Hpex 445

What is a team?

a small number of people with complementary skills working together to achieve a common goal

what are the different task/timeframes, different team structures

-cross-functional teams (cfts)
-virtual teams
-committees

what are some challenges of teamwork?

-•Formal teamwork educational training for physicians and nurses has been rare.
-Developing teams and facilitating team activities are recognized competencies for health care managers.
-there is little formal preparation in teamwork in undergraduate and graduate health care management education

The conflict between physicians and nurses is frequently caused by?

physicians' refusal to embrace teamwork.

Physicians and nurses work from..., advocating for patients and families on an individual level.

clinical frameworks

health care managers are trained to look at?

population-level and organization-wide issues.

Benefits: Teams that are empowered to be innovative and rewarded for performance:

\-Improve coordination and quality of care, \n -Use of health care services more efficiently \n -Increase job satisfaction among team members \n -Increase patient satisfaction \n -Increase productivity

how does teamwork benefit higher-level managers

\-Improved communication \n -Increased productivity \n -Decreased absenteeism \n -Increased job satisfaction \n -Decreased nursing turnover

what are some downsides of teamwork?

•Meeting time, place to meet, and food and coffee \n •Opportunity costs, i.e, how that time might have been better spent \n •Perceived loss of autonomy \n •Risk-taking associated with letting go of one's turf \n •Resistance to organizational change

•Perceived loss of autonomy

What are Tuckman's five stages of group development?

forming, storming, norming, performing, and adjourning.

what is the first stage of teamwork?

getting oriented to the team goals and each other, finding out what the tasks are, and who they will be working with

what is the 2nd stage of teamwork?

Storming: intragroup conflict, attempts at dominance, passive-aggressive behavior, along with information withholding and other forms of resistance to team tasks and goals

what is the third stage of teamwork?

•Norming: expectations and roles become codified, either formally or informally

what is the 4th stage of teamwork?

•Performing: peace breaks out and team members actually begin the work at hand, have open dialogue with one another, and share information to accomplish the team's goals

What is the fifth stage of teamwork?

•Adjourning: team members have worked together over a long period of time, have developed respect for one another, like each other as individuals and the team as a whole, and become sad that they are disbanding

What's the difference between tame vs wicked problems?

Tame problems can be defined, and it's not easy, but they can be solved. Wicked problems are difficult to define and resolve. has multiple layers of issues

What is the Myers-Briggs Type Indicator?

is used to understand differences in team members' personalities based on jung's theory of psychological types. bases on 4 domains and subsets

what is the emotional contagion?

teammates catching each other's moods.

emotional aware team members can ?

change an organization's emotional environment and improve the quality of employees' and patients' lives by helping others to become "infected" with positive emotions

What did Galeman move the term "social intelligence" from and to?

from social awareness to social facility instead of social skills.

What is crew resource management?

develop to address attitudes, change behaviors, and improve performance.

These three people applied crew resource management research to hospitals, where the stakes are high and the smooth operation of healthcare teams is critical.

sexton, Thomas and Helmreich.

what is a type of teamwork system designed for healthcare professionals that improves patient safety within the organization? improve communication and teamwork skills among healthcare pro.

team Stepps

what is conflict management? example effective communication, problem-solving abilities and good negotiating skills

dealing with conflict in an organized manner.

higher-performing teams were more likely to?

focus on the content of interpersonal interactions rather than delivery style. Discuss the reasons behind any decision, assign work to members who have the relevant task.

conflict management

bargaining voting ,problem solving, research and third-party mediation

what is virtual teamwork?

working from a remote location or telecommuniting such as billing,revenue recovery and customer service.

what are some pros of virtual teams?

less interpersonal conflict, reduced travel, and increased access to diverse employees and talents regardless of geography

what are some cons for virtual teams?

communication challenges, intellectual property issues, need for careful selection of team members, work hours may not be limited to normal work week, problems with determining who the supervisor is when there are HR issues

what does organizational learning do?

encourage employees to continually learn and share knowledge, together, to better provide their product or service

What is teaming?

