Healthcare Administration

List procedures to maintain a healthcare provider's schedule (4)

-start on time

-forge a timeline

-make sure the schedule reflects the patient mix

-group similar patients

Identify the parts of a patient chart (5)

-main complaint

-medical history

-assessment and plan

-orders

-notes

State rules to maintain patient confidentiality according to Health Insurance Portability and Accountability Act (HIPAA) regulations (5)

-talk softly

-be vague when leaving messages

-keep records locked when not using them

-turn computer screens away from the public

-have staff members use passwords to access online material

Identify procedures to sort and process mail (7)

1. gather the necessary equipment

2. open all letters and check for enclosures

3. use a paper clip to attach the enclosures to the letter

4. date-stamp each item

5. sort the mail into categories

6. dispose of miscellaneous advertisements unless directed otherwise

7. distribute the mail to the appropriate staff members

Identify common elements of a patient's medical history (4)

-chief complaint

-history of present illness

-review of systems

-social history

List procedures to record and report vital signs (14)

1. select vitals

2. enter the blood pressure values

3. enter the oxygen saturation

4. enter the respiration rate

5. enter the waist circumference

6. enter the pulse rate of the patient

7. enter the height and weight

8. enter the glucose level

9. enter hemoglobin value

10. enter the hip circumference.

11. enter the position of the patient when recording vitals.

12. enter the temperature

13. enter the provider who performed the vitals

14. enter the additional details in notes

State the purpose of a patient's "Bill of Rights" (3)

-fair treatment

-autonomy

-patient information standards

Determine licensure and certification needed by healthcare professionals (3)

-professional medical degree

-state licensure

-residency

Identify threats to patient confidentiality (5)

-electronic records

-emails

-faxing

-phone calls

-printers

expressed consent

consent given verbally or in writing

implied consent

consent given through actions, inferences, or silence

informed consent

consent granted after the patient has received all necessary information

Identify practices and behaviors that result in malpractice, liability, and/or negligence (6)

-misdiagnosis

-giving incorrect medicine

-not documenting soon enough

-not monitoring a patient's condition

-altering a medical record

-not following policies correctly

Identify ethical issues related to healthcare (4)

-reporting unethical behaviors

-conflicts of interest

-genetics and reproductive medicine

-personal values

Describe the various forms of communication common to healthcare (5)

-verbal

-non-verbal

-electronic

-interhospital

-intrahospital

Manage telephone communications and use appropriate techniques to gather and record information (5)

-use dark ink

-correct spelling

-no erasing

-only use accepted medical abbreviations

-brief and complete entries

Identify procedures for and complete a balance sheet (5)

-assets

-liabilities

-income

-expenses

-capital

List procedures to bill patient (6)

-registration

-insurance eligibility and verification

-medical coding of diagnosis, procedures, and modifiers

-charge entry

-claims submission

-payment posting

Define procedures for processing past-due accounts (5)

-reach out to inquire

-don't use threatening language

-don't give away information to other people

-be understanding

-be patient

Identify procedure for and reconcile a bank statement (4)

1. compare deposits

2. adjust bank statements

3. adjust cash account

4. compare balances

Identify procedures to maintain a petty cash fund (5)

1. determine the amount of petty cash required

2. write a check to "Cash" to establish the petty cash fund

3. store the cash in a locked box under the control of a trusted employee

4. as the cash in the fund is depleted, gather all the receipts and total them

5. write a check to "Cash" to replenish the fund for the total of the receipts

Identify procedure for processing referrals (6)

1. improve internal office communication

2. engage the patient in scheduling

3. facilitate the appointment

4. track referral results

5. analyze data for improvement opportunities

6. gather patient feedback

explanation of benefits (EOB's) form

statement sent by insurance company about what medical services were paid for on their behalf

Identify procedures for submitting insurance claims (5)

1. collect itemized receipts

2. complete a claim form

3. make at least one copy

4. review, call, and send

5. wait

Identify components of the medical record (8)

-history of present illness

-past medical history

-chief complaints

-results of physical examinations

-diagnosis

-family medical history

-progress notes

-prescriptions and refill orders

Determine procedures to code medical records (5)

1. query, if necessary

2. code the diagnosis

3. code the procedure

4. confirm medical necessity

5. double-check

Identify procedures for filing medical records manually or electronically (5)

1. verify that material has been seen by doctor and has been checked and initialed

2. separate by filing captions

3. attach index caption on top of materials

4. arrange coded material in alphabetical order

5. place materials in file cabinets or drawers/shelves with appropriate index and code captions

Identify the phases of the record life cycle (3)

1. creation

2. maintenance

3. disposition

List procedures for aseptic hand washing (9)

1. remove all jewelry

2. turn on faucet using a paper towel

3. wet your hands and apply liquid soap

4. work soap into a lather and scrub hands for at least two minutes

5. keep your hands at a lower angle than your elbows to prevent the dirty water from running back onto your arms

6. interlace your fingers to clean between them

7. scrub your fingernails with a nail brush

8. dry your hands with clean paper towels

9. turn off the faucet using a clean paper towel

Identify infection control techniques to prevent transmission of infectious disease (5)

-disinfection and sterilization

-hand hygiene

-isolation precautions

-surgical masks

-proper handling of needles

Identify procedures to dispose of bio-hazardous materials (8)

