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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

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2
Q

XML

A

A standard that allows data to be transferred across the Internet

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3
Q

Comparison of the performance of health plans

A

Healthcare Effectiveness Data and Information Set

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4
Q

Reimbursement for home health services in dependent of data collected from:

A

Outcome and Assessment Information Set

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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

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5
Q

In long term care, the resident’s care plan is based on data collected in the:

A

MDS Version 2.0

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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

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6
Q

According to this, ethnicity should be recorded as either: Hispanic, non-Hispanic, or unknown.

A

Uniform Hospital Discharge Data Set

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7
Q

Most healthcare information standards have been implemented by:

A

state regulation

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8
Q

healthcare standards governing electronic data interchange and data security.

A

Health Insurance Portability and Accountability Act of 1996

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9
Q

A network of networks.

A

National Health Information Network

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9
Q

Both HEDIS and the Joint Commission’s ORYX program are designed to collect data to be used for:

A

performance improvement programs

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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

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11
Q

aggregate data

A

Data that are collected on large populations of individuals and stored in databases.

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12
Q

minimum data set

A

Purpose is to recommend common data elements to be collected in health records.

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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

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13
Q

the negligence of the employee is imputed to, or placed on the employer.

A

respondent superior doctrine

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13
Q

ethics theories

A

Offer a means to explain and justify actions

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14
Q

Tort

A

A legal wrong

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14
Q

incremental budget

A

Couples with the rolling or flexible budget

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15
Q

ignores the previous years budget

A

zero-based budgeting

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15
Q

traditional budget

A

projections for the following year based on current expenditures and the previous annual budget.

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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

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16
Q

adjustments can be made throughout the year if changes in activity levels occur

A

flexible budget

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17
Q

feedback model

A

Information on how the system is doing

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17
Q

controlling

A

Process that checks performance against standards

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18
Q

morale

A

State of mind and emotion affecting the attitudes of individuals

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18
Q

motivation

A

Process affecting the inner needs that energize human behavior.

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18
Q

laissez faire

A

People left to do their work

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19
Q

People left to do their work

A

Permits temporary employment of illegal aliens/foreign Registered Nurses.

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20
Q

Prohibits use of polygraph by most private employers.

A

Employee Polygraph Protection Act

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21
Q

DMAIR

A

Design, Measure, Assess, Improve, Redesign

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22
Q

Addresses the role of subordinates in managerial authority in bottom up-approach.

A

acceptance authority theory

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22
Q

Originates at the top of the organizational hierarchy and is delegated downward from superiors to subordinates.

A

formal authority theory

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23
Q

Belief that most employees consider work natural and that most are eager to do the right thing

A

Theory Y

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23
Q

Belief that the average employee hates work, avoids work and tries to get by with doing as little as possible.

A

Theory X

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24
Q

Collect data and reward specific behaviors is a way to determine performance.

A

measurement and control systems

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25
Q

Activities aimed at fixing structural and functional arrangements.

A

reactive coordinating

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25
Q

Activities that anticipate and prevent problems.

A

proactive coordinating

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25
Q

CNO

A

Chief Nursing Officer

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26
Q

CMO

A

Chief medical officer

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27
Q

CIO

A

Chief information officer

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28
Q

CFO

A

Chief financial officer

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29
Q

COO

A

mostly internal and execution

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29
Q

CEO

A

Responsibilities include: planning rather than executing

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30
Q

(#3) Supervisors who organize how will things get done, using resources.

A

First line managers

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31
Q

(#2) Largest category–they lead and follow at the same time, comprised mostly of dept. heads.

A

Middle managers

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32
Q

(#1) CEO, Chief Executive officer, COO, owners, VP’s of finance, marketing.

A

Top managers

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32
Q

Hill Burton Act

A

provided funds for community hospitals.

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33
Q

Number of thousands of patients who die each year from medical errors.

A

98

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33
Q

How many million people are underinsured?

A

25

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34
Q

Who does arbitration favor?

A

employer

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34
Q

What is everyone’s job in a practice?

