Quiz 1 (Ch. 1-3) Flashcards
what kind of changes are healthcare supervisors seeing today?
increasing workload
increasing responsibility
decreasing job security
bottom line
the financial results of the organization’s activities summarized for a given length of time (month, quarter, year, etc)
first-line managers
individuals who supervise the people doing the work
third party payers
organization other than the pt who pays for medical benefits, usually insurance companies
medicare
A federal program that pays for certain health care expenses for people aged 65 or older
medicaid
A program, funded by the federal and state governments, which pays for medical care for those who can’t afford it
reengineering
need clear vision of desired output
must work backwards to determine how to best achieve this
organizational flattening
removal of organizational layers by taking out middle or intermediate management positions
resulting in a “flatter” organization (as expressed on an organization chart, one with fewer levels between top and bottom)
the supervisor’s two hats
functional specialist and management generalist
functional specialist
Worker responsible for doing some of the basic work of the department
Cook, nurse, accountant
management generalist
Concerned with activities common in many departments and most likely needs to guide or supervise the work of others
Doesn’t matter how the person got there
Usually does some of both
classic problem of the supervisor
more suited for the functional specialist role in comparison with the management generalist role
The Peter Principle
“In a hierarchy, every person tends to rise to his level of incompetence”
supervisory constants
Visibility and availability
Vertical orientation
True open-door
Team player
Bearer of responsibility
todays job security is dependent on one’s
flexibility and adaptability
the job organization system
Repetitive work is dominant
Advanced approach to management
Jobs highly organized
Close control typical
Depends on economic motives
the cooperative motivation system
Variable work is dominant
Management less refined-not as structured
Jobs loosely organized
Close control not possible
Depends on individual enthusiasm and motivation
4 P’s of marketing
product
price
place
promotion
industry
repetitive work
easy to have structure and control
healthcare
Not so controlled, not mechanical
Difficult to predict output-healthy person
managed care
“health insurance plans that contract with health care providers and medical facilities to provide care for members at reduced costs. These providers make up the plan’s network. How much of your care the plan will pay for depends on the network’s rules.”
The Health Maintenance Organization (HMO)
the most commonly encountered form of healthcare
gatekeeper
Primary care physician
Central to managed care is the concept of the primary care physician as “gatekeeper” to services
what year were medicare and medicaid established by the government?
1965
The Balanced Budget Act (BBA) of 1997
Driven by concern over Medicare costs
Balance Federal budget but many items exempted from reductions
Largest cuts affected Medicare, reducing provider reimbursement
Created sufficient hardship to providers and some adjustments needed to be made
telemedicine
the remote delivery of healthcare services, such as health assessments or consultations, cheaper for the patient
Patient Centered Medical Home (PCMH)
The patient-centered medical home (PCMH) model is an approach to delivering high-quality, cost-effective primary care. Using a patient-centered, culturally appropriate, and team-based approach, the PCMH model coordinates patient care across the health system.
Money Follows the Person
Enacted by the Deficit Reduction Act of 2005, the Money Follows the Person (MFP) Rebalancing Demonstration is part of a comprehensive, coordinated strategy to assist States, in collaboration with stakeholders, to make widespread changes to their long-term care support systems.
The Affordable Care Act
Make affordable health insurance available to more people. …
Expand the Medicaid program to cover all adults with income below 138% of the FPL. …
Support innovative medical care delivery methods designed to lower the costs of health care generally.
HCAHPS
Hospital Consumer Assessment of Healthcare Providers and Systems- required for CMS Hospitals
Hospital sets goals- must then get these scores
Reimbursement may be tied to quality outcomes
authoritarian phase
Minimizes importance of people
People must be pushed
legalistic phase
In 1930’s passage of wage & hour laws
Laws telling you how to treat employees
humanistic phase
Partially because of legislation
Optimism about employees
Empowering people
the “working trap”
A hazard for every supervisor who has non-managerial duties as well as managerial duties
