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ACHE Board of Governers Exam Prep > The Well-Managed Healthcare Organization Text Book Glossary > Flashcards

The Well-Managed Healthcare Organization Text Book Glossary Flashcards

1
Q

What is the definition of credentials?

A

Documented evidence of licensure, education, training, experience, or other qualifications used to assign specific care privileges to an LIP.

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2
Q

Define credentialing.

A

The process of validating a professional care provider’s eligibility for clinical staff membership and for privileges.

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3
Q

What characterizes critical access hospitals?

A

HCOs with 25 beds or fewer, established to provide support for rural communities.

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4
Q

What is cultural competence?

A

A set of complementary behaviors, practices, and policies that enables effective service to diverse communities.

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5
Q

What is a data management system?

A

A system for aggregating and disaggregating electronic data designed to facilitate recovery and use.

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6
Q

What does the Emergency Treatment and Labor Act require?

A

All HCOs that provide emergency care to accept all patients until stabilized, regardless of ability to pay.

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7
Q

Define empowerment in the workplace.

A

The practice of encouraging associates to speak out about opportunities to increase mission achievement.

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8
Q

What is an epidemiologic planning model?

A

A system to forecast specific health needs for the HCO’s service community based on population forecasts and disease trends.

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9
Q

What is evidence-based management?

A

Management that incorporates scientific findings to aid in decision-making and improve organizational results.

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10
Q

Define evidence-based medicine.

A

The conscientious use of current best evidence in making decisions about patient care.

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11
Q

What is the role of an external auditor?

A

A firm certified to review corporate financial statements and attest to their accuracy.

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12
Q

What is a facilities master plan?

A

A document estimating the space needs of each proposed service or activity.

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13
Q

What defines a federally qualified health center?

A

Services for underserved populations, offering sliding fees and comprehensive services, funded under Section 330.

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14
Q

What are fellows in the medical field?

A

Residents who pursue advanced study, usually in a subspecialty.

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15
Q

What does frequency mean in advertising?

A

The average number of times each person is reached by a specific advertisement.

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16
Q

What is a funds flow budget?

A

Estimates of cash income and outgo by period, developed for cash and debt management.

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17
Q

What is a general ledger?

A

The record of all the firm’s transactions, often referring to fixed and collective assets.

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18
Q

What are governance bylaws?

A

Procedural rules adopted by the board to protect individual members from liability.

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19
Q

Define gross revenue.

A

An entry to the patient ledger of the charge for a specific healthcare service.

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20
Q

What is group purchasing?

A

Cooperatives using collective buying power to leverage prices downward.

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21
Q

What is a healthcare organization (HCO)?

A

A corporation providing services of multiple patient care teams, such as hospitals or clinics.

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22
Q

What does the Health Insurance Portability and Accountability Act address?

A

Issues of health insurance and requires protection of patient information and confidentiality.

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23
Q

Define a health system.

A

A set of HCOs under central strategic leadership in several geographic sites.

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24
Q

What is homeostasis?

A

A state of equilibrium with one’s environment.

