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19th Amendment
gave women the right to vote
An action that results in physical harm to a patient (physical, verbal, or psychological)
Abuse
An organizations record of bills that have not been paid for and goods or services provided
Accounts receivable
An evaluation by an official organization to assure that another organization meets minimum standards of quality. Healthcare’s in primarily Joint Commission on Accreditation of Healthcare Organizations (JCAHO)
Accreditation
a document stating a person’s wishes on medical treatment in the event they are unable to communicate their wishes to their family or the physician
Advance directive
legislation prohibiting the discrimination against people over 40 based on age, unless there is a legit occupational concern.
Age discrimination in employment act of 1967
legislation preventing employers from discriminating against the physically or mentally handicapped when a reasonable accommodation for employment could have been made.
Americans with disabilities act of 1990 (ADA)
drug that stimulates the nervous system
Amphetamine
rare form of brain cancer that has a poor prognosis
Anaplastic astrocytoma
on the front/ head on
anterior
medicine that inhibits the growth of or destroys microorganisms. ex) penicillin
Antibiotic
to take a case or complaint decided by a lower court or administrative body to a higher one
appeal
a training period for a person learning a craft from someone well experienced in the trade
apprenticeship
a negotiated price between two unrelated individuals
arms-length purchase price
a one-celled microorganism
bacteria
the illegal use of force against another person
battery
a viewpoint that prevents unprejudiced consideration of an issue
Bias
the board responsible for all hospital operations. ex) hiring and firing administrators, granting medical staff memberships and privileges, making strategic plans, approving the budget, monitoring costs, etc
board of trustees
synonym for profit
bottom line
an organization neither gains or loses money; revenue = expenses
breakeven
a written document explaining how a company will reach its goal of profitability
business plan
an expenditure for equipment with a price above that set of the board
capital expenditure
a fixed monthly payment made to a physician or hospital to provide medical services to a person covered under a health insurance program. Form of prospective reimbursement
capitation payment
the heart has stopped beating
cardiac arrest
two or more unrelated diseases in one individual
comorbidity
the department that inventories and distributes medical supplies to hospital departments
central supply
synonym for hospital administrator.
CEO
operation to remove the gallbladder
cholecystectomy
distress call over hospital intercom to announce a cardiac arrest has occurred and help is needed
code blue
distress call announced over hospital intercom to announce there is a fire
code red
a financial payment to an individual who has been harmed by the offending party. awards are made in civil courts and are designed to make the harmed person financially whole
compensatory damage
a person hired to see that an organization abides by specific rules and regulations
compliance officer
contract where the final price the customer will pay is not fixed until after the care is provided. place the risk of poor performance on the patient
cost reimbursement contract
total hospital costs divided by hospital patient days
cost-per-patient day
Certified Public Accountant. a person who has passed an exam verifying that they have the minimum knowledge. of financial accounting, business law and tax tax to practice public accounting
CPA
continuous quality improvement. an approach to quality that focuses on organizations, systems, and processes rather than individuals
CQI
cart stocked with instruments and medications needed during a cardiac arrest
crash cart
a process whereby a hospital’s board of directors grants to a physician the authority to perform specified procedures and operations
credentialing
a committee of members of medical staff who review the procedures physicians applying to the medical staff wish to perform in the hospital. They evaluate the applying physican’s education, certification, licensure, and experience to determine if they are qualified for these procedures and then recommend to the board of trustees that their credentials are to be granted or denied
credentials committee
when individuals assume cultural differences don’t exist
cultural blindness
social, artistic, and religious structures and manifestations that characterize a society. beliefs and traditions handed down from generations
culture
the act of attacking the good reputation of another person
defamation
equipment used to restore a patient to normal heartbeat when experiencing fibrillation
defibrillator
a consumer’s willingness to pay a price for a good or service
demand
drug used to treat moderate to severe pain. used before and during surgery
demerol
state agency given the responsibility to license and regulate businesses in a specific state
department of business regulation
an agency charged with maintaining and developing employment through salary surveys, development of public policy, studies on local employment patterns, and opportunities and assistance in finding employment
department of workforce services
written testimony under oath
deposition
the chief financial officer (CFO) is responsible for managing the financial activities of the hospital. ex) accounting, working with banks to borrow money, and supervising the collection of accounts receivables
director of finance
the individuals responsible for the purchase, storage, and distribution of all supplies in the hospital
director of materials management
the situation of having people who are different races or who have different cultures in a group or organization
diversity
the study of scarce resources
economics
an elected committee of hospital employees that represent employees to hospital administration
employee council
(anti-dumping law). requires an emergency center to stabilize and treat any patient coming into the department, regardless of insurance or ability to pay
EMTALA (Emergency Medical Treatment and Active Labor Act)
cancer of the spinal cord
ependymona
responsible for enforcing federal laws that make it illegal to discriminate against a job applicant or employees based on their race, color, religion, sex, pregnancy, origin, age, disability, or genetic origin
EEOC (equal employment opportunity commission)
study of work. study of the methods that can be used in a workplace to reduce the risk of employee injury
ergonomics
acting in an ethical manner
ethical behavior
the study of the principals of right and wrong
ethics
the unity that comes from a common religion, belief, language, or culture
ethnicity
a salaried position that is exempt from the provisions of the fair labor standards act
exempt position
federal agency responsible for the regulation and oversight of civil aviation. ensures safety of civil aviation in the U.S.
