Unit 3: Chapter 2,3,4,12,13 Flashcards
Are used to monitor and report customer perspectives; financial perspectives; internal processes and Human Resources; and learning and growth for strategic management and as a way to examine performance throughout the organization
Balanced scorecards
A fixed health care fee paid by the patient to the health care provider at the time of service; this amount is paid in addition to the money the health care provider will receive from the insurance company
Co-payment
Whereby healthcare providers raise prices for the privately insured to offset the lower healthcare payments from both Medicare and Medicaid as well as the often nonpayment of health care premiums from the uninsured, continues to raise the cost of health care
Cost shifting
A predetermined out-of-pocket fee paid by a patient for health care services before reimbursement through health insurance begins to be paid
Deductibles
The economic measure of a country’s nation income and output within a year that reflects the market value of goods and services produced within the country within a year
Gross domestic product (GDP)
The persistent inequalities between the health outcomes of people in one group versus another group, due to such variables as gender, sexuality, age, ethnicity, socioeconomic group, lifestyle, and/or health care access
Health care disparities
Of the healthcare refers to the results of good care delivery achieved by using quality structures and quality processes and includes the achievement of outcome such as patient satisfaction, good health and functional ability, and the absence of health care-acquired infections and morbidity
Outcome
An approval obtained from the insurance company before care or treatment such as hospitalization or diagnostic testing is initiated if such services are to be reimbursed by the patients health insurance plan
Pre-authorization
Include the quality activities, procedure,tasks, communication, and processes performed within the healthcare structures, such as hospital admissions, surgical
Process
Includes resources or structures needed to deliver quality health care, for example, human and physical resources, such as nurses and nursing and medical practitioners; hospital buildings; medical records; and pharmaceuticals
Structure
A government sponsored system that ensures health care coverage for all eligible residents of a nation regardless of income level or employment status
Universal health care (UHC)
An incident where human suffering and needs cannot be managed or alleviated by the victims without assistance and that requires extraordinary efforts beyond those needed for everyday emergencies.
Disaster
A problem-solving approach to clinical decision making that integrates that best available scientific evidence with the best available experiential (patient and practitioner) evidence.
Evidence-Based Practice (EBP)
The ability of the health care system to prevent, protest against, quickly respond to and recover from health emergencies, particularly those whose scale, timing, or unpredictability threaten to overwhelm routine capabilities.
Medical Preparedness
Is the development, provision, and evaluation of inter-professional health care services to population groups experiencing increased health risks or disparities.
Population-Based Health Care Practice