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define direct care setting
An organization that provides care directly to a patient, resident, or client who seeks services from the organization. (hands-on patients)
Examples of outpatient direct care settings
dentists, physician, chiropractors, clinics
Examples of inpatient direct care settings
hospitals, treatments centers
Examples of long-term direct care settings
Nursing homes, assisted living, and residential treatment centers.
define healthcare management
The profession that provides leadership and direction to organizations that deliver personal and consumer health services
Traditional non-direct care setting is paid mostly through
insurance billing
examples of traditional non-direct care settings
Medical equipment suppliers, health accountants and auditors, pharmaceutical and health insurance companies.
alternative non-direct care settings includes
Companies focused on population health and consumer products and are rarely paid through insurance.
examples of alternative non-direct care settings
nutrition counseling, wearable devices, and personal coaching
define external domain
The influences, resources, and activities that exist outside of the boundary of the organization.
examples of external domains
Community needs, population characteristics reimbursement from commercial insurers, and government plans.
define internal domain
Those areas of focus that managers need to address on a daily basis.
examples on internal domains
staffing, budgeting, and quality of care
define management
Work through others to accomplish technical and interpersonal activities to achieve the desired objectives of the organization.
define planning for a healthcare manager
Requires a set direction and determines what needs to be accomplished
examples of planning by a healthcare manager
setting priorities and determining performance targets
define organizing by a health care manager
addresses the internal design of an organization
examples of organizing by a healthcare manager
Determining positions, teamwork assignments, and distribution of authority.
define staffing by a healthcare manager
Acquiring and retaining human resources
example of staffing by a healthcare manager
developing and maintaining the workforce of an organization
define controlling by a healthcare manager
Maintaining strict activities and performance and taking corrective action if needed.
example of controlling by a healthcare manager
Checking in with subordinates on an assignment to see how it is progressing.
define directing by a healthcare manager
Initiating action though effective leadership and motivation of and communication with subordinates
define decision making by a healthcare manager
Making effective decisions based on consideration of benefits and the drawbacks of alternatives.
What are the three Katz’s competencies?
Conceptual, technical, and interpersonal skills
define competencies
It is a state where an individual has the requisite and adequate ability to perform certain functions.
define conceptual skills
Skills that involve the ability to critically analyze and solve complex problems.
example of conceptual skills
determining a strategy to reduce patient complaints regarding wait time or food service
define technical skills
reflects expertise or ability to perform a specific work task
example of technical skills
Designs and implements modifications to a computer-based staffing model.
Define interpersonal skills
enable managers to communicate and work well with other individuals
example of interpersonal skills
Communicates to subordinates the desired performance level for a service for the next fiscal year.
define hierarchy of managment
Means that authority, or power, is delegated downwards in the organization, and lower-level managers have less authority than higher-level managers.
What is the most common organizational structure?
Functional Structure
What are the Functional Structure key characteristics?
specific divisions of labor
clear reporting lines and accountability
larger organizations have more vertical structure
smaller organizations have a flatter structure
define service line
A manager heads a specific clinical service line and it’s a one-stop shop.
examples of service lines
Cardiology, oncology, women’s services, physical rehabilitation, behavioral health, and orthopedics.
Define organizational culture
Is known as the benefits, attitudes, and behaviors that are shared among organizational members.
Define Mission
The organization’s fundamental purpose or what the organization seeks to achieve.
Define vision
A desired future state of an organization and reflects what the organization wants to be known or recognized for.
Define Values
Principles that an organization believes in and shapes the organization’s purpose, goals, and day-to-day behaviors.
define strategic planning
Is the process of identifying the desired future state of an organization and a means to achieve it.
Define talent managment
another term for defining human resource management is based on the perspective that organizations should view their employees as strategic assets who can create a competitive advantage
define employee engagement
describes the motivation and commitment a staff to contribute to the organization.
What is a never event?
Is a shocking event that should never occur in a health care setting, such as wrong-site (wrong leg amputation) surgery or hospital acquired infection.
What is the triple aim?
it advocates for health system improvements
What are the three dimensions of the triple aim?
reducing the per capita cost of care
improving the health of populations
improving the patient experience of care
What is Value-based reimbursement?
Medicare and commercial insurers are paying for care on the basis of … clinical quality and patient perceptions of care and customer service.
How is value-based reimbursement related to the triple aim?
Both the value-based reimbursement and the thrid dimension in the triple aim are focused on improving the patient experience.
define patient experience
It is the sum of all interactions, shaped by an organization’s culture, that influences patient perceptions across the continuum of care.
What is leadership development?
Educational interventions and skill-building activities are designed to improve the leadership capabilities of an individual.