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25
What is incidence in the context of disease?
The number of newly diagnosed cases of a disease.
26
Who are internal customers in an HCO?
Associates and teams who rely on other associates and teams within the organization.
27
What is inurement?
Distribution of nonprofit assets to an individual or corporation that jeopardizes tax exemption.
28
What is the Joint Commission (TJC)?
A consortium that evaluates and accredits a wide range of HCOs.
29
Who are leaders in an HCO?
Associates who accept responsibility for achieving and maintaining excellence.
30
What is a leadership hierarchy?
A system linking associates and units to the governing board.
31
What are Lean and Six Sigma?
Methodologies for analyzing work and designing process improvements.
32
Define a legacy system.
Outdated computer software lacking current features.
33
What is a licensed independent practitioner (LIP)?
Any practitioner permitted by law to provide care without direction or supervision.
34
What is a long-range financial plan (LRFP)?
An ongoing projection of financial position showing earnings, debt, and capitalization for at least seven years.
35
What is a management letter?
Comments of external auditors that accompany the audited financial report.
36
Define managerial accounting.
A process of restructuring transaction data to support performance improvement.
37
What does marketing in healthcare involve?
Efforts to establish relationships with exchange partners and stakeholders.
38
What is meaningful use in healthcare?
Measurement thresholds for recording patient information in the EHR to demonstrate value.
39
What is the Medicare Access and CHIP Reauthorization Act (MACRA)?
A CMS incentive program rewarding clinicians for using certified health information technology.
40
What is the mission of an organization?
The central purpose of an organization; its reason for existence.
41
Define the National Incident Management System (NIMS).
A proactive approach to guide departments and agencies to work seamlessly in managing incidents.
42
What is net revenue?
Actual revenue received, equal to gross revenue minus adjustments.
43
What is a new programs and capital budget?
Expected capital expenditures and new programs accepted by the governing board.
44
What is nonoperating revenue?
Income generated from non-patient-care activities.
45
What is a nurse anesthetist?
A registered nurse certified to administer anesthesia without direct physician supervision.
46
What is a nurse midwife?
A registered nurse certified to practice uncomplicated obstetrical care without direct physician supervision.
47
Define nurse practitioner (NP).
A registered nurse with advanced education and certification to provide expanded patient care.
48
What is a nursing diagnosis?
A standardized statement about the health of a client for nursing care.
49
What is the nursing process?
A system of assessing, diagnosing, planning, implementing, and evaluating nursing care.
50
What is an operating budget?
A forecast of expected income and expenses to assess performance.
51
What is an operational scorecard?
A monthly report of activity and goals for a single team or work unit.
52
What are opportunities for improvement (OFIs)?
Situations where current performance is inferior to benchmarks.
53
What is patient-centered care?
Care that is respectful and responsive to individual patient preferences and needs.
54
Define patient-centered medical home.
Mechanisms for organizing primary care to provide high-quality care across individuals’ health care needs.
55
What is a patient ledger?
Account of the charges rendered to an individual patient.
56
What are patient management guidelines?
Established expectations defining normal steps in the care of clinically related patients.
57
What is a performance improvement council (PIC)?
A group of leaders charged with reviewing and ranking OFIs and pursuing improvement goals.
58
What is population health?
The health of a defined group of individuals measured by incidence and prevalence of disease.
59
What is position control?
A system of payroll control identifying specific positions created and filled.
60
Define prevalence.
The total number of cases of disease existing in a population.
61
What is prevention in healthcare?
A direct intervention to avoid or reduce disease or disability.
62
What is preventive maintenance?
Care and servicing to maintain equipment and facilities in satisfactory operating condition.
63
What is primary prevention?
Activities that take place before the disease occurs to reduce its occurrence.
64
What are privileges in healthcare?
The contract authorizing the LIP to provide specific kinds of care to patients.
65
What is process analysis and improvement?
A system of opportunity identification, analysis, and process improvement.
66
What does pro forma refer to?
A forecast of financial statements establishing future financial position.
67
What are programmatic proposals?
Proposals for new or replacement capital equipment or major revisions of service.
68
What is a rapid response team?
Care providers with advanced training deployed when a patient's condition worsens.
69
Define reach in advertising.
An estimate of the number of people who will see or hear a specific advertisement.
70
What are reserved powers?
Decisions in HCO systems requiring approval of central governance.
71
What are residents in the medical field?
Licensed physicians pursuing postgraduate education in a medical specialty.
72
What is a reward in leadership?
Any action favorably received by recipients for achieving a desired result.
73
What is rounding in healthcare?
Face-to-face contact and communication at the work site.
74
Define safety net hospitals.
Hospitals with a disproportionate share of low income, uninsured patients.
75
What is secondary prevention?
Activities that reduce the consequences of existing disease.
76
What is segmentation in marketing?
Division of a population into subgroups based on needs and responsiveness.
77
What is sensitivity analysis?
Analysis of the impact of alternative forecasts to indicate risk involved.
78
What is service excellence?
Consistently meeting patient expectations through various means.
79
Define service line.
Patient care teams organized around similar diseases or needs.
80
What is service recovery?
A program authorizing frontline associates to compensate patients for inconveniences.
81
What is shared governance?
An organizational model ensuring nurse participation in practice decisions.
82
What is specification in statistical analysis?
Identifying values for a measure by defined subsets of a population.
83
Who are stakeholders?
Individuals or groups with a direct interest in the organization's success.
84
What is statistical process control?
A method of identifying significant changes in measures subject to random variation.
85
What is a strategic scorecard?
Measures of overall enterprise performance grouped in major dimensions.
86
Define strategy in healthcare management.
The selection of stakeholder needs the organization will meet.
87
What is sustainability?
The quality of not being harmful to the environment or depleting resources.
88
What is telemedicine?
The use of electronic communications to improve a patient's clinical health status.
89
What is tertiary prevention?
Activities that reduce or avoid complications in existing disease.
90
What are transaction costs?
Costs of maintaining a relationship, including communication and negotiation.
91
What is a transfer price?
Imputed price for an item transferred between two units of the same organization.
92
What is a transformational culture?
An environment emphasizing associates' right to question work-related processes.
93
Define triage in healthcare.
A method of sorting patients according to the urgency of their need for care.
94
Who are trustees in an HCO?
Members of the governing board managing the HCO assets in trust for the community.
95
What is an unexpected event report?
Written documentation of any unusual event that caused potential harm.
96
What is the purpose of triage in healthcare?
A method of sorting patients according to the urgency of their need for care.
97
Who are trustees in the context of not-for-profit healthcare organizations?
Members of the governing board who volunteer their time to the organization.
98
What is an unexpected event report?
Written documentation of any unusual event that caused, or might have caused, failure, injury, loss, or property damage.
99
What key elements are included in an unexpected event report?
A brief description, names of associates, patients, and guests involved, identification of what happened, and whether injury occurred.
100
What does value-based insurance design refer to?
Linking financial incentives to the quality and efficiency of care provided.
101
What is a key responsibility of trustees in healthcare organizations?
To manage the HCO assets in trust for the community.
102
True or False: Trustees are typically compensated for their service in not-for-profit healthcare organizations.
False
103
Fill in the blank: An unexpected event report is signed and dated by _______.
[the person completing the report]

ACHE Board of Governers Exam Prep (10 decks)

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