Management, Governance, Leadership Flashcards
output
the results of the work (caring for residents) that nursing facilities do … the product of the work accomplished by the organization
RUG -IV or current version of the Resource Utilization Group
A resident classification system that identifies the relative resource use of providing care for different types of residents in nursing facilities based on their resource use.
a line position
such employees are line managers. They are empowered to make decisions on behalf of the administrator.
Organizing
the first step in implementation of a plan
Total Quality Management (TQM)
is difficult to define precisely because it is a philosophy of total organizational involvement in improving all aspects of quality of service
SOM State Operation Manual
The title given to the current set of requirements and guidelines to surveyors. Current edition with changes in red can be downloaded from the CMS website www.cms.gov
strategic planning
conceiving and implementing the pattern or plan that integrates the facilities’ major goals, policies and action sequences into a cohesive whole
the basic benefits of leading by walking around are
listening (finding out what’s happening on the firing line), teaching (communicating the facility’s values), and facilitating
Forecasts
projects trends and needs which the facility management must meet in the future
Marketing
identifying and attracting the persons served
PPS Prospective Payment System
A payment system developed for Medicare for skilled nursing facilities which pays facilities an all-inclusive rate for all Medicare Part A beneficiary services. Payment is determined by a case mix classification system (RUG-IV or current version).
Definition of Marketing
the process of planning and executing the conception, pricing, promotion, and distribution of ideas, goods and services to create exchanges that satisfy both individual and organizational objectives
the environment
is both a set of constraints within which the facility must operate and a set of opportunities that the facility administration may seize
The Upper-level Manager
the nursing facility’s upper level administrator is primarily responsible for creating and changing the organization’s structure
MDS Minimum Data Set
a core set of screening, clinical, and functional status elements, including common definitions and coding categories that form the foundation for the comprehensive assessment for all residents of long term care facilities certified to participate in Medicare and/or Medicaid
Code of Federal Regulations (CFR)
The federal Congress passes laws for which implementing rules are written and enforced….these are the Federal Requirements and Guidelines to Surveyors.
market segmentation
using the audit information to divide the potential persons served into identifiable subgroups
RAI Resident Assessment Instrument
The designation for the complete resident assessment process mandated by CMS (Centers for Medicare and Medicaid Services), including the comprehensive MDS, Resident Assessment Protocols (RAPS) , and care planning decisions.
Referent Power
power to influence is often based on liking or identifying with another person
the basic functions of administrators/managers
forecasting, planning, organizing, staffing, directing, evaluating, controlling, innovating, and marketing
market specialization
i.e. serve only one market segment such as persons who need rehabilitative care and are expected to return home within a specified brief period of time
a staff position
is an advisory role. None of the administrator’s authority to make decisions on behalf of the facility is delegated to persons in a staff position.
the steps in marketing are
1) the audit; 2) market segmentation; 3) choosing a market mix; 4) implementing the plan; 5) evaluation of results; 6) control
Reward Power
given to induce or persuade employees or residents to do what the administrator asks
MDCN Medicare Data Communication Network
A secure connection that is used to transmit MDS data to each state’s repository. A user ID and password is issued and for each person who requires access to the CMS (Centers for Medicare and Medicaid Services) MDS intranet.
Auditing
the process of identifying, collecting and analyzing information about the external environment
a marketing strategy includes
selecting a target market or markets, choosing a competitive position and developing an effective marketing mix to reach and serve the identified customers
QIS Quality Initiative Survey
CMS intends to move surveys in the facility to a process of doing surveys on laptops using wireless technology. This will enable the surveyors to communicate with each other via laptop throughout the survey process itself.
Charismatic Leadership
a magical aura with which people sometimes endow their leaders
Evaluating
comparing actual to expected results
Efficiency
the ability to produce the desired effect with a minimum of effort, expense, or waste
the concept of unity of command
emphasizes the importance of each person being accountable to only one supervisor
delegation
is permitting decisions to be made at the lowest possible level
Innovating
the effective administrator is always an innovator. The administrator develops new ideas, combines old ideas to form new ones.
Comparing
judging the extent to which actual results of the facility’s efforts achieve the outcomes proposed in the plans
Planning
deciding what is to be done
procedures
a highly detailed plan of specific actions that each employee would be expected to follow
Organizing
a method of ensuring that the work necessary to achieve a goal is broken down into segments, each of which can be handled by one person
Sub Group Allegiance
each one of the sub groups in the organization (nurses, housekeepers, residents on a hall) demands allegiance from its members
