Financial Decision Making Flashcards

1
Q

Performance improvement

A

A method to improve organizational performance and individual performance
Data driven and emphasizes human performance factors

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2
Q

What is the point of discussing Management Decision Making?

A

direct organizational activities

to produce the best outcomes for ongoing activities

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3
Q

Decision-Making Methods

A

Project management
Operational planning
Business planning

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4
Q

Root Cause Analysis

A

technique used with performance improvement that ID’s the conditions that initiate and undesired state
What caused the problem?

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5
Q

What is the emphasis on with root cause analysis?

A

cause

fishbone diagram

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6
Q

Quality Improvement (QI)

A

Another group of data-driven methodologies to define and close the gap between the current state and expected performance outcomes

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7
Q

What is the emphasis on with quality improvement?

A

process

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8
Q

Tools for current operations performance analysis include

A

business intelligence system

decision support system

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9
Q

Business intelligence systems

A

Applications and technologies for gathering, storing, analyzing, and providing access to data

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10
Q

Decision support systems

A

Integrated computer support systems to manage organizations and aid in making rational decisions

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11
Q

Total Quality Management

A

a management technique devoted to exceeding customers expectations

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12
Q

Business Intelligence:

A

Applications and technology for gathering, storing, analyzing, and providing access to data to help make better business decisions

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13
Q

Data mining:

A

A class of database application that look for hidden patterns in data to predict future behaviors

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14
Q

Decision Support System:

A

DSS are computer applications that aid users in judgement and choice activities

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15
Q

American Hospital Association Quality Center recommends that management should know the answer to these 4 questions

A
  1. What is the rate of process variability?
  2. What is the rate of waste?
  3. What are the types of defects or errors?
  4. What is the overall rate of organizational variability?
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16
Q

Malcolm Bridge National Quality Criteria

A

Outcome driven performance management system with basis in data, analysis and knowledge

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17
Q

Six Sigma

A

Management system utilized with the goal of reducing errors up to 2+ standard deviations
Developed by Motorola in the 1980’s adopted in the US by GE in 1995

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18
Q

What does Six Sigma seeK?

A

improve the quality of process outputs by identifying and removing the cause of defects (errors) and minimizing variability in manufacturing and business processes

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19
Q

Key Principles of Lean Six Sigma

A
  1. Focus on the customer
  2. ID and understand how the work gets done (value stream)
  3. Manage, improve, and smooth the process flow
  4. Remove non-value added steps and waste
  5. Manage by fact and reduce variation
  6. Involve and equip the people in the process
  7. Undertake improvement activity in a systematic way
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20
Q

How does Six Sigma work practically?

A
Define
Measure
Analyze
Improve
Control
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21
Q

Define

A

problem to be solved, define everyone’s roles, define what you are doing and what is the goal

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22
Q

Measure

A

Clarify by seeing how the work gets done and measure how well it is done

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23
Q

Analyze

A

find out why things are working as well as they could. Manage by fact, get to the root cause

24
Q

Improve

A

Find a way to address root cause, come up with ideas and select the best one. Then test it out.

25
Control
Achieve the goal you wanted and ensure the process continues and is carried out consistently
26
What is value?
what a customer is willing to pay for out of their pocket
27
International Organization of Standardization (ISO 9000)
Plan-do-check-act cycle
28
A plan-do-check-act cycle (PDCA) can be used:
Plan (assess ideas) Do (pilot phase) Check (examine pilot results to determine what went right and wrong) Act (implementation)
29
Oversight:
``` Care involving agencies and private groups to prevent waste and fraud protect civil liberties accumulate info useful to lawmakers education of public ensure compliance with laws evaluate performance ```
30
What has oversight been tied to?
provider's ability to participate under private and governmental insurance programs
31
Pay for performance
P4P | tie payment rates to oversight which is basically the idea behind Accountable Organizations (ACOs) in ACA
32
Administration for Children and Families Act (ACF)
head start low income family support or childcare Prevention of child abuse and domestic violence
33
Administration on Agining (AoA)
Meals on Wheels | Community service for elderly and their caregivers
34
What does Medicare provide insurance to?
those age 65 or older those under age 65 with certain disabilities everyone with end-stage renal disease requiring dialysis or a kidney transplant
35
Medicaid
Health insurance program for certain low-income people | Funded and administered jointly by a state-federal government partnership
36
What must a Medicaid program cover?
``` Inpatient and outpatient hospital services Laboratory and x-ray services Skilled nursing and home health services Doctors’ services Family planning Periodic health checkups Diagnosis and treatment for children ```
37
Agency for Healthcare Research and Quality (AHRQ)
Supports research to improved health care and reduce cost, improve safety and reduce errors
38
Center for Disease Control and Prevention (CDC)
Disease outbreaks, bioterrorism, disease prevention, immunizations, workplace safety, environmental disease prevention, international disease prevention
39
Food and Drug Administration (FDA)
drugs, medical and biological products
40
Health Resources and Services Administration (HRSA)
Health care access to poor and uninsured where health care is scarce
41
National Institutes of Health (NIH)
medical research organization | expand knowledge base to enhance national economic well being
42
Substance Abuse and Mental Health Service Administration
Provides grant to state for substance abuse and mental health services Provide programs to increase the use of proven prevention and treatment methods
43
DOJ
mission to enforce the law and interest of the USA
44
State/Local Government Regulation
``` adult day care ambulance HIPPA Individual and Business background checks hospital regulation plan reviews of health care facilities ```
45
Occupational Safety and Health Administration (OSHA)
federal administration but works with state and local government Inspect, investigators, engineers, physicians, educators, standard writers who look at the safety and health of America workers for workplace safety.
46
Which division of DOJ focus on antitrust regulation in healthcare?
Antitrust division of DOJ and Federal Trade Commission FTC
47
Non Governmental Oversight
Joint Commission CARF Hospital and Rehab Facilities
48
Joint Commission
Evaluates and accredits more than 15,000 health care organization in US
49
Corporate (Regulatory) Compliance
Noncompliance with Medicare/Medicaid coverage and reimbursement guidelines represents substantial risk to the health care provider.
50
Sanctions:
Recouping improper payments Imprisonment for owners and managers Exclusion from future participation in these programs
51
Corporate Compliance Program (CCP)
Organizations establish a CCP to lessen risks of intentional or unintentional regulatory noncompliance
52
Elements of a health services business CCP are
Organization structure for the program Operational mechanisms to implement the program Infrastructure to assure corporate compliance officer’s power to implement CCP program Measures to prevent violations Measures to respond to violations
53
CCP measures to prevent violations include
Organization-wide training on compliance standards, policies, and procedures Continual efforts to recognize and respond to regulatory developments Mechanisms to measure the effectiveness of the compliance program and adherence to related policies and procedures Mechanisms to respond to identified compliance program weaknesses
54
CCP measures to respond to violations include
Monitoring Responding to suspected compliance violations Reporting suspected compliance violations Protecting employees who report compliance violations Policies to govern the reporting to the government of probable compliance violations
55
CMS
Medicare Medicaid SCHIP
56
Divisions fo HHS
Administration for Children and Adults Administration on Aging Agency for Healthcare Research and Quality CDC CMS FDA Health Resources and Service Administration Indian Health Services NIH Substance Abuse and Mental Health Services Administration US Public Health Service Commissioned Corp