A

safety

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34
Q

What is MOST critical to LEAN?

A

world class leadership

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34
Q

Focus on design, operations, control and optimization of processes through the aid of systemic efforts.

A

process engineering

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35
Q

How many million people are uninsured?

A

46

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35
Q

5 S theory

A

Sort
Simplify
Sweep
Standardize
Self-discipline/sustain

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36
Q

The safety element/be watchful for all defects.

A

Jidoka

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36
Q

Leveled production, no bottlenecks or waste.

A

Heijunka

36
Q

What is the biggest risk in a practice?

A

Profitability

36
Q

What is the most important possible LEAN benefit?

A

less waiting time for patients

37
Q

key LEAN principles

A

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
Q

The worst waste in healthcare.

A

patient’s death

38
Q

lean

A

Achieve high quality, defect-free medicine.

38
Q

risk management

A

4 philosophies: 1) Avoidance 2) Reduction of effect or risks 3) Transfer 4) Acceptance.

39
Q

How many years must patient records be kept?

A

7

39
Q

In regards to suppliers and equipment what is most important?

A

quality

39
Q

Can unemployment or worker’s comp be waived?

A

no

39
Q

D&O insurance

A

Protects directors and officers in corporations.

40
Q

In your insurance, what does regulatory liability cover the costs of?

A

audits and penalties

40
Q

What on your record is very bad for credentialing criteria?

A

adverse occurrences

40
Q

What is the sales maximum to be eligible for an SBA loan?

A

15M

41
Q

What says that leases/realty agreements must be in writing?

A

statute of frauds

41
Q

What is the most important factor in choosing a location for your practice?

A

accessibility

42
Q

S-corporation.

A

LLC

43
Q

LLP-limited liability partnership

A

Risk is that liability is limited individually.

44
Q

joint several liability

A

Risk is that if one person screws up, all in the partnership are liable.

45
Q

These must be credentialed!

A

reimbursements for physician services

46
Q

What are the 2 key principles in hiring?

A

fairness and consistency

46
Q

What provisions are best for you in a termination without cause?

A

maximum notice possible and severance

47
Q

How we’re going to resolve disputes.

A

ADR provision

48
Q

Tells us what the whole deal is.

A

integration clause

48
Q

Restriction on free agency.

A

covenant

49
Q

As a physician what are your bargaining tools in a contract?

A

patients and skills

49
Q

What is the best deal for you in a contract?

A

contract with money/stability and free agency

49
Q

What is the best deal for employer in a contract?

A

at will contract w/ or w/o restrictive covenant

50
Q

Worst provision for the employee in a contract.

A

restrictive covenant

50
Q

The most basic/important item in business relationships.

A

contracts

51
Q

Percentage of expenditures in healthcare that go to pay the workforce.

A

70%

52
Q

Indirect care

A

care of individuals through products and services

52
Q

Direct care

A

hospital, nursing home, physician practice, and assisted living facilities.

52
Q

Organizational culture

A

Ingrained patterns of shared beliefs

53
Q

domains of management

A

1) Self 2)Team/Work Unit 3)Organization

53
Q

Managerial tasks

A

Include core tasks, routine add-ons, and specialty add-ons.

53
Q

Decision making

A

Evaluating alternatives and making choices.

54
Q

Controlling

A

Monitoring, adjusting, and improving aggregate performance.

54
Q

Directing

A

Initiating action in the organization by leading, motivating, and communicating.

54
Q

Staffing

A

Acquiring and retaining human resources.

54
Q

Organizing

A

Establishing authority and responsibility management.

54
Q

6 management functions

A

1) Planning; 2) Organizing; 3) Staffing; 4) Controlling; 5) Decision-Making; 6) Directing

55
Q

staff managers

A

Those that carry out work and advise their bosses.

56
Q

line managers

A

Those that supervise other employees.

56
Q

managers

A

Persons appointed to positions of authority who enable others to do their work effectively

57
Q

input/output management model

A

Management acquires inputs, uses inputs to provide services, and creates outputs.

