Lecture 3: Strategic Planning/Accreditation Outcomes Management Flashcards
With accreditation, you are doing a ________. Outside looks at what’s going on
Yes/no meeting vision/mission
REFLECTION
With outcomes management, we are looking at what is ________ to the program
Example: graduation rate, employment, boards passing rate
Important
What is strategic planning?
It used to be done by organizations every ___ years. Changed to every __ years
Now needs to be done no longer than every __ years
10
5
3
Strategic planning:
What are the _______ to an organization?
What are the _______ of a strategic plan?
What are the ________ of a strategic plan?
Benefits
Characteristics
Elements
What is benchmarking?
Compare what you’re doing to a SIMILAR group
Ex: Does not help to compare a hospital organization to a small private practice
What is complexity?
Does it have one sole thing that it does?
What is environmental scanning?
Who else is doing what you are doing?
What are the needs?
What are external factors?
Input from outside that you do not have a lot of control over
Ex: change in law
What are external stakeholders?
Patients (may be internal or external)
Lawmakers (congress) - PT therapy cap
What are External Environmental Scan (PEST/STEP Analysis)?
Looking beyond your type of organization to what other types of organization may do similar things
Who are internal stakeholders?
Stakeholders inside the business
What is a sector environment?
Your segment of the world
Patient population, socioeconomic factors, demographics in terms of demographic shifts, people moving in and out of the area
What are strategic goals?
Stretch
Ex: would really like to open a women’s health clinic, but need someone who knows the strategy of doing so
TAP stands for what?
And what is it?
Tactical action plan
Generated out of strategic plan when recognize there something you want to do
Something you want to move quickly- may not have been part of the initial strategic plan
You must answer 3 question with strategic planning… what are they?
Where are we now?
Where are we going?
How
Benefits to the organization of the strategic plan?
Focuses ________
Prioritizes ________
Aligns those efforts with the organizational ______
Scans the ______ ________
Thinking
Efforts
Goals
External environment
What are the 3 characteristics of the strategic plan?
Scope dept… to full organization
Geographical
Special time line
What are the elements of a strategic plan? (7)
Mission statement
Vision statement
Strategic goals
Strategic objectives
Tactical action plans or operational plans
Implementation planning schedule
Outcome measures
What are 5 examples of strategic planning models?
Commander model
Change model
Collaborative model
Cultural model
Crescive Model (Latin: to grow)
Strategic VS. Business planning???
The BUSINESS plan is built on the STRATEGIC plan
What does SWOT stand for in SWOT analysis?
Strengths
Weakness
Opportunities
Threats
Accreditation (Licensure/Certification/Regulation):
Reimbursement requires either ______ or ______ certification
Individual or group
Accreditation (Licensure/Certification/Regulation):
Regulation: ______ and _______ is not voluntary!
Certification and licensure
Accreditation (Licensure/Certification/Regulation):
What is voluntary?
Accreditation
(Quasi-voluntary)
[Do not have to have joint accredited as hospital, but cannot accept any gov money. Do not have to be a CAPTE accredited program, but if not accredited, cannot access licensing exam]
Key controllers:
What is the requirement of the federal government?
Medicare
Medicaid payment
Key controllers:
What is the requirement of the state government?
Institutional license
Professional licensure
Key controllers:
What is the requirement of the local government?
Zoning laws
Fire and safety regulations
Key controllers:
What is the requirement of the accreditation bodies (JCAHO, CARF)?
Accreditation STANDARDS
Key controllers:
What is the requirement of the professional associations?
Code of conduct
Key controllers:
What is the requirement of the collective bargaining units?
Contract provisions
Key controllers:
What is the requirement of the organizational policy?
Provision of each educational unit
Key controllers:
What is the requirement of the various regulatory agencies?
Personnel laws
Occupational safety and health administration
Key controllers:
What is the requirement of the Third party payers?
Details contract provisions regarding
PAYMENT and ELIGIBILITY
What is accreditation, if not required?
What does accreditation bring to an organization?
Is it really not required?
Level of seal of approval
RECOGNIZED… know that there is a certain standard that has been met
Outcome management involves the process of _____ ________
Data collection
Outcomes management: Data collection includes:
________
Interpretation of the _______ and _______ of patient treatment
Determining results of intervention though a _________ methodology
ANALYSIS
Effectiveness and efficiency
Reliable
Early quality assurance is _________ oriented
PUNISHMENT
Early quality assurance:
Ancient Mesopotamia physicians lost a ____ _____ each time their practice caused a patient hard
Quality cannot be assured but rather at best only _______
Body part
IMPROVED
Defining the scope of practice:
Scope of practice of the ______ clinician
Scope of practice of the ____________ clinician
Scope of practice of the _____/_________ clinician
Novice
Experienced
Master/Experienced
What are the 3 parts of OUTCOME information?
Clinical outcomes
Financial outcomes
Satisfaction outcomes
Clinical outcomes are ________ outcomes.
What is the goal?
FUNCTIONAL
Improve clinical care
Financial outcomes include _______
What is the goal?
FINANCE
Profitability and cost effectiveness
Satisfaction outcomes: You are understanding the _______ perception
What is the goal?
Customer
ID what will improve customer satisfaction
Clinical performance:
Defines clinical scope and _______ of the profession
Limitations
Clinical performance: We need to have adequate ______, ________, and ________
______, _______, and _______ intervention
Measurement, description, documentation
Before, during, after
Financial performance:
Looks at financial performance on a _______ scale
Smaller
Financial performance:
Average cost Revenue or margin for what 4 things?
Per case
Per visit
Per unit of service
Collected per case, visit, or unit of service
Customer satisfaction: Patient satisfaction is the relationship between the _______ _______ and their ________ of the organizations success in fulfilling those _________
patient’s expectations
Perception
Expectations
Result of patient satisfaction studies:
Provide better understanding of the patients ______ of ________
Frame of reference
Result of patient satisfaction studies:
Predict health related ______ and ________
Behaviors and utilization
Result of patient satisfaction studies:
Determine compliance to ______ ________
Treatment program
Result of patient satisfaction studies: Provide data for ________ process improvement
CONTINUOUS
Steps to outcome management?
Identity the \_\_\_\_\_\_\_ to be studied Choose an \_\_\_\_\_\_ \_\_\_\_\_\_\_ Collect \_\_\_\_\_\_\_\_ data Clinical \_\_\_\_\_\_\_\_\_ Collect \_\_\_\_\_\_\_ data Collect \_\_\_\_\_ \_\_\_ data \_\_\_\_\_\_ the collected data Develop the \_\_\_\_\_\_ based on data analysis Evaluate the \_\_\_\_\_\_\_ \_\_\_\_\_\_
Population
Outcome tool
Admission
Intervention
D/C
Follow up
Analyze
Actions
Outcomes program
