LEADERSHIP 3

Question 1

Institute of medicine defines quality healthcare as

Answer 1

the degree to which serves the population to increase the likelihood of desired outcomes and are consistent with current professional knowledge

Question 2

what are the measurements of healthcare quality

Answer 2

process indicators and outcome indicators

Question 3

what are process indicators

Answer 3

• actions to improve healthcare
• how care is delivered

Question 4

what are outcome indicators

Answer 4

• effects of healthcare (mortality rate, readmissions, falls, CLABSI (think white board on floor)

Question 5

benchmarking

Answer 5

process of measuring products, practices, and services against best performing organizations

Question 6

aim statement

Answer 6

• what will improve
• when
• how much
• for whom

Question 7

performance appraisal

Answer 7

very personal, performance is evaluated and gives employee chances to self evaluate and gain criticism

Question 8

pitfalls of performance appraisals

Answer 8

• halo effect
• horns effect
• central tendency

Question 9

constructive discipline

Answer 9

discipline to help employees grow, not punish (training, education, molding)

Question 10

progressive discipline

Answer 10

all except serious infractions, slate should be wiped clean

Question 11

four common steps of progressive discipline

Answer 11

1. verbal admonishment
2. written admonishment
3. suspension from work without pay
4. dismissal

Question 12

quality control is always …

Answer 12

ongoing

Question 13

what measures services against exemplar organizations

Answer 13

benchmarking

Question 14

the key to quality control process is

Answer 14

benchmarking

Question 15

total quality management

Answer 15

empowers employees by providing positive feedback to reinforce behaviors and attitudes to provide better communication to patients. always reevaluate

Question 16

political process

Answer 16

operations of political parties, elections, and voting

Question 17

national and state healthcare legislation

Answer 17

laws passed by the national congress and tx legislature that impact health care

Question 18

grassroot strategies

Answer 18

actions at the local level that influence policy makers

Question 19

forecasting

Answer 19

making an educated budget estimate using historical data

Question 20

3 budget types

Answer 20

1. personnel
2. operating
3. capital

Question 21

personnel

Answer 21

majority of healthcare organization expense (paying employees)

Question 22

operating

Answer 22

second largest area of expense (involves all managers) reflects expenses that change in reflection to volume of services (supplies, electricity)

Question 23

capital

Answer 23

plans for purchase of building or major equipment, not used in daily operations (SIM labs, renovations, radiology equipment, etc)

Question 24

incremental budgeting

Answer 24

begins with the budget from the previous [period and if more is needed, expenses need to be justified

Question 25

zero based budgeting

Answer 25

starts with 0. more detail, everyone is responsible. assigns income to specific NO MONEY LEFT OVER

Question 26

flexible budgeting

Answer 26

adapts to changing needs of the company

Question 27

performance budgeting

Answer 27

based on productivity

Question 28

Medicare primary population

Answer 28

elderly, disabled, renal dialysis patients

Question 29

as essential feature of an efficient organization is

Answer 29

coordination

Question 30

max webster bureaucracy

Answer 30

lack of unity of command leads to conflict, confusion, and decreased productivity

Question 31

authority

Answer 31

power to act

Question 32

responsibility

Answer 32

duty related to a job

Question 33

accountability

Answer 33

internalized responsibility for a job

Question 34

bureaucratic line structure

Answer 34

- expectations are clearly defined - one boss - lots of rules and policies - creativity can be lost

Question 35

ad hoc design

Answer 35

- 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

Question 36

matrix structure

Answer 36

people move to where skills are best utilized

Question 37

service line

Answer 37

hospital arranged around specialties, greater autonomy

Question 38

flat structure

Answer 38

reduced layers, decision making is done at lower levels, managers have greater workload, less bureaucracy

Question 39

scalar chain

Answer 39

decision making hierarchy centralized: few people at the top make all the decisions

Question 40

shared governance system

Answer 40

professional practice model that includes accountability based governance system for professional workers

Question 41

legitimate power

Answer 41

given because of positions in org

Question 42

reward power

Answer 42

based on ability to control an administer rewards

Question 43

coercive power

Answer 43

based on managers ability to use punishment

Question 44

expert power

Answer 44

based on special skill or ability of person

Question 45

referent power

Answer 45

based on appeal of one person to another persons connection with power