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

The Well-Managed Healthcare Organization Text Book Flashcards

1
Q

What does MACRA stand for?

A

Medicare Access and CHIP Reauthorization Act

MACRA is a significant piece of legislation aimed at reforming how Medicare pays healthcare providers.

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2
Q

What is the focus of the Magnet Recognition Program?

A

Nurse empowerment and maintaining required nursing educational levels in hospitals

This program recognizes healthcare organizations for quality patient care and nursing excellence.

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3
Q

What are the two types of maintenance mentioned for healthcare facilities?

A
  • Maintenance of healthcare facilities
  • Maintenance of medical equipment

Preventive maintenance is also highlighted as essential for both healthcare facilities and medical equipment.

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4
Q

What is the purpose of make-or-buy decisions in healthcare?

A

To determine whether to produce services in-house or purchase them from external providers

This decision-making process is crucial for operational efficiency.

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5
Q

Name two Malcolm Baldrige National Quality Award recipients.

A
  • Bronson Methodist Hospital
  • Charleston Area Medical Center

These organizations are recognized for their excellence in performance and quality management.

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6
Q

What is a key component of managing malpractice lawsuits?

A

Effective claims management

This involves strategies to handle and mitigate the risks associated with malpractice claims.

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7
Q

What is the definition of meaningful use in healthcare?

A

A set of criteria established to ensure that electronic health records are used effectively

Meaningful use aims to improve patient care and outcomes through the use of technology.

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8
Q

What is the role of managerial leadership in healthcare?

A
  • Clinical excellence
  • Continuous improvement
  • Supporting empowerment

Managerial leadership encompasses various aspects of healthcare management and service delivery.

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9
Q

What is the significance of the nurse manager role in transformational culture?

A

They support empowerment and deliver continuous improvement

Nurse managers play a crucial role in fostering a positive healthcare environment.

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10
Q

What are the four Ps of marketing in healthcare?

A
  • Product
  • Place
  • Price
  • Promotion

These elements are essential for developing effective marketing strategies.

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11
Q

What is the purpose of community needs assessments?

A

To identify the health needs of the community and plan appropriate healthcare services

These assessments help healthcare organizations tailor their services to meet community demands.

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12
Q

What is the focus of the National Committee for Quality Assurance (NCQA)?

A

Improving healthcare quality through accreditation and performance measurement

NCQA plays a vital role in promoting quality in healthcare organizations.

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13
Q

What are the key functions of nursing?

A
  • Coordinate interprofessional care
  • Deliver excellent care
  • Educate patients and families

Nursing encompasses a range of responsibilities aimed at providing comprehensive patient care.

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14
Q

True or False: The Medicare Access and CHIP Reauthorization Act (MACRA) includes the Quality Payment Program.

A

True

This program is part of MACRA’s effort to improve care quality and reduce costs.

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15
Q

What does the term ‘operational goals’ refer to in healthcare budgeting?

A

Specific objectives set to guide budgetary decisions

These goals help healthcare organizations manage their financial resources effectively.

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16
Q

Fill in the blank: The National Patient Safety Goals are set by _____ .

A

The Joint Commission

These goals are aimed at improving patient safety in healthcare organizations.

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17
Q

What are the components of the nursing process?

A
  • Assessment
  • Diagnosis
  • Planning
  • Implementation
  • Evaluation

The nursing process is a systematic approach to patient care.

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18
Q

What is the importance of media relations in healthcare marketing?

A

To develop and maintain a positive image and communicate effectively with stakeholders

Media relations play a critical role in managing public perception of healthcare organizations.

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19
Q

What does ONC stand for?

A

Office of the National Coordinator for Health Information Technology

Refers to the U.S. government office that coordinates health information technology efforts.

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20
Q

What are Opportunities for Improvement (OFIs)?

A

Areas identified for enhancement in performance

OFIs can relate to various aspects including clinical performance, human resources, and operational measures.

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21
Q

What is the purpose of operational scorecards?

A

To measure and evaluate organizational performance

They include dimensions and common measures for various functions such as finance and community health.

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22
Q

What are operational measures used for?

A

To assess various organizational performance aspects

Includes measures for clinical staff organization, finance, marketing, and population health programs.

