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LECOM PBL spring 2017 > HEALTH CARE MANAGEMENT II > Flashcards

HEALTH CARE MANAGEMENT II Flashcards

1
Q

who was the toyota engineer who developed much of the LEAN strategy

A

Taiichi ohno

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2
Q

what are the most valuable resources in a lean house

A

people

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3
Q

what element is develop a safe, evidence-based, cost effective, patient-centered care plan

A

element 2.4

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4
Q

what element is to apply systematic methods relating to practice based improvements and the reduction of errors

A

element 4.8

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5
Q

what element is to demonstrate patient-centered care, including the ability to build the physician-patient partnership

A

element 5.1

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6
Q

what element is to demonstrate effective written and electronic communication

A

element 5.4

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7
Q

what element is to demonstrate a commitment to excellence and to continuous learning behaviors

A

element 6.5

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8
Q

what element is to demonstrate knowledge of and ability to implement safe, effective, efficient, timely, patient centered and equitable systems of care

A

element 7.5

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9
Q

what is the goal of six sigma

A

drives improvements in quality and reliability by reducing variation

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10
Q

what is the problem solving method for six sigma

A

DMAIC: define, measure, analyze, improve and control

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11
Q

what is the goal of 5S

A

approach to waste and variability identification and elimination that relies on stabilizing the work environment

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12
Q

what does the 5S stand for

A

Sort, simplify, sweep, standardize, self-discipline/sustain

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13
Q

define contract

A

an agreement between 2 or more parties creating obligations that are enforceable in court or otherwise recognizable at law

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14
Q

what is the consultants primary function in a consulting/contractor agreement

A

prepare subsidiary for sale

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15
Q

what are the essential elements of a contract

A

offer, acceptance, consideration, meeting of the minds

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16
Q

what are the types of contracts

A

written, oral, implied/quasi

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17
Q

what is a breach

A

failing to perform any term of a contract, written or oral, without legitimate legal excuse

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18
Q

what is the definition of indemnification

A

who pays damages

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19
Q

what does integration clause mean

A

contract reflects entire understanding

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20
Q

what does ADR provision stand for

A

alternative dispute resolution

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21
Q

what is a 409A

A

deferred compensation plan

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22
Q

what is the state retention requirement of medical records after discharge of a patient in pennsylvania