•Teaming is best suited for organizations acting in an environment with intense competition, fast-paced activities and complex services—a perfect description of health care organizations.

hardware skills involve?

scoping, structuring and sorting

what is scoping?

is identifying the problem, deciding who needs to be on the team, and defining roles and responsibilities

what is structuring?

involves setting boundaries and targets for interdependent work; the team identifies how they will work together

what is sorting?

is the critical step involving the management of tasks; this step is critical due to the nature of task interdependence in teaming.

what does software include?

emphasizing purpose, building psychological safety, embracing failure, and putting conflict to work

what is emphasizing purpose?

•is articulating the organization's values in ways that relate to the team's purpose.

--------- is where leaders build psychological safety necessary for effective teaming

building psychological safety

what is embracing failure?

leadership must enforce a culture where mistakes are learned from, not punished. Only by taking risks and making mistakes can we truly learn.

what are the sampling of research sources

•Agency for Healthcare Research and Quality \n •Centers for Disease Control and Prevention Collaboration Primer \n •Hospital Research and Educational Trust (HRET) \n •Institute for Healthcare Improvement (IHI) \n •World Health Organization: Team Tools

what is a vulnerable population

A population that experiences health disparities as a direct result of a lack of resources and/pr exposure to risk, such as minority populations, the poor, the disabled, homosexuals and immigrants

what are the medically underserved areas and populations(MUA/PS

identify geographic areas and populations with a lack of access to primary care services

MUA has shortage of what?

of primary care health services for residents within a geographic area

what is medically underserved populations?

are specific sub-groups of people living in a defined geographic area with a shortage of primary care health services

what are health disparities?

differences in the incidence, prevalence, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups in the United States

what are priority populations

children; racial and ethnic minorities; the elderly; low-income, inner-city, and rural people; and those with special health care needs, such as those who have disabilities, need chronic care, or need end-of-life health care.

what are heath inequities?

avoidable inequalities in health between groups of people within countries and countries.

what inequalities affects groups of people?

social and economic

what is cultural proficiency?

The ability and willingness to respond respectfully and effectively to people of all cultures, classes, races, ages, sexual orientation, ethnic backgrounds, and religions in a manner that values

What are some benefits of cultural proficiency?

good business practice, workforce management, ethical and moral imperative and decreased economic burden on society

the are 5 reasons teamwork is essential

smoother and looser structure - more collaboration, more flexibility, enhances problem-solving improves productivity,

how does team work affect the health professionals

●Collaboration & partnership in health professionals can lead to improved clinical performance and patient safety \n ●Every member on team based care has a defined role or duty to perform \n ●Team members can share knowledge and skills with one another to improve the quality of care \n ●Communicating thoughts and ideas with each other can reduce the potential for errors

how does teamwork affect the general populaton?r

less stress=better relationships with patients and improved patient satisfaction. \n better quality care and aware of their patients needs. Shorter wait times more patients

what is health equity?

s "achieved when every person has the opportunity to attain his or her full health potential and no one is disadvantaged from achieving this potential because of social position or other socially determined circumstances

what is social justice defined as?

"the view that everyone deserves equal rights and opportunities- including the right to good health.

what is the role of health equaity and social justice?

to provide care to everyone regardless of race religion or gender.

What is cultural competency

"The underlying assumption of this approach is that the greater the knowledge one has about another culture, the greater the competence in practice"

what is cultural humality?

de-emphasizes cultural knowledge... greater emphasis on lifelong nurturing of self-evaluation and critique, promotion of interpersonal sensitivity and openness, addressing power imbalances, and advancement of an appreciation of intracultural variation and individuality to avoid stereotyping"

what is the effect of health equaity and social justice on health professionals ?

access to care and health-promoting resources , unconscious racial biases, diversity, trust between staff

what is law?

set of requirement for how an individual must act

what is ethics?

a set of guidelines for how an individual ideally should act

what are the sources for law?