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23
Q

True or False: Operating budgets refer to the overall costs of running healthcare organizations.

A

True

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24
Q

What is the definition of ‘Patient-centered care’?

A

Care that is respectful of, and responsive to, individual patient preferences, needs, and values

It emphasizes individualized planning and treatment.

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25
Fill in the blank: The _______ aims to improve population health through various strategies.
Population-based long-range planning model
26
What are the three types of prevention in healthcare?
* Primary prevention * Secondary prevention * Tertiary prevention ## Footnote Each type targets different stages of disease prevention and management.
27
What is the role of Performance Improvement Councils (PICs)?
To oversee and facilitate continuous improvement processes ## Footnote They focus on building success in process analysis and improvement.
28
What is the significance of the Patient Protection and Affordable Care Act (ACA)?
It expanded access to healthcare and affected population health management ## Footnote The ACA has implications for community health missions and advanced practice nursing roles.
29
How does the concept of 'patient safety' relate to healthcare organizations?
It involves implementing protocols to minimize risks and errors ## Footnote Includes adherence to National Patient Safety Goals.
30
What is the primary function of clinical support services?
To enhance the quality and efficiency of patient care delivery ## Footnote This involves collaboration among various health professionals.
31
What are 'performance measures' used for?
To evaluate and improve clinical and operational effectiveness ## Footnote They encompass both qualitative and quantitative assessments.
32
True or False: 'Patient satisfaction' is not a critical measure for healthcare organizations.
False
33
What are the components of 'population health'?
* Health outcomes of a group * Distribution of outcomes * Policies and interventions to improve outcomes ## Footnote Population health focuses on health outcomes and the social determinants affecting them.
34
Fill in the blank: The _______ outlines the strategy for achieving excellence in patient care.
Patient care quality and cost measure
35
What factors can influence patient expectations?
* Communication quality * Healthcare provider interactions * Availability of services ## Footnote Understanding these factors is essential for improving patient satisfaction.
36
What is the function of 'patient management guidelines'?
To standardize care processes and improve patient outcomes ## Footnote They assist in clinical decision-making and enhance care coordination.
37
What is 'organizational science' in healthcare?
The study and application of principles to improve healthcare organizations ## Footnote It often involves research into systems, processes, and human behavior.
38
What role do pharmacists play in healthcare organizations?
They ensure regulatory compliance and manage medication therapies ## Footnote Pharmacists also contribute to patient education and safety.
39
What defines the 'peer review process' in healthcare?
A systematic evaluation of a clinician's performance by their peers ## Footnote It is essential for maintaining quality and safety standards.
40
What are 'outcomes quality measures'?
Metrics used to assess the quality of care delivered to patients ## Footnote These measures help in evaluating the effectiveness of treatments and interventions.
41
What are the patient management guidelines?
147
42
What does performance measures for infrastructure functions refer to?
91
43
How can evasion and subversion be prevented?
466–67
44
What is involved in technical assistance?
90
45
What is the significance of unexpected event reporting?
51
46
What is the role of union participation in healthcare?
358
47
What is meant by processing hardware?
323
48
What is the definition of programmatic proposals?
257
49
What are the components of professional development plans/programs?
389–90
50
What are the ACGME competencies related to professionalism?
176
51
What is the relationship between productivity and clinical support services performance measures?
264
52
What are professional rights?
159
53
What are the critical volumes for specialty services in healthcare quality?
189
54
What does the Quality Payment Program (QPP) focus on?
315
55
What is the role of quality improvement organizations?
13
56
What is the definition of a rapid response team?
216
57
What does the Sarbanes-Oxley Act pertain to?
52
58
What is the purpose of service recovery in healthcare?
51–52
59
What does secondary prevention refer to?
279
60
What is the role of senior leadership in healthcare organizations?
24
61
What is the significance of quality-based rewards?
200
62
What are the components of resource allocation in healthcare?
24, 107
63
What is the definition of shared governance?
220
64
What is the definition of professionalism?
159
65
What is the importance of safety in healthcare facilities?
377–78
66
What is the definition of a safety net hospital?
17
67
What are the characteristics of well-designed scheduling systems?