FAA (federal aviation administration)
contract between patient and provider that involves a fixed price. Prospective reimbursement system. ex) DRG reimbursement and capitation payment
Fixed-price
pungent gas used as an antiseptic and disinfectant
formaldehyde
an economic system where people can decide what is produced, who produces it, and for whom it is produced. prices theoretically set by the interaction of supply and demand
free market
plantlike pathogens (molds and yeasts)
fungi
a person’s perception of having a particular gender, which may or may not correspond to the gender they were assigned at birth
gender role
infection caused by inflammation of the liver
hepatitis
highly addictive pain relieving drug derived from morphine
heroin
federal program from the 1950’s that provided funds for hospital construction
Hill Burton
enacted by Congress in 1996 to protect the confidentiality of patient medical information
HIPAA (Health Insurance Portability and Accountability Act
An organization that delivers healthcare
HMO (Health Maintenance Organization
organization that provides healthcare services to patients in their homes
home health agency
person responsible for all finance and accounting operations in the hospital
Hospital controller
position paid according to hours worked and is entitled to overtime
hourly position
operating an organization with a profit
in the black
being unprofitable
in the red
class of payment systems designed to provide incentives for physicians and hospitals to control costs by placing the financial risk on the provider instead of the consumer. ex) DRG reimbursement and capitation payment
incentive reimbursement
document used to report an incident that harmed or had the potential to harm a patient, employee, or visitor. Part of a risk management program designed to cut the risk of injury. ex) medication errors, falls, patient refusals of treatment, safety violations, and patient complaints
incident report
a traditional insurance program design that provides few incentives for cost control
indemnity insurance policy
a hospital committee consisting of physicians, nurses, and other hospital employees responsible for identifying and correcting the causes of hospital infections
infections committee
a financial calculation of the profitability of an investment, such as equipment or buildings. Which is calculated by dividing the equipment or facilities by the average investment in those assets
IRR (internal rate of return)
An organization that accredits hospitals and other healthcare organizations. Accreditation certifies the hospital meets a predetermined standard of care
JCAHO (joint commission on accreditation of healthcare organizations)
how long a procedure should take to make or deliver as measured in hours
labor hour standards
the difference between how long a procedure should take to deliver and what it actually took to deliver
labor hour variance
on the side
lateral
the right of possession of property until a debt is paid
lien
without a lien
lien free
a lending contract between a bank and a business authorizing the business to draw on bank funds up to a specified limit. Lines of credit are used to finance inventory and accounts receivable. A line of credit is a form of short borrowing
line of credit
a legal document that holds title or ownership to an individual’s assets and specifies how the assets are to be used for the benefit of the individual while she is alive, and how they are to be distributed at her death
living trust
an act of professional negligence that kills or injures patients
malpractice
an approach to cost control that includes preauthorization for expensive procedures, incentive reimbursement
managed care
a program funded with federal and state funds to provide healthcare for the poor
medicaid
the primary governing committee of the medical staff. Oversees the activities of hospital physicians and represents the medical staff to the board of trustees and administration
MEC (medical executive committee)
federally funded program that pays the cost of healthcare for individuals 65 years and older
medicare
personal standard of right and wrong
morals
a narcotic pain reliever
morphine
death’s divided by admissions
mortality rate
decreased or cessation of blood flow to the myocardium. Necrosis of the tissue
myocardial infarction
a drug that affects the brain and that is usually dangerous and illegal. Medical use: a drug that is given to people in small amounts to make them sleep and feel less pain
Narcotic