Gardners tasks Flashcards

1
Q

What is fee-for-services

A

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.

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2
Q

What is horizintal integration

A

a group of acute care facilities come together to provide coverage for an expanded region

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3
Q

What are independent practice associations

A

physicians in private offices are paid on a fee-for-service basis by a prepaid plan to deliver care to enrolled members.

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4
Q

What is managed care

A

a system of healthcare where patients only visit certain doctors and hospitals and the cost of treatment is monitored by a company

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5
Q

What is a PPO

A

higher cost
can pick from docs in network without seeing PCP
can see specialists without PCP referral
always copay

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6
Q

What is an HMO

A

have to see a PCP that manages all your care
PCP before specialist
always pay a copay

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7
Q

What are accountable care orgs

A

a group of providers and healthcare organizations who are organized to improve outcomes and lower cost

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8
Q

What is a flat org structure

A

decentralized decision making

staff have authority to make decisions on site

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9
Q

What are line functions

A

responsible for accomplishing the goals of a place

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10
Q

What is matrix structure

A

managers of function and services work together

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11
Q

What is redesiging a compnay

A

a technique to analyze tasks to improve efficiency

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12
Q

What is reengineering a compnay

A

total reorganization of structure and work processes

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13
Q

What is restructuring a compnay

A

a technique to enhance organizational productivity

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14
Q

What are service line structures

A

all functions needed to deliver a service are provided in a unit and controled by one manager

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15
Q

● What are the 14 principles of management

A
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.
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16
Q

What is the case method or total patient care

A

one nurse provides total care for one patient during the entire work period

17
Q

What is the functional nursing model

A

each staff member performs specific tasks for a large group of patients; similar to the assembly line system

18
Q

What is practice partnership model

A

RN is with an assistant
provides semiprimary care
usu in rehab facilities

19
Q

What is primary nursing

A

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

20
Q

What is the synergy model

A

synergy happens when the characteristics and needs of the pat match the competencies of the nurese

21
Q

What is team nursing

A

like funcitonal nursing

except a team leader coordinates the care for the pats

22
Q

What is TeamSTEPPS

A

tools to improve communicaiton and teamwork between professions

23
Q

What is autocratic decision making

A

paternalistic

24
Q

When is autocratic appropriate

A

crisis

25
Q

What is informed decision making

A

staff make decision from presented information wihtout managers

26
Q

What is shared decision making

A

staff and managers collaborate

27
Q

Cost =

A

price x utilization

28
Q

What is a diagnosis related group DRG’s

A

grouping pats into categories based on number of days in hospital for different diseases

29
Q

What is a full time equivilant

A

another name for part time

30
Q

What is observation status

A

pats you stay less than two midnights