Management and Leadership Flashcards

1
Q

4 Es approach

A

A technique for engaging subordinates in planning for change; the four Es represent engagement, empathy, education, and enlistment.

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2
Q

Accountability hierarchy

A

A reporting and communication system that links each operating unit to the governing board, usually by grouping similar centers together under middle management.

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3
Q

Authority worksheet

A

A tool used by self-directed teams to define duties, responsibilities; and authority.

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4
Q

Benefits of team-based care

A

(1) Individual team members are empowered to contribute equally to optimal outcomes for patients, (2) team members have a common goal, and (3) team members are willing to take on responsibility.

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5
Q

Capital expenditures committee

A

A committee responsible for evaluating and prioritizing requests for new equipment.

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6
Q

Capital request form

A

A form used to request capital for projects or expenditures above a certain dollar threshold; includes a description of the item requested, its cost, and its estimated life for depreciation purposes.

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7
Q

Centers of excellence

A

An organization approach that uses product lines to group patients with common conditions (e.g., cancer, cardiology disorders, orthopedic needs) in the same area so that specialists can focus on treating a common category of conditions without having to travel throughout the healthcare organization.

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8
Q

Change management

A

The management of change and development within a business; also called transformational management.

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9
Q

Characteristics of organizational development

A

(1) Focuses on people issues because people drive systems and systems affect people, (2) uses a system viewpoint, (3) emphasizes culture, (4) removes obstacles, and (5) uses methods to increase motivation.

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10
Q

Common cultural threads

A

Four sentiments shared by employees regardless of country or society: (1) a dependence on superiors, (2) a need for rules and predictability, (3) a balance between individual goals and dependence on the company, and (4) a balance between ego values and social values.

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11
Q

Communicating bad news

A

State the situation, explain how it developed, share the options considered and the conclusions reached, focus on the future, and keep communicating.

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12
Q

Communicating with multicultural staff

A

Managers may need to adjust their communication approach with staff from other cultures; for example, they may need to be less direct, change their tone and volume of voice, and ensure the staff member understands a directive.

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13
Q

Communication skills

A

A key competency of leaders to effectively translate complex issues into simple terms and to be considered trustworthy.

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14
Q

Contingency plan

A

An organized and coordinated set of steps to be taken if an emergency or disaster (e.g., fire, hurricane, flood, robbery, shooting) strikes.

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15
Q

Controlling

A

The process of checking performance against standards; may involve closed-loop feedback systems, performance metrics, benchmarking, and intangible standards.

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16
Q

Cultural blindness

A

The practice of ignoring cultural differences among employees.

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17
Q

Cultural competence

A

A set of complementary behaviors, practices, and policies that enables a system, an agency, or individuals to work and effectively serve pluralistic, multiethnic, and linguistically diverse communities.

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18
Q

Cultural differences

A

Dimensions that distinguish one country’s culture from that of another; these include (1) power distance, (2) uncertainty avoidance, (3) individualism versus collectivism, (4) masculinity versus femininity, (5) long-term versus short-term orientation, and (6) indulgence versus restraint.

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19
Q

Cultural diversity

A

A characteristic of today’s global workforce; leaders can guide a staff comprised of many ethnic backgrounds by establishing support groups, connecting a new employee with someone who is from the same culture or who speaks the same language, and educating staff about different cultures.

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20
Q

Decision making in different cultures

A

In the United States, leaders tend to make decisions quickly and then move on; in other countries, leaders may prefer to discuss options at length.

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21
Q

Decisional role

A

An area of managerial responsibility; supervisors must use information to make decisions about where resources are effectively obtained and best utilized.

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22
Q

Directing

A

A managerial function that identifies and implements practices to help the members of an organization work together; also known as influencing.

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23
Q

Emotional intelligence

A

The ability to identify, assess, and influence one’s own feelings and those of others.

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24
Q

Emotive leadership roles

A

Leadership roles that focus on the employees in a group and satisfy the individual needs of the group’s members.

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25
Q

Environmental assessment

A

A component of planning that analyzes what is happening politically, economically, socially, and technologically in the labor market and in the regulatory arena.

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26
Q

Four generations in the workforce

A

(1) Silenters (or veterans), born before 1945, who often work for one employer and in a given career for life; (2) baby boomers, born between 1946 and 1963, who have strong work ethics and are driven by goals for success; (3) generation Xers, born between 1964 and 1978, who grew up with technology and value working independently; and (4) generation Yers (or millennials), born after 1978, who value feedback and want open communication.

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27
Q

Functional authority

A

Authority given to individuals with expertise in specialized areas and limited to particular situations.

28
Q

Implicit bias

A

Unconscious attribution of particular qualities to a member of a certain social group.

29
Q

Intangible standards

A

Standards that are qualitative and subjective or based on perception; examples include HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) surveys, HealthGrades surveys, employee engagement surveys, and interviews.

30
Q

Key performance indicator

A

A critical milestone that can be used to measure progress toward an objective or a goal.

31
Q

Key performance indicator

A

A critical milestone that can be used to measure progress toward an objective or a goal.

32
Q

Laissez-faire (free rein) leadership

A

A leadership style that creates an organizational climate in which people are left almost entirely alone to do their jobs; most useful in an organization of professionals who desire and have the capacity to work independently.

33
Q

Leadership

A

A process by which one person tries to influence others in the performance of a task; leadership is not something that is done to people but rather unlocks people’s potential to become better.

34
Q

Leadership styles

A

Approaches to providing direction, implementing plans, and motivating people; may depend on the work to be done and the organizational setting.

35
Q

Leadership succession plan

A

A written plan for replacing people who depart from management positions.

36
Q

Line authority

A

Formal authority granted by an organization to a supervisor and based on the supervisor’s position on the organizational chart; also known as positional authority.

