Scatter Diagram - ANSWER-A graphic display of data plotted along two dimensions used to screen for a relationship between two variables
Run Chart -
... [Show More] ANSWER-a visual display of data that enables monitoring of a process to determine whether there is a systemic change in process over time
Pareto Chart - ANSWER-A graphic representation of the frequency with which certain events occur may be used to set priorities or oppotunities for improvement
Measure - ANSWER-A number assigned to an object or event
Gantt Chart - ANSWER-A type of bar chart used in process or project planning and control to display planned work targets for completion of work in relation of time usually shows week month quarter
Just In Time - ANSWER-A method of ordering items as close to possible to their time of need
Clinical Pathway - ANSWER-management tool that organizes sequences and times the major intervention of the nursing staff physicians and other departments AKA care map; critical path
Histogram - ANSWER-a graphic display used to plot the frequency with which different valves of a given variables occur. Used to examine patterns
Algorithm - ANSWER-Recommended patient management strategies designed to direct decision making
Baseline - ANSWER-An observation or value that represents the background of measurable quanitity
Six Sigma - ANSWER-process improvement technique for blending organizational wisdom with proven statistical tools
Balanced Scorecard - ANSWER-strategic management system used to drive performance and accountability through the organization
Plan; Do; Check; Act; - ANSWER-AKA Deming or Shewart cycle
FOCUS - ANSWER-Find a process
Organize a team
Clarify Knowledge
Uncover the cause
Start Plan Do Act Check
5 major points of collection - ANSWER-Before service; At registration; During service; At Discharge; Collection follow-up
Standing Orders - ANSWER-Physician orders pre-established and approved for use by nurses under specific conditions in absence of the physician
Threshold - ANSWER-a level of achievement that determines the difference between what is deemed to be acceptable
Laws that Illinois House Healthcare Availability and Access Committee passed - ANSWER-1. the tax exempt hospital responsibility act- says that hospitals must use 8% of cost to provide care for poor
2. The fair Billing and Collection Practices Act-makes hospital quit aggressive ways to collect payments
Accepting Assignment - ANSWER-when a provider agrees to accept the allowable charges as full fee
Acute Care - ANSWER-the care is generally short term rather than chronic care
Assignment of Benefits AOB - ANSWER-Written authorization from the policyholder for the insurance company sends payment directly to providers
Adverse Selection - ANSWER-the tendency for those with impaired health status or who are prone to higher than average utilization of benefits to be enrolled in disproportionate numbers and lower deductible plans
Ambulatory Surgical Center - ANSWER-a freestanding facitlity other than a physician office where surgical and outpatient services take place
Acute Inpatient Care - ANSWER-generally short term less than 30 days
Add-ons - ANSWER-Patients who are scheduled for services less than 24 hours in advance of actual service time
Admission Authorization - ANSWER-the process of third party payor notification of urgent/emergent inpatient admission with specific time frame
3 steps of verbal communication - ANSWER-1. encoding-translating idea into words; 2. transmission-face to face or letter; 3. decoding-receiver must interpet the message
Communication Breakdown - ANSWER-38% is in your tone of voice; 6% is words; 55% body language
Patient Rights and Responsibilities - ANSWER-It is everyone's responsibility to know procedures; should be provided to patient unpon admission; must be in 12pts. writing and posted throughout
How customers complaints can be resloved - ANSWER-writing to the manager so they can follow up; obtain details; keep records; check to make sure that changes were made
Paralanguage - ANSWER-tone of voice volume and range of speech
Effective Listening Techniques - ANSWER-Hear them out; empathize with customer; apologize; take responsibility
Good Communication Tools - ANSWER-open ended questions; reflecting to find out what they understand; use examples; summarize
HIPPA - ANSWER-Health Insurance Portability Accountability Act 1996-
EMTALA - ANSWER-emergency medical treatment and active labor act-says no one can be discriminated against due to economic status
Statistical Reporting - ANSWER-provides summary of information for improvement
Clinical Data Repository CDR - ANSWER-provides ready access to information from a variety of sources within a healthcare network; the process of reviewing adjudicating and processing claims
Acute Care - ANSWER-patients who require a stay for several days requiring constant medical care
Adjusted patient days - ANSWER-yearly patient days adjusted by ratio of outpatient revenue to total revenue
Advance Beneficiary Notice ABN - ANSWER-(only in original medicare plan) notice given to beneficiary when Medicare is expected to deny payment
Aid to Families with Dependent Children (AFCD) used to be TANF - ANSWER-federal and state program that gives assitance to needy families. It is based on state's standards
Ambulatory Care - ANSWER-Mobile care given to patients that do not need to stay over night
All Patient Diagnosis Related Groups APDRG - ANSWER-how patients are processed for Medicare and Medicaid [Show Less]