Test 1! (Sessions 1-8) Flashcards
Population Health
The health outcomes of a defined group of individuals
Service Lines
Patient care teams organized and coordinated around a set of similar diseases or patient needs
Stakeholders
Individuals or groups who have a direct interest in the organization’s success
Patient-Centered Care
Care that is respectful and responsive to individual patient preferences, needs, and values
Fiscal Intermediary
an outside contractor that processes claims for the US government programs such as Medicare and Medicaid
Value-Based purchasing
Linking financial incentives to the quality of care provided
Community Benefit
Law that requires non-profits to provide charitable care, education services, and other stuff to communities
LIP
Licensed Independent Practitioners. Caregivers granted legal status to provide healthcare
PCP
Primary Care Practitioner. Includes physicians, nurse practitioners, midwives, general medicine, pediatrics, OB, and psychiatry.
Federally Qualified Health Center
Services for underserved areas or populations that offer a sliding fee scale. Funded by the public health service act
Patient-centered medical home
A mechanism for organizing primary care to provide high-quality care across the full range of an individuals healthcare needs.
Mission
Statement of purpose
Vision
Expansion of the mission that shows intentions, philosophy, and organizational self-image
Values
Expansion of the mission.
Service Excellence
Concept whereby associates anticipate and meet or exceed customer needs and expectation on the basis of the mission/values
Patient Care Guidelines
Formally established, scientifically based expectations that specify what must be done, by whom, how, and when, subject to the caregiver’s judgement regarding the individual patient
Patient Care Protocols
Guidelines that have been tested and accepted for use
Functional protocols
Formally established, scientifically based expectations that specify how and by whom specific care activities are carried out
Data Warehouse
Web-accessibly library of work processes, protocols, and performance measures available to all associates
Operational Scorecard
Focuses on groups/teams. Reports on 3 dimensions of inputs (demand for service, physical resources or costs, status of resources -satisfaction and commitment) and 3 dimensions of outputs (Output and productivity, quality of service, customer satisfaction).
Strategic Scorecard
Measures of an organization. 4 major dimensions: Customers, associates and suppliers, operations (quality and cost), and finance.
OFI
Opportunities for improvement. Result of comparing actual outcome goal and the benchmark goal.
PIT
A group that analyzes processes and translated OFIs to actual improvement.
PIC
Performance Improvement Council
360-Degree or Multi-Rater Review
Formal evaluation of performance by subordinates, superiors, and peers of the individual
Leadership succession plan
Written plan for replacing people leaving management positions.
Epidemiological Planning Model
A statistical analysis and forecast of the health needs of the community served
LRFP
Long-Range Financial Plan.
Clinical Staff Organization
The organization of the clinical staff members that provides a structure to carry out policies, expectation for quality of clinical care, and communication from physicians to the governing body
Standing Committee
A permanent committee established in the bylaws of the corporation or similar basic documents
Ad Hoc Committee
A committee formed to address a specific purpose for a specified time period
Governance Bylaws
A corporate document that specifies quorum rules of order, duties of standing committees and offices, and other procedures for the conduct of business.
Reserved Powers
Decisions permanently vested in teh central corporation of a multi-corporate system.
Nursing Process
A system of assessing patients, diagnosing individual nursing care needs, planning care, implementing plans
Rapid Response Team
Care providers with advanced training in critical care management and emergency treatment protocols
Shared Governance
A nursing model in which staff nurses share the authority and accountability for practice decisions and other activities that influence their work environment
Nurse Practitioner (NP)
A registered nurse who has advanced education and certification
Nurse Midwife
A registered nurse who has advanced education and certification to practice uncomplicated obstetrical care, including normal delivery without physician supervision
Nurse Anesthetist
A registered nurse who has advanced education and certification to administer anesthesia without direct physician supervision
Range of Physician-Hospital Models
Collaborators, joint ventures, co-management agreements, MSO, professional services agreement, employment model, integrated system
What do boards do?
Mission, strategy, financial health/outcomes, leadership
4 components of healthcare orgs
Caregiving teams -> Clinical Support Teams -> Logistic Support Teams -> Strategic Support Teams
What is organizational culture?
“How we do things around here.”