created through legistiave ,executive order and court ruling

what are the sources for ethics?

often defined by licensing boards or proof organizations

whar is the objective for law?

to ensure social order safety and fairness in society by setting rules that everyone must follow

what is the objective for ethics?

to help people decide what is morally right and wrong and decide how to act

how are law and ethics documented?

law is written and published for all access while ethics is abstract and maybe unwritten

what are some consequences of the law?

indiviuals may face fines and penalties or criminal sanctions if they devaite from the law

what are some consequences of ethics?

non compliance with the guidelines may result in social disapproval and loss of license or professional privileges, such as hospital admitting privileges

between law and ethics which one us binding?

law

between law and thics which was is for people who are part of a group that shares the same value?

ethics

what are the three type of tort law?

negligence, intentional torts and infliction of mental distress

what is negligence?

generally unitentional: commission or omission

what is intentional tort?

a deliberate act that violates the rights of another

what are the four elemets of negligence?

\
1\. Negligent party must have a duty toward the harmed party 2. Breach of duty must have occurred3. Proof of injury or damages

• These do not have to be monetary
4\. Proof of causation

what is malpractice?

•Defined as negligence or carelessness of a professional person

under civil= simple carelessness

under criminal law=reckless disregard for saftey and another

what are the cons of malpractice?

\-diffcult to prove \n - costly and time consuming \n health care prof need to be aware of male practice \n adress in proactive manner \n checks exist

what is the patients responsibilities?

•Understand and consent to care \n •Ask relevant questions of their care providers \n •Provide accurate information (including insurance information, medications, etc.) \n •Comply with doctor's directives and prescriptions

what are providers' responsibilities?

Primary responsibility/duty is to avoid harming patients and improve patient situation. informed by federal and state laws

what is emergency medical treatment and active labor act?

a federal law that requires anyone coming to an emergency department to be stabilized and treated regardless of their insurance status or ability to pay.

What is antitrust law?

A series of laws intended to promote abundant, fair competition in the marketplace

what is a anti-kickback?

a criminal law that prohibits health care providers from paying any "remuneration" to anyone encourage patient referrals.

what is a stark law?

It is illegal to refer a Medicare or Medicaid patient to a designated health care service for which the referring doctor or a member of their immediate family have a financial relationship (ownership, compensation agreement).

What is a False Claims Act?

permits people who don't have a government affiliation to file legal action against federal contractors to claim acts of fraud against the government, which is known as a whistleblowing claim

what is a social security act?

It established a system of old-age benefits for workers, benefits for victims of industrial accidents, unemployment insurance, aid for dependent mothers and children, the blind, and the physically handicapped.

what is the difference between fraud and abuse?

fraud is intentinal while abuse is unintentional

what is misfeasance?

Performance of a legal act in a harmful or injurious manner

what is malfeasance?

performing an unlawful act

what is nonfeasance?

failure to perform a required act or duty

What is the distinction between the anti-kickback statute and the Stark Act?

the stark law is a strict strict liability statute that does not require proof of intent.

What is the Civil Monetary Penalties Law (CMPL)?

A law passed by the Federal Government to prosecute cases of Medicaid fraud.

how does policy effect health professionals?

improve efficiency of health care provider

\-resolve regulatory issues

what viruses kill more people annually then ebola has at height of the latest outbreak?

measles polio, pertussis and influenza

What is the difference between at-risk and reckless behavior?

at risk is the increase risk where risk is not recognized or mistakenly believed to be justified while reckless is consciously disregard a substantial and unjustified.

poor ___________ of a workplace that may black employees' vision

environmental design

What are some organizational risk factors?

working when understaffed, higher worker turnover

what are some consequences of workplace violence?

increasing absences from work \n greater use of worker's compensation claims \n increase of sick time \n higher quits \n personal injury lawsuit

what is the role of health care manger's role?

improve risk assessment,training of staff,communication, crime reporting.

true or false: physical tolerance can lead tp physical dependence.

true

21st Amendment (1933)

This repealed prohibition.