57
Q

Transaction between 2+ organizations where something of value is exchanged and both gain value.

A

exchange relationships

57
Q

Organizations which are affected by, and also affect, their environment.

A

open systems

57
Q

Entities and influences outside of the organization’s boundaries.

A

environment for HSO’s

57
Q

Organized around selected services to control service delivery; Advantages are resource control, accountability, enhanced clinical quality of service.

A

product/service line management

58
Q

matrix management method

A

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
Q

functional organizational structure

A

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
Q

interpersonal/human relation skills

A

Enables a manager to communicate with and work well with other individuals.

59
Q

technical skills

A

Expertise or ability to perform a specific work task.

59
Q

conceptual skills

A

Ability to critically analyze and solve complex problems.

60
Q

1993 law that permits employees in organizations to take up to 12 weeks of unpaid leave each year for family or medical reasons.

A

Family Medical and Leave Act

60
Q

1990 law that gives people with disabilities access to public services and requires employers to provide reasonable accommodation for applicants and employees.

A

Americans with Disabilities Act

60
Q

1986 law that requires employers who will make a mass layoff or plant closing to give 60 days advance notice to affected employees.

A

Worker Adjustment and Retraining Notification Act

61
Q

1986 law that establishes penalties for employees who knowingly hire illegal aliens.

A

Immigration Reform and Control Act

61
Q

1986 law that gives benefits like health coverage for a limited time

A

Consolidated Omnibus Budget Reconciliation Act:

61
Q

1978 law stating that pregnancy is considered a medical condition and prohibits exclusion of pregnancy in benefits and leave policies.

A

Pregnancy Discrimination Act

62
Q

1973 law that protects rights of handicapped.

A

Rehabilitation Act

63
Q

law that prohibits discrimination of employees 40 years and up.

A

Age Discrimination in Employment Act

64
Q

law that prohibits discrimination based on gender, race, or religion.

A

Civil Rights Act

64
Q

external pressure on HSO’s

A

HR must ensure high performance in HSO.

64
Q

Increased volumes of patients and workload for HSO.

A

increasing population need

64
Q

Shortage of skilled workers.

A

declining supply of workers

65
Q

declining reimbursement

A

Less resources to recruit, compensate, and develop workforce.

66
Q

tort

A

Any wrongdoing for which an action for damages may be brought.

66
Q

Civil law

A

Wrongs against a particular person or organization.

66
Q

Executive order

A

A rule issued by the president that has the force of law.

67
Q

statutes

A

Laws enacted by a state or federal legislature that in certain cases can overwrite common law.

67
Q

common law

A

A civil law established by following earlier judicial decisions.

67
Q

accountable care organization

A

define an ideal healthcare organization able to have very low costs caused by successful capitalization on medical goods and services.

68
Q

corporate structure of hospitals

A

1)Department Heads; 2) Medical Executive Committee; 3) Board.

69
Q

national insurance costs

A

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
Q

indemnity insurance

A

“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
Q

supply chain

A

Taking raw materials and processing them until they become a useable good.

70
Q

altruism

A

Helping people.

70
Q

natural orifice surgery

A

Abdominal surgery where the entrance wound is through either the stomach or through the vagina.

71
Q

arthroscopy

A

A minimally invasive operation to repair a damaged joint.

72
Q

phacoemulsification

A

Method to remove cataracts in which an ultrasonic needle probe breaks up the lens, which is then aspirated.

72
Q

endoscopy

A

Inspection of body organs or cavities using a lighted scope

72
Q

laparoscopy

A

Laparotomy performed with a laparoscope that makes a small incision to examine the abdominal cavity

72
Q

HHS

A

Department of Health and Human Services.

73
Q

minimally invasive surgery

A

Use of fiber optics, guide images, microwaves and other technologies to do surgery rather than cutting large sections of tissue.

74
Q

The non-profit advocacy group for pediatric hospitals in the US.

A

The National Association of Children’s Hospitals and Related Institutions

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