LEADERSHIP 3 Flashcards
Institute of medicine defines quality healthcare as
the degree to which serves the population to increase the likelihood of desired outcomes and are consistent with current professional knowledge
what are the measurements of healthcare quality
process indicators and outcome indicators
what are process indicators
- actions to improve healthcare
- how care is delivered
what are outcome indicators
- effects of healthcare (mortality rate, readmissions, falls, CLABSI (think white board on floor)
benchmarking
process of measuring products, practices, and services against best performing organizations
aim statement
- what will improve
- when
- how much
- for whom
performance appraisal
very personal, performance is evaluated and gives employee chances to self evaluate and gain criticism
pitfalls of performance appraisals
- halo effect
- horns effect
- central tendency
constructive discipline
discipline to help employees grow, not punish (training, education, molding)
progressive discipline
all except serious infractions, slate should be wiped clean
four common steps of progressive discipline
- verbal admonishment
- written admonishment
- suspension from work without pay
- dismissal
quality control is always …
ongoing
what measures services against exemplar organizations
benchmarking
the key to quality control process is
benchmarking
total quality management
empowers employees by providing positive feedback to reinforce behaviors and attitudes to provide better communication to patients. always reevaluate
political process
operations of political parties, elections, and voting
national and state healthcare legislation
laws passed by the national congress and tx legislature that impact health care
grassroot strategies
actions at the local level that influence policy makers
forecasting
making an educated budget estimate using historical data
3 budget types
- personnel
- operating
- capital
personnel
majority of healthcare organization expense (paying employees)
operating
second largest area of expense (involves all managers) reflects expenses that change in reflection to volume of services (supplies, electricity)
capital
plans for purchase of building or major equipment, not used in daily operations (SIM labs, renovations, radiology equipment, etc)
incremental budgeting
begins with the budget from the previous [period and if more is needed, expenses need to be justified
zero based budgeting
starts with 0. more detail, everyone is responsible. assigns income to specific NO MONEY LEFT OVER
flexible budgeting
adapts to changing needs of the company
performance budgeting
based on productivity
Medicare primary population
elderly, disabled, renal dialysis patients
as essential feature of an efficient organization is
coordination
max webster bureaucracy
lack of unity of command leads to conflict, confusion, and decreased productivity
authority
power to act
responsibility
duty related to a job
accountability
internalized responsibility for a job
bureaucratic line structure
- expectations are clearly defined
- one boss
- lots of rules and policies
- creativity can be lost
ad hoc design
- can be temporary
- more flexible than line structure
- project/team to ask approach, then disabled after project is completed
- can lead to decrease in employee loyalty to parent org
matrix structure
people move to where skills are best utilized
service line
hospital arranged around specialties, greater autonomy
flat structure
reduced layers, decision making is done at lower levels, managers have greater workload, less bureaucracy
scalar chain
decision making hierarchy
centralized: few people at the top make all the decisions
shared governance system
professional practice model that includes accountability based governance system for professional workers
legitimate power
given because of positions in org
reward power
based on ability to control an administer rewards
coercive power
based on managers ability to use punishment
expert power
based on special skill or ability of person
referent power
based on appeal of one person to another persons connection with power