37
Q

Medical home

A

A model and philosophy for primary care organization and delivery; emphasizes safe, high-quality care that is patient centered, accessible, comprehensive, and team based.

38
Q

Modeling

A

A way to energize staff by personally setting a good example; leaders can model the behaviors they desire in their staff by themselves exhibiting a good work ethic, showing a positive attitude, talking and acting enthusiastically and optimistically, rising to new challenges, taking on work with energy and passion, and helping others recognize the importance of their work.

39
Q

Mores

A

Culture-driven behavior expectations, such as the type of clothing one wears or the way one treats others.

40
Q

Narrow span of control

A

A scope of supervision that results in more levels of management and may complicate communication because it increases the distance between employees and upper administration.

41
Q

National Incident Management System

A

A systematic, national approach to incident management that improves the coordination and cooperation between public and private entities in managing threats and hazards to reduce the loss of life and property and harm to the environment.

42
Q

Norms

A

tandards that regulate behavior in an organization; may be set by management as well as by work groups.

43
Q

Objectives

A

Targets that describe how goals will be achieved as measured by SMART (specific, measurable, attainable, results-oriented, and time-limited) criteria.

44
Q

Open-book approach

A

An approach in which management shares financial statements, along with operational and budget numbers, with all employees in an organization so that the employees can see how the income is used to cover expenses and become motivated to reduce costs or increase sales.

45
Q

Operating plan

A

A detailed action plan for accomplishing the goals laid out in an organization’s strategic plan and typically corresponding to a fiscal year or grant cycle.

46
Q

Operational scorecard

A

Performance report for a single work unit (or an aggregate of several related units) reporting three dimensions of inputs or resources-demand for service; physical resources or costs; and status of resources-and three dimensions of results-output and productivity (ratio of resource to output), quality of service or product, and customer satisfaction. The actual measures can differ by unit, but enough common measures must be used to allow similar units to be aggregated into service lines.

47
Q

Organizational development

A

A process that seeks to increase the health of social and technical systems such as work processes, communication, and shared goals.

48
Q

Organizing

A

A dynamic management function whose major principles are authority, span of management, and division of work.

49
Q

Overcoming resistance to change

A

A stage in change management; allowing employees to see the problem and identify a solution permits them to direct the change and reduces resistance.

50
Q

Payback period

A

The length of time it will take for a project or capital expenditure to recover its costs through its revenues.

51
Q

Perceptive resistance to change

A

An information-filtering phenomenon that causes staff to hear only part of a message about change (the part that conforms to the status quo); to overcome this type of resistance, leaders should try selling ideas, offering additional information, leading by example, and providing opportunities for staff to upgrade their skills.

52
Q

Personality assessment

A

A hiring tool used by human resources departments to determine how job applicants will lead and perform; examples include the Myers-Briggs Type Indicator, emotional intelligence quotient, and 360-degree feedback.

53
Q

Physician communication tips

A

When asking a physician about his or her care of a patient, avoid using the words you, but, always, and never; instead, use terms such as because (followed by a detailed reason) and agree or disagree.

54
Q

Planning

A

A managerial function that must occur before organizing, staffing, influencing, and controlling because it determines the framework in which these other management functions are carried out.

55
Q

Qui tam

A

A provision of the federal False Claims Act that allows a private citizen to file a suit in the name of the US government.

56
Q

Resistance to change

A

A preference for things as they are, perhaps because the existing environment feels safer; staff reactions to a change in procedures or rules may include anxiety, inattention to work, or sabotage.

57
Q

Return on investment

A

A mathematical analysis used by managers to describe how the cost of a proposed capital expenditure will be offset by additional revenues or a reduction in expenses

58
Q

Self-directed team

A

A group of people committed to a common purpose, with a set of performance goals for which they hold themselves mutually accountable; this approach to organizing allows for expansion of the span of management, empowers employees to work in groups and share authority, and may dissolve the traditional hierarchical structure.

59
Q

Staffing

A

The managerial function of recruiting and selecting employees who are qualified to fill the various positions needed, as well as developing and retaining those employees.

60
Q

Task-oriented leadership roles

A

Roles assumed by a leader to organize and influence the employees in a group to achieve specified objectives.

61
Q

Team interview

A

A type of interview that allows team members to discover strengths and weaknesses in a job applicant that a hiring manager might miss; a job candidate favored by the team will be supported by the team after hiring.

62
Q

Telehealth and telemedicine

A

A sophisticated information system that cuts across healthcare campuses and geography and provides immediate access to critical patient care information and healthcare guidance from specialists around the world; particularly advantageous to rural and underserved areas.

63
Q

Theory X (autocratic supervision)

A

A theory that employees perform best under supervision that involves close control, centralized authority, authoritarian practices, and minimal participation of the subordinates in the decision-making process; a useful approach in chaotic situations or work environments or when employees lack ambition, imagination, or the desire to be involved in daily decisions.

64
Q

Theory Y (consultative supervision)

A

A theory that employees perform best under a management style based on general supervision, democratic techniques, consultation with subordinates on decisions, and little reliance on coercion and control; a management approach that advocates for a wide span of management and decentralizes authority to the lowest staff level possible.

65
Q

Third shift

A

Employees who work the night shift and therefore rarely or never see the department manager; management must take alternative approaches to communicate with and engage these employees.

66
Q

Unity of command

A

The principle that each employee has a single immediate supervisor, who in turn is responsible to another immediate supervisor, and so on along the chain of command; this principle may be challenged in certain healthcare environments (e.g., the operating room) where personnel are accountable to two bosses (e.g., the operating room manager and a surgeon).

67
Q

Zero-base budgeting

A

A budgeting approach that ignores historical performance and requires management to substantiate each activity and budget item from scratch.