Unit 3: Chapter 2,3,4,12,13 Flashcards

1
Q

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

A

Balanced scorecards

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2
Q

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

A

Co-payment

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3
Q

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

A

Cost shifting

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4
Q

A predetermined out-of-pocket fee paid by a patient for health care services before reimbursement through health insurance begins to be paid

A

Deductibles

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5
Q

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

A

Gross domestic product (GDP)

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6
Q

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

A

Health care disparities

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7
Q

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

A

Outcome

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8
Q

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

A

Pre-authorization

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9
Q

Include the quality activities, procedure,tasks, communication, and processes performed within the healthcare structures, such as hospital admissions, surgical

A

Process

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10
Q

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

A

Structure

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11
Q

A government sponsored system that ensures health care coverage for all eligible residents of a nation regardless of income level or employment status

A

Universal health care (UHC)

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12
Q

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.

A

Disaster

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13
Q

A problem-solving approach to clinical decision making that integrates that best available scientific evidence with the best available experiential (patient and practitioner) evidence.

A

Evidence-Based Practice (EBP)

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14
Q

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.

A

Medical Preparedness

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15
Q

Is the development, provision, and evaluation of inter-professional health care services to population groups experiencing increased health risks or disparities.

A

Population-Based Health Care Practice

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16
Q

Is the ability of the public health system, community, and individuals to prevent, protect against, quickly respond to, and recover from health emergencies, particularly those in which scale, timing, or unpredictability threaten to overwhelm routine capabilities.

A

Public Health Preparedness

17
Q

A situation in which all group members agree to live with the support a decision, regardless of whether they totally agree.

A

Consensus

18
Q

Actively thinking about your thinking while you are thinking in order to provide deeper insight about what you are thinking about.

A

Critical Thinking

19
Q

Considering and selecting interventions of pertinent quality information and activity reflecting a point in time.

A

Decision Making

20
Q

A “gut” feeling regarding a situation based on prior experiences.

A

Intuitive Thinking

21
Q

The integration of nursing, its information, and information management with information-processing and communication technology to support the health of people worldwide.

A

Nursing Informatics

22
Q

An active process that starts with a problem and ends with a solution.

A

Problem Solving

23
Q

Observing or thinking back about a task or decision made in a situation to help in future tasks or decisions.

A

Reflective Thinking

24
Q

time mgmt technique to assist in determining how both personal and professional time is used by periodically recording activities

A

activity log

25
Q

states 20% of focused efforts results in 80% of results or conversely, that 80% of unfocused effort results in 20% of results

A

pareto principle

26
Q

a set of related, common- sense skills that help a person use time in the most effective and productive way possible

A

time mgmt

27
Q

everyone internal or external to the organization who receives the product or service of the workers

A

customers

28
Q

a systematic, proactive method for evaluating a work process to identify where and how it might fail and to assess the relative impact of different failures in order to identify the parts of the process that are most in need of change.
_______ includes review of the following:
- steps in the process
- failure modes
- failure causes
- failure effects

A

failure modes & effects analysis or FMEA

29
Q

the degree to which health services for individuals and populations increase the likelihood of health outcomes and are consistent with current professional knowledge

A

quality

30
Q

mgmt philosophy to improve the organizational structure and the level of performance of key processes in the organization to achieve high quality outcomes

A

quality improvement

31
Q

an unexpected occurrence involving death or serious physical or psychological injury to a pt or the risk thereof; requires immediate investigation

A

sentinel event