A

7 years

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23
Q

what are the 4 risk management philosophies

A

avoidance, reduction of effects, transfer, acceptance

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24
Q

what are 3 three key mandates for hiring/staffing

A

hire the best; make them better (training); be an advocate for your employees

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25
what percentage of physicians were self-employed in 1983
75.8%
26
which physicians are most likely to be practice owners
specialty surgeons, anesthesiologists, radiologists
27
what are accountable care organizations (ACOs)
groups of providers who care for a wide variety of health needs of a defined patient population
28
what are some examples of procedures done in ambulatory care
blood tests, imaging, endoscopy, biopsies, catheterizations, childbirth, plastic surgery
29
what type of medicine is a primary care practice with limited number of patients who typically self-pay fees for unlimited access to physicians
concierge medicine
30
what are the advantages of concierge medicine
better service for patients, better lifestyle for physicians
31
what are the negatives of concierge medicine
these physicians on average earn slightly less, insurance regulations, risk, marketing demands
32
what term describes leveled production, no bottlenecks or waste; studies all sequential steps in the process, the time each step takes and the time each step takes
heijunka
33
what is the term for safety element/be watchful for all defects
jidoka
34
what is the definition of kanban
sign: single that more resources are needed (just in time)
35
what is the definition of andon
light: signal for a need or problem with equipment or process
36
what is the definition of Takt time
paced treatment: providing service at and to meet the rate of demand from patients
37
describe one piece flow of lean
appropriate grouping of equipment, supplies and information; cell (work area) structure, one patient/all functions
38
describe pull treatment of lean
patients determine the services
39
define muda
waste: that which consumes resources but adds nothing of value (the worst is patient death)
40
what are the 7 wastes/muda that were identified with lean
processing, stock on hand (inventory), movement, defective products, overproduction, time on hand (waiting), transportation
41
describe sweep of the 5S structure
identify and remove unsafe conditions; restore everything to its proper place at days end or treatment end
42
what does "par" mean in the kanban terminology
safe number of supply items that must be readily available
43
what does sleeping inventory mean
that which is not needed
44
what is the key formula for kanban and supply
daily use X lead time = minimal required inventory
45
what does Kaizen mean
kai= incremental change; zen= refining value
46
what does a kaizen officer do
develops action plans; clean state (take a fresh look at processes)
47
what is the main goal of six sigma
elimination of all/virtually all defects
48
what are the 7 flows of lean
patients, clinicians, medication, supplies, information, equipment, process engineering
49
what were the goals of the saskatchewan project
higher quality care, reduce health's share of the provincial budget, release dollars to programs that support health
50
what was the first lean project
redesign of a new children's hospital
51
what are the sections for the consulting agreement
engagement, term of agreement, services, compensation, benefits and insurance, conflict, confidentiality, assignment/successors
52
what does it mean to act in fiduciary role
individual that another has posed trusted to protect money and may act for another in good faith and confidence and loyalty
53
what is the worst provision for the physician employee in contracts
covenant not to compete
54
what are the essential elements of contracts that can be enforced in court
TACO: offer, acceptance, considerations, meeting of the minds to agree terms
55
what is equitable estoppel
establishment with an implied/quasi contract that requires the party asserting the claim to present evidence
56
when are contracts unenforceable
lack of mutual assent, illegality, capacity, coercion, fraud, state of frauds, parol-evidence rule, breach
57
what is the definition of parol-evidence role
written contracts are only evidence of the agreement
58
define statute of frauds
rule of law from 1600s (england) which requires written authorization of transfer interest in a property; cannot be transferred unless in writing
59
define restrictive convenants
established role that one can contract to refrain from engaging in a trade
60
what is the point of a restrictive covenant against competition
forestall unfair competition (won't compete with employer)
61
what is the point of a restrictive confidentiality covenant
restrict employee from using/disclosing categories of information that are deemed confidential
62
what is the point of a restrictive covenant of anti-piracy covenant
former employee is prohibited from soliciting or inducing other employees from leaving the company
63
define termination for cause
failure to comply with contract terms
64
describe umbrella insurance
protects assets and future income above the standard, able to fill coverage gaps
65
what is the point of employment practices liability insurance
protects from employee suing employers
66
what are the 4 risk management philosophies
transfer, acceptance, reduction of effects, avoidance
67
what are the 2 key principles for hiring and staffing
fairness and consistency
68
what is the point of the national practitioner data bank- 1986 health care improvement act
all payments on behalf of all physicians in connections with medical liability settlements and adverse peer reviewed actions against licensee
69
how many AOA specialities are there
18
70
what are the 3Ps
production, preparation, process
71
what is the recommended time per patient based on market demand
10.5 minutes per patient
72
what is the job of the kaizen officer
develops action plans from a clean slate, educates, evaluates, etc.
73
what does process engineering focus on
design, operations, control and optimization of processes through the aid of systemic efforts
74
who developed six sigma
motorola
75
what are the 5 steps to six signal
define the defect; measure (time/results/cost of defect); analyze (why does this happen); improve (whats the solution); control (maintain/sustain the solution)
76
what was the biggest problem with the case of park nicollet heath services
sleeping inventory
77
what type of scheduling was adopted by virginia mason medical center institute so that they could serve more cancer patients per day
cascade scheduling= staggering start times for patients and staff
78
what was the biggest tactical problem with virginia mason medical center, center for hyperbaric medicine
difficulty bringing the chamber into the building
79
what was the biggest issue with park nicollet heath services, primary care, standard rooming
lack of consistency
80
what term describes an individual whom another party has placed the utmost trust and confidence to manage and protect money/property (acting for another's benefit)
fiduciary
81
what is the definition of indemnification
protection in case of a law suit (who pays damages)
82
what term describes approval to provide specific services or practice at a particular facility
privileging
83
what word is described as a personal trainer with the mastery of a body of knowledge
sensei
84
what is one of the main challenges to healthcare industry
inefficiency of traditional hospital structure
85
what is the definition of value stream
specific activities required to provide a specific service to the patient
86
what is the floor of the lean model
leveled production/heijunka
87
what are the 3 aspects of standard operations (lean)
standard work, takt time, standard work in progress
88
what is the definition of greenfield
a new facility or process
89
what is the definition of brownfield
established facility or process
90
define catch ball process
goals are proposed and discussed by people all the way up and down the chain of command
91
define hashin kanri
management by policy
92
what is the goal of hashing kanri
gives high visibility to individual and group accountabilities
93
what is the definition of gamba
where work gets done
94
what is the definition of pokayoke
proofing device/procedure to prevent defects
95
define muri
unreasonableness

LECOM PBL spring 2017 (16 decks)

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