1. identify

2. count

3. notify

4. manage

5. transport

6. recycle

7. treat

8. dispose

Detail proper technique for handling clean and soiled linens and clothing (8)

-always wear reusable rubber gloves before handling soiled linen

-never carry soiled linen against the body

-carefully roll up soiled linen to prevent contamination of the air, surfaces, and cleaning staff

-do not shake linen

-if there is any solid excrement on the linen, such as feces or vomit, scrape it off carefully with a flat, firm object and put it in the commode or designated toilet/latrine

-place soiled linen into a clearly labeled, leak-proof container in the patient care area

-reprocess the designated container for soiled linen after each use

-if reusable linen bags are used inside the designated container, do not overfill them, tie them securely, and launder after each use

Identify standard precautions used in healthcare (5)

-gown

-mask

-gloves

-cap

-protective eyewear

Detail procedures to clean, sterilize, and prepare instruments and supplies (5)

1. rinse

2. clean

3. dry

4. reuse or autoclave

5. cold sterilization

List factors that promote and inhibit growth of microorganisms (4)

-temperature

-pH levels

-moisture

-oxygen levels

Identify ways the body protects against microorganisms and infection (3)

-experience

-white-blood cells

-antibodies

Identify common elements of a patient's medical history (4)

-chief complaint

-review of systems

-past family and social history

-history of present illness

Analyze emerging technologies used by the healthcare industry (4)

-AI

-voice search

-virtual checkups

-sensors

Identify and use appropriate resources to obtain assistance (4)

-help menu

-manuals

-websites

-search engines

Process an account's payable invoice (5)

1. capture general ledger (GL) code and match supporting documents

2. send invoices to authorized approvers to approve or reject invoices

3. authorize and submit invoices for payment in a financial system

4. process invoices for payment via common payment methods

5. archive invoices and payment information in the GL and for audit purposes

parts of a computer system (4)

-input

-processing unit

-memory and storage

-output

Identify tools, diagnostic procedures and troubleshooting techniques for components and operating systems for personal computers, laptops and portable devices (3)

-virus scan

-check WiFi connection

-update software

Identify tools and diagnostic procedures to troubleshoot printers and scanners (4)

-fix damaged cables

-check for a paper jam

-perform self-test

-reboot printer

HIPAA

health insurance portability and accountability act

establishes standards to protect the privacy and security of a patient's protected health information (PHI)

OSHA

occupational safety and health administration

assure safe and healthful conditions for workers by setting and enforcing standards and providing training, outreach, education and compliance assistance

HCQIA

health care quality improvement act

protects health care professionals and hospitals from lawsuits related to peer review

EMTALA

emergency medical treatment and labor act

requires hospitals to provide emergency care to anyone who needs it

HITECH

health information technology for economic and clinical health act

encouraged healthcare providers to adopt electronic health records and improve privacy and security protections for healthcare data

FLSA

fair labor standards act

sets minimum wage, overtime, and recordkeeping standards for most private and public employers. child labor and youth employment

Wagner Act/NLRA

national labor relations act

protects employees' rights to form unions and bargain with employers

ERISA

employee retirement income security act

protects retirement and health plan participants in private industry

FMLA

family and medical leave act

allows eligible employees to take up to 12 weeks of unpaid leave per year

Title VII of the Civil Rights Act

prohibits employment discrimination based on race, color, religion, sex, or national origin

ADEA

age discrimination in employment act

prohibits discrimination against people aged 40 and older. It applies to hiring, promotion, compensation, and other terms of employment.

ADA

americans with disabilities act

aims to ensure equal opportunities and protections for people with disabilities. The ADA applies to employment, transportation, public accommodations, and more. 

HMO

health maintenance organization

must stay in network

must get a referral to see a specialist

PPO

preferred provider organization

not required to stay in network

no referral necessary

EPO

must stay in network (but larger than hmo)

no referral necessary

Medicare

health coverage for people 65 and older

medicaid

Provides health coverage for people with disabilities and low incomes

power of attorney

legal document that allows someone to act on another person's behalf

end of life care, surgery, health treatments

medical claim

an invoice (or bill) that is submitted by your doctor's office to your health insurance company after you receive care

certificate of coverage

document that outlines an individual's health insurance plan. It's also known as a contract, summary plan description (SPD), or evidence of coverage

medical billing forms

CMS-1500 form is a paper claim form used to bill for healthcare services to Medicare, Medicaid, and other insurance programs. It's the industry standard for filing non-institutional claims

aden

gland

anter

front

branchio

arm

colo

colon

cyt

cell

encephal

brain

my

muscle

ocul

eye

ot

ear

trachel

neck

centesis

puncturing

ectomy

surgery to remove

genic

causing

itis

inflammation

oma

swelling

phagia

swallowing

rrhea

discharge

scopy

exam with instrument

plasty

surgical repair

oxia

oxygen level

osis

condition

lysis

deterioration

nephro

kidney

osteo

bone

cranio

skull

pulmon

lungs

stetho

chest

ALL

acute lymphocytic leukemia

AMI

acute myocardial infarction

MDS

myelodysplastic syndrone

SIDS

sudden infant death syndrome

PE

pulmonary embolism

IDDM

insulin dependent diabetes mullitus