222
68
What is the relationship between self-care and resources for promoting it?
202
69
What is the definition of the prospector archetype?
492, 493
70
What are the elements and measures in safe care?
6
71
What is the function of rewards/reward systems in healthcare organizations?
332
72
What are the components of risk management in healthcare?
381
73
What is the definition of rawlsian principles in healthcare ethics?
39
74
What is the significance of reliability in data?
309, 316–20
75
What are the implications of regional variation in health and healthcare?
26–27
76
What does the term 'transformational culture' refer to?
43, 45
77
What is the definition of 'reach' in advertising?
484
78
What are the components of a service excellence model?
39, 40
79
What is the role of feedback in quality review?
145
80
What are the guidelines for records management?
356–57
81
What is the process of programmatic capital investment proposals?
257
82
What is the significance of financial performance qualitative measures?
430–31
83
What is the definition of stakeholders?
Individuals or groups that have an interest in the performance and activities of a healthcare organization (HCO) ## Footnote Stakeholders include patients, families, community groups, health insurers, and government agencies.
84
What is the purpose of the Standard deviation?
A measure of the amount of variation or dispersion in a set of values ## Footnote It is commonly used in statistics to understand the spread of data.
85
Fill in the blank: The _______ law regulates physician self-referral and financial relationships in healthcare.
[Stark]
86
What are standing committees?
Permanent committees established by the governing board to oversee specific functions ## Footnote Typical standing committees include finance, audit, and quality committees.
87
What is the role of strategic partnerships in healthcare management?
To enhance capabilities and resources through collaboration with other organizations ## Footnote Strategic partnerships can improve service delivery and patient outcomes.
88
What does the SWOT analysis stand for?
Strengths, Weaknesses, Opportunities, Threats ## Footnote It is a strategic planning tool used to identify internal and external factors affecting an organization.
89
What is the function of transformational leadership?
To inspire and motivate team members towards achieving organizational goals ## Footnote It emphasizes collaboration, empowerment, and continuous improvement.
90
True or False: The Joint Commission (TJC) is responsible for accrediting healthcare organizations.
True
91
What are 'stretch goals' in healthcare management?
Ambitious targets that push organizations beyond normal performance levels ## Footnote They are intended to motivate teams to achieve higher outcomes.
92
What is the concept of value-based purchasing?
A strategy to incentivize healthcare providers based on the quality of care delivered rather than the quantity ## Footnote It aims to improve patient outcomes and reduce costs.
93
What is the significance of the term 'sustainability' in healthcare?
The ability to maintain health services over time while balancing economic, social, and environmental factors ## Footnote Sustainability is crucial for long-term healthcare delivery.
94
What does the term 'telehealth' encompass?
The use of digital information and communication technologies to access healthcare services remotely ## Footnote It includes telemedicine, remote monitoring, and health information exchanges.
95
Fill in the blank: The _______ is a federal agency that oversees the health insurance marketplace.
[US Department of Health and Human Services]
96
What is a key function of supply chain management in healthcare?
To ensure the efficient delivery of medical supplies and services to healthcare providers ## Footnote Effective supply chain management can reduce costs and improve patient care.
97
What is the role of community surveys in healthcare?
To gather feedback from the community regarding health needs and service quality ## Footnote Surveys help organizations tailor services to better meet community demands.
98
What is the purpose of strategic measures in marketing?
To assess the effectiveness of marketing strategies and their impact on organizational goals ## Footnote This includes evaluating customer satisfaction and market reach.
99
What is the concept of transformational culture?
An organizational culture that promotes continuous improvement, engagement, and collaboration among staff ## Footnote It is characterized by open communication and a focus on patient-centered care.
100
What are the primary concerns of suppliers in healthcare?
Quality, reliability, and cost of supplies and services they provide to HCOs ## Footnote Supplier relationships are critical for maintaining effective healthcare operations.
101
What is the significance of strategic capabilities?
They enhance an organization's ability to achieve competitive advantage in healthcare ## Footnote Strengthening strategic capabilities can lead to improved patient outcomes and operational efficiency.
102
What is the importance of transparency in healthcare organizations?
