mock exam Flashcards
monitoring results
Monitoring results enables a hospital to understand if the present system is currently supporting the organization’s needs and whether the next step, identify needs, will set in motion new or further development or acquisition of health IT.
Bar graph
Bar graphs are used to display data from one or more variables. The bars may be drawn vertically or horizontally. Bar charts are used for nominal or ordinal variables. In this case, you would be displaying the average length of stay by service and then within each service have a bar for each gender
Application service provider (ASP)
In an application service provider (ASP) model, there is much less upfront capital outlay and fewer IT staff required in-house. In fact, the ASP acquisition strategy may be considered essentially a financing model
Job shadowing
Job shadowing is a method in which one employee follows another employee to observe certain functions of their job. The intent is that the experienced employee educates the new employee on specific aspects of their job
Data conversion
refers to the fact that data is already automated in one system but needs to be put into another, most often new, system—which is not always an easy task depending on the nature of the software and application programming language used.
Chart conversion
or transition refers to converting data on paper to electronic form and data processing refers to processing any data on a computer.
Work distribution
The work distribution chart should be completed by the employee and it includes all responsible task content as well as hours spent on tasks over a designated period of time
Medicare Part A
Hospital, Home health, Hospice, SNF, long term
Medicare Part B
Physician, lab, home health, outpatient. AKA medical cover
Medicare Part C
Advantage (HMO, PPO, PFFS, SNP)
Medicare Part D
Drugs
Medigap
Purchase private insurance to supplement Part A and B
Medicaid
State can develop its own Medicaid program.
Low income
Children
Infants born to Medicaid eligible parents
TRICARE
AKA Champus. Care about the military and their families.
TRICARE standard
Can use any civilian provider
TRICARE Extra
Represents a PPO
TRICARE Prime
Must choose a Primary care provider and obtain referrals (HMO).
Data provenance
refers to the ability to track the source of data.
In-service education
a continuous process that builds on the basic skills learned through new employee orientation and on-the-job training. In-service education is concerned with teaching employees specific skills and behaviors required to maintain job performance or to retrain workers whose jobs have changed
Payment reduction for facilities that fail to successfully meet the requirements of Medicare’s quality reporting programs
Facilities failing to meet the Medicare Quality Reporting Requirements will receive a 2% reduction in their Medicare payments
Shift differential
Many employers pay a slightly higher hourly wage to employees who work less desirable shifts (evening, night, weekend).
Surveys
should be written at the reading level of the respondents, consistent formats should be used, all possible responses should be mutually exclusive, and terminology that the respondents understand should be incorporated.
Administrative safeguards
are people-focused and include requirements such as training and assignment of an individual responsible for security
Pareto chart
a kind of bar graph that uses data to determine priorities in problem-solving. The Pareto principle states that 80 percent of costs or problems are caused by 20 percent of the patients or staff
The gross death rate
the basic indicator of mortality in a healthcare facility.
dividing the total number of deaths occurring in a given time period by the total number of discharges, including deaths, for the same time period: 25/500 = 0.05 × 100 = 5%
Case-mix index
The weight of each MS-DRG is multiplied by the number of discharges for that MS-DRG to arrive at the total weight for each MS-DRG.
Capitated rate
is a method of payment for health services in which the third-party payer reimburses providers a fixed, per capita amount for a period. Per capita means per head or per person. A common phrase in capitated contracts is per member per month (PMPM). The PMPM is the amount of money paid each month for each individual enrolled in the health insurance plan. Capitation is characteristic of HMOs