Gardners tasks Flashcards
What is fee-for-services
occurs when physicians in a private office are paid on a fee-for-service basis by a prepaid plan to deliver care to enrolled members.
What is horizintal integration
a group of acute care facilities come together to provide coverage for an expanded region
What are independent practice associations
physicians in private offices are paid on a fee-for-service basis by a prepaid plan to deliver care to enrolled members.
What is managed care
a system of healthcare where patients only visit certain doctors and hospitals and the cost of treatment is monitored by a company
What is a PPO
higher cost
can pick from docs in network without seeing PCP
can see specialists without PCP referral
always copay
What is an HMO
have to see a PCP that manages all your care
PCP before specialist
always pay a copay
What are accountable care orgs
a group of providers and healthcare organizations who are organized to improve outcomes and lower cost
What is a flat org structure
decentralized decision making
staff have authority to make decisions on site
What are line functions
responsible for accomplishing the goals of a place
What is matrix structure
managers of function and services work together
What is redesiging a compnay
a technique to analyze tasks to improve efficiency
What is reengineering a compnay
total reorganization of structure and work processes
What is restructuring a compnay
a technique to enhance organizational productivity
What are service line structures
all functions needed to deliver a service are provided in a unit and controled by one manager
● What are the 14 principles of management
Division of labor or specialization clear lines of authority appropriate levels of discipline unity of direction equitable treatment of staff fostering of individual initiative promotion of a sense of teamwork and group pride.
What is the case method or total patient care
one nurse provides total care for one patient during the entire work period
What is the functional nursing model
each staff member performs specific tasks for a large group of patients; similar to the assembly line system
What is practice partnership model
RN is with an assistant
provides semiprimary care
usu in rehab facilities
What is primary nursing
one RN is primary nurse for pats entire stay 24/7
creates care plan
assoc. nurse follows plan when gone
prime nurse still resp when gone
What is the synergy model
synergy happens when the characteristics and needs of the pat match the competencies of the nurese
What is team nursing
like funcitonal nursing
except a team leader coordinates the care for the pats
What is TeamSTEPPS
tools to improve communicaiton and teamwork between professions
What is autocratic decision making
paternalistic
When is autocratic appropriate
crisis
What is informed decision making
staff make decision from presented information wihtout managers
What is shared decision making
staff and managers collaborate
Cost =
price x utilization
What is a diagnosis related group DRG’s
grouping pats into categories based on number of days in hospital for different diseases
What is a full time equivilant
another name for part time
What is observation status
pats you stay less than two midnights
