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Beveridge Model
A tax-funded system where the government owns healthcare facilities (e.g., UK).
Bismarck Model
Employer-employee funded insurance (e.g., Germany, Japan).
National Health Insurance (NHI) Model
One government payer, private providers (e.g., Canada).
Main driver of medical tourism
Lower-cost or specialized care abroad.
Major challenge of globalized healthcare
Differences in regulations and quality standards.
Transformational leadership
Inspiring change and motivating employees through vision.
Key functions of management
Planning, organizing, controlling.
Mintzberg's decisional roles example
Negotiator.
Lewin's first step in change theory
Unfreeze.
Transactional leadership
Relies on rewards and punishments.
Matrix structure
Dual reporting to functional and project managers.
Flat organizational structure
Few layers, wide span of control.
Integrator in coordination
A role like case manager who links departments.
Organizational culture influence
Behavior, communication, and performance.
Standardization in coordination
Using rules, policies, and protocols to guide actions.
Herzberg's hygiene factors
Pay, working conditions, job security.
Maslow's highest level of need
Self-actualization.
Most collaborative conflict style
Collaborating.
Cause of role ambiguity
Unclear job expectations.
Expectancy Theory
Says motivation increases when effort → performance → reward.
Storming stage
Conflict and role negotiation.
Interdisciplinary teams uniqueness
Collaborative communication across specialties.
Essential for an effective team
Shared goals and trust.
Common barrier to team performance
Poor communication.
Peak productivity stage
Performing stage.
Upward communication
Employees → leadership.
Nonverbal communication
Body language, posture, eye contact.
Major communication barrier in healthcare
Cultural differences.
Downward communication
Leadership → staff.
Message filtering
Altering or withholding parts of a message.
First step of PDSA cycle
Plan.
Six Sigma
Aims to reduce variation.
Lean focus
Eliminating waste.
Root Cause Analysis timing
Conducted after an adverse event.
National quality measure set
HEDIS.
First step in strategic planning
Mission, vision, values.
SWOT analysis
Analyzes internal strengths/weaknesses and external opportunities/threats.
Strategy implementation
Includes creating action steps and executing the plan.
Competitive advantage
Comes from quality, innovation, and strong patient experience.
Mission statement
Explains the organization's purpose.
HIPAA regulation
Regulates patient privacy and data security.
Medicare Part A coverage
Hospital inpatient care.
Joint Commission role
Sets quality and safety standards for hospitals.
Policy that expanded Medicaid
The Affordable Care Act (ACA).
Last step of the policy cycle
Evaluation.
Autonomy
Respect for patient choice.
Informed consent requirement
Patient understanding of risks and options.
Consumerism promotion
Informed, engaged healthcare decisions by patients.
Nonmaleficence
Do no harm.
HCAHPS measures
Patient experience and satisfaction.