in the US.
The National Association of Children's Hospitals and Related Institutions