Examples of activities that are included in leadership development
structured courses
leadership development program
mentoring
personal development coach
job enlargement
360-degree performance feedback
What is succession planning?
Taking action to ensure that staff can move up in management roles within an organization to replace those managers who retire or move to other opportunities in other organizations.
Define Managment Innovation
Addresses the organization’s managment processes as the practices and routines that determine how the work of managment gets conducted on a daily basis.
Define Operational Innovation
Addresses the organization’s business processes
Define Change managment
A leader is
more about who you are.
A manager is
More about the position
define leaders
Persons who take an external focus and spend the majority of time communicating and aligning with outside groups that can benefit their organization or influence them.
define managers
Persons who take an internal focus, maintain current operations, and align the organization with strategic objectives
Examples of internal stakeholder
Administration
Operations
Professionals
Managment focus
Examples of external stakeholders
Media
Vendors
Government
Financial Stakeholder
Community Groups
Health policy, law, and regulations
Strategic partners
Strategic Leader
defines purpose and vision
aligns people, processes, and values
internal and external focus
What are the three leadership types that make up the interdependent leadership system?
Strategic, Network, and Operational
Define Network leader
connects people across disciplines, organizational departments, and regions
more external focus
Operational leader
has functional oversight responsibilities
more internal focus
What is emotional intelligence?
It suggests that there are certain skills (intrapersonal and interpersonal) that people need to be well-adjusted in today’s world.
define self-awareness
A deep understanding of one’s emotions, strengths, weaknesses, needs, and drives.
define self-regulation
adaptability to change and control over impulses
define self-motivation
Ability to enjoy challenges and being passionate about your work.
define empathy
social awareness skills, putting yourself in another’s shoes
Define social skills
Supportive communication skills, abilities to influence and inspire
What are the contemporary leadership models?
authentic, servant, resilient, discursive
Define Authentic leadership
Focused on following their internal compass
Building a support team
staying grounded by integrating all aspects of leaders lives
Define Servant leadership
A style that focuses on helping others
Particularly well-suited to non-profit organizations and charitable missions that seek to meet the community’s needs
Define Resilent leadership
overcomes the pressures, bounces back, and keeps the organization moving forwards
define Discursive leadership
Presents leadership as being created through communication practices that are negotiated between the leader and follower.
Coercive leadership
demanding and power based
typically used on problematic employees
participative leadership
soliciting input and allowing decision-making
applied to most followers
pacesetting leadership
setting high-performance standards
used for highly competent employees
coaching leadership
Focus on personal development
used for the leadership team and top level.
Examples of Leadership Competencies
Establishing Mission
Setting vision/direction
Motivating stakeholders
Being an effective spokesperson
Determining strategies
Transforming the organization
Networking orientation
Examples of Manager competencies
Assuring patient-centered practices
staffing personnel
controlling resources
surveying the services provided
overseeing adherence to regulations
counseling/ developing employees
managing operations
What are the four Leadership Domains?
functional and technical
self-development and self-understanding
interpersonal
organizational
Examples of the leadership domain Functional and technical
knowledge of the business
problem-solving
Examples of the leadership domain of self-development and self-understanding
personal responsibility
empathy and compassion
Examples of the leadership domain interpersonal
communication
motivating
Examples of the leadership domain organizational
teambuilding
political savvy
What are the eight leadership protocols?
Professionalism
reciprocal trust and respect
confident, optimistic, passionate
being visible
open communicator
risk-taker
admitting fault
balance being a motivator, vison-setter, analyzer, and task-master
Define governing bodies
Group of individuals who oversee organizations, such as boards of trustees or directors, who have ultimate directors responsibility for the organization’s actions and performance.
What is Sarbanes Oxley?
Federal law that sets standards for financial records (transparency)
What organizations does Sarbanes Oxley apply to?
For-profit organizations
What are the noted trends in governance?
Smaller boards, on average, 13 people
balance of members’
conflicts of interest disclosed
strategic information presented
various evaluations to identify issues
focus on system functioning
manage change
Examples of Leadership barriers
laws and regulations
new technology
women in top leadership positions
Examples of leadership challenges
Physicians’
culture of safety
value-based purchasing/financial
What is population health?
Distribution of health outcomes within a specific population.
Why is health population an important new initiative? an
Used to measure health care organization’s success
Determines the organization’s reimbursement under new payment methods.
Distinguish between leadership development and leader development.
Leader development is on a much smaller scale (one-on-one), while leadership development is more team-based.
What are the shared values that span all generations?
We want the organization to succeed.
We want to measure success in our careers.
We are aging.
We will face challenges in the future.
Define Generation
A group of people born in the same general time span who share the same life experiences--such as big events--pastimes, heroes, and early work experience.