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Adverse Drug Events (ADEs)
Injuries, large or small, caused by the use (including nonuse) of a drug; can be as harmless as a drug rash or as serious as death from an overdose; the two types of ADEs are those caused by errors and those that occur despite proper use
Board of Directors or Governing Board
Group of people authorized by law to conduct, maintain, and operate a hospital for the benefit of the public and whose legal and moral responsibility for policies and operations of the hospital are not for personal benefit of the members
Centers for Medicare & Medicaid Services (CMS)
Federal agency that administers the Medicare program and partners with states to administer Medicaid
Certificate of Need (CON)
Certificate approved by a local (state) review board permitting hospitals to construct new or additional facilities, open new services, or make large purchases—a condition required for reimbursement by Medicare
Certified Radiology Administrator (CRA)
Professional who has demonstrated skill and knowledge in asset management, financial management, operations management, human resource management, and communication and information management in radiology
Chief Executive Officer (CEO)
Person appointed by the board of directors who has full accountability for the entire hospital or health care organization
Clinical Support Services
Services providing the components of patient care that collectively support the physician's plan for diagnoses and treatments
Continuous Quality Improvement (CQI)
System of development in the workplace for daily improving performance at every level in every operational process by focusing on meeting or exceeding customer expectations
Department
Unit of the hospital with specific functions or specialized skills such as housekeeping, surgery, radiology, or accounting
Department Chair
Physician who represents a department or service and sits as a formal member of the executive medical staff committee; responsible for all of the medical operations of a hospital department and may also oversee a residency training program
Human Resources Department
Ancillary department of the hospital responsible for recruiting, selecting, supporting, and compensating employees; developing and maintaining skills, quality, and motivation; collective bargaining; and occupational health and safety
The Joint Commission (TJC)
Independent not-for-profit organization that evaluates and accredits more than 17,000 health care organizations and programs in the United States and is the nation's primary standard-setting and accrediting body in health care; TJC standards focus on improving the quality and safety of patient care provided by health care organizations
Medical Director
Physician responsible for the medical operation and quality of a hospital department or service; also responsible for providing input regarding policies and procedures and day-to-day operations of the department
Medical Error
Failure to complete a planned action as intended or the use of a wrong plan to achieve an aim; can be related to an incorrect diagnosis, equipment failure, infection, or a misinterpretation of an order
Medical Staff
Formal organization of physicians authorized to admit and attend to patients within a hospital; have authorized privileges, bylaws, elected officers, and various committees and activities (see Medical Director, Department Chair, and Service Chief)
Mission Statement
Statement of an organization that summarizes its intent to provide service in terms of the services it offers, the intended recipients of services, and a description of the level of cost
Occupational Safety and Health Administration(OSHA)
Federal agency that enforces standards for safety in the workplace, conducts inspections, and directs determination of fines for noncompliance with policies and regulations
Performance Improvement (PI)
Process of identifying and analyzing important organizational and individual performance gaps, planning for future performance improvement, designing and developing cost-effective and ethically justifiable interventions to close performance gaps, implementing the interventions, and evaluating the financial and nonfinancial results
Radiology (Medical Imaging) Department
Organization of a hospital or medical clinic that provides diagnostic imaging through medical technologies such as x-ray examination, fluoroscopy, computed tomography, interventional radiography, magnetic resonance imaging, mammography, nuclear medicine, and ultrasonography
Service Chief
Physician responsible for overseeing a component or subdepartment of a hospital service—for example, a radiologist who is chief of the nuclear medicine service
Third-Party Payers
Insurance companies, Medicare, Medicaid, and other commercial companies that are the payers of inpatient and outpatient medical expenses for the patient
Total Quality Management (TQM)
Management of quality in the workplace from a perspective of total involvement of every employee, with a strong focus on process measurement and control