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Professional Dev Exam 2 > Planned change > Flashcards

Planned change Flashcards

1
Q

What are 21st center health organizations focused on?

A

Restructuring
Quality Improvement
Employee Retention

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2
Q

What is planned change vs accidental or change by drift?

A

Planned change is well thought out

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3
Q

How do managers think of change?

A

Managers embrace the status quo

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4
Q

How do leaders feel about change?

A

Leaders embrace the change

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5
Q

3 good reasons for change

A

Change to solve some problem

Make procedures more efficient

Reduce workload

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6
Q

What is a change agent?

What qualities will they have?

A

Person skilled in the theory of implantation and planned change - and they typically have skills in how to make changes

Visionary, risk taker, flexible, communication skills, creative, sensitive, current

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7
Q

Kurt Lewin’s Chang theory

A

Unfreeze

Change

Refreeze

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8
Q

Lewin’s driving forces

A

Force that pushes the system towards change

ex: wanting to advance career

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9
Q

Lewin’s restraining forces

A

Pull the system away from change; ex: the cost

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10
Q

Lewin’s four rules for change

A
  1. change should be for good reasons
  2. it should be gradual
  3. plan it out
  4. involve everyone involved
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11
Q

Rational empirical strategies

A

Used best with least resistance bc people can see that it is reasonable/rational

we will change once given factual info

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12
Q

Normative-Re-educative strategy

A

Assumes we are social beings so they utilize peer pressure and norms

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13
Q

Power-Coercive strategy

A

Assumes we are set in out ways and that we will only change due to being forced or receiving a reward

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14
Q

Should we start a change if early change agent isn’t available?

A

No we shouldn’t. We need people to commit and see it through who have influence

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15
Q

How should those making changes expect resistance?

A

It disrupts homeostasis and so they need to expect it

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16
Q

What does individual resistance depend on

A

Flexibility

Evaluation of immediate situation

Anticipated consequences of change

Perception of what they lose vs gain

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17
Q

What is the greatest resistance to change by employees tho?

A

A lack of trust between the employee and the manager of the organization

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18
Q

T/F

It is easier to change a groups mindset than it is one person

A

false. one persons mindset is easier to change

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19
Q

Which is easier to change : knowledge levels or attitudes

A

Knowledge levels

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20
Q

What happens if there’s one or two employees that aren’t accepting change?

A

Their opinion is discarded and we move forward assuming we have the majority of the group on board

21
Q

How do organizations progress?

A

They go through developmental changes. Young to old

22
Q

Describe young organizations

A

High energy and movement

Constant change and adaptation

23
Q

Aged organizations have established ______.

A

Turf boundaries

  • predictable rules and orders
24
Q

What is fiscal planning?

What do we have to consider while doing this?

A

A learned skill that manages the business side of healthcare

Consider goals and values since those drive your planning

25
Q

Incremental budgeting

A

Simple form of budgeting where you budget for needs

  • not the best for healthcare
26
Q

Zero-based budget

A

Annual budget based that means each year you go back to the zero mark

  • must justify why it needs to be there
27
Q

Flexible budget

A

Can fluctuate during the budget cycle and its flexible

28
Q

Performance budget

A

Budgeting based on performance /outcome

how many patients can we dismiss example

  • also not well suited for hospital
29
Q

Cost -effectiveness

A

Producing good results for the amount of money spent

consider length of service, the need for it, and alternatives

30
Q

What is the organizations majority of expenses?

A

personnel budget - paying employees

31
Q

Hours per patient day

A

how many hours of care a patient needs

32
Q

Components of personnel budget

A

Hours per patient day

Staffing

Full-time equivalent - a position not person

Productive time - working

Nonproductive time - pto, vacations etc

33
Q

calculating nursing care hours

A

nursing hours worked in 24 hrs/patient census

involve rn, cna, unit clerk etc all included in nursing care hours

34
Q

Second biggest expense of a budget?

A

Supplies to take care of patients

35
Q

Operating budget definiton

A

Reflects expenses that flex up or down in predetermined manner to reflect variation in volume of service load

  • what they are operating on day to day
  • something you use daily like an IV pump
36
Q

Capital budget

A

Plan for the purchase of something big

  • MRI machine; equipment w life expectancy of 5 years
    • building
      • often have to raise money for from donors/grants
37
Q

In early 1900’s where was healthcare

A

Went on in the home

38
Q

What was the birth of the blues?

A

When blue cross and blue shield insurance

39
Q

Fee for service

A

Means payment and it caused healthcare costs to spiral

40
Q

When did medicare arrive?

What parts?

A

1965 - Elderly, disabled, and renal dialysis patients

Part A - social security and federal tax; hospital coverage

Part B - subsidized 75% by feds and 25% subscribers ; voluntary

41
Q

Who supplies medicare part a?

What falls under medicare part a?

A

Payroll deductions and contributions

Inpatient hospital care, limited skill nursing families, home health, hospice

Will have to pay co-pay

42
Q

Medicare Part B

A

Financed from federal funds

Covers primary care, outpatient diagnostics, med supplies

Optional and has premiums 1:36:00

43
Q

Who receives Medicaid?

Who administers medicaid?

A

For financial indigent ; you have to qualify

For women and children especially

Administered by the states - each state can set its eligibility and coverage

44
Q

Managed Care

A

System that attempts to integrate efficiency of care, access, and cost of care.

It wants us to have primary care provider who assists us in navigating the system.

45
Q

DRG - Diagnosis Related Groups

A

Predetermined payment schedule that reflects the historical costs of specific Patient conditions so each medicare patient receives a specific amount of money per admission (regardless of the actual cost)

46
Q

Critical pathways

A

Courses of progress that are predetermined for patients diagnosis

Strategy for assessing, implementing, and evaluating the cost-effectiveness of patient care

47
Q

Utilization review

A

Process used by insurance companies to assess the need for medical care and to assure that payment will be provided for the care

48
Q

T/F

We always receive reimbursement

A

false. no guarantee

We need to document accurately

49
Q

j

A

j

Professional Dev Exam 2 (6 decks)

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