To build trust with stakeholders and ensure accountability in operations and financial management ## Footnote Transparency is vital for patient safety and quality of care.
103
What is the focus of variability in estimates and reporting?
Variability: of estimates, reporting, 319–20 ## Footnote Variability in estimates can reflect inconsistencies in data collection and reporting processes.
104
What is variable staffing?
Variable staffing, 221 ## Footnote Variable staffing refers to adjusting the number of staff based on demand and workload.
105
What are external causes of variation in healthcare organization performance?
Variation: identifying external causes of, 447–48 ## Footnote External causes may include policy changes, economic factors, and demographic shifts.
106
What are examples of variation in healthcare organization performance?
Variation in HCO performance: examples of, 2016, 26; reducing, 26–27 ## Footnote Examples may include differences in patient outcomes or service delivery times.
107
What types of services do vendors provide in healthcare organizations?
Vendors: of environment-of-care services, knowledge management services, materials management services ## Footnote Vendors play a crucial role in supporting various operational needs in healthcare.
108
What is vertical integration?
Vertical integration, 19, 485 ## Footnote Vertical integration refers to the combination of different stages of production or services within a single organization.
109
What is the significance of vision in healthcare organizations?
Vision: collaborative development, excellence in healthcare, governing board, maintaining, sustaining culture ## Footnote A clear vision guides organizational strategies and fosters a culture of teamwork.
110
What are vital signs in the context of healthcare?
Vital signs, 214 ## Footnote Vital signs are critical indicators of a patient's health status, including temperature, pulse, and respiration.
111
What are critical volumes for specialty services?
Volumes: critical, for specialty services, 189 ## Footnote Critical volumes refer to the necessary patient numbers to ensure quality and efficiency in specialty services.
112
What are voluntary insurance programs?
Voluntary insurance programs, 354 ## Footnote These programs allow individuals to choose insurance coverage beyond mandatory requirements.
113
What does the Volunteer Protection Act of 1997 address?
Volunteer Protection Act of 1997, 120 ## Footnote The act provides legal protection to volunteers in non-profit organizations from liability.
114
What is wage administration?
Wage administration, 351–52 ## Footnote Wage administration involves managing employee compensation and ensuring equitable pay structures.
115
How are waiting times used in healthcare organizations?
Waiting times: as operational measure, 294 ## Footnote Waiting times serve as a critical operational measure to assess efficiency and patient satisfaction.
116
What is the purpose of walk-throughs in healthcare?
Walk-throughs, 479 ## Footnote Walk-throughs are assessments of facilities and processes to identify areas for improvement.
117
What is involved in waste management in healthcare settings?
Waste management, 383 ## Footnote Waste management includes the proper disposal and management of medical waste to ensure safety and compliance.
118
What is water safety in healthcare?
Water safety, 155 ## Footnote Water safety encompasses practices to ensure that water used in healthcare settings is clean and safe for patients.
119
What does the Well-Baby Program exemplify?
Well-Baby Program example, 475, 476 ## Footnote The Well-Baby Program is an initiative focused on monitoring and promoting infant health.
120
What are the foundations of a well-managed healthcare organization?
Well-managed healthcare organization: foundations of, 3–29 ## Footnote Foundations include leadership, governance, and effective management practices.
121
What is the role of wellness in nursing care?
Wellness: nursing plan of care and, promotion campaigns ## Footnote Wellness focuses on promoting health and preventing illness through comprehensive care strategies.
122
What is the significance of workforce development?
Workforce: competent, building; development of, 341–48 ## Footnote Workforce development is essential for ensuring that healthcare professionals have the skills needed to provide quality care.
123
What does workplace wellness involve?
Workplace wellness, 348, 349 ## Footnote Workplace wellness programs aim to improve employee health and well-being through various initiatives.
124
What are work-related injuries and illnesses?
Work-related injuries and illnesses, 343–44 ## Footnote These refer to health issues that arise as a direct result of job duties and workplace conditions.
125
What is the definition of health according to the World Health Organization (WHO)?
World Health Organization (WHO): definition of health, 4 ## Footnote The WHO defines health as a state of complete physical, mental, and social well-being.
126
What organization implemented method changes to improve healthcare delivery?
Yale–New Haven Hospital (YNHH): organization-wide method changes at, 178 ## Footnote YNHH adopted new methods to enhance patient care and operational efficiency.

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