Stakeholders
Healthcare leaders must respond to the needs of
______ fairly, consistently and quickly to avoid conflict and ensure that the organization
... [Show More] meets their interests.
patient
Leaders must facilitate the building of a culture
that encourages staff to consider the _____ perspective.
goals
Leaders should set realistic, achievable ____ and
benchmarks for quality of care, patient satisfaction, and staff satisfaction.
Healthcare Organization
technology
community
The HCO (______ _________) is :
a 24/7/365 operation.
up to date with the latest changes, practices and ______.
adjusts to _______ needs.
Accountability Hierarchy
A reporting path that allows each team to communicate its needs to the larger organization and to ensure the governing board of negotiated acceptance of goals.
Operational Leadership
Helps determine the need for change within the healthcare organization. Purpose is to sustain an infrastructure to ensure that the HCO's array of services is effectively designed, aligned, integrated, and continuously improved.
Boundary Spanning
Monitor all external stakeholder groups to identify changes in their needs and desires
Forecast patient needs to plan staffing and facilities
Service Lines
Operating units designed around patient-focused care for related disease groups and similar medical specialties
Governing Board (board of trustees)
The purpose of the _______ ________ of a well-managed HCO is to create and maintain a foundation for relationships among the stakeholders that identifies and implements their wishes as effectively as possible. To set corporate goals, monitor progress and strategic protection, and make strategic decisions.
Control
Comparability
Profitability
To be successful, accountability (for senior management) must pass three tests:
_________. Operational scorecard performance should equal or exceed negotiated goals. In units large enough to have strategic scorecards, senior leaders are collectively accountable for strategic performance.
_________. The organization's scorecard values should be less than the values in alternative sources for the product or service, and should be acceptably close to benchmark or best-practice values.
_________. At the level of aggregation at which revenue is received, expenditures should equal the amount paid minus an allowance for funding the long-run strategic goals of the organization.
HCO (Healthcare Organizations)
Community hospitals, medical practices and specialty providers are all traditional types of _____
Trustees
Members of the governing board of not-for-profit HCOs who volunteer their time to the organization; their only compensation is the satisfaction they achieve from their work. The title reflects their acceptance of the assets in trust for the community; also may be called directors
Long-range financial plan (LRFP)
An ongoing projection of financial position showing earnings, debt, and capitalization for at least the next seven years
managerial
Board members should be able to make the challenging and sophisticated decisions required in the five ______ functions.
Familiarity with the community
Familiarity with business decisions
Available time
A record of success
Reputation
Ad Hoc Committee
A committee formed to address a specific purpose, for a specified time period
Standing Committee
A permanent committee established in the bylaws of the corporation or similar basic documents
Governance Bylaws
A corporate document that specifies quorum rules of order, duties of standing committees and officers, and other procedures for the conduct of business
HCAHPS (the Hospital Consumer Assessment of Healthcare Providers and Systems)
________ is a patient satisfaction survey required by CMS (the Centers for Medicare and Medicaid Services) for all hospitals in the United States. The Survey is for adult inpatients, excluding psychiatric patients. he intent of the _______ initiative is to provide a standardized survey instrument and data collection methodology for measuring patients' perspectives on hospital care.
managers
It is critical for managers to understand the board's role:
Governance and management: The board seeks information from _______, and they are responsible for implementing the board's decisions.
not for profit
In _________ organizations, the governing board's main goal is for the organization to meet the mission statement, which is typically aimed at improving the health of the community the organization serves. The board does not have the responsibility to ensure that stakeholders get the benefit of their investment.
for profit
The governing board in a ______ organization has the responsibility of ensuring that stakeholders and investors are getting the most out of their investments and that the organization is financially successful. This often means that for-profit organizations track and manage their budget very closely, allowing more resources to be allocated toward patient care.
Institute of Medicine
A nonprofit organization established in 1970 as a component of the US National Academy of Sciences that works outside the framework of government to provide evidence-based research and recommendations for public health and science policy. Abbreviated IOM.
performance
Clinical _____ is the degree to which clinical professionals and healthcare organizations (HCOs) provide care that meets or exceeds the Institute of Medicine (IOM) aims.
Diagnosis
Care
Patient
Community
Performance
Five functions an HCO's clinical organization must perform :
Ensuring accurate _______
Ensuring excellent ______
Individualizing ______ care planning and treatment
Improving ____ health
Improving clinic ________
Heuristic
The classification of disease in modern healthcare is _______, that is, it uses ICD-10 and systematically employing a trial-and-error mechanism that recognizes uncertainty and proceeds cyclically as more information is gathered
functional
patient
Protocols can be divided into two types : _______ and _____ management
Functional
_______ protocols determine how procedural elements of care are carried out. They cover tasks of care accomplished by individuals (such as giving an injection or taking a chest x-ray) and sets of activities for team procedures (such as surgical operations, rehabilitation programs, or multi-step diagnostic activities).
Patient management
____ _____ protocols are formally established expectations that define the normal steps or processes in the care of a clinically related group of patients at a specific institution. (Example, protocol procedures and steps for chest pain)
Clinical Practice
_____ _____ guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances
Triage
_____ is the process of determining the priority of patients' treatments based on the severity of their condition.
Palliative Care
Treatment to manage and reduce pain, discomfort, and other uncomfortable symptoms of life-limiting diseases or conditions with no known cure; services are provided in a holistic manner to include the patient and her family
Credentialing
The process of validating a professional's eligibility for medical staff membership and/or privileges to be granted on the basis of academic preparation, licensing, training, certifications, and performance
IPOC (Interdisciplinary plan of care)
A process that includes the patient, the family, and all clinical disciplines involved in planning and providing care to patients, from system point of entry, throughout the entire acute care episode, and to the next level of care (used in case management)
Operating
Nursing
Chief Executive Officer
Vice President, Medical Affairs ->
Chief ______ Officer, -> Chief ____ Officer
Unexpected Event
An _______ ____ report is a written report of an untoward event that raises the possibility of liability of the organization
Bylaws
The physicians collectively establish mutually acceptable rules and regulations called _____. These define the physicians' rights to participate in the organization and provide care as part of the organization, the obligation to ensure quality and economy of care to their own patients, and the obligation to participate in educational and quality improvement activities.
Attending physicians
Physicians who have the privilege of using the hospital for patient care and who are designated as the physician of record for particular patients
Four
There are ___ critical elements of physician privilege :
Bylaws
Privileges
Independent patient-physician relationship
Continuous quality improvement and peer review. [Show Less]