Exam #1 Cornerstone Chapter 1,2, and Genrations

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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)

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Examples of outpatient direct care settings

dentists, physician, chiropractors, clinics

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Examples of inpatient direct care settings

hospitals, treatments centers

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Examples of long-term direct care settings

Nursing homes, assisted living, and residential treatment centers.

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define healthcare management

The profession that provides leadership and direction to organizations that deliver personal and consumer health services

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Traditional non-direct care setting is paid mostly through

insurance billing

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examples of traditional non-direct care settings

Medical equipment suppliers, health accountants and auditors, pharmaceutical and health insurance companies.

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alternative non-direct care settings includes

Companies focused on population health and consumer products and are rarely paid through insurance.

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examples of alternative non-direct care settings

nutrition counseling, wearable devices, and personal coaching

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define external domain

The influences, resources, and activities that exist outside of the boundary of the organization.

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examples of external domains

Community needs, population characteristics reimbursement from commercial insurers, and government plans.

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define internal domain

Those areas of focus that managers need to address on a daily basis.

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examples on internal domains

staffing, budgeting, and quality of care

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define management

Work through others to accomplish technical and interpersonal activities to achieve the desired objectives of the organization.

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define planning for a healthcare manager

Requires a set direction and determines what needs to be accomplished

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examples of planning by a healthcare manager

setting priorities and determining performance targets

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define organizing by a health care manager

addresses the internal design of an organization

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examples of organizing by a healthcare manager

Determining positions, teamwork assignments, and distribution of authority.

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define staffing by a healthcare manager

Acquiring and retaining human resources

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example of staffing by a healthcare manager

developing and maintaining the workforce of an organization

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define controlling by a healthcare manager

Maintaining strict activities and performance and taking corrective action if needed.

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example of controlling by a healthcare manager

Checking in with subordinates on an assignment to see how it is progressing.

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define directing by a healthcare manager

Initiating action though effective leadership and motivation of and communication with subordinates

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define decision making by a healthcare manager

Making effective decisions based on consideration of benefits and the drawbacks of alternatives.

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What are the three Katz’s competencies?

Conceptual, technical, and interpersonal skills

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define competencies

It is a state where an individual has the requisite and adequate ability to perform certain functions.

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define conceptual skills

Skills that involve the ability to critically analyze and solve complex problems.

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example of conceptual skills

determining a strategy to reduce patient complaints regarding wait time or food service

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define technical skills

reflects expertise or ability to perform a specific work task

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example of technical skills

Designs and implements modifications to a computer-based staffing model.

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Define interpersonal skills

enable managers to communicate and work well with other individuals

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example of interpersonal skills

Communicates to subordinates the desired performance level for a service for the next fiscal year.

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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.

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What is the most common organizational structure?

Functional Structure

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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

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define service line

A manager heads a specific clinical service line and it’s a one-stop shop.

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examples of service lines

Cardiology, oncology, women’s services, physical rehabilitation, behavioral health, and orthopedics.

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Define organizational culture

Is known as the benefits, attitudes, and behaviors that are shared among organizational members.

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Define Mission

The organization’s fundamental purpose or what the organization seeks to achieve.

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Define vision

A desired future state of an organization and reflects what the organization wants to be known or recognized for.

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Define Values

Principles that an organization believes in and shapes the organization’s purpose, goals, and day-to-day behaviors.

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define strategic planning

Is the process of identifying the desired future state of an organization and a means to achieve it.

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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

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define employee engagement

describes the motivation and commitment a staff to contribute to the organization.

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45

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.

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46

What is the triple aim?

it advocates for health system improvements

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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

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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.

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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.

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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.

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51

What is leadership development?

Educational interventions and skill-building activities are designed to improve the leadership capabilities of an individual.

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Examples of activities that are included in leadership development

structured courses

leadership development program

mentoring

personal development coach

job enlargement

360-degree performance feedback

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53

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.

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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.

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Define Operational Innovation

Addresses the organization’s business processes

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Define Change managment

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A leader is

more about who you are.

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A manager is

More about the position

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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.

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define managers

Persons who take an internal focus, maintain current operations, and align the organization with strategic objectives

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Examples of internal stakeholder

Administration

Operations

Professionals

Managment focus

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Examples of external stakeholders

Media

Vendors

Government

Financial Stakeholder

Community Groups

Health policy, law, and regulations

Strategic partners

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Strategic Leader

defines purpose and vision

aligns people, processes, and values

internal and external focus

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What are the three leadership types that make up the interdependent leadership system?

Strategic, Network, and Operational

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Define Network leader

connects people across disciplines, organizational departments, and regions

more external focus

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Operational leader

has functional oversight responsibilities

more internal focus

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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.

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define self-awareness

A deep understanding of one’s emotions, strengths, weaknesses, needs, and drives.

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define self-regulation

adaptability to change and control over impulses

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define self-motivation

Ability to enjoy challenges and being passionate about your work.

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define empathy

social awareness skills, putting yourself in another’s shoes

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Define social skills

Supportive communication skills, abilities to influence and inspire

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What are the contemporary leadership models?

authentic, servant, resilient, discursive

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Define Authentic leadership

Focused on following their internal compass

Building a support team

staying grounded by integrating all aspects of leaders lives

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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

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Define Resilent leadership

overcomes the pressures, bounces back, and keeps the organization moving forwards

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define Discursive leadership

Presents leadership as being created through communication practices that are negotiated between the leader and follower.

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Coercive leadership

demanding and power based

typically used on problematic employees

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participative leadership

soliciting input and allowing decision-making

applied to most followers

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pacesetting leadership

setting high-performance standards

used for highly competent employees

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coaching leadership

Focus on personal development

used for the leadership team and top level.

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Examples of Leadership Competencies

Establishing Mission

Setting vision/direction

Motivating stakeholders

Being an effective spokesperson

Determining strategies

Transforming the organization

Networking orientation

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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

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84

What are the four Leadership Domains?

functional and technical

self-development and self-understanding

interpersonal

organizational

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Examples of the leadership domain Functional and technical

knowledge of the business

problem-solving

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Examples of the leadership domain of self-development and self-understanding

personal responsibility

empathy and compassion

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Examples of the leadership domain interpersonal

communication

motivating

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Examples of the leadership domain organizational

teambuilding

political savvy

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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

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90

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.

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What is Sarbanes Oxley?

Federal law that sets standards for financial records (transparency)

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What organizations does Sarbanes Oxley apply to?

For-profit organizations

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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

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Examples of Leadership barriers

laws and regulations

new technology

women in top leadership positions

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Examples of leadership challenges

Physicians’

culture of safety

value-based purchasing/financial

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What is population health?

Distribution of health outcomes within a specific population.

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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.

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98

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.

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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.